Obtain informed consent
Patient should be made aware that they will lose both sensory and motor function of the<unk>  distribution until the anesthetic wears off
Place the patient's extremity in the supinated position with elbow flexed between 45 & 90 degrees
Cleanse the skin with chosen antiseptic
Create a sterile field using sterile drape
In a sterile fashion, apply a superficial small wheel of local anesthetic to the area proximal to the medial humeral epicondyle
Patient should be made aware that they will lose both sensory and motor function of the<unk>  distribution until the anesthetic wears off
Injection site should be chosen approximately 2-3 cm proximal to the sulcus<unk> is groove
This is done as the<unk><unk>  is relatively fixed in the tight groove and it is important to minimize risk of direct<unk>  trauma and neurapraxia due to pressure build up
Direct the needle cephalad at 45 degrees
Aspirate prior to injection to rule out intravascular placement
Discontinue and reposition should the patient report shooting "electrical" pains or numbness prior to injection
Inject approximately 3-5 mL of local anesthetic
This is done as the<unk><unk>  is relatively fixed in the tight groove and it is important to minimize risk of direct<unk>  trauma and neurapraxia due to pressure build up
Nerve Block: Ulnar Nerve
Nerve Block: Radial Nerve
Nerve Block: Upper Extremity
Nerve Block: Foot
Nerve Block: Penile
Nerve Block: Occipital
Nerve Block: Femoral
Nerve Block: Median