A revolutionary training arm that provides complete venous access for IV therapy and phlebotomy, plus sites for intramuscular and intradermal injections. An extensive 8-line vascular system allows students to practice venipuncture at all primary and secondary locations, including starting IVs and introducing IV catheters. The venous system simplifies set-up with only one external fluid bag supplying artificial blood to all veins simultaneously. The dorsal surface of the hand includes injectable metacarpal, digital, and thumb veins. The antecubital fossa includes the median cephalic, median basilic, and median cubital veins. Venipuncture can also be performed along the basilic, cephalic, accessory cephalic, and median antebrachial veins. Intramuscular injections may be performed in the deltoid muscle and intradermal injection sites are located in the upper arm. Intramuscular injections into the deltoid muscle are enhanced by the soft, lifelike skin and by the natural bony landmarks in the region. Intra-dermal injections using distilled water will create characteristic skin welts at designated sites on the upper arm.