\u00a9 2023 wikiHow, Inc. All rights reserved. 8. -laceration of vein Move it forward (it may not be in the lumen). D. all of the above, Common causes of hematomas that form during a venipuncture include: However, drawing blood from the hand is affiliated with higher levels of pain and less control. Pediatric Pointers. Center for Phlebotomy Education, Inc. Ernst, Dennis J. and Catherine Ernst. B. the needle is inserted into the patient's arm Certain other sites should also be avoided. Any microtainerscontaining additives should be tapped to dislodge additives from the walls and top. C. all disposable equipment has been discarded properly 4. Inadvertently nicking a nerve causes intense pain. Certain areas are to be avoided when choosing a site: Extensive scars from burns and surgery - it is difficult to puncture the scar tissue and obtain a specimen. Extensive scarring or healed burn areas should be avoided Specimens should not be obtained from the arm on the same side as a mastectomy. 3. 12. 5. -hemorrhage/hematoma. performing a capillary puncture is as follows: 1. Background: Venipuncture is the most common invasive medical procedure performed by health care providers. 4. Be methodical in your search for a vein. Kiechle, Frederick L. So Youre Going to Collect a Blood Specimen: An, Introduction to Phlebotomy, 11th Edition. Follow institution's guidelines regarding treatment and follow-up. The rubber stoppers are color coded according to the additive that the tube contains. Puncture only the uppermost wall of the vein, Remove the tourniquet before removing the needle, Make sure the needle fully penetrates the upper most wall of the vein. Most reference ranges are based on normal laboratory test values for: Healthy people in a basal state. Lippi G, Blanckaert N, Bonini P, Green S, Kitchen S, Palicka V, Vassault AJ, Mattiuzzi C, Plebani M. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. The service requires full JavaScript support in order to view this website. Phlebotomy is not a one size fits all; each patient is different and may have their blood drawn at other sites with varying needle sizes. While the median cubital, cephalic, and basilic veins are the most popular draw sites for blood draws, phlebotomists may resort to other draw sites if their ability to draw is restricted. Adjust the angle (the bevel may be against the vein wall). -use a smaller gauge needle 9. Hematoma - may cause erroneous test results. Prepare the equipment, the patient and the puncture site. 4. chemistries, serology, immunnology, blood bank. proteins). When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped. Even if several vials of blood have to be drawn it usually amounts to no more than one ounce. (c) How would you prepare tetracaine from benzene? Such terms as "needs to," "must," "require" and "should" are used to explain how medical professionals should perform capillary blood collection procedures. Collect drops of blood into the collection device by gently massaging the finger. Procedures and Devices for the Collection of Diagnostic Capillary Blood. Gloves are to be worn during all blood collection procedures, and changed betweenpatient collections. Povidone-iodine wipes/swabs - Used if blood culture is to be drawn. Select the appropriate microtainers for the specimens to be collected. f.style.border="none"; Wikipedia. While hand veins may be utilized for blood draws and intravenous infusions, veins in the feet and legs should be avoided for adults. The upper extremity on the side of a previous mastectomy - test results may be affected because of lymphedema. If using a needle and syringe, avoid drawing the plunger back too forcefully. D. Near a tattoo, Needles are used once and then: If the patient is sitting in a phlebotomy chair, make sure they are sitting upright with their back against the chair. 7. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. (Assume that the total volume is the sum of the individual volumes and that the density and specific heat capacity of the solution are the same as for pure water.). To enhance students careers, meet the needs of healthcare providers and improve patient care by providing high quality, cost effective phlebotomy education through industry leading curriculum, current technology and extensive hands on experience. Regardless of the source of payment, request and receive an itemized and detailed explanation of the total bill for services rendered in the hospital. Laboratory coats or work smocks are not typically needed as personal protective equipment during routine venipuncture, but an employer must assess the workplace to determine whether certain tasks, workplace situations, or employee skill levels may result in an employee's need for laboratory coats or other personal protective equipment to prevent contact with blood. How to Troubleshoot a Difficult Venipuncture. What two things should you make sure you discuss with your patients prior to venipuncture? var evntData = event.data; 2. PhlebotomyU offers Certified Phlebotomy Technician (CPT I) courses for aspiring phlebotomists. Once you establish blood flow, slightly modify your hand position to stabilize the needle against the arm and prevent further movement. Cap, rotate and invert the microtainer to mix the blood collected. Label the specimens before leaving the patients bedside. Use pillows or foam wedges to elevate the arm and help with extension. Try another tube. Factitious biochemical measurements resulting from hematologic conditions. var zf_ifrm_data = evntData.split("|"); A. the tubes are filled and properly labeled The area where the blood is to be drawn from is first cleaned with a germ-killing solution. Perform the venipuncture. For a detailed breakdown of each step of the venipuncture test scroll down. Identification errors in pathology and laboratory medicine. Failure to do this results in an unequal blood-to-additive ratio, making the specimen unsuitable for analysis. Also found in the antecubital fossa, the basilic vein serves as a last resort for blood draws. IV lines are very useful in hospitals because some patients require frequent blood tests. Alcohol not dry in the required amount of time B. Veins less prominent and less filling C. Veins more prominent and easier to puncture D. Blood stop flowing to arteries but not veins A The most common site (s) for the venipuncture procedure is/are the following: This image may not be used by other entities without the express written consent of wikiHow, Inc.
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