Syringe Venipuncture: Demonstrate proper procedure for needle and syringe venipuncture. Transport specimen to the lab. Establish blood flow, release tourniquet, ask patient to open fist. The blood is normally drawn from a vein on the top of the hand or from the inside of the elbow. Attach the evacuated tube holder onto the adapter at the end of the tubing. The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. It consists of a needle device, a tube holder, and an air-evacuated tube.Once the tube is punctured by engaging the tube onto the needle, the negative pressure causes suction to … A test request is reviewed for completeness, date and time of collection, status, and priority. Put tourniquet on the patient about 3-4’ above the venipuncture site. See “Collection Notes” 1 at the end of the procedure if 2 sets of blood cultures are ordered. The right approach for a successful patient encounter, includes a professional bedside manner, being, organized and efficient, and looking for signs that, convey important inpatient information or infection-, Correct ID is vital to patient safety and meaningful, test results. 2). Reapply tourniquet, uncap, and inspect needle. The site must be checked for signs of bleeding beneath the skin. The right approach for a successful patient encounter includes a professional bedside manner, being organized and efficient, and looking for signs that convey important inpatient information or infection control precautions. Ask patient to form a fist so veins are more prominent. This preview shows page 4 - 6 out of 6 pages. Venipuncture Procedure. Verify patient’s diet restrictions, as appropriate. Labeled tubes. Butterfly Procedure 243 Blood Collection Set Procedure 235 . Position the draw site for best visualization and/or palpation. The tourniquet aids needle entry. The results illustrate that blood collection can be a source of significant anxiety for patients even when the procedures go well. According to OSHA, the needle and the tube holder must go into the sharps container as a unit because removing a needle from a holder exposes the user to sharps injury. Position patient, apply tourniquet, and ask patient to make a fist. Venipuncture Video of a venipuncture. Discard collection unit. A hollow needle is inserted through the skin and into a superficial vein (typically in the cubital fossa of the forearm). Place gauze, remove needle, activate safety feature, and apply pressure. Apply the Proper positioning is important to patient comfort and venipuncture success. 5). When drawing a blood specimen, the trained phlebotomist must: 1). Stop when you feel a decrease in resistance, often described as a "pop" and press your fingers into the arm to anchor the holder. Verify diet restrictions and latex sensitivity. Drawing blood, while routine, is a learned skill. If bleeding has stopped, apply bandage and advise the patient to keep it in place for at least 15 minutes. It is important for the phlebotomist to follow a step-by-step procedure to ensure consistency and to make the patient comfortable. Follow the CLSI order of draw to prevent additive carryover between tubes. Fill additive tubes until the vacuum is exhausted to ensure correct blood to additive ratio and mix them immediately upon removal from the holder using 3 to 8 gentle inversions (depending on type and manufacturer) to prevent clot formation. Perform the venipuncture 1. The accession process records the request and assigns it a unique number used to identify the specimen and related processes and paperwork. Anchor by grasping the arm just below the elbow, supporting the back of it with your fingers. Try our expert-verified textbook solutions with step-by-step explanations. Find answers and explanations to over 1.2 million textbook exercises. Most had multiple procedures in the year prior to being interviewed. Select a vein and release tourniquet. Fill, remove, and mix tubes in order of draw. Nearly 70% of respondents had blood collected in a hospital setting. A clenched fist makes the veins easier to see and feel and helps keep them from rolling. Sanitize hands. Cleaning the site with an antiseptics such as 70% isopropyl alcohol helps avoid contaminating the specimen or patient with skin surface bacteria picked up by the needle during venipuncture. Gloves are sometimes put on at this point. Perform the venipuncture procedure. Venipuncture Procedure • Always have the patient lying or seated in a safe place – When available, patients should be in a chair with a locking arm for support and to prevent falls if the patient loses consciousness – Patients may be drawn while seated in a Select vein, release tourniquet, and ask patient to open fist. 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