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Define venous, arterial and capillary blood. Position the draw site for best visualization and/or palpation. 6). Generally, phlebotomy tubes with gray stoppers are used to test glucose levels, lactate, bicarbonate and blood alcohol levels. Easily transition from classroom to clinic with Phlebotomy Essentials, sixth edition, by Ruth McCall and Cathee Tankersley. Position Patient, apply tourniquet and ask patient to make fist. Start with quality specimen collection to achieve better results. Prepare the accession order. 21g needles are the most common gauge of needles used for routine blood draws and venipuncture. Phlebotomists are considered to have occupational exposure to blood borne pathogens. Identify and select the appropriate dermal puncture device and other equipment needed to perform capillary blood collection on adults, children and infants. In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling (also called phlebotomy) or intravenous therapy.In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. Syringe iii. Competency Evaluation Forms: Chapter 2-1: Obtaining a Blood Specimen by 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 … List and use equipment for collecting blood specimens by venipuncture. Attach the evacuated tube holder onto the adapter at the end of the tubing. The ideal sites for venipuncture are typically in the cubital fossa of the forearm, which has the shape of an isosceles triangle with the biceps forming the base, and the lateral and medial groups of the antebrachial muscles forming the sides respectively 26).. Fill syringe For most patients, their veins are of a size and stability that is best suited for the 21g needle. Venipuncture*Procedure* The venipuncture procedure is complex and requires both knowledge and skill. Although not recommended for use in routine IV drug administration, the hollow metal needle may be used for venipuncture in emergency situations or in procedures, such as the drawing of blood samples for laboratory analysis, when only short-term cannulation is required. Venipuncture sites. Definition. Contact Your Sales Representative. Routine ETS Venipuncture 2. The evacuated tube system (ETS) is the standard equipment used for routine veni-puncture. Approach, Identify, and prepare patient 3. venipuncture procedure 1. Review the test requisition/computer order Should have all information such as: patient's name, person ordering the test, patient’s medical record number, DOB/Age, location of patient, test to be performed and date to be performed, test status (STAT, routine… Procedure 17-1: Venipuncture—Vacuum Tube Method Outcome: Perform a venipuncture using the vacuum tube method . b. find and enter veins more easily. Blood will appear in the hub of the needle if the position is correct. Term. Vacuum tubes are glass tubes with rubber stoppers that contain anti-coagulating gel or powder to prevent blood from clotting in the tube. Explain the procedure to the patient in simple terms, and then proceed with the venipuncture. Dispose of needle and adapter in a sharps container after activating the … D. 8-2 Routine ETS Venipuncture Procedure* E. 8-3 Venipuncture of a Hand Vein Using a Butterfly and ETS Holder Procedure* F. 8-4 Needle-and-Syringe Venipuncture Procedure* G. 9-1 Performing Venipuncture Below an IV Procedure H. 9-2 Steps to Follow if a Patient Starts to Faint During Venipuncture Procedure Fingerstick. The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. The vacuum tube method of phlebotomy is good for collecting multiple vials of blood, come in multiple sizes and is often used for routine blood draws. Select vein, release tourniquet, and ask patient to open fist. If using 70% alcohol, allowed it to dry completely. Which of the following substances. Sanitize hands 5. v Shown on the table are the common venipuncture • As previously discussed, it has various needle gauges with the needle type and use. Routine ETS Venipuncture Procedure To obtain a blood specimen for patient diagnostic or monitoring purposes for an antecubital vein using the evacuated tube system (ETS) Step 1: Review and acession test request. Venipuncture procedures in this chapter conform to CLSI standards. Place a sheathed needle or butterfly on the syringe. Remove the winged infusion needle from its packaging. Without proper specimens, unhelpful or even harmful medical treatment could happen. Step 6. Special Circumstances 9. • Routine venipuncture procedure with WIS, ETS, and syringe methods • Needles, needle safety, and needle adapters • Transport and processing of blood and non-blood specimens Hold the patient’s arm and place a thumb below the chosen site to anchor the vein. drawn below the IV by following these procedures: 1. A test request is reviewed for completeness, date and time of collection, status, and priority. Tie tourniquet. Verify Diet Restrictions and Latex Sensitivity 4. Define basic terms/codes related to phlebotomy and laboratory testing. Ensured proper handling by following all safety procedures during phlebotomy work. A tourniquet placed 3- to 4-inches above the antecubital area enlarges veins and makes them easier to see, feel, and enter with a needle. 5. hub. Perform the venipuncture. New photos . – ANSWER – Routine ETS Venipuncture Procedure Step Explanation/Rationale 1. Review and Accession Test Request A test request is reviewed for completeness, date and time of collection, status, and priority. Competency Evaluation Forms: Chapter 2-2: Obtaining a Blood Specimen by Skin Puncture. 0 ... practical information and instruction on phlebotomy procedures with a comprehensive background in theory and principles. Remove the cap and turn... INFANT/CHILD PHLEBOTOMY. Approach Identify and Prepare Patients. Perform the venipuncture procedure. 2. You are about to perform routine venipuncture. Discontinue the draw immediately. The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. • Evacuated collection tubes, additives and • Competency in procedure development. 5. Select a vein other than the one with the IV. Identify the patient. Aseptically attach the syringe to the needle or butterfly setup, making sure the plunger is pushed all the way in. The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. Venipuncture techniques covered in this chapter in-clude ETS, butterfl y, and syringe procedures on arm and hand veins. In some situations, the phlebotomist will make the decision if a blood specimen will be obtained by dermal puncture or venipuncture. 5. Numerous tubes can be collected using a single venipuncture. The evacuated system requires three components: either an aspiration or vacuum method of collection. The aspiration tube system is modeled. Procedure 17-1: Venipuncture—Vacuum Tube Method. Outcome: Perform a venipuncture using the vacuum tube method. The accession process records the request and assigns it a unique number used to identify the specimen and related processes and paperwork. Routine venipuncture procedures follow: Acquire and examine requisition. Health professionals who routinely perform venipunctures are called phlebotomists. e. b. find and enter veins more easily. If the skin needed cleansing, used soap and water first, then allowed to dry completely. What is the proper procedure for disposing the used venipuncture needle? Routine ETS Venipuncture 6. Syringe Venipuncture Procedure 246 Syringe Venipuncture Procedure 252 . You attach the needle device to the tube holder, insert the needle into the vein, and engage the tube. A: ETS tubes B: Iodine swab C: Safety needle D: Tourniquet: A: ETS tubes: Which tube can be used to collect a serum specimen? Routine ETS Venipuncture 2. 4). Position Patient, apply tourniquet and ask patient to. VENIPUNCTURE PROCEDURE USING A SYRINGE:. Prepare equipment. When alcohol is used to cleanse the venipuncture site, it must be allowed to air dry prior to the venipuncture because alcohol. Venipuncture ppt 1. 2). Apply the tourniquet below the IV site. Reassure the patient. For more than 60 years, BD Life Sciences – Preanalytical Systems has advanced the science of specimen collection to help laboratory tests become the foundation for 70% of all medical decisions. Select a vein and release tourniquet. If using greater than 0.5% chlorhexidine in alcohol solution, used a back-and-forth motion for Performed routine phlebotomy procedures in the geriatric and maternity wards every morning. Phlebotomy Externship Delta Corporation - 2007 – 2012 Responsibilities: Performed 351 successful sticks at Greenville memorial hospital at venipuncture procedures utilizing the Evacuated Tube System (ETS), Butterfly, and . (IV) 5. Answer per box must be maximum of 200 words and should be written in your own words. Chapter 2: Phlebotomy. Select and organize equipment. Venipuncture (sometimes referred to as venapuncture, venepuncture or even venu puncture) is the collection of blood from a vein which is usually done for laboratory testing. Select and prepare venipuncture site. 31. Convey important information without alarming the public. The blood is normally drawn from a vein on the top of the hand or from the inside of the elbow. tube. PHLEBOTOMY PROCEDURE – Central DuPage Hospital Method: Winged Collection (Butterfly) with evacuated tubes or syringe Note: This method is used primarily for difficult draws, hand draws, infant draws and blood culture collections. Venepuncture is the process of obtaining intravenous access – most commonly for the purpose of blood sampling. Venipuncture Procedure i. ETS ii. **If blood is obtained from an intravenous catheter, a corresponding specimen should also be obtained by venipuncture. Draw the patient's blood without trying to explain the procedure. Stanley F. Malamed DDS, in Sedation (Fifth Edition), 2010 HOLLOW METAL NEEDLE. It consists of a needle device, a tube holder, and an air-evacuated tube. Requires time for the antiseptic to work. order of draw • Qualified in specimen • Routine venipuncture procedure with WIS, collection/processing. Once penetrated by the needle, the tube will automatically fill with the correct amount of blood according to the amount of vacuum pressure within the tube. 3. Putting patients first during blood collection. See “Collection Notes” 1 at the end of the procedure if 2 sets of blood cultures are ordered. 6.State the effect the tourniquet and hand squeezing has on venipuncture. (e.g., DNR, DNAR) • Knock lightly on door • Ask visitors to step out • Identify yourself • Obtain consent for procedure A test request is reviewed for completeness, date and time of collection, status, and … 2. 32. 2. d. Differentiate among an evacuated tube system (ETS), a syringe system, and a winged blood collection set, and state the advantages and disadvantages of each for blood collection. The following supplies were gathered for a routine venipuncture. (V) 6. Establish blood flow, release tourniquet, ask patient to open fist. OBJECTIVE At the end of the class student will be able to Define Venipuncture Explain the purpose of venipuncture Enlist the indication of venipuncture What should be observed during the procedure Enlist the equipment used Explain the procedure of venipuncture Discuss the complication of venipuncture … As first-line ambassadors of the laboratory, the manner in which a phlebotomist greets a patient can often set the tone for the remainder of the procedure. They typically begin a venipuncture by Followed appropriate phlebotomy techniques and policies related to handling of blood specimens. Procedure 4: Routine ETS Venipuncture Purpose: To obtain a blood specimen for patient diagnostic or monitoring purposes from an antecubital vein using the evacuated tube system (ETS) Equipment: Tourniquet, gloves, antiseptic prep pad, ETS needle, tube holder and tubes, gauze pads, sharps container, permanent ink pen, bandages Note: Either the needle or tube holder must …

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