5. They should help calm your nerves and keep you cool when the phlebotomist or nurse enters the room. For most additives, inverting 4 times will suffice, while others require 8 to 10 times, or as specified by the laboratory. Step 8: Complete The Procedure Discard the used equipment into a puncture-resistant container (typically a Sharps container). Find schools and get information on the program that’s right for you. phlebotomy procedures and practices Nov 16, 2020 Posted By Cao Xueqin Media Publishing TEXT ID 135085bc Online PDF Ebook Epub Library recommended to do so as the reuse of phlebotomy procedures and practices 2nd edition is an essential reference tool for working health care professionals as well as Reassure the patient. When working with outpatients, be sure to verify that the patient information matches what is written on the requisition form. Place a tube from your tray into the hub and check for blood flow. Phlebotomy Blog. Match the identity of the patient with that of the name, date of birth, and file number written on the laboratory form. accompanied by guides you could enjoy now is phlebotomy laboratory procedure manual below. Determine which arm you will be drawing your sample from. Thank you for sharing your preferences. Double check the requisition order against the paperwork to ensure the proper tests and samples are required. 4. Let the tube fill. Your email address will not be published. Make sure to introduce yourself and have the patient state their full name. Wash hands and put on gloves. 9. Items that haven't touched blood may be discarded into a general waste container depending on state and/or local regulations. Revised: Tue, 04/17/2018. Check the wound to ensure bleeding has stopped. Ask if they are fasting it is your job. If no veins are palpable, ask the patient to form a fist and squeeze. 1. If the patients seem afraid or anxious, reassure them, ask about what will make them comfortable and let them know that only a minimum amount of blood will be drawn for testing. Drawing a blood sample from a patient is the main job for a phlebotomy technician. Check the fasting state of the patient. What are the best practices in phlebotomy, then? Verify identification based on wrist or foot band attached to the patient. Do not shake the tube. Identify the patient : It is important you make sure the patient’s bracelet matches their paperwork, or that they can provide a bit of personal information such as a birth date. Make sure to ask if patient if allergic to latex, before you put on one. Venipuncture should never be done on an artery and should not be performed on the feet unless specified. They should be clean and still in packaging if applicable. Once it is filled remove it from the tube holder. PHLEBOTOMY PROCEDURE * Effective Date: Sun, 07/01/2012. (act confident : education +experience = reassurance to the patient) Step 6. Step 3. Wash your hands : It is important to do this in view of the patient. Afterwards, prepare the samples for testing or transportation, and clean up any spills of blood or other body fluids. If you must touch it again to feel the vein, touch your fingertip to a sterile alcohol pad first. Phlebotomist applying a tourniquet to a patient. Ask the patient to hold the cotton wool in place with the arm extended and raised. Obtain verbal consent, as they have the right to refuse after they have been informed about the procedure. Steps Involved in Phlebotomy – Phlebotomy Procedure Step by Step . The entire procedure is simply described in the flowchart below from CNACertification.com. Don’t leave the tourniquet on for more than a minute. Gently withdraw the needle and then place the cotton or gauze over the puncture site with gentle pressure. Phlebotomist Procedure Checklist. As soon as blood flow is established, remove the tourniquet and ask the patient to unclench or open his hand. Just think; if you were the patient and the phlebotomy technician wasn’t the least courteous or friendly, you probably would not have anything to do with him. 12. Although collecting blood sample is your primary function, your role extends to the social aspect of phlebotomy. Ask about allergies, phobias or instances when a patient fainted during blood collection. The phlebotomy procedure must be performed to preserve venous integrity. Clean the site with a swab soaked with 70% alcohol for 30 seconds, then allow it to dry. As you can see there are numerous steps involved in the collection of a blood sample. It is a procedure that many patients fear and can become an unpleasant experience based on the techniques used by the phlebotomist. Never obtain blood samples above the IV site, it should always be below, Avoid an arm having a vascular, fistula or cannula graft. When a patient has had a mastectomy, don’t obtain blood from the arm that is on the same side as the breast that has been surgically removed. Reviewed: Mon, 02/03/2020. 16. The process differs when you are dealing with an adult (conscious) and a child. Step 4 . 8. Required fields are marked *, You may use these HTML tags and attributes:

, Phlebotomy Technician Necessary Equipment List. Matching School Ads. Feb 16, 2018 - Explore Andrea Campbell's board "Phlebotomy procedure" on Pinterest. Pediatric Phlebotomy: Princes and little devils. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. What Kind Of Training Do Phlebotomists Need. If you don’t succeed at the first two attempts, inform a patient’s physician or your supervisor. Image Credit: Pinterest/Cynthia Villareal. When multiple tubes are needed, the proper order of draw must be followed to avoid cross contamination and erroneous results. Digital Resources: – Handouts. Make sure that the vein you pick is already visible even before you apply the tourniquet. Never shake the blood vigorously, but invert them so that additives will be mixed. How to go for a Phlebotomy Certification And Training Online? Disinfect the area surrounding the puncture site with an alcohol wipe. 19. Procedure Templates; Smart Charts™ ATMs; Free Stuff; View All Downloads; Continuing Education Main Menu; In-House; P.A.C.E. by Dennis Ernst • December 10, 2018 Drawing blood specimens demands the blended wisdoms of many sciences. In this course, you will learn how to perform a venipuncture with our step-by-step training units. Drawing blood, while routine, is a learned skill. Insert the needle, bevel side up, into the vein Step 10 Push the tube completely onto the needle. Do not perform a venipuncture more than twice. Bring the tools and supplies next to the patient. There are specific steps in performing a phlebotomy procedure in order to achieve the best results. Drawing a blood sample from a patient is the main job for a phlebotomy technician. See more ideas about phlebotomy, phlebotomy study, medical laboratory. Put on well-fitting latex, rubber or vinyl gloves. Make sure the site is completely dry before performing phlebotomy to avoid contamination. Once sufficient amount of blood has been collected, carefully remove the needle. Patients are usually nervous if they’ve never had it done before, or Make sure the bevel of the needle is pointing up, anchor the vein with the thumb of your opposite hand about 1 inch below the puncture site, and then insert the needle at no more than 15 degrees. Venipuncture procedure is the collection of blood from a vein, usually for laboratory testing, is done through venipuncture and performed by a phlebotomist. Extend the patient’s arm so that the shoulder to wrist forms a straight line. Identify yourself. If you are a patient reading this that is nervous about having blood work done, read through the following and look at the pictures supplied. It may seem overwhelming at first, but keep in mind that while obtaining your phlebotomy technician certification your training will allow you to follow this procedure many times until you are comfortable. When applying the swab, use firm but gentle pressure and cover an area of 2 cm or more. It is your enormously own time to deed reviewing habit. Have a clean gauze or cotton wool ready before you withdraw the needle. Start from the centre and then moving downward or outwards. Blame shifting is not an option here. If you need more time to locate a vein, release it after 1 minute and then re-apply after 2 minutes. For in-patients, check the arm band for verification. You can find other options through our sponsored listings below! When a parent or guardian is present, ask the person for the first and last names of the child. Failure to remove the tourniquet and leaving it on longer than 1 minute can damage both the patient and specimen. It is also important to note how long the tourniquet should be left on. After the tourniquet has been released, remove the tube and then the needle. The most frequently used veins are the larger median cubital, cephalic and basilica veins. The process is also different when done on an infant or child because of the differences in the collection site and equipment that will be used. But once the patient clenches his fist, other veins will become prominent. It is necessary for the patient to observe the phlebotomist removing the needles from fresh packaging to ensure they are clean. The procedure can be hindered by flinching and tenseness caused by either the patient or phlebotomy technician. -Ask visitors to step out-Identify yourself-Obtain consent for procedure-Put patient at ease, using professional bedside manner. This video shows the venipuncture procedure (blood draw) on a practice phlebotomy arm. 6. How To Draw Blood Step By Step Preparations Clothing. Venipuncture Procedure explained step by step. Posted by adminon 5 September 2013, 6:43 am. Step 1 – Patient Awareness You can decide or you can let the patient decide. Remove the tourniquet until you are ready to draw the sample. 2. Hold the skin tight through step 10. Policy: PRINCIPLE: The veins are the primary source of blood for laboratory testing. 17.Label all tubes correctly and in view of the patient. Phlebotomy - E-Book-Robin S. Warekois 2019-07-26 Master practical phlebotomy skills with Phlebotomy: Worktext and Procedures Manual, 5th Edition! Do not touch the puncture site again. While the patient is holding, immediately engage the needle’s safety function and discard it into an approved disposal container. Phlebotomy Jokes – Humor for Phlebotomists, How To Write A Phlebotomy Cover Letter w Examples, Venipuncture Procedure and Requirements Explained, Supply of laboratory sample tubes (sterile glass or plastic tubes) with rubber caps, vacuum-extraction tubes, or glass tubes with screw caps, Sterile glass or bleeding pack, depending on the amount of blood to be collected, Blood-sampling devices of different sizes, Gauze to be applied over the puncture site, Leak-proof transportation containers or bags, Puncture-resistant sharps container for used needles. This helps prevent errors created by administration workers because of mishandled paperwork. Ideally a phlebotomy tray must have the following: On top of these, there should be laboratory forms, specimen labels and pens that you will need. Whatever you need to perform a particular procedure must be within safe and easy reach from you, but away from your patient to keep stuff from being tipped over accidentally. 13. 10. 15. Invert it several time (5 to 10 times) to adequately mix the additives with the sample. Step By Step Procedure for How a Phlebotomist Draws Blood. (use rotating motion with warm water and germicidal soap) Step 5. 11. Drawing blood, while routine, is a learned skill. 7. Ask the patient to continue holding the gauze over the wound. Now that you have the tools you need, it’s time to deal with the patient. Before carrying out phlebotomy, technicians must wash their hands with soap and water and then dry with a single-use towel. Check the paperwork to prevent the mistake from ever occurring. Then tie the tourniquet 2 inches to 3 inches above the puncture site (usual location medical term is antecubital fossa, or “elbow pit”). The procedure can be hindered by flinching and tenseness caused by either the patient or phlebotomy technician. Repeat steps 12 and 13 until all tubes are filled. View All Continuing Education; Login: Phlebotomy Central Login: Phlebotomy Channel … Home. 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