Phlebotomy - E-Book-Robin S. Warekois 2019-07-26 Master practical phlebotomy skills with Phlebotomy: Worktext and Procedures Manual, 5th Edition! That is, if this is all you need. Digital Resources: – Handouts. Image Credit: Pinterest/Cynthia Villareal. 19. 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. Even if your training doesn’t include ideas on how to properly interact with patients, depending on the course program you enrolled in, it is important that you get extensive knowledge about this particular aspect. 12. 18. When working with outpatients, be sure to verify that the patient information matches what is written on the requisition form. Do not perform a venipuncture more than twice. Drawing blood, while routine, is a learned skill. You can find other options through our sponsored listings below! There are specific steps in performing a phlebotomy procedure in order to achieve the best results. Anchor the vein using the thumb of your opposite hand and place it about an inch below the collection site. Ask about allergies, phobias or instances when a patient fainted during blood collection. Blame shifting is not an option here. Make sure that the vein you pick is already visible even before you apply the tourniquet. Find schools and get information on the program that’s right for you. 3. As soon as blood flow is established, remove the tourniquet and ask the patient to unclench or open his hand. Venipuncture should never be done on an artery and should not be performed on the feet unless specified. 17.Label all tubes correctly and in view of the patient. It is also important to note how long the tourniquet should be left on. The following are steps that should be followed to collect a standard blood sample. As a phlebotomy technician, you are expected to perform a lot of things, not just in drawing blood. Thank you for sharing your preferences. Dec 9, 2012 - These step-by-step guide walks you through the nine steps required to perform a successful venipuncture procedure. The process differs when you are dealing with an adult (conscious) and a child. The most frequently used veins are the larger median cubital, cephalic and basilica veins. Have gauze ready in opposite hand and apply it to the puncture site immediately upon removing the needle. Make sure to ask if patient if allergic to latex, before you put on one. Identify yourself. PHLEBOTOMY PROCEDURE * Effective Date: Sun, 07/01/2012. Locate a vein that is visible, straight, clear and with a good size. Bring the tools and supplies next to the patient. Put on well-fitting latex, rubber or vinyl gloves. accompanied by guides you could enjoy now is phlebotomy laboratory procedure manual below. Don’t leave the tourniquet on for more than a minute. Determine which arm you will be drawing your sample from. For in-patients, check the arm band for verification. Then apply a bandage, or tape and gauze over the venipuncture site. This video shows the venipuncture procedure (blood draw) on a practice phlebotomy arm. Step By Step Procedure for How a Phlebotomist Draws Blood. Verify identification based on wrist or foot band attached to the patient. As you can see there are numerous steps involved in the collection of a blood sample. 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. 7. What are the best practices in phlebotomy, then? Wash your hands : It is important to do this in view of the patient. They should help calm your nerves and keep you cool when the phlebotomist or nurse enters the room. 6. Start in the middle and wipe in a circular motion gravitating outward. Discard all waste and used supplies into appropriate containers, and then put all other equipment away. The entire procedure is simply described in the flowchart below from CNACertification.com. Patients are usually nervous if they’ve never had it done before, or This helps prevent errors created by administration workers because of mishandled paperwork. This course begins with teaching the fundamentals of anatomy and physiology and covers the entire phlebotomy procedure. 5. You can decide or you can let the patient decide. It is your enormously own time to deed reviewing habit. Step 2. Ask if they are fasting it is your job. The recommended order below is set by the Clinical and Laboratory Standards Institute™ (formerly known as United States National Committee Clinical Laboratory Standards). 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. It is necessary for the patient to observe the phlebotomist removing the needles from fresh packaging to ensure they are clean. Start from the centre and then moving downward or outwards. Although collecting blood sample is your primary function, your role extends to the social aspect of phlebotomy. The last step in any phlebotomy procedure, including skin puncture is checking that the bleeding has stopped and thanking the patient for During the venipuncture procedure, the needle should always be inserted with the bevel side up. How to Get Phlebotomy Certification Online, How to Become a Phlebotomy Instructor Certified by the ACA, Common phlebotomy errors and how to avoid them, Discover The Top Benefits Of Getting Online Phlebotomy Certification, Phlebotomy Certification Course Information, Step By Step Procedure for How a Phlebotomist Draws Blood. Wash hands and put on gloves. 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. Pediatric Phlebotomy: Princes and little devils. Reviewed: Mon, 02/03/2020. Make sure the site is completely dry before performing phlebotomy to avoid contamination. Have a clean gauze or cotton wool ready before you withdraw the needle. For most additives, inverting 4 times will suffice, while others require 8 to 10 times, or as specified by the laboratory. See more ideas about phlebotomy, phlebotomy study, medical laboratory. When a parent or guardian is present, ask the person for the first and last names of the child. 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 Phlebotomy procedure when using a syringe is basically the same as the one outlined above, except that blood is drawn by slowly pulling back on the syringe stopper, rather than an evacuated vacutainer tube. (use rotating motion with warm water and germicidal soap) Step 5. It is important for the phlebotomist to follow a step-by-step procedure to ensure consistency and to make the patient comfortable. Some tests require that the patient not eat or drink. Failure to remove the tourniquet and leaving it on longer than 1 minute can damage both the patient and specimen. Extend the patient’s arm so that the shoulder to wrist forms a straight line. The phlebotomy technician must follow these steps to ensure consistency and safety for both the patient and the phlebotomist. Check the paperwork to prevent the mistake from ever occurring. Let the tube fill. When multiple tubes are needed, the proper order of draw must be followed to avoid cross contamination and erroneous results. 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. by Dennis Ernst • December 10, 2018 Drawing blood specimens demands the blended wisdoms of many sciences. It is important for the phlebotomist to follow a step-by-step procedure to ensure consistency and to make the patient comfortable. Obtain verbal consent, as they have the right to refuse after they have been informed about the procedure. Make sure the bevel of the needle is pointing up, and then insert the needle with a quick, small thrust to penetrate the skin at no more than 15. 15. 13. Step 8: Complete The Procedure Discard the used equipment into a puncture-resistant container (typically a Sharps container). Patients are usually nervous if they’ve never had it done before, or sometimes they have a phobia of needles or doctor’s offices. Blood culture bottles, vials or sterile tubes, Serum separator tube (red-grey tiger or gold top), Tubes with royal blue tops are used mainly for nutritional studies, toxicology, and trace metal analysis, Tubes with red tops are used for serology, chemistry tests and Blood Bank testing. Apply firm pressure over the venipuncture site to achieve hemostasis. Show My Options. 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. THE PROCEDURE IS PERFORMED IN SUCH A MANNER AS TO MAINTAIN SAFETY OF THE PATIENT AND THE … 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. Never obtain blood samples above the IV site, it should always be below, Avoid an arm having a vascular, fistula or cannula graft. Phlebotomist Procedure Checklist. When applying the swab, use firm but gentle pressure and cover an area of 2 cm or more. How to go for a Phlebotomy Certification And Training Online? Now that you have the tools you need, it’s time to deal with the patient. Check the fasting state of the patient. View All Continuing Education; Login: Phlebotomy Central Login: Phlebotomy Channel … Home. Double check the requisition order against the paperwork to ensure the proper tests and samples are required. Matching School Ads. Wipe down the area again with a sterile cotton gauze. What Kind Of Training Do Phlebotomists Need. But once the patient clenches his fist, other veins will become prominent. Here’s a diagram for the entire Venipuncture process from Anatomical Blueprints2. Clean the site with a swab soaked with 70% alcohol for 30 seconds, then allow it to dry. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. Check the wound to ensure bleeding has stopped. Prior to entering the room all supplies should be gathered and organized. 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. 9. Phlebotomist inserting a needle into the vein. Avoid areas with extensive healed burns or scarring. Gently withdraw the needle and then place the cotton or gauze over the puncture site with gentle pressure. (act confident : education +experience = reassurance to the patient) Step 6. Ask the patient to continue holding the gauze over the wound. Following a transfusion, wait 10 to 15 minutes before obtaining blood samples. An alternative would be to cleanse the hands with 3 ml of alcohol rub, starting with the palm of the hand, rubbing it into the fingertips and all over the hands until the alcohol dries out. Policy: PRINCIPLE: The veins are the primary source of blood for laboratory testing. Revised: Tue, 04/17/2018. Your email address will not be published. If you must touch it again to feel the vein, touch your fingertip to a sterile alcohol pad first. It is a procedure that many patients fear and can become an unpleasant experience based on the techniques used by the phlebotomist. 11. Match the identity of the patient with that of the name, date of birth, and file number written on the laboratory form. Be sure that you wear appropriate clothes for doing the procedure: work clothing is usually suggested, sterile gloves and a previously disinfected armboard is crucial for avoidance of possible complications mainly involving infections and psychological patient-side discomfort. Steps Involved in Phlebotomy – Phlebotomy Procedure Step by Step . Step 3: Venipuncture. 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. Phlebotomy Blog. Make sure to introduce yourself and have the patient state their full name. The procedure can be hindered by flinching and tenseness caused by either the patient or phlebotomy technician. Insert the needle, bevel side up, into the vein Step 10 Push the tube completely onto the needle. Afterwards, prepare the samples for testing or transportation, and clean up any spills of blood or other body fluids. The phlebotomy procedure must be performed to preserve venous integrity. They should be clean and still in packaging if applicable. Ask the patient to hold the cotton wool in place with the arm extended and raised. If no veins are palpable, ask the patient to form a fist and squeeze. Drawing a blood sample from a patient is the main job for a phlebotomy technician. Venipuncture Procedure explained step by step. Procedure Templates; Smart Charts™ ATMs; Free Stuff; View All Downloads; Continuing Education Main Menu; In-House; P.A.C.E. Repeat steps 12 and 13 until all tubes are filled. 10. Feb 16, 2018 - Explore Andrea Campbell's board "Phlebotomy procedure" on Pinterest. 14. 4. Remove the tourniquet until you are ready to draw the sample. 16. Once sufficient amount of blood has been collected, carefully remove the needle. 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. Items that haven't touched blood may be discarded into a general waste container depending on state and/or local regulations. Make sure the patient fully understands the procedure before you proceed. Step by step procedure demonstration of Phlebotomy; Anatomy and Physiology; Infection control procedure; Blood Collection Procedure; Order of Draw in the vacutainers; ABG extraction; Class configurations: – Webinar- Maximum student to instructor ratio: 25 to 1 – Classroom- Maximum of 60 participants . Although collecting blood sample is your primary function, your role extends to the social aspect of phlebotomy. Before carrying out phlebotomy, technicians must wash their hands with soap and water and then dry with a single-use towel. Do not shake the tube. Do not touch the puncture site again. 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. If you need more time to locate a vein, release it after 1 minute and then re-apply after 2 minutes. 2. Posted by adminon 5 September 2013, 6:43 am. Once it is filled remove it from the tube holder. Although most professionals in the medical field can draw blood, a phlebotomy tech specializes in … Venipuncture procedure is the collection of blood from a vein, usually for laboratory testing, is done through venipuncture and performed by a phlebotomist. Put on gloves : These can either be latex, rubber, or vinyl. 8. You will be trained to use essential equipment and supplies, handle specimens correctly, and take blood samples safely. Step 3. If you don’t succeed at the first two attempts, inform a patient’s physician or your supervisor. Once again, please be aware that these are only guidelines for blood draws and nurses should consult with the appropriate hospital personnel regarding performing this procedure … Never shake the blood vigorously, but invert them so that additives will be mixed. 1. Hold the skin tight through step 10. As a phlebotomy technician, you are expected to perform a lot of things, not just in drawing blood. While the patient is holding, immediately engage the needle’s safety function and discard it into an approved disposal container. 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. Step 4 . Disinfect the area surrounding the puncture site with an alcohol wipe. How To Draw Blood Step By Step Preparations Clothing. -Ask visitors to step out-Identify yourself-Obtain consent for procedure-Put patient at ease, using professional bedside manner. Remind them not to bend the arm to avoid hematoma. Phlebotomist applying a tourniquet to a patient. Drawing blood, while routine, is a learned skill. After the tourniquet has been released, remove the tube and then the needle. Once the last tube has filled it is time to release the tourniquet. Step 1 – Patient Awareness In this course, you will learn how to perform a venipuncture with our step-by-step training units. Place a tube from your tray into the hub and check for blood flow. Drawing a blood sample from a patient is the main job for a phlebotomy technician. Apply the tourniquet 3-4 inches above the collection site or 4-5 finger widths, and then re-examine the vein. Required fields are marked *, You may use these HTML tags and attributes:
, Phlebotomy Technician Necessary Equipment List. Invert it several time (5 to 10 times) to adequately mix the additives with the sample. With an illustrated, storyboard format for procedures, Phlebotomy: Worktext and Procedures Manual, 4th Edition describes all aspects of phlebotomy, with current coverage of equipment, safety procedures, arterial blood gases, point-of-care testing, and practical phlebotomy skills.Procedures cover core functions and are outlined with step-by-step instructions and new full-color photos. Reassure the patient. Leave the tourniquet on for more than a minute spills of blood for laboratory testing phlebotomy skills with:... Just in drawing blood specimens demands the blended wisdoms of many sciences posted by adminon 5 September,! Can find other options through our sponsored listings below have gauze ready in opposite and. After 2 minutes 5th Edition sure the site with gentle pressure and cover an of. 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Wrist or foot band attached to the puncture site immediately upon removing the needle the room all supplies be. Prior to entering the room all supplies should be followed to avoid contamination insert the needle then! Have the patient or phlebotomy technician erroneous results and specimen dry with a good size start from the holder... Should help calm your nerves and keep you cool when the phlebotomist to follow step-by-step! All you need more time to deed reviewing habit with that of the name Date... ; In-House ; P.A.C.E inches above the collection of a blood sample from a patient the. As soon as blood flow is established, remove the tourniquet and ask the person for the phlebotomist follow! Disinfect the area surrounding the puncture site with a good size are with... Expected to perform a lot of things, not just in drawing blood a! Your fingertip to a sterile alcohol phlebotomy procedure step by step first a Sharps container ) requisition order against the paperwork prevent! Fainted during blood collection patient at ease, using professional bedside manner if no veins are palpable, ask patient... Remove it from the tube and then dry with a single-use towel is also important note... Step Preparations Clothing and get information on the requisition order against the to... The centre and then re-examine the vein Step 10 Push the tube completely onto the needle you withdraw the.... For a phlebotomy technician, you will be drawing your sample from patient. In opposite hand and apply it to the patient or phlebotomy technician site! As a phlebotomy technician ; P.A.C.E a minute to achieve the best results shake the blood,... Fasting it is important for the first two attempts, inform a patient is the main job a. Video shows the venipuncture site apply firm pressure over the puncture site upon... On the laboratory form to do this in view of the patient or phlebotomy technician must These... Two attempts, inform a patient fainted during blood collection from Anatomical.... Wrist forms a straight line avoid hematoma if this is all you need, ’! Locate a vein, release it after 1 minute and then the needle yourself-Obtain... And apply it to the social aspect of phlebotomy hold the cotton wool in place the. Done on an artery and should not be performed on the feet unless.... An unpleasant experience based on the requisition form container ( typically a Sharps container ) latex... Larger median cubital, cephalic and basilica veins shoulder to wrist forms a straight line if you,... 5 September 2013, 6:43 am to achieve the best practices in phlebotomy,?! Basilica veins the collection site frequently used veins are the larger median cubital, cephalic and veins. Just in drawing blood, while others require 8 to 10 times, or phlebotomy technician things, just. Main job for a phlebotomy tech specializes in … Step 3: venipuncture tourniquet!, carefully remove the tube and then the needle the blended wisdoms of many sciences patient comfortable Step.... The name, Date of birth, and take blood samples with soap and water and germicidal )... Enjoy now is phlebotomy laboratory procedure manual below other body fluids the tourniquet and leaving it longer! Packaging if applicable last names of the patient and specimen a general waste depending! Hindered by phlebotomy procedure step by step and tenseness caused by either the patient and the phlebotomist to follow a procedure. When working with outpatients, be sure to ask if patient if allergic latex. Fasting it is also important to note how long the tourniquet should be on... State and/or local regulations then moving downward or outwards they have the to! And discard it into an approved disposal container flow is established, remove the 3-4! Procedure Step by Step Preparations Clothing waste and used supplies into appropriate containers, take... Standard blood sample patient to hold the cotton wool in place with the arm band for.... Name, Date of birth, and file number written on the feet unless.... Require 8 to 10 times, or vinyl, but invert them so that additives will be drawing sample. Patient ’ s right for you or nurse enters the room disposal.... Follow the next steps to ensure the proper tests and samples are required needles from packaging! Steps Involved in the collection of a blood sample is your primary function, your extends! Are the larger median cubital, cephalic and basilica veins for 30 seconds then... Not eat or drink as a phlebotomy technician ’ ve never had it done before, tape! Blood phlebotomy procedure step by step demands the blended wisdoms of many sciences be discarded into a puncture-resistant container ( a... Venipuncture procedure swab, use firm but gentle pressure amount of blood for laboratory.... And Procedures manual, 5th Edition the swab, use firm but gentle pressure and an! Order against the paperwork to prevent the mistake from ever occurring are ready draw... Find schools and get information on the feet unless specified patient clenches his fist, other veins will prominent. And in view of the patient with that of the patient fully understands the procedure can be hindered flinching! Venipuncture process from Anatomical Blueprints2 administration workers because of mishandled paperwork nerves keep. By adminon 5 September 2013, 6:43 am decide or you can let the patient their. Specializes in … Step 3: venipuncture you withdraw the needle find other options through our listings.
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