33 Venipuncture Steps

Question 1

Step 1

Answer 1

Wash hands

Question 2

Step 2

Answer 2

Introduce yourself and greets patient. Explains procedure

Question 3

Step 3

Answer 3

Identifies patient: asks name, spelling, DOB

Question 4

Step 4

Answer 4

Verifies diet restrictions and medication (blood thinners or fasting?)

Question 5

Step 5

Answer 5

Selects collection tubes to correspond with test requests on requisition

Question 6

Step 6

Answer 6

Places cotton ball, tubes in the order of draw and any other supplies needed within arm’s reach on non-dominant side

Question 7

Step 7

Answer 7

Ensures sharps container is on dominant side to prevent crossing over

Question 8

Step 8

Answer 8

Hand sanitize; puts on gloves

Question 9

Step 9

Answer 9

Applies tourniquet and asks patient to clench fist; selects venipuncture site - palpates vein with non dominant hand

Question 10

Step 10

Answer 10

Releases tourniquet

Question 11

Step 11

Answer 11

Cleans the site with appropriate antiseptic and allows to dry

Question 12

Step 12

Answer 12

Selects needle (according to size and condition of vein)

Question 13

Step 13

Answer 13

Reapplies tourniquet

Question 14

Step 14

Answer 14

Places needle in vacutainer holder and positions tube in holder without breaking vacuum

Question 15

Step 15

Answer 15

Reassures patient

Question 16

Step 16

Answer 16

Removes needle cap; positions needle with bevel facing up; quickly inspects needle

Question 17

Step 17

Answer 17

Anchors vein by placing thumb about 2cm below site of entry and pulling skin downward to keep it tight

Question 18

Step 18

Answer 18

Angles needle at approximately 15-30 degrees; without contaminations

Question 19

Step 19

Answer 19

Warns patient about the pinch

Question 20

Step 20

Answer 20

Inserts needle under the skin and into lumen of the vein

Question 21

Step 21

Answer 21

Pushes first tube into holder without moving needle (counter pressure)

Question 22

Step 22

Answer 22

Obtains the proper amount of blood for all tests; allows tubes to fill; removes and replaces tubes without moving needle

Question 23

Step 23

Answer 23

Uses correct order of draw

Question 24

Step 24

Answer 24

Mixes tubes accordingly

Question 25

Step 25

Answer 25

Removes tourniquet when blood flow is established or within 1 minute and asks patient to relax fist

Question 26

Step 26

Answer 26

Covers site with gauze and removes needle without changing angle and immediately activates the safety feature and disposes of needle

Question 27

Step 27

Answer 27

Applies pressure to gauze; asks patient to hold on to gauze with pressure; tells patient to keep arm straight

Question 28

Step 28

Answer 28

Labels tubes correctly and legibly and follows special handling instructions

Question 29

Step 29

Answer 29

Checks the patient’s arm to make sure bleeding has stopped; applies bandage; asks patient if alright and instructs patient when to remove bandage

Question 30

Step 30

Answer 30

Disposes of contaminated materials in regular of garbage

Question 31

Step 31

Answer 31

Thanks patient

Question 32

32

Answer 32

Removes gloves and washes hands (hand sanitize)