Blood Draw Flashcards
Trypanophobia
Intense fear of needles in medical setting
Signs/symptoms of trypanophobia
Dizzy
Faint
N/V
Increase HR or BP
Trypanophobia treatment
Pain management
Change location
Pt/family teaching
Therapy or dementalization
Different ways to draw blood
Syringe
Vacu-holder
Butterfly
Syringe main advantage
Nurse can control flow of blood
Vacu-holder main advantage
Least amount of risk for injury
Disadvantage of vacu-holder
No control of flow
Butterfly is good for
Kids
Butterfly has a history of
Most needle injury to provider
Tourniquets need to be
Tight
Phlebotomy is more about _______ than _________
Feel than sight
Bevel must always be
Up
__________ the vein before accessing
Anchor
Median vein is the
Easiest to hit and least amount of risk
Always use a _____________ when drawing blood from the hand
Butterfly
Angle of entry should be ___________ degrees
5-10
More shallow the angle =
Less risk of missing nerve
Only collect blood from an arm with a continuous infusion IF
There are no other options
Stop the infusion prior to collection for at least
1 minute
Infusions with __________ need to be stopped for 10 minutes prior to blood collection
Heparin
Blood specimens must be done
Before any other blood draw
CVAD blood draw
Stop any infusions beforehand
Aspirate to verify blood return
Flush with 10 ml
Waste 5-10ml and discard
Collect sample
Flush with 19 ml
Order of draw
Sterile
Lt blue
Red
SST
PST
Green
Lavender
Gray
Final flush
19ml
Prevent hemolysis
Use a larger bore needle to draw
Use larger needles for transferring blood into test tubes
Tilt blood tubes so that the blood washes down the side of the tube
Aspirate slowly when collecting from veins/catheters
Blood cultures are a
Priority to minimize risk of contamination
Never attach blood culture bottles directly onto __________________
Vacu-holders
Blood cultures are about
5-10 mls of blood for each sample
