Lesson 5: Venipuncture Procedure Flashcards
The process of collecting or “drawing” blood from a vein
VENIPUNCTURE
FIRST STEP OF THE PRE EXAMINATION PHASE
TEST REQUEST
-MEDICAL EMERGENCY
-RESULTS ARE NEEDED FOR CRITICAL PATIENT
-IMMEDIATELY COLLECT, TEST, AND REPORT RESULT
-GLUCOSE H&H, ELECTROLYTES, CARDIAC ENZYMES
-FIRST
MED EMERG
-IMMEDIATELY
-RESULTS ARE NEEDED FOR CRITICAL PATIENT
-IMMEDIATELY COLLECT, TEST, AND REPORT RESULT
-GLUCOSE H&H, ELECTROLYTES, CARDIAC ENZYMES
-FIRST
STAT
-COLLECT AT A SPECIFIC TIME
-TIMING OF COLLECTION IS IMPORTANT
-COLLECTION CLOSE TO REQUIRED TIME AND RECORD ACTUAL TIME
-2 HOUR PP, GTT CORTISOL, CARDIAC ENZYMES, TDM, BLOOD
-SECOND
TIMED
-AS SOON AS POSSIBLE
-RESULTS NEEDED TO RESPOND TO SERIOUS BUT NOT YET CRITICAL SITUATION
-FOLLOW HOSPITAL PROTOCOL
-ELECTROLYTES, GLUCOSE, H&H
-SECOND OR THIRD
ASAP
-PRIOR TO COLLECTION, THERE SHOULD BE NO FOOD OR DRINK INTAKE FOR 8-12 HOURS
-ELIMINATE EFFECTS OF THE DIET
-VERIFY IF THE PATIENT HAD FASTED. IF HE DID NOT, CHECK IF THE TEST COULD STILL PROCEED
-GLUCOSE, CHOLESTEROL, TRIGYLCERIDES
-FOURTH
FASTING
-NOTHING BY MOUTH
-PRIOR TO SURGERY OR OTHER ANESTHESIA PROCEDURES
-DO NOT GIVE FOOD OR WATER
NPO
-BEFORE AN OPERATION
-DETERMINE ELIGIBILITY FOR SURGERY
-COLLECT BEFORE SURGERY
-CBC, PTT, PLATELET FUNCTION STUDIES
-SECOND OR THIRD
PREOP
-AFTER AN OPERATION
-ASSESS CONDITION AFTER SURGERY
-COLLECT AFTER SURGERY
-H&H
-SECOND OR THIRD
POSTOP
-RELATING TO ESTABLISHED PROCEDURE
-ESTABLISH DIAGNOSIS OR MONITOR PROGRESS
-COLLECT ON TIME BUT NOT URGENT
-CBC, CHEM PROFILE
ROUTINE
The behavior of a healthcare provider toward or as perceived by a patient WHICH IS APPLICABLE TO BOTH IN AND OUT PATIENT SETTINGS.
BEDSIDE MANNER
THE TOURNIQUET SHOULD BE PLACED ______ FROM THE INTENDED SITE
3 TO 4 INCHES
WHEN THE TOURNIQUET IS IN PLACE, ASK THE PATIENT TO ____
CLENCH HIS/HER FIST
THE VENIPUNCTURE SITE SHOULD BE CLEANES USING AN ANTISEPTIC, SUCH AS ____________, TO PREVENT INFECTION OR CONTAMINATION. THE AREA SHOULD COVER ABOUT ___________ DIAMETER USING A __________, AND MOVING OUTWARD IN _____________________.
70% isopropyl alcohol; 2 TO 3 INCHES; CIRCULAR MOTION; CONCENTRIC CIRCULAR MOTION
THE PHLEBOTOMIST SHOULD TAKE A SLOW APPROACH AND DETERMINE THE LEVEL OF ANXIETY OF THE PATIENT TO GAIN THE LATTER’S TRUST. THE PROCEDURE SHOULD BE EXPLAINED CLEARLY USING TERMS THAT THE CHILD COULD EASILY UNDERSTAND, EMPHASIZING THAT THE YOUNG PATIENT SHOULD KEEP STILL DURING THE PROCEDURE.
PEDIATRIC PUNCTURE
USED FOR PAIN INTERVENTIONS; THIS COMES IN CREAM AND ORAL FORMS AND TAKES ABOUT AN HOUR TO TAKE EFFECT AND ANESTESIZE THE ARE.
Eutectic Mixture of Local Anesthetics (EMLA)
-NEED SPECIAL ATTENTION BECAUSE THEY MAY HAVE SPECIAL CONDITIONS SUCH AS ARTHRITIS, DIABETES, PARKINSON’S DISEASE, STROKE, WHICH MAKE BLOOD DRAWING A CHALLENGE.
-THEY HAVE THINNER SKIN AND SMALLER MUSCLES WHICH CAUSE THE VEINS TO ROLL EASILY
GERIATRIC VENIPUNCTURE
USE THE DORSUM HAND OF PATIENTS UNDERGOING HEMODIALYSIS TO PRESERVE THE VEINS OF THE ARMS FOR HEMODIALYSIS ACCESS
-SHOULD COMPLY AND SELECT ANOTHER SITE OTHER THAN THE ARM USED WITH AN ARTERIOVENOUS FISTULA
DIALYSIS PATIENTS
-PROVIDED TO PATIENTS WHO CANNOT PERFORM REGULAR DAILY ACTIVITIES DUE TO THEIR HEALTH CONDITION
LONG TERM CARE PATIENTS
patients who need medical attention and assistance from the health professionals from time to time.
HOME CARE PATIENTS
-FOR PATIENTS WHO NEED END OF LIFE CARE AND MOSTLY HAVE A PROGNOSIS OF SIX MONTHS OR LESS.
HOSPICE PATIENTS
