VENIPUNCTURE Flashcards
- Gloves should be removed first
- Gown should be removed next. Gown should be removed from the shoulders toward the hand.
- Mask should be removed last. Remove the mask by holding only the string.
NEEDLE HOLDERS
Rigid, puncture-resistant, leak-proof disposable “sharps” containers labeled BIOHAZARD that are easily sealed and
locked when full
NEEDLE DISPOSAL SYSTEMS
Veins
o Median Vein
o Cephalic Vein
o Basilic Vein
near the center; preferred vein for -venipuncture because it is large, stationary, least painful due to less nociceptor & bruises less easily
Median Cephalic Vein
o lateral aspect; second choice; hard to palpate but fairly well anchored & the only vein can be felt in obese
Cephalic Vein
medial side; not well anchored & rolls easily, ↑ risk of puncturing median cutaneous nerve or the brachial artery
Basilic Vein
o Sleeping patients should be gently awakened
o Unconscious Patients should be greeted in the same manner as conscious one
o Nursing personnel can assist patient
Sleeping Patients and Unconscious Patients
o Seek assistance from attending nurse/ nurse station to locate patient
Unavailable Patient
Ask the patient’s nurse, relative, or a friend to identify the patient
Young and Cognitively Impaired Patients
o The ideal time to collect blood from a patient:
o Refrained from strenuous exercise
o Has not ingested food or beverages
except water for 12 hours
BASAL STATE
Small, non raised red hemorrhagic spots
May have prolonged bleeding following venipuncture.
Additional pressure should be applied to the puncture
site following needle removal.
Petechiae
Formation of blood clots inside the lumen of the vein
due to trauma
Thrombosis of veins
Inflammation of the vein caused by thrombus
Thrombophlebitis
Blue or black skin discoloration commonly due to repeated trauma or puncture of the veins
Hematomas
AREAS TO AVOID
o Damaged Veins
o Hematoma
o Edema
o Burns, Scars, and Tattoos
o Arm on the same side of a Mastectomy
o IV Therapy
