Venipuncture Flashcards
is the most integral part in any laboratory procedures
specimen collection
it is but proper that the specimen to be collected should be, as much as possible, have the same _____ as when it is inside the body.
integrity
Venipuncture using the ______ system is a closed system with sterile evacuated tubes, blood flows directly into the tube and no messy specimen transfer is needed.
vacutainer system
veni using vacutainer system will draw blood automatically in accordance with the amount of _____ incorporated because it has vacuum inside its system
anticoagulant
in veni using vacutainer, blood comes into ___ contact with the ___
direct contact with the additive
preserves the integrity of the specimen and ensure more accurate results (vacutainer system)
blood comes into direct contact with the additive
it can be used in collecting multiple specimens for different laboratory tests in one puncture wound only
vacutainer system
materials for vacutainer system
-vacutainer adaptor
-gloves
- vacutainer needles and tube
- tourniquet
- cotton swab
venipuncture using the syringe is usually used for
beginners and for veins which are not very prominent
one would know if the vein of the patient is hit by the needle since a little amount of blood would appear in the hub of the syringe needle
syringe
how would u know if the vein is hit when using syringe
blood in the hub
one must have a steady grip on the ___
barrel
offers a disadvantage when using syringe
moving of barrel during the pulling of the plunger
materials for venipuncture using syringe
- syringe
- gloves
- tourniquet
- cotton swab
make sure to note the ___ of the vacutainer tube before using
expiry date
make sure that the syringe you are about to use has not been ____
previously opened nor broken
1st step in vacutainer system technique
identify the patient. this is the most important step in the procedure
2nd step in vacutainer system technique
Assemble the equipment.
insert the ____ end of the vacutainer needle into the vacutainer ____
shorter end into holder/adaptor
the end of the needle is generally covered by ___ to prevent blood from leaking the needle when collecting more than one tube of blood
rubber like sleeve
insert the first tube into the vacutainer holder until ____
the top is even with the line on the holder
do not puncture the top of the needle inside because ___
puncturing the top causes loss of the vacuum
3rd step in vacutainer technique
apply tourniquet 3-4 inches above the elbow
the patient’s arm should be in a ___ position
slightly downward
why should the patients arm be positioned slightly downard
so that when blood enters the vacutainer tube it will go directly to the bottom of the tube and not remain at the top where it might flow back into the patient’s vein.
4th step in vacutainer technique
ask the patient to make a fist (massage or tap site with index and 3rd finger for veins to dilate)
makes the vein more easily palpable
asking the patient to make a fist
if veins are still not palpable you may apply a ____ about ___ to the site or allow it to hang in a ____ position so that the veins will fill to capacity with blood
warm moist cloth (40 degree C) hang in vertical position
5th step in vacutainer technique
select a suitable vein to puncture
The veins of the arm, which are the
site of the majority of venipunctures,
cephalic, median cubital, basilica
6th step in vacutainer technique
cleanse the site with 70% alcohol after the suitable vein has been chosen
generally preferred vein because this is the largest and best anchored.
median cubital
grasp the patient’s arm ____ the puncture site, pulling the skin tight with your thumb
1-2 inches below
hold the vacutainer assembly with the ____ hand, between the ___ and ___ fingers
opposite hand, between the thumb and last three fingers
when holding the vacutainer assembly, rest the index finger against the ___ of the needle to serve as a guide
hub
make sure that the syringe has been inspected and tested by pulling and pushing
the plunger back and forth ____
3 to 5 times.
If bleeding has ceased, apply hypoallergenic tape over the pad at site and advise the
patient to leave it on for ___ minutes.
15 minutes
Make sure that in transferring, the specimen will touch the __ side of the test tube. This is to avoid ___
inner side, to avoid hemolysis