Venipuncture Draw

Question 1

Step #1

Answer 1

Obtain and review requisition slip to determine what equipment will be needed

Question 2

Step #2

Answer 2

Wash hands and apply gloves

Question 3

Step #3

Answer 3

Gather the following equipment:

1. 1 Alcohol pad
2. 2 gauze pads
3. Tubes/vacutainers
4. Band aid or tape
5. Tourniquet
6. Marking pen for labels
7. Needle or Winged Infusion Set (if applicable)
8. Hub and luer adapter (if applicable)
9. Syringe (if applicable)
10. Labels

Question 4

Step #4

Answer 4

State the correct order of draw. State the order of draw for the tests that have been order. Tubes must be drawn in correct order.

Question 5

Step #5

Answer 5

Identify yourself to the patient: “Hi, my name is Rhys. I’m from the lab to draw your blood. Is that okay?”
-Must have consent to proceed.

Question 6

Step #6

Answer 6

Identify the patient by AT LEAST 2 methods:

1. Ask patient for First and Last name, then have them spell First and Last name
2. Hospital ID band
3. Ask patient DOB

Question 7

Step #7

Answer 7

Apply the tourniquet (1 min.) and ask the patient to make a fist. Apply tourniquet 3-4 inches above site.

Question 8

Step #8

Answer 8

Use index finger of non-dominant hand to palpate the patient’s arm/hand to find the most accessible vein.

Question 9

Step #9

Answer 9

Clean the site with an alcohol pad, using sufficient friction, but not enough to abrade the skin. Or, use concentric circles from in to out.

Question 10

Step #10

Answer 10

Allow the alcohol pad to dry completely before attempting venipuncture.

Question 11

Step #11

Answer 11

Anchor the site, pulling distally, without contaminating the wound.

Question 12

Step #12

Answer 12

Insert needle into the vein with the bevel facing UP at a 30 degree (ETS) or 10 degrees (winged infusion set) angle in one smooth motion.
-NEEDLE MUST NOT TOUCH YOUR THUMB

Question 13

Step #13

Answer 13

Gently insert the tube onto the needle using handles of hub/holder.

• DO NOT SWITCH HANDS.
• DO NOT CROSS OVER OR UNDER.

Question 14

Step #14

Answer 14

1. Release tourniquet and instruct patient to open fist.
2. Remove the tube / invert 1 time
3. Remove needle without putting pressure on the gauze

Question 15

Step #15

Answer 15

Apple pressure, if applicable, ask patient to hold pressure. Instruct the patient to not bend their arm.

Question 16

Step #16

Answer 16

Dispose of sharps properly.

Question 17

Step #17

Answer 17

Invert 8-10 times then label the tubes with or without blood. First initial, last name, date, and military time. Apply left to right.

Question 18

Step #18

Answer 18

Check site for bleeding, apply bandage, tape, or bandaid.

Question 19

Step #19

Answer 19

Clean the area of all gauze, paper, plastic needle caps and gloves. Dispose of in regular trash.

Question 20

Step #20

Answer 20

Wash your hands and thank the patient.

Question 21

Step #21

Answer 21

Successful blood draw. 2 tubes are at least half full for credit.