Venipuncture Procedures Flashcards
- Process of collecting or “drawing” blood from VEIN
- MOST common way to collect blood specimens for laboratory testing
Venipuncture
3 methods of venipuncture
- syringe method
- evacuated tube system
- butterfly
Step 1-5 in blood collection?
1.Review and Accession test Request
2.Approach, Identify, and prepare Patient
3.Verify Diet restrictions and Latex Sensitivity
4.Sanitize hands
5.Position Patient, Apply torniquet, and ask patient to make a fist
Step 6 - 10 in blood collection?
6.Select Vein, Release torniquet, and ask patient to open fist
7.Clean and air-dry the site
8. Prepare equipment and put on gloves
9. Reapply tourniquet, uncap and inspect needle
10. Ask patient to remake a fist, anchor vein, and insert needle
Step 11 - 15 in blood collection?
- Establish blood flow, release the tourniquet, and ask patient to open fist
- Fill, remove, and mix tubes in order of draw or fill syringe
- Place gauze, remove needle, activate safety feature, and apply pressure
- Discard collection unit, syringe needle, or transfer device
- Label tubes
Step 16 - 20 in blood collection?
- Observe special handling instructions
- Check patient’s arm and apply bandage
- Dispose of contaminated materials
- Thank patient, remove gloves, and sanitize hands
- Transport specimen to the lab
What are 3 skills used in phlebotomy?
1.Social Skills (Interpersonal)
2.Administrative/Clerical Skills-most errors in the laboratory
3.Technical Skill
- Ordering physician’s name
- Patient’s firstand last names and middle initial
- Patient’s medical record number (if inpatient)
- Patient’s date of birth or age
- Room number and bed (if inpatient)
- Type of test to be performed
- Date test is to be performed
- Billing information and ICD-9 codes (if outpatient)
- Test status (e.g., timed, fasting, priority)
- Special precautions (e.g., latex sensitivity)
- Accessioning number
- Department or location where to do the test
Information included in Test Request Form/Requisition Form
A number to identify all paperwork and supplies associated with each patient
Accession Order in Test Request form
contain the actual labels that are placed on the specimen tubes immediately after collection
Computerized (test request form)
- Multipart carbon form
- Imprinting plate
Full name, ID #, Rm#, Physician’s name, Request tests (handwritten only) - Can be given to the phlebotomist or the patients
Manual (test request form)
print out at a special computer terminal at the phlebotomist station in the laboratory
Computer requisitions for inpatients (receipt of test request)
- laboratory requisitions or prescription slips with test orders written on them by their physicians
- responsible for taking them to a blood collection site
Outpatients (receipt of test request)
In reviewing the test request, the phlebotomist must?
- Check to see that all required information is present and complete.
- Verify the tests to be collected and time and date of collection.
- Identify diet restrictions or other special circumstances that must be met prior to collection
- Determine test status or collection priority
- Process of recording in the order received
- This means to take steps to unmistakably connect the specimen and the accompanying paperwork with a specific individual
- It ensures prompt and accurate processing from receipt of the order to reporting of test results.
Accesioning of Test Request
- Organized and effective and efficient
- Arrange the requisitions according to priority
- Review the requisitions in order to see what equipment is in cart or tray before going to the patient
- Outpatients, summoned from waiting area according to arriva
Approaching the patient
- Looking for signs-“code”
- Entering a patient’s room
- Physicians and ClergyFamily and Visitors
- Unavailable Patient
- Obtaining Consent-“patient’s consent”
- Bedside manner
- Define as the behavior of thehealthcare provider towards the patient
- Introduce yourself
approaching patients
Define as the behavior of the healthcare provider towards the patient
bedside manner
- Gaining the patient’s trust
- Introduce yourself to the patient
- Give your name, your title and why you are there
- Immediate role in his/her care
- How long the procedure will take
- What you are going to do
- Never give false assurance to the patient
greeting the patient
- Most important step in the collection process
- Results will be wrong if the sample is not identified correctly
- Ask the patient to state his/her full name and DOB
- CLSI recommend to let patient spell the last name
- Check ID Bracelets
Patient identification
What information can be found in an ID band?
Name, ID #, Medical Record Number, DOB, Age, Room, Bed and Physician/s name
What information can be found in a 3-Way ID?
Patient’s verbal ID statement, check of ID band, comparison of labeled specimen and patient’s ID before leaving the bedside
Patient identification procedures (state of patient): Ask full name (verbally), confirm using ID bracelets
Conscious Inpatients/Hospitalized patients
Patient identification procedures (state of patient): Same as conscious, awakened before collection
Sleeping patients