VENIPUNCTURE USING AN EVACUATED TUBE SYSTEM

Question 1

Preferred, because it is direct, efficient, relatively safe for the patient and the blood drawer, and allows multiple tubes to be
easily collected

Answer 1

EVACUATED TUBE SYSTEM

Question 2

Step 1

Answer 2

Review and accession test request

Question 3

Step 2

Answer 3

Greet and reassure the patient and
explain the procedure to be performed.

Question 4

Step 3

Answer 4

Identify the patient verbally by having him or her state both the first name and last name and compare the information
on the patient’s ID band with the requisition form.

Question 5

Step 4

Answer 5

Verify if the patient has fasted, has allergies to latex, or has had previous problems with venipuncture.

Question 6

Step 5

Answer 6

Select correct tubes and equipment for the procedure. Have extra tubes available.

Question 7

Step 6

Answer 7

Wash hands and apply gloves.

Question 8

Step 7

Answer 8

Position the patient’s arm slightly bent in a downward position so that the tubes fill from the bottom up.

Question 9

Step 8

Answer 9

Apply the tourniquet 3 to 4 inches above the antecubital fossa.

Question 10

Step 9

Answer 10

Clean the site with 70 percent isopropyl alcohol in concentric circles moving outward and allow it to air dry

Question 11

Step 10

Answer 11

Assemble the equipment while the alcohol is drying. Attach the multi sample needle to the holder

Question 12

Step 11

Answer 12

Insert the tube into the holder up to the tube advancement mark

Question 13

Step 12

Answer 13

Reapply the tourniquet. Do not touch the puncture site with an unclean finger. Ask the patient to remake a fist.

Question 14

Step 13

Answer 14

Remove the plastic needle cap and examine the needle for defects such as non pointed or barbed ends.

Question 15

Step 14

Answer 15

Anchor the vein by placing the thumb of the nondominant hand 1 to 2 inches below the site and pulling the skin
taut

Question 16

Step 16

Answer 16

Using the thumb, advance the tube Into the evacuated tube needle, while the index and middle fingers grasp the flared
ends of the holder

Question 17

Step 17

Answer 17

When blood flows into the tube, release the tourniquet, and ask the patient to open the fist.

Question 18

Step 18

Answer 18

Gently remove the tube when the blood stops flowing into it.

Question 19

Step 19

Answer 19

Remove the last tube collected from the holder and gently invert.

Question 20

Step 20

Answer 20

Cover the puncture site with clean gauze. Remove the needle smoothly and apply pressure or ask the patient to apply
pressure.

Question 21

Step 21

Answer 21

Activate the safety device

Question 22

Step 22

Answer 22

Dispose the needle/holder assembly with the safety device activated into the sharps container

Question 23

Step 22

Answer 23

Dispose the needle/holder assembly with the safety device activated into the sharps container

Question 24

Step 23

Answer 24

Label the tubes before leaving the patient and verify identification with the patient ID band or verbally with an
outpatient. Observe any special handling procedures. Complete paperwork

Question 25

Step 24

Answer 25

Examine the puncture site and apply bandage. Place bandage over folded gauze for additional pressure.

Question 26

Step 25

Answer 26

Prepare sample and requisition for transportation to the laboratory. Dispose of used supplies

Question 27

Step 26

Answer 27

Thank the patient, remove gloves, and wash hands