Use your thumb to draw skin tight about 1 2 below the venipuncture site. In most of these cases, the skin on the hand is pierced and a vein is accessed so medications or fluids can be given intravenously. When drawing a blood specimen, the trained phlebotomist must. This procedure becomes successful when the blood starts to be sucked up through the tube and into the test tube where it is collected. Sep 05, 20 phlebotomist inserting a needle into the vein. Collection of diagnostic blood specimens by venipuncture, fifth edition. Describe collection procedures when using a butterfly or. The venipuncture procedure is complex, requiring both knowledge and skill to.
If righthanded, grasp patients arm firmly with left hand using left thumb to draw skin taunt to anchor vein. Venipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. If playback doesnt begin shortly, try restarting your. Usually the light blue tube is collected first as the anticoagulation factors in other tubes can contaminate. There are certain critical steps needed in order to draw correctly and safely. Check out the geeky medics quiz platform, with over 700 free medical mcqs. Venipuncture is a method of drawing blood using a needle to pierce the skin and access a vein. If drawing above the iv site is the only option, then the iv infusion. Check the requisition form for requested tests, patient information, and any special requirements. Procedure summary and goal describes procedures for intravenous injections and venipuncture of the jugular veins. The total venipuncture procedure includes the total number of cannulations performed, including successful and unsuccessful cannulation.
Routine venipuncture and specimen handling venipuncture procedure the venipuncture procedure requires both knowledge and skill to perform. Steps in doing a venipuncture check the venipuncture site after 35 minutes. The information given in this section underpins that given in the remainder of part. A correct, noncontaminated draw is needed to perform various blood studies in making accurate diagnosis in patients conditions. Venipuncture needle and syringes market is projected to reach usd 1,044. Early detection and good communication between the patient and health care provider is important whenever venepucture is performed to prevent serious compli cations. Sep 18, 2014 venipuncture steps contd 3 hold limb with nondominant hand and anchor vein with thumb 4 using dominant hand, position needle bevel side up at 45degree angle to skin surface 5 enter skin with quick, sharp, darting motion and decrease angle to 15 degrees after entering vein 6 release tourniquet 31 prepared by yannick ngerageze a. Remove the needle and apply direct forceful pressure to the puncture site for a minimum of 5 minutes until active bleeding has ceased. Once again, please be aware that these are only guidelines for blood draws and nurses should consult with the appropriate hospital personnel regarding performing this procedure on patients. This template, based on clsi standard gp41a7 2017 can save you hours and hours of research and editing to bring your written procedure up to date. A phlebotomist must have a professional, courteous, and understanding manner in all contact with all patients. Venipuncture procedure is the collection of blood from a vein, usually for laboratory testing, is done through venipuncture and performed by a phlebotomist. Phlebotomy is the process of making an incision in a vein with a needle. Patient safety is the ultimate goal above all other considerations.
It is the most frequent procedure performed by a phlebotomist and the most important step in this procedure is patient identi. Healthcare professional should notify nurse or supervisor if bleeding lasts more than five 5 minutes. The chapter includes background information section 2. Venepuncture is the act of puncturing the vein for giving a drug or removal of blood 2,3. The medical expert performing the venipuncture procedure begins by tying a cloth around the arm to stop the free flow of vital fluid and then inserts a sterile needle via the skin and into the vein. A professional phlebotomist follows the procedure in the same way for every venipuncture. Venipuncture procedure and technique venipuncture training. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Who guidelines on drawing blood best practices in phlebotomy eng. Steps in venipuncture procedure flashcards quizlet. When using evacuated tubes, following steps must be performed. Use a blood transfer device to transfer blood from a syringe to a tube. Venipuncture procedure the venipuncture procedure is complex and requires both knowledge and skill.
This chapter covers all the steps recommended for safe phlebotomy and reiterates the accepted principles for blood drawing and blood collection. Complete blood draw using proper venipuncture techniques. Jun 24, 2015 clinical skills video cathy toms university of virginia. Venipuncture can also happen when patients have intravenous iv lines started. Although most professionals in the medical field can draw blood, a phlebotomy tech specializes in the process. Venipuncture procedure step 1 label the tube with the patients particulars step 2 put tourniquet on the patient about 34 above the venipuncture site step 3 ask patient to form a fist so veins are more prominent step 4 after finding the vein, clean the venipuncture site with alcohol using circular motion. Written in clsis recommended format for a laboratory procedure, this editable microsoft word document. Explain the importance of proper patient identification. Drawing a blood sample from a patient is the main job for a phlebotomy technician. Partially filledbroken collection tubesvials discard in biohazard container. Phlebotomy procedure steps in order to perform a safe and successful phlebotomy procedure, the technician must follow all the steps correctly. To ensure proper collection of venous blood specimens.
Considerations having a basic knowledge of the animals behavior is important in safe and humane handling. Venipuncture steps contd 3 hold limb with nondominant hand and anchor vein with thumb 4 using dominant hand, position needle bevel side up at 45degree angle to skin surface 5 enter skin with quick, sharp, darting motion and decrease angle to 15 degrees after entering vein 6 release tourniquet 31 prepared by yannick ngerageze a. Describe each step in the venipuncture procedure, list necessary information found on specimen tube labels, and list the acceptable reason s for inability to collect a. Although most professionals in the medical field can draw blood, a phlebotomy tech specializes in. Clinical skills video cathy toms university of virginia. Who guidelines on drawing blood service temporarily down.
Have client form a fist so veins are more prominent. This video takes you through the full procedure step by step. Describe the test request process, identify the types of requisitions used, and list the required requisition. Print a copy of the phlebotomy safety for all ages answer sheet found on the hml website answer the questions found on the following ten slides.
This sop describes the procedure for blood collection venipuncture from research participants. On the consent form an s next to a test indicates that the sample should be collected in the serum separator tiger top tub, spun down, and poured off into a. This chapter covers all the steps recommended for safe phlebotomy and reiterates the accepted principles for blood drawing and blood collection 31. To prevent hemolysis when performing a venipuncture. Venipuncture is the process of collecting or drawing blood from a vein and the most common way to collect blood specimens for laboratory testing. Make sure the bevel of the needle is pointing up, anchor the vein with the thumb of your opposite hand about 1 inch below the puncture site, and then insert the needle at no more than 15 degrees. A stepbystep guide phlebotomists are health care professionals who draw blood from patients for blood transfusions or laboratory testing purposes. Venipuncture how to take blood osce guide old version.
Is your venipuncture procedure current with the newly revised clsi venipuncture standard. For the clsi updated phlebotomy procedures please click here. Define the key terms and abbreviations listed at the beginning of this chapter. Venipuncture for use with vacutainer tubes always use universal safety precautions. Your event worksheet and the consent form will indicate which tubes are required. Specimen collection procedure performing a venipuncture. Once again, please be aware that these are only guidelines for blood draws and nurses should consult with the appropriate hospital personnel. By establishing a procedure for the correct collection of blood by venipuncture, many pre analytical errors and patient management complications may be avoided.
Ive added a map of arm veins to the right as a helpful pairing for this video. Prepare the equipment, the patient and the puncture site. Venipuncture blood collection laboratory i am a health care. Venipunctureprocedure the venipuncture procedure is complex and requires both knowledge and skill. Step by step procedure for how a phlebotomist draws blood. The phlebotomist who is consistent in performance and who concentrates fully to obtain a quality specimen is an indispensable part of the healthcare team. A phlebotomy procedure which can also be called a venipuncture procedure or blood draw is the process of drawing blood. Rub both palms with finger tips rinse hands under running water and dry thoroughly, preferably u sing paper towels. Mix anticoagulated specimens thoroughly by inverting tube gently 5 to 10 times. Responsibility it is the responsibility of the research personnel carrying out this procedure to ensure that all steps are completed both competently and safely.
Venepuncture is the act of puncturing the vein for giving a. The venipuncture procedure is complex, requiring both knowledge and skill. Several essential steps are required for every successful collection procedure. The venipuncture procedure is typically performed at hospitals, clinics and physicians offices to collect blood samples for testing. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. To ensure proper collection of venous blood specimens principle. This type of venipuncture procedure is a little different, and sometimes can be a little more involved. This ensures that none of the vital steps are omitted. Patients are usually nervous if theyve never had it done before, or sometimes they have a phobia of needles or doctors offices.
A beginners step by step guide to the venipunctue procedure, feel free to leave any comments, concerns, and any everything phlebotomy topix that. Please ensure you have the most uptodate copy at all times. The infograph below provides a detailed description of the venipuncture steps as found in our how to draw blood resource. Venipuncture, the most common phlebotomist procedure, involves drawing blood directly from the veins for blood analysis. Each phlebotomist generally establishes a routine that is comfortable for her or him. Venipuncture is an essential skill in veterinary medicine and is used to collect diagnostic samples as well as administer therapeutic agents. This guide shows you the step by step blood draw procedure process. Avoid drawing the syringe plunger back too forcibly. On the consent form an s next to a test indicates that the sample should be collected in the serum separator tiger top tub, spun down, and poured off into a red top tube. Make sure patients arm or puncture site is in a downward position so there will be no back flow from tubes into vein. Venipuncture procedure analysis by success rate, vein type. The tourniquet should be applied between the iv site and the venipuncture.
Place a tube from your tray into the hub and check for blood. Put tourniquet on client about 34 above venipuncture site. After palpating the path of the vein, clean the venipuncture. Best practices in phlebotomy who guidelines on drawing. If during the procedure accidental arterial puncture is suspected e. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. This a great quick demonstration of an antecubital basic venipuncture step by step blood draw. Describe each step in the venipuncture procedure, list necessary information found on specimen tube labels, and list the acceptable reason s for inability to collect a specimen. Venipuncture the puncture of a vein for surgical or therapeutic purposes, or. This guide follows the steps as outlined in the world health organizations guidelines on drawing blood. Serum tubes should be centrifuged in a timely manner according to protocol. It is important for the phlebotomist to follow a stepbystep procedure to ensure consistency and to make the patient comfortable. Venipuncture is most often done for laboratory testing.
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