what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. If using a needle and syringe, avoid drawing the plunger back too forcefully. This is more common in humeral and femoral punctures than radial punctures. Notify your supervisor or patientsphysician if unsuccessful. Using a sterile blood lancet, puncture the side of the heel in the appropriate regions shown above in green. Apply the tourniquet below the IV site. B. the insertion site has stopped bleeding obvious areas of skin infections Sanders AM, Agger WA, Gray AM, Fischer CM, Kamprud EA. 13 Websites to Avoid If You Value Your Time | PCMag 23-gauge needles (e.g. There are some slight risks associated with venipuncture which may include excessive bleeding, feeling light-headed, fainting, nerve damage, hematoma (accumulation of blood under the skin), and infection. For most clinical examinations the blood is obtained: The vacuum (evacuated) tube system (vacutainer) requires the following components: The healthcare worker needs essential items for either venipuncture or microcollection. If possible, speak with the patient during the process. 8. Here phlebotomists will typically choose from three veins: the median cubital vein, the cephalic vein or the basilic vein. What are the complications that can occur when performing a venipuncture? Areas of the body that look infected, scarred, or burned must also be avoided. Recognize complications associated with the phlebotomy procedure. After the third attempt, further medical directions must be sought with the attending physician before proceeding. Have the patient make a fist and flex the arm, which helps engorge muscles to fill veins. So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. But since each patient's medical condition varies, so does their veins. Source of specimen. 5. Phlebotomy is the practice of drawing blood from patients to gather data about their health. This is why a required skill for most phlebotomy jobs is to have excellent people skills with the ability to keep the patient calm during the venipuncture procedure. Avoid previous hematoma (draw distal of hematoma) The basic patient rights endorsed by the JCAHO follow in condensed form are given below. Safely dispose of potentially infectious materials. 3. Place a pillow under the patient's arm if additional support is needed. D. mandates, The most common antiseptic used in venipuncture is: A. the plastic sleeve is removed This information must be given when requesting microbiology, cytology, fluid analysis, or other testing where analysis and reporting is site specific. Capillary punctures are not suitable for blood culture testing and most coagulation tests. Wipe away the first drop of blood with sterile 22 gauze. Warning: Do not make lateral (side-to-side) movements with the needle. Therefore, an arm containing an IV should not be used to draw blood specimens if it can be avoided. Procedure for Capillary Puncture of the Finger: The best site for a finger puncture is just off the center of the finger pad of. Apply firm pressure for more than 5 minutes. Avoid areas of hematoma. Because most laboratory specimens contain bacteria, it is not necessary to wash hands before collecting them, The tourniquet applied prior to venipuncture is removed: Such terms as "needs to," "must," "require" and "should" are used to explain how medical professionals should perform capillary blood collection procedures. PDF Collection of Blood Specimens by Skin Puncture Concentrations of fluids and medications could affect baseline test results. Larger tube sizes typically provide for collection of samples from 6 to 10 mL. The use of a tourniquet during a venipuncture procedure makes: The most common site(s) for the venipuncture procedure is/are the following: The tourniquet should not be left on a patient more than 1 minute when performing a venipuncture because it is uncomfortable and causes: The needle should always be inserted at the puncture site with the: The correct needle position for a venipuncture is a ______ degree angle with the bevel facing _____. Allow thefinger to dry or wipe dry with a sterile 22 gauze. with their hand to stabilize it for the draw. Journal of Exotic Pet Medicine. Perform the venipuncture. Avoid placing sample onhot surfaces such as bili-lights or monitors. Order of draw for multiple tube phlebotomy. Butterflies are incredibly valuable tools for tackling difficult draws, owing to their precision, shorter shaft length, and maneuverability. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. (function() { Tourniquet - Wipe off with alcohol and replace frequently. Phlebotomists are considered to have occupational exposure to blood borne pathogens. Check for timing instructions for drawing the appropriate samples. As part of presenting a professional appearance, an institutional dress code may include wearing of a laboratory coat or smock. Gloves are to be worn during all blood collection procedures, and changed betweenpatient collections. The upper extremity on the side of a previous mastectomy - test results may be affected because of lymphedema. 2. Fasting, dietary restrictions, medications, timing, and medical treatment are all of concern and should be noted on the lab requisition. In the case of an accidental stick, immediately wash the area with an antibacterial soap,express blood from the wound, and contact your supervisor. The essential elements of the requisition form are: Patient's surname, first name, and middle initial. The sides and the tip of the. Stop the procedure and remove the needle if: Thanks to all authors for creating a page that has been read 43,712 times.