what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. 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. Have the patient hold a small gauze pad over the puncture site for a couple of minutes to stop the bleeding. Stop the procedure if a hematoma occurs. C. Iodine Factitious biochemical measurements resulting from hematologic conditions. Heparin light or dark green top tube, 5. Avoid excessive pressure that may squeeze tissue fluid into the drop of blood. The median cubital vein is used the most for its accessibility. 10. So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. Consult the nursing unit or your facility's resources prior to drawing from an IV or PICC line or performing venipuncture on an arm with an IV line in place. Dry the cleaned area with a dry cotton sponge. D. all of the above, Julie S Snyder, Linda Lilley, Shelly Collins, Zoology Chapter 16 & 17: Invertebrate Deutero. Allow another large drop of blood to form. The upper extremity on the side of a previous mastectomy - test results may be affected because of lymphedema. WHO guidelines on drawing blood: best practices in phlebotomy. Once you establish blood flow, slightly modify your hand position to stabilize the needle against the arm and prevent further movement. 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. Cephalic vein. If the puncture is parallel to the lines of the fingerprint, theblood will not form as a drop but will run down the finger making collection difficult. For children over 6 months and adults, the finger is punctured. A. What are the light blue top containers used for? As a countermeasure, phlebotomists anchor the vein with their hand to stabilize it for the draw. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. If the patient is sitting in a phlebotomy chair, make sure they are sitting upright with their back against the chair. In some cases, a phlebotomist may have to switch sites if they find the blood is not properly flowing from the vein. Check the requisition form for requested tests, patient information, and any special requirements. A thin soap bubble of index of refraction 1.33 is viewed with light of wavelength 550.0 nm and appears very bright. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. 2009;18(2):117-139. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. It is not as close to the skin surface as the median cubital and cephalic veins, which poses a greater risk of damage to the median nerve and brachial artery. Hold the baby's foot firmly to avoid sudden movement. diet, exercise, stress, basal state). Occupational Safety and Health Administration, United States Department of Labor. Even if several vials of blood have to be drawn it usually amounts to no more than one ounce. A. excessive probing with the needle It is an employer's responsibility to provide, clean, repair, replace, and/or dispose of personal protective equipment/clothing. Dispose of items in appropriate containers. Not making it mobile friendly. Apply firm pressure for more than 5 minutes. Contains lithium heparin anticoagulant and a gel separator. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. jugular) or a central venous catheter is out of the scope of practice of a certified phlebotomist and should only be performed by a physician or advanced nurse. Potassium A phlebotomy technician is removing his gloves after a venipuncture procedure. How should you have the patient position their arm after the venipuncture is complete? Do not place too tightly or leave on more than 2 minutes (and no more than a minute to avoid increasing risk for hemoconcentration). if ( prevIframeHeight != zf_ifrm_ht_nw ) { Staying safe online: Avoid these types of websites - USWired A tin can containing air is sealed. As a countermeasure, phlebotomists. Best practices in capillary blood collection - Medical Laboratory Observer Valenstein PN, Sirota RL. Patients in these populations are often nervous and may flail their limbs. } }catch(e){} Avoid the side of the finger where there is less soft tissue, where vessels and nerves are located, and where the bone is closer to the surface. Most commonly, venipuncture will be performed on the Antecubital Fossa, or the inside of the elbow. C. laws Warning: Do not make lateral (side-to-side) movements with the needle. Email is the #1 attack vector cybercriminals use to lure you into a malicious website. Kiechle, Frederick L. So Youre Going to Collect a Blood Specimen: An, Introduction to Phlebotomy, 11th Edition. In other words, there is no need for another venipuncture procedure. Needle disposal unit - needles should NEVER be broken, bent, or recapped. Allow it to air, Grasp the foot, and using a sterile lancet, press firmly against the heel to, Collect the drops of blood into the collection device by gently squeezing, the foot. Compared to the standard blood donation which is about sixteen ounces, one ounce is really small. 23-gauge needles (e.g. Hemoconcentration: An increased concentration of larger molecules and formed elements in the blood may be due to several factors: Prolonged tourniquet application (no more than 1 minute). Any microtainerscontaining additives should be tapped to dislodge additives from the walls and top. Previous puncture sites should be avoided. Also found in the antecubital fossa, the basilic vein serves as a last resort for blood draws. Cannula/fistula/heparin lock - hospitals have special policies regarding these devices. Never draw over scars or a new tattoo sites. A. the tubes are filled and properly labeled Collect drops of blood into the collection device by gently massaging the finger. Over 52 percent of all web traffic is from mobile devices . catheter size for the vein, or prolonged use of the same I.V. Because most laboratory specimens contain bacteria, it is not necessary to wash hands before collecting them, The tourniquet applied prior to venipuncture is removed: Sharps Disposal Container. Matt Garcia is an experienced phlebotomist in Vancouver, Canada. If a vein feels hard, it may be scarred or sclerosed. Tubes with different additives are used for collecting blood specimens for specific types. Pre-warm the region of the vein to reduce vasoconstriction and increase blood flow. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. 7. Certain other sites should also be avoided. Be sure to dispose of the lancet in the appropriate sharps container. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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