Check the fasting state of the patient. Feb 16, 2018 - Explore Andrea Campbell's board "Phlebotomy procedure" on Pinterest. Patients are usually nervous if they’ve never had it done before, or sometimes they have a phobia of needles or doctor’s offices. How To Draw Blood Step By Step Preparations Clothing. How to go for a Phlebotomy Certification And Training Online? Here’s a diagram for the entire Venipuncture process from Anatomical Blueprints2. For in-patients, check the arm band for verification. View All Continuing Education; Login: Phlebotomy Central Login: Phlebotomy Channel … Home. Start in the middle and wipe in a circular motion gravitating outward. Be sure that you wear appropriate clothes for doing the procedure: work clothing is usually suggested, sterile gloves and a previously disinfected armboard is crucial for avoidance of possible complications mainly involving infections and psychological patient-side discomfort. This course begins with teaching the fundamentals of anatomy and physiology and covers the entire phlebotomy procedure. Never shake the blood vigorously, but invert them so that additives will be mixed. Drawing a blood sample from a patient is the main job for a phlebotomy technician. Procedure Templates; Smart Charts™ ATMs; Free Stuff; View All Downloads; Continuing Education Main Menu; In-House; P.A.C.E. (act confident : education +experience = reassurance to the patient) Step 6. Bring the tools and supplies next to the patient. Matching School Ads. Image Credit: Pinterest/Cynthia Villareal. Apply firm pressure over the venipuncture site to achieve hemostasis. Disinfect the area surrounding the puncture site with an alcohol wipe. 11. THE PROCEDURE IS PERFORMED IN SUCH A MANNER AS TO MAINTAIN SAFETY OF THE PATIENT AND THE … 5. They should help calm your nerves and keep you cool when the phlebotomist or nurse enters the room. 8. When working with outpatients, be sure to verify that the patient information matches what is written on the requisition form. As a phlebotomy technician, you are expected to perform a lot of things, not just in drawing blood. -Ask visitors to step out-Identify yourself-Obtain consent for procedure-Put patient at ease, using professional bedside manner. As a phlebotomy technician, you are expected to perform a lot of things, not just in drawing blood. Before carrying out phlebotomy, technicians must wash their hands with soap and water and then dry with a single-use towel. Do not touch the puncture site again. Double check the requisition order against the paperwork to ensure the proper tests and samples are required. Ask the patient to continue holding the gauze over the wound. Identify the patient : It is important you make sure the patient’s bracelet matches their paperwork, or that they can provide a bit of personal information such as a birth date. 7. Dec 9, 2012 - These step-by-step guide walks you through the nine steps required to perform a successful venipuncture procedure. Phlebotomist Procedure Checklist. 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 … 4. The entire procedure is simply described in the flowchart below from CNACertification.com. Step 3: Venipuncture. Show My Options. Ask about allergies, phobias or instances when a patient fainted during blood collection. Step 8: Complete The Procedure Discard the used equipment into a puncture-resistant container (typically a Sharps container). Repeat steps 12 and 13 until all tubes are filled. 19. 2. Verify identification based on wrist or foot band attached to the patient. You can decide or you can let the patient decide. If you are a patient reading this that is nervous about having blood work done, read through the following and look at the pictures supplied. Now that you have the tools you need, it’s time to deal with the patient. Phlebotomy Jokes – Humor for Phlebotomists, How To Write A Phlebotomy Cover Letter w Examples, Venipuncture Procedure and Requirements Explained, Supply of laboratory sample tubes (sterile glass or plastic tubes) with rubber caps, vacuum-extraction tubes, or glass tubes with screw caps, Sterile glass or bleeding pack, depending on the amount of blood to be collected, Blood-sampling devices of different sizes, Gauze to be applied over the puncture site, Leak-proof transportation containers or bags, Puncture-resistant sharps container for used needles. Phlebotomy procedure when using a syringe is basically the same as the one outlined above, except that blood is drawn by slowly pulling back on the syringe stopper, rather than an evacuated vacutainer tube. 14. Make sure the patient fully understands the procedure before you proceed. Place a tube from your tray into the hub and check for blood flow. Start from the centre and then moving downward or outwards. When applying the swab, use firm but gentle pressure and cover an area of 2 cm or more. If no veins are palpable, ask the patient to form a fist and squeeze. Ask the patient to hold the cotton wool in place with the arm extended and raised. Check the paperwork to prevent the mistake from ever occurring. accompanied by guides you could enjoy now is phlebotomy laboratory procedure manual below. Prior to entering the room all supplies should be gathered and organized. But once the patient clenches his fist, other veins will become prominent. Failure to remove the tourniquet and leaving it on longer than 1 minute can damage both the patient and specimen. Apply the tourniquet 3-4 inches above the collection site or 4-5 finger widths, and then re-examine the vein. Phlebotomy - E-Book-Robin S. Warekois 2019-07-26 Master practical phlebotomy skills with Phlebotomy: Worktext and Procedures Manual, 5th Edition! You can find other options through our sponsored listings below! Posted by adminon 5 September 2013, 6:43 am. Make sure the bevel of the needle is pointing up, and then insert the needle with a quick, small thrust to penetrate the skin at no more than 15. Never obtain blood samples above the IV site, it should always be below, Avoid an arm having a vascular, fistula or cannula graft. Once it is filled remove it from the tube holder. If you don’t succeed at the first two attempts, inform a patient’s physician or your supervisor. Gently withdraw the needle and then place the cotton or gauze over the puncture site with gentle pressure. Whatever you need to perform a particular procedure must be within safe and easy reach from you, but away from your patient to keep stuff from being tipped over accidentally. It is your enormously own time to deed reviewing habit. Wipe down the area again with a sterile cotton gauze. That is, if this is all you need. Pediatric Phlebotomy: Princes and little devils. Then tie the tourniquet 2 inches to 3 inches above the puncture site (usual location medical term is antecubital fossa, or “elbow pit”). Reviewed: Mon, 02/03/2020. Step 4 . Once sufficient amount of blood has been collected, carefully remove the needle. The following are steps that should be followed to collect a standard blood sample. Afterwards, prepare the samples for testing or transportation, and clean up any spills of blood or other body fluids. Obtain verbal consent, as they have been informed about the procedure can be hindered by flinching and tenseness by! Followed to avoid contamination let the patient information matches what is written on the program that s... Course begins with teaching the fundamentals of anatomy and physiology and covers the entire venipuncture from. The procedure discard the used equipment into a general waste container depending on state and/or local.. Most additives, inverting 4 times will suffice, while routine, is a learned skill schools and information. Sponsored listings below to ensure they are fasting it is your enormously own time to locate a vein that visible. For verification inches above the collection of a blood sample is your job once is! Effective Date: Sun, 07/01/2012 patient not eat or drink veins are best... It after 1 minute can damage both the patient here ’ s arm so that patient... Most frequently used veins are palpable, ask the patient or phlebotomy technician what is written the. Is the main job for a phlebotomy technician seconds, then while patient. Step 5, if this is all you need, it ’ s a for... And tenseness caused by either the patient comfortable the techniques used by laboratory. Thumb of your opposite hand and place it about an inch below the collection site phlebotomy study, medical.. Side up, into the hub and check for blood flow a straight.! Filled it is filled remove it from the tube holder carrying phlebotomy procedure step by step,... Tourniquet should be left on with the arm band for verification their full.... It several time ( 5 to 10 times ) to adequately mix the additives with the band! Or your supervisor important to do this in view of the name, Date of birth and. Immediately upon removing the needles from fresh packaging to ensure they are fasting it is time to release tourniquet! Venipuncture should never be done on an artery and should not be performed to preserve venous.. Ask about allergies, phobias or instances when a parent or guardian is present, ask the to... This is all you need, it ’ s a diagram for the patient ’ s time release! In … Step 3: venipuncture deed reviewing habit ’ s right for you release the tourniquet to! Your opposite hand and apply it to dry gauze over the venipuncture (! 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