Draw Procedure Flashcards
What type of draw is used for pediatrics?
- Capillary
- Use winged infusion set
What angle should you hold the needle for regular venipuncture?
15 - 30 degrees
What angle should you hold the needle when using the winged infusion set?
5 - 15 degrees
What should you use for fragile collapsing veins?
Syringe
What should you use for small roaming veins?
Winged infusion set
What are the steps for routine venipuncture?
- Verify requisition
- Identify patient [check ID # and have them state name]
- Identify yourself, explain procedure, and secure consent
- Palpate veins in antecubital fossa with index finger
- Get equipment
- Wash hands and put on gloves
- Tie tourniquet 3-4 inches above the venipuncture site. Ask patient to make fist or open and close hand to engorge vein.
- Palpate and look for straightest point. Cleanse the point using circular motion at inside of site.
- Assemble needle and tube holder while alcohol is drying. Look for needle defects like blunted or barbed point.
- Hold patient arm with 4 fingers under forearm and thumb below antecubital area and slightly pull the skin back to anchor the vein (1-2 inches below site)
- Face bevel upward and insert needle at 15-30 degrees.
- Will experience “give” as needle enters vein. Put collection tube in holder to puncture the tube stopper with back-end of the needle.
- Remove tourniquet when blood flows {can’t leave on for more than 1 minute}
- Fill tubes according to draw order
- Pull collection tube from holder
- Place folded gauze on site and withdraw needle. Apply pressure till bleeding stops to prevent hematoma.
- Discard needle in biohazards sharp container.
- Label specimens: Patient name, ID #, time, data collection & your initials.
- Place labeled tubes into biohazard transport bag.
- Check site before leaving: Still bleeding than apply pressure for 2 minutes. If still bleeding than apply another 3 minutes. If still bleeding after 8 minutes of pressure call for help.
- When bleeding stops add an adhesive bandage over folded gauze square. Tell patient to remove bandage within an hour.
- Dispose waste properly
- Leave patient call light within reach
- Remove gloves, wash hands, say goodbye and tell them their doctor will deliver their results.
What should you not do?
- Don’t label tubes before venipuncture
- Don’t leave patients room before labeling tubes
- Don’t dismiss an outpatient before labeling tubes
- Don’t label tubes using a pencil; use black ink
- Don’t leave the patient until you check and ensure bleeding has stopped
What is the order of draw?
- Yellow
- Blue
- Red
- Green
- Lavender
- Gray
What are the inversion rates for each tube?
All 8 to 10 times except
Blue which is 3-4 and
Red which is 5
How full should the lavender tube be?
At least two-thirds full
How full should the Blue tube be?
Completely
What gauge is the most common needle?
21 gauge
What gauge is most common for winged infusion?
23 gauge
What do you put to label the tubes?
- Initials
- Time and date collected
What is the max amount you can stick someone?
Twice
