VENIPUNCTURE PROCEDURE Flashcards
(27 cards)
Refers to the process of collecting or “drawing” blood from a vein of the patient
VENIPUNCTURE
The first step of the pre-examination phase is the
TEST REQUEST (that comes from a physician)
The test requisition could be
MANUAL, COMPUTERIZED, OR BARCODED
Forms usually have parts for request, report, and billing
MANUAL REQUISITION
With the advances in technology, the use of the manual method has
DECLINED
The computerized requisition form includes
patient information, test status, and other details
The required pieces of information in the requisition form are as follows:
(9)
- Name of the physician who ordered the test
- Patient’s full name including the middle initial
- The medical record number for inpatients
- Birthday and age of the patient Room number and bed number if inpatient
- Type of test ordered
- Date when the test is to be performed
- Billing information (if required)
- Test status
- Special precaution
Scanned into a computer using a special device with a laser
BARCODE
Venipuncture Steps:
Step 1, The venipuncture procedure begins with a
thorough review of the test requisition to avoid duplication of request, check the completeness of the required information, verify the tests to be collected
REVIEW AND ACCESSION THE
TEST REQUEST
Venipuncture Steps:
Step 2, Phlebotomists should organize the test request according to priority, and prepare all the necessary
equipment and supplies needed, Proper “Bedside
Manner” and Handling Special Situations Associated with Patient Contact
APPROACH, IDENTIFY, AND PREPARE THE PATIENT
Venipuncture Steps:
refers to the behavior of a healthcare worker as perceived by the patient which is applicable to both in- and outpatient settings.
“BEDSIDE MANNER”
Venipuncture Steps:
The following practices of phlebotomists show proper
bedside manner:
- Knock on the door gently before entering the room.
- Make a good impression by greeting the patient warmly.
- Stay organized and have all the supplies available
Venipuncture Steps:
Can be a reason or cause for a phlebotomist’s dismissal or lawsuit against him/her on the grounds of malpractice
MISIDENTIFYING PATIENTS
Step 3, Phlebotomists should
verify if there are special
instructions on the diet of the
patient that need to be
followed such as fasting for
about 8 to 10 hours
VERIFY THE PATIENT’S DIET RESTRICTIONS AND LATEX
SENSITIVITY
Step 4
SANITIZE HANDS
Step 5, During the venipuncture procedure, an inpatient is usually lying down in bed, while an outpatient is seated on a blood-drawing chair, The phlebotomist can then proceed to the tourniquet application and fist clenching. The tourniquet should be placed 3 to 4 inches from the intended site
- POSITION THE PATIENT, APPLY
THE TOURNIQUET, AND ASK PATIENT TO MAKE A FIST
Step 6, The antecubital area of
the arm is the preferred
venipuncture site, Using the
fingers, the phlebotomist should
trace the path to determine a
possible entry point
SELECT VEIN, RELEASE TOURNIQUET, AND ASK
PATIENT TO OPEN FIST
Tourniquet Application: (3)
- Place the tourniquet 3 to 4 inches or about 4 to 5 finger
widths - Hold one side of the tourniquet in each hand
- If the tourniquet is applied, release it and the patient should be asked to open his fist
Step 7, The venipuncture site
should be cleaned using an
antiseptic,
such as
70%
isopropyl alcohol, to prevent
infection or contamination,
circular motion
CLEAN AND AIR-DRY SITE
Step 8, The age of the patient,
volume of blood for collection,
and the size and location of the
vein are factors when choosing
the system, needle size, and
volume of the tube that will be
used
PREPARE THE EQUIPMENT AND PUT ON GLOVES
This procedure should be limited to
superficial veins only, small and
underdeveloped making it difficult to
draw blood, slow approach
PEDIATRIC PUNCTURE
Is used for pain interventions. This
comes in cream and oral forms and takes
about an hour to take effect and
anesthetize the area
EUTECTIC MIXTURE OF LOCAL ANESTHETICS
Need special attention because they
may have special conditions such as
arthritis, diabetes, Parkinson’s disease,
stroke, atherosclerosis, and dementia,
which make blood drawing a challenge
GERIATRIC VENIPUNCTURE
The phlebotomist should comply and
select another site other than the arm
used with arteriovenous (AV) fistula.
DIALYSIS PATIENTS
