what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. prevent falls, should the patient lose consciousness. Potassium A phlebotomy technician is removing his gloves after a venipuncture procedure. Provide for their comfort as much as possible, and gain the patient's cooperation. Compared to the standard blood donation which is about sixteen ounces, one ounce is really small. Lippi G, Blanckaert N, Bonini P, Green S, Kitchen S, Palicka V, Vassault AJ, Mattiuzzi C, Plebani M. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. The antecubital fossa is a collection of veins located within the arms inner area, opposite of the elbow, where the arm folds in. Follow the procedure as outlined above for greeting and identifying the patient. 12. Two forms of active identification are required. -hemorrhage/hematoma. 2009 Feb;131(2):195-204. increase the circulation of blood to the area. The most commonly used site for a venipuncture is at the bend of the elbow, also called the antecubital fossa 1. To determine the best vein, use both sight and touch. Label all specimens per accepted guidelines. Joslin JO. Make sure the venipuncture site is dry before proceeding with draw. Each time a vein is accessed with a needle, scar tissue forms as part of the body's healing process. 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. Primary effect is hemoconcentration of non-filterable elements (i.e. Tubes with different additives are used for collecting blood specimens for specific types. Impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, or sources of payment for care. Drawing from these sites can cause blood clotting and hemostasis. The area where the blood is to be drawn from is first cleaned with a germ-killing solution. Identify the patient. Butterflies are incredibly valuable tools for tackling difficult draws, owing to their precision, shorter shaft length, and maneuverability. While this may be effective in some difficult draws, the risk of a needlestick injury is higher if the patient has a withdrawal reflex and the needle recoils back into your finger. The service requires full JavaScript support in order to view this website. Effects of Exercise: Muscular activity has both transient and longer lasting effects. Diagn Microbiol Infect Dis. Warning: Some phlebotomists use a method of anchoring called the "C-hold", in which the index finger pulls upwards superiorly while the thumb pulls downwards inferiorly. The phlebotomist's role requires a professional, courteous, and understanding manner in all contacts with the patient. The first step to choosing the right vein is to select the appropriate needle gauge. Dispose of contaminated materials in appropriate waste receptacles. When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped. Fill the microtainer tube(s) as needed, adhering to the order of draw. Make sure the venipuncture site is dry. Avoid drawing blood from a hematoma; select another draw site. D. Both A and B, A sharps container is identified by its bright ____ color This process is automatic. What are the red top containers used for? This vein lies close to the surface of the skin and there is not a large nerve supply. 9. 1. Avoid bruising the infant's heel when obtaining blood. When using a syringe and needle, avoid drawing the plunger back too forcibly. Allow another large drop of blood to form. C. Iodine Identification errors in pathology and laboratory medicine. Sites that should be avoided include areas with extensive scarring, healed burns, inflamed sites, edematous sites, previous puncture sites, earlobes and thumbs. Wipe away the first drop of blood with sterile 22 gauze. C. the needle has penetrated all the way through the vein together for emotional support and understanding across multiple locations to reach you in the community where you live. Select the appropriate microtainers for the specimens to be collected. IV lines are very useful in hospitals because some patients require frequent blood tests. 3. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Do not use the central portion of the heel because you might injure the underlying bone, which is close to the skin surface. 3. Label the specimens before leaving the patients bedside. Check for timing instructions for drawing the appropriate samples. Track marks are not only found on IV drug users, but also on chronically ill patients requiring repeated vascular access and blood draws and may be a sign of an anticipated difficult draw. Blood clots, and the serum is separated by centrifugation, Chemistries, Immunology and Serology, Blood Bank (Crossmatch), Serum separator tube (SST) contains a gel at the bottom to separate blood from serum on centrifugation, Plasma Separating Tube (PST) with Lithium heparin, Anticoagulates with lithium heparin; Plasma is separated with PST gel at the bottom of the tube, Hematology (CBC) and Blood Bank (Crossmatch); requires. Northfield, IL: College of American, NCCLS. Squeeze puncture site to promote bleeding. What caution should you observe when using a Vacutainer? 4. What is the best position to perform venipuncture in? ; worn to protect the patient and the phlebotomist. The basic patient rights endorsed by the JCAHO follow in condensed form are given below. Collect drops of blood into the collectiondevice by gently massaging the heel. 1. D. mandates, The most common antiseptic used in venipuncture is: Intravenous therapy (IV) / blood transfusions - fluid may dilute the specimen, so collect from the opposite arm if possible. Puncture no deeper than 2.4mm (approximately 0.1 inches). D. Butterfly, Before leaving the patient's bedside, you must make sure that: (See Use of Band-Aids in the Post Phlebotomy. Perform the venipuncture, collecting the sample(s) in the appropriate container(s). 1. previous experience with vomiting or fainting All of the following are common types of equipment used for venipuncture EXCEPT: Avoid puncturing a finger that is cold or cyanotic, swollen, scarred, or covered with a rash. Consult a specialist at the patient's own request and expense. X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6. Try rotating the arm to better expose the cephalic or basilic vein. f.src = 'https://forms.zohopublic.com/healthservicesacademy/form/RequestCourseInformationCPTIAccelerated/formperma/SBGg-3DTNCwt65i9A6n_zU3SneyGD89SSqM_7F_nCas?zf_rszfm=1'; The patient shall be informed if the hospital proposes to engage in or perform human experimentation or other research/educational profits affecting his or her care or treatment. Begin by selecting the proper, approved lancet, such as: BD Microtainer Quikheel Lancet, 2.5 mm for full-term babies (green), BD Microtainer Quickheel Preemie Lancet, 1.75 mm for neonatal, Unistick2 Neonatal 18G, 1.2mm Lancet for neonatal babies less than, Prepare the heel by cleaning it with a Chlorhexadine wipe. The hydrostatic pressure causes some water and filterable elements to leave the extracellular space. Prepare the patient's arm using an alcohol prep. If an inpatient is able to respond, ask for a full name and always check the armband or bracelet for confirmation. B. evacuated tube This image may not be used by other entities without the express written consent of wikiHow, Inc.
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