Describe the steps of a venipuncture procedure using the evacuated tube method, syringe method, and butterfly method according to the CLSI Approved Standard. What is a disadvantage of using the syringe method of venipuncture? The patient's condition, the age of the patient, the amount of blood needed for testing, and the risks associated with the procedure will help the phlebotomist determine the best method for collection. Performing Bleeding and Clotting time, Mantoux procedures on OP %26amp; IP patients as per the request as and when required and recording the results on-line / into the Phlebotomy Registers. **If blood is obtained from an intravenous catheter, a corresponding specimen should also be obtained by venipuncture. a. Vacutainer systems are the preferred method for venipunture. It appears that the only exception to this rule is in drawing micro-containers from finger or heel punctures. Venipuncture with a syringe is required for patients with fragile veins as the strong vacuum of the evacuated tube may collapse the vein. • Avoid drawing the syringe plunger back too forcibly. Phlebotomy: Syringe Blood Collection Alternative Technique However, whenever blood is transferred by this method specific safety measures must be Perform venipuncture entering the vein keeping devices on the market is to ensure health care worker safety during the transfer of blood from a syringe into an evacuated tube or blood Degree In Applied Science . VP 24. answered Aug 30, 2017 by Depravian . Place a sheathed needle or butterfly on the syringe. Venipuncture with evacuated or vacuum tubes VP 20. Procedure and Performance of a Venipuncture: Select the proper size needle and attach it to the syringe or Vacutainer. 4. (e.g., DNR, DNAR) • Knock lightly on door • Ask visitors to step out • Identify yourself • Obtain consent for procedure Bandage the patient’s arm. The syringe method Is Used To … Search results for term:syringes = i. the syringe method is used to obtain blood from patients with fragile or thin veins that tend to collapse when using the vacuum tube method. Venipuncture using syringe and needle It is used to collect blood from patients with difficult veins. Select the venipuncture site and release the tourniquet. Remove the needle and then press down on the venipuncture site with a … Define venipuncture and the role of the radiographer in this procedure. Repeat the venipuncture in another site with a new sterile needle if needed. VP 6. 11. Phlebotomy: Syringe Draw Procedure. 4. It details the method of the vein puncture site selection and the steps of phlebotomy. Not labeling the blood tube. Given the following: disposable gloves, tourniquet, antiseptic wipe, syringe and needle, evacuated VP 8. Try these curated collections. Safety for Neonates/Infants cont. Summary : Looking to obtain a position … Assess the patient's physical disposition (i.e. The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. Kenneth R. Harbert, in Essential Clinical Procedures (Second Edition), 2007 BACKGROUND AND HISTORY. Venipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. How the evacuated system works in phlebotomy? Syringe and Needle Method: a. VENIPUNCTURE •Perform the Venipuncture •Hold arm below the venipuncture site. : Stop watch; Cotton; Procedure : Collected over 2 ml of venous blood by routine Venipuncture method with a disposable plastic syringe with 24G needle and tourniquet. To complete the procedure… Explain to the patient that the procedure is now complete and that they should seek review if the venepuncture site becomes painful or inflamed. Venipuncture with needle and syringe. The vacutainer system can be used to obtain a blood sample Phlebotomy Externship/Assistant Resume. is a person trained to obtain blood specimens by venipuncture and capillary puncture techniques. In some situations, the phlebotomist will make the decision if a blood specimen will be obtained by dermal puncture or venipuncture. 977 venipuncture stock photos, vectors, and illustrations are available royalty-free. Sarstedt manufactures a blood-drawing system S-Monovette that uses this principle. using this device, please follow steps 1-8 of the venipuncture procedure, before performing the venipuncture. Including both Learn and Test modes, the online simulator offers three scenarios that test your ability to prepare for and perform venipuncture, using syringe, butterfly needle and evacuated tube methods. Report an issue . Invert the syringe several times to ensure adequate mixing of the blood and anticoagulant. To perform venipuncture: 1. For example, an evacuated tube system requires use of a double-pointed needle and a plastic tube adapter that may be used to collect several tubes of blood at one time. Insert the needle at an angle of 15 to 30 degrees. VP 21. As first-line ambassadors of the laboratory, the manner in which a phlebotomist greets a patient can often set the tone for the remainder of the procedure. 3.

The phlebotomist is a vital member of the clinical laboratory team, whose main function is to obtain patient’s blood specimens by venipuncture and micro-collection for testing purposes. This method can be preferred on elderly patients, oncology patients, severely burned patients, obese patients or patients with unreliable or fragile veins. 10. The following are correct techniques for applying a tourniquet: placing the tourniquet 3-4 inches above the bend in the elbow, asking the patient to clench their fist, and applying the tourniquet so that it is snug, but not tight. Practice the steps of the procedures online as often as you want, until you feel confident. VP VP 32. Syringe Transfer Method. ∗ Discuss methods to safely dispose of contaminated needles. vacuum tube method. What size syringe is used in venipuncture? Also, learn the proper procedures for obtaining a blood specimen by evacuated tube method and by syringe method. Procedure 17-3: Venipuncture—Syringe Method Name: Date: Evaluated by: Score: Performance Objective Outcome: Conditions: Standards: Perform a venipuncture using the syringe method. VP 16. 5. Venipuncture with butterfly needle – notice the wings that help to secure the needle. a. VP 2. VP 17. Incision is a surgical procedure that involves a cut section of the vein. The 60 mL kit produces 10mL of PRP (see Figure 2 for illustration of venipuncture). PROCEDURE … caterpillar method . 3. **If blood is obtained from an intravenous catheter, a corresponding specimen should also be obtained by venipuncture. A hypodermic needle is normally affixed to the end of the syringe for injections and a butterfly for a venipuncture. Describe the best site selection and preparation for venipuncture. make the patient's veins more visible and easier to palpate. Specimen Collection – Venipuncture Procedure I. Materials:Tabletop centrifuge, plastic pipettes or TB syringes, plastic tubes with secure caps, waterproof marker for labeling. The syringe method of venipuncture is beneficial when small amounts of blood need to be drawn or when a patient has small or fragile veins, according to Kathryn Kalanick in her book Phlebotomy Technician Specialist: A Practical Guide to Phlebotomy. If using vacutainer, insert tubes into vacutainer. who have received phlebotomy instruction by competent CDH laboratory staff and have demonstrated competency to perform the procedure. What causes pooling of blood in veins? Some health care workers prefer to use a syringe-needle technique for Venipuncture. Thin fingers: Venipuncture. This can occur with both syringe and vacuum draws. 1. 3.Needlestick injuries – … A butterfly needle is a popular choice for drawing blood, getting IV fluids, or receiving certain medications. Doctor’s alcohol (70% ethanol). VP 11. Remove the needle. 10. Principle . Safety transfer device Procedure: 1. VP 18. VP 4. The _____ is the part of a syringe that is withdrawn after the vein is entered. 2.0 mm: Fingerstick. iii. 0-2 Years. VP 9. The animal should be properly restrained. INFANT/CHILD PHLEBOTOMY. By using a syringe and needle to draw the patient’s blood, you can control the pressure and speed at which the ... procedure at your facility. Disposable plastic syringe with 24G needle. 5.9 Insert needle, bevel up, into chosen vein. asked Aug 30, 2017 in Health Professions by GlamPunk. prepared by Yannick ngerageze a radiographer at Gihundwe Hospital 20 21. 10-20 mL if you are drawing several 5-10 mL tubes. minutes and then reapplied before performing the venipuncture. In a syringe draw, the carryover occurs with the needle of the safety transfer device. Prepare venipuncture; add ACD-A to the blood draw syringe (all included in kit). Venipuncture with needle and syringe. The procedure can be hindered by flinching and tenseness caused by either the patient or phlebotomy … Chapter 17 Phlebotomy EVALUATION OF COMPETENCY Procedure 17-3: Venipuncture—Syringe Method Name: Date: Evaluated by: Score: Performance Objective Outcome: Conditions: Standards: Perform a venipuncture using the syringe method. Comments: 2. When would you opt for a butterfly needle for venipuncture? Puncture is via a needle attached to a syringe or Vacutainer ® . caterpillar method. 2. diet, exercise, stress, basal state). How technological advancements is changing the dynamics of Venipuncture Procedure. PURPOSE To establish a standardized approach to proper specimen collection by venipuncture in order to reduce error Part 2 VENIPUNCTURE PROCEDURE (Syringe Method) The collection, handling, and processing of specimens represent a critical step in specimen analysis. Applying the tourniquet 1 inch above the ben in the elbow. As the last amount of blood is drawn, remove the tourniquet. Phlebotomy is the name of the procedure for drawing blood from the vein through an incision or puncture. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. Secure patient to Papoose apparatus for stabilization if child is … Venipuncture Procedure (arm + dorsal/hand) – vacutainer, syringe, butterfly a. Blood can be collected by venipuncture of peripheral veins or from intravascular catheters. Fill the tubes (if syringe and needle are used); using the correct order of draw. The color of the cup depends on the type of anticoagulant. Document the patient’s details on the blood sample bottles at the bedside (using either pre-printed or handwritten labels). hub. Venipuncture is most often done for laboratory testing. Immobilize the vein by pressing 1″ to 2″ (2.5 cm to 5 cm) below the venipuncture site with your thumb and drawing the skin taut. 2. … Release the tourniquet. Some health care workers prefer to use a syringe-needle technique for venipuncture. Disinfect culture bottles or Isolator™ tubes with an alcohol pad prior to venipuncture. LEARNING OBJECTIVES 3. This method involves inserting a hollow-bore needle attached to a syringe into the lumen of a large vein to obtain a specimen. In the developing world, the evacuated tube system is the preferred method of drawing blood. This method involves inserting a hollow-bore needle attached to a syringe into the lumen of a large vein to obtain a specimen. Search for "venipuncture" in these categories. Vacuum tube method c. Butterfly method d. All of the above e. None of the above. This method can be preferred on elderly patients, oncology patients, severely burned patients, obese patients or patients with unreliable or fragile veins. Where a syringe was used, two methods of transfer into the sample tube were observed; needle kept on with cap piercing (77%) and needle and evacuated cap both removed (23%). Basic Methods of Venipuncture Procedure Venipuncture Procedure using Vacuum Needle. Draw 20 or 60mL of blood depending on volume required; the 20mL kit produces 3mL of PRP. Tags: Topics: Question 11 . 18 months to 3 years : 1.8 mm . A.S. Venipuncture Procedure Step 1 Label the tube with the patient’s particulars Step 2 Put tourniquet on the patient about 3-4’ above the venipuncture site Step 3 Ask patient to form a fist so veins are more prominent Step 4 After finding the vein, clean the venipuncture site with alcohol using circular motion. VP 5. collection barrel or syringe in a sharps container and prepared a new venipuncture set. VP 19. Physicians rely on results obtained from quality laboratory specimens to confirm health or diagnose and treat patients. In this procedure, the most common site of venipuncture is the antecubital fossa where the cephalic, basilic and mid-cubital veins are found. Blood 1. • Serum tubes should be centrifuged in a timely manner according to protocol. The vacuum tube (VT) method avoids the needle stick potential of the SN technique during transfer of blood from the syringe to the collection tubes. The venipuncture procedure requires both knowledge and skill to perform. Single most important step is positive identification of the patient. VP 12. Level. The word phlebotomy is derived from two Greek words referring to “veins” and “cutting”; thus, phlebotomy can be defined as the incision of a vein for bloodletting or collection. VP 7. • Explain The Importance Of Following The Correct Order Of Draw. Diagnosis of disease Therapeutic purposes Blood donation. Butterfly Transfer Method On 20 out of 50 phlebotomy episodes (40%), the potassium-EDTA tube was filled prior to the biochemistry serum gel tube. Withdraw the needle. Recognize complications associated with the phlebotomy procedure. However, this method poses the risk of needle puncture injuries to the hand that holds the sample tube when the blood is being transferred from the syringe. Authorization is also extended to ECG Technicians and Phlebotomist at KGH under the DCA 12-01, March 2011. Venipuncture syringes are composed of a plastic syringe with an attached, beveled needle. Typical syringe type needle for venipuncture. 4 Exercise 6: Venipuncture Winged Infusion Set Procedure 1: Venipuncture-Winged Infusion Set - SYRINGE Materials: 1. butterfly winged infusion set with syringe adapter 2. needle 3. alcohol swabs 4. tourniquet 5. biowipe 6. evacuated tubes 7. butterfly method. 2. ∗ Differentiate between an evacuated tube system, syringe, and a winged blood collection set for the collection of blood by venipuncture. ∗ Differentiate among the various needle sizes as to length, gauge, and purpose. ∗ Discuss methods to safely dispose of contaminated needles. LEARNING OBJECTIVES My blood was few times collected using different procedure not described here, using only needle and test-tube: Nurse first ties rubber band around biceps, takes just a needle (without syringe), drives it into the vein and simply catches free-dripping blood. Phlebotomy is the process in which a needle is temporarily inserted into a vein through a cut (incision) or puncture so as to obtain a sample of blood. •Use correct order of draw. Gently invert lavender tubes 8-10 times and gold tubes 5 … This can easily occur if tubes are bumped together during transport, if they are dropped or if they are pushed to far into the needle before venipuncture. • Explain The Importance Of Following The Correct Order Of Draw. Procedure of Venipuncture: The procedure of venipuncture comprises of three steps- preparation, drawing blood and cleanup. Venipuncture with needle and syringe. You can only become efficient at taking blood samples by practicing, but you should also know all of the phlebotomy methods for extracting blood cultures. Thank the patient for their time. assure free motion. VP 23. When would you opt for a butterfly needle for venipuncture? 2. c. Look for blood return. 10. The jugular vein is the preferred site for blood collection in the horse. Drawing blood from the tail vein is best accomplished in large snakes as it can be difficult in small snakes due to the size of the vessel. Adjust the hub of the needle. This chapter shows the methods of venous blood sampling. Specimens must be handled according to this procedure to obtain accurate laboratory results. (See PHL-1) 3. (According to OSHA, blood collected by syringe should be transferred to the tubes using a safety transfer device, not the same needle used to perform the venipuncture.) Steps 1–5 of General Guidelines. On some occasions, blood may be collected with a syringe or by puncturing the skin with a retractable lancet device. It is vital that the procedure is performed in as sterile a manner as possible as the persistent presence of skin commensals in blood cultures could indicate endocarditis but they are most often found as contaminants. MA role in phlebotomy. VP 28. ... What size syringe is used in venipuncture? Start the Stop-watch. The video may contain techniques, or procedures that do not conform to proper, and/or safe venipuncture protocol.