what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. Allow it to air, Grasp the finger, and using a sterile lancet, press firmly against the finger. Sharps Disposal Container. Allow another large drop of blood to form. 3. List six areas to be avoided when performing venipuncture and the reasons for the restrictions. 2009;18(2):117-139. 7. Identify the patient using two different identifiers, asking open ended questions such as, "What is your name?" For example, serum cortisol levels are highest in early morning but are decreased in the afternoon. Many drugs will have "peak" and "trough" levels that vary according to dosage levels and intervals. -test tubes When do you release the tourniquet during venipuncture? 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. B. the insertion site has stopped bleeding the chlorhexidine residue before tying a piece of gauze around the foot. Ask the patient orcaregiver to state the patients name and date of birth. For the CLSI Updated Phlebotomy Procedures please click here. antecubital fossa What are the best veins for venipuncture? 3. Clin Biochem. So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. D. it is wiped with alcohol, Venipuncture at sites with each of the following could effect the results EXCEPT: What is the most common complication of venipuncture? (function() { ACDA or ACDB (pale yellow top). Get instant access to our latest tools and our must-read site updates: What Certifications Are Used For Higher Pay For Phlebotomists? Use pillows or foam wedges to elevate the arm and help with extension. Failure to do this results in an unequal blood-to-additive ratio, making the specimen unsuitable for analysis. Last draw - additive tubes in this order: SST (red-gray or gold top). Warm the heel from which blood is to be obtained. Consider three elements with the following abbreviated electron configurations: X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6\mathrm{X} = \mathrm{[Ar]4s^23d^5}~~~\mathrm{Y}=\mathrm{[Ar]4s^23d^{10}4p^1}~~~\mathrm{Z}=\mathrm{[Ar]4s^23d^{10}4p^6} wikiHow is where trusted research and expert knowledge come together. List several effects of exercise, posture, and tourniquet application upon laboratory values. Cap, rotate and invert the microtainer to mix the blood collected. Dorsal hand veins are often utilized for intravenous infusions but are viable options for blood draw sites. Patches of purple or yellow may suggest bruising after a recent venipuncture. If the tech is not comfortable with any of the veins in the inside elbow area, they may choose a dorsal vein in the hand or, as a last resort, choose a vein in the foot. NOTE:Tubes with additives must be thoroughly mixed. D. Butterfly, Before leaving the patient's bedside, you must make sure that: are known to vary lab results of some analytes. 10. % of people told us that this article helped them. Potassium A phlebotomy technician is removing his gloves after a venipuncture procedure. Allow another large drop of blood to form. This is very painful, risks damage to underlying structures, and widens the needle hole to prolong bleeding time. Avoid UE on same side of mastectomy (lymphedema) The hydrostatic pressure causes some water and filterable elements to leave the extracellular space. Never draw from a thrombosed or scarred vein. A. excessive probing with the needle Place blood collection equipment away from patients, especially children and psychiatric patients. } Approach the patient in a friendly, calm manner. Start with the arm closest to you and palpate the antecubital fossa. Dispose of needles immediately upon removal from the patient's vein. While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Uman LS, Birnie KA, Noel M, et al. 7. If an IV is in place, samples may be obtained below but NEVER above the IV site. Transferring a sample from one collection tube to another or mixing blood from different collection tubes must be avoided. What two things should you make sure you discuss with your patients prior to venipuncture? Have the patient make a fist and flex the arm, which helps engorge muscles to fill veins. Collect the drops of blood into the collection device by gently massaging, Avoid excessive pressure that may squeeze tissue fluid into the drop of, When full, cap and then gently invert the collection device 5-10 times to, Hold a gauze pad over the puncture site for a short time to stop the, Dispose of the contaminated materials and lancet in the appropriate waste, Place a band-aid on the patients finger or have someone continue to hold, gauze on the finger. Allow the blood to soak through and completely fill the pre-printed circle on the filter paper. A. given to the patient Basilic vein. A commercial heel warmer may be used. What should you do with a CBC or lavender top tube before putting them down? 3. If blood stops flowing into the vacuum tube, the vein may have collapsed. An assortment of needles and syringes of different sizes Tourniquet Alcohol and alcohol swabs Gauze or cotton balls Laboratory forms and blood-specimen labels Transportation bags and sharps container Step 2: Prepping The Patient Once you have the necessary supplies, it's time to ready the patient. 4. Too tight of a tourniquet may cause the vein to collapse upon needle insertion. Drawing blood from major vessels (e.g. {"smallUrl":"https:\/\/www.wikihow.com\/images\/thumb\/6\/68\/Troubleshoot-a-Difficult-Venipuncture-Step-1.jpg\/v4-460px-Troubleshoot-a-Difficult-Venipuncture-Step-1.jpg","bigUrl":"\/images\/thumb\/6\/68\/Troubleshoot-a-Difficult-Venipuncture-Step-1.jpg\/aid11732774-v4-728px-Troubleshoot-a-Difficult-Venipuncture-Step-1.jpg","smallWidth":460,"smallHeight":345,"bigWidth":728,"bigHeight":546,"licensing":"