what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. Do not bend, break, recap, or resheath needles to avoid accidental needle puncture or splashing of contents. B. sterilized and reused Stop the procedure and remove the needle if: Thanks to all authors for creating a page that has been read 43,712 times. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. C. at a mastectomy site Switch to the other arm if you can't find anything. 7. Even if several vials of blood have to be drawn it usually amounts to no more than one ounce. d.appendChild(f); Allow it to air, Grasp the foot, and using a sterile lancet, press firmly against the heel to, Collect the drops of blood into the collection device by gently squeezing, the foot. A lab coat or gown must be worn during blood collection procedures. } Am J Clin Pathol. This process is automatic. Fill the microtainer tube(s) as needed. Dispose of items in appropriate containers. A. standards Recommended order of collection for microtainer specimens: 7. Contaminated surfaces must be cleaned with freshly prepared 10% bleach solution. Apply the tourniquet below the IV site. 2. The median cubital vein is used the most for its accessibility. -laceration of vein Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand. It is not uncommon for adults and children to feel some fear when having blood drawn, which is why any discussion of venipuncture should at least bring this topic to focus. remove needle They are also. What should you do with a CBC or lavender top tube before putting them down? Needles - The gauge number indicates the bore size: the larger the gauge number, the smaller the needle bore. 9. 6. The rubber stoppers are color coded according to the additive that the tube contains. What are the contraindications to venipuncture? A test that has been ordered may be cancelled due to problems unrelated to drawing the specimen, and these are the most common causes for cancellations: A test may be cancelled due to a technical problem in the specimen collection process: Identification of the specimen is suspect. It is large and near the skins surface, making it easier for phlebotomists to see before anchoring the vein. D. all of the above, Julie S Snyder, Linda Lilley, Shelly Collins, Zoology Chapter 16 & 17: Invertebrate Deutero. Through a combination of revolutionary treatments and extraordinary patient experiences, our care does more than heal. A tin can containing air is sealed. Select the proper approved lancet: The BD Microtainer Contact-Activated. Once you establish blood flow, slightly modify your hand position to stabilize the needle against the arm and prevent further movement. If this is not successful, remove the needle, take care of the puncture site, and redraw. Dispose of needles immediately upon removal from the patient's vein. f.src = 'https://forms.zohopublic.com/healthservicesacademy/form/RequestCourseInformationCPTIAccelerated/formperma/SBGg-3DTNCwt65i9A6n_zU3SneyGD89SSqM_7F_nCas?zf_rszfm=1'; Hemoconcentration: An increased concentration of larger molecules and formed elements in the blood may be due to several factors: Prolonged tourniquet application (no more than 1 minute). If the puncture is parallel to the lines of the fingerprint, theblood will not form as a drop but will run down the finger making collection difficult. Regardless of the source of payment, request and receive an itemized and detailed explanation of the total bill for services rendered in the hospital. www.mlo-online.com is using a security service for protection against online attacks. Collect drops of blood into the collectiondevice by gently massaging the heel. When working with patients who have undergone a mastectomy, draw from the arm on the opposite side of the mastectomy to avoid edematous tissue. IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED: Change the position of the needle. However, if there is no alternative and an arm with an IV line in place must be used for venipuncture, try to choose a site away from and below the location of the IV. 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. Concentrations of fluids and medications could affect baseline test results. As part of presenting a professional appearance, an institutional dress code may include wearing of a laboratory coat or smock. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. While venipuncture is considered to be reasonably safe, the present study investigated the incidence of serious complications occurring in an outpatient setting. All rights reserved. Phlebitis can also occur as a result of vein trauma during insertion, use of an inappropriate I.V. Any microtainerscontaining additives should be tapped to dislodge additives from the walls and top. While most patients veins are compatible with a standard needle gauge, others require a butterfly needle. Venipuncture (sometimes referred to as venapuncture, venepuncture or even venu puncture) is the collection of blood from a vein which is usually done for laboratory testing. Wash hands in warm, running water with an appropriate hand washing product, or if notvisibly contaminated, with a commercial foaming hand wash product before and aftereach patient collection. When there is an IV line present, blood can be drawn from this line. (See Use of Band-Aids in the Post Phlebotomy. B. Hematoma Wipe away the first drop of blood with sterile 22 gauze. For a detailed breakdown of each step of the venipuncture test scroll down. But since each patient's medical condition varies, so does their veins. Occupational Safety and Health Administration, United States Department of Labor. Prepare the equipment, the patient and the puncture site. X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6. (See, The chlorhexidine is a concern for the premature babies in NICU as it can, be absorbed through the skin. Feel for the median cubital first, the cephalic vein second, and the basilic vein third. When storing a blood specimen what temp should it be at 2-8 degrees c If a patient starts to seize during a draw what should you do Stop the draw When should you use a capillary instead of venipuncture A patients veins are inaccessible What can cause a hemolysis in a specimen Shaking a tube vigorously Psychological interventions for needle-related procedural pain and distress in children and adolescents. This image may not be used by other entities without the express written consent of wikiHow, Inc.
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