what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. jugular) or a central venous catheter is out of the scope of practice of a certified phlebotomist and should only be performed by a physician or advanced nurse. X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6. outstretched or raised Have the patient drink fluids if dehydrated. Performing a venipuncture on a child under one year of age . Adjust the height and swivel the chair to ensure your body is in line with the vein. EDTA and sodium citrate tubes should still be filled to the marked fill line to ensure a correct blood-to-additive ratio. What are the helpful hints for finding veins? Our students gain a vast amount of experience with phlebotomy vein sites through our hands-on and engaging curriculum and externship program. Dorsal hand veins are often utilized for intravenous infusions but are viable options for blood draw sites. Edematous extremities with swollen tissue alter the results. Never leave a tourniquet on for more than two minutes. Capillary punctures are not suitable for blood culture testing and most coagulation tests. Document that the venipuncture was performed distal to (below) an infusion site. A. If an inpatient is able to respond, ask for a full name and always check the armband or bracelet for confirmation. (b) the power developed by the output shaft. Last draw - additive tubes in this order: SST (red-gray or gold top). While most patients veins are compatible with a standard needle gauge, others require a butterfly needle. Follow the procedure as outlined above for greeting and identifying the patient. -Vacutainer barrel Clin Chem Lab Med. Venipuncture sites should be carefully assessed for contraindications, such as pain, wounds, decreased circulation, a previous cerebral vascular accident (CVA), dialysis fistulas, or a mastectomy on the same side. 8. 1. NOTE:Tubes with additives must be thoroughly mixed. The diagram below indicates in green the proper area to use for heel punctures for blood collection: Prewarming the infant's heel (42 C for 3 to 5 minutes) is important to obtain capillary blood gas samples and warming also greatly increases the flow of blood for collection of other specimens. When finished, clean the site and apply pressure with clean gauze to stop the bleeding. There are three phlebotomy vein sites located in the arm most utilized by medical professionals and three additional draw sites that are last resorts. Clean up any blood spills with a disinfectant such as freshly made 10% bleach. 5. Clin Biochem. Proper Handling of an Uncooperative Patient in an Outpatient Setting Akron. CLSI document H04-A6. Observe universal (standard) safety precautions. What are the green/lavender top containers used for? Effects of Exercise: Muscular activity has both transient and longer lasting effects. and "What is your date of birth?". Which element has the highest ionization energy? How many time should you invert them? 6. f.style.height="352px"; 23-gauge needles (e.g. Failure to do this results in an unequal blood-to-additive ratio, making the specimen unsuitable for analysis. For all NICU babies, once you have, collected the blood, wipe off the area with a sterile saline wipe, to remove. 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. Change gloves after each patient or when contaminated. If the patient is sitting in a phlebotomy chair, make sure they are sitting upright with their back against the chair. The fifth finger tends to have less soft tissue overlying the bone. Gauze sponges - for application on the site from which the needle is withdrawn. -obvious skin infection (including newly tattooed areas) -extensive scarring -don't use same side as mastectomy -avoid previous hematoma -avoid arm w/ fistula/cannula -edamtous extremity What is the most common site for blood sampling? Avoid drawing blood from a hematoma; select another draw site. The median cubital vein and the cephalic vein in the wrist area should be avoided when possible. 8. 9. IV lines are very useful in hospitals because some patients require frequent blood tests. So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. A needle is then gently inserted into the vein. When using a syringe avoid drawing the plunger back too forcefully. Puncture no deeper than 2.4mm (approximately 0.1 inches). 9. Edematous extremities - tissue fluid accumulation alters test results. Areas of the body that look infected, scarred, or burned must also be avoided. 4. 12. 2. Located in the antecubital fossa, the median cubital vein is a well anchored, stable vein that rarely rolls during venipuncture. Dispose of contaminated materials in appropriate waste receptacles. In the case of an accidental stick, immediately wash the area with an antibacterial soap,express blood from the wound, and contact your supervisor. When would you use a butterfly/infustion set? Use of hair nets and face masks to decrease blood culture contamination rates. 3. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Veins sometimes roll away from the point of the needle and puncture site. But since each patient's medical condition varies, so does their veins. Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes. f.style.border="none"; The best locations for fingersticks are the 3rd (middle) and 4th (ring) fingers of the non-dominant hand. ROUTINE CAPILLARY PUNCTURE BLOOD COLLECTION GUIDELINES. A. the tubes are filled and properly labeled An example of a simple requisition form with the essential elements is shown below: A properly labeled sample is essential so that the results of the test match the patient.