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Phlebotomy: Venipuncture

Published by George Griffith Modified over 8 years ago

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Presentation on theme: "Phlebotomy: Venipuncture"— Presentation transcript:

Obtain and Label Blood Specimens

Phlebotomy Safety for All Ages

Venepuncture Training

Phlebotomy: Venipuncture and Capillary Puncture

 A laboratory requisition form is needed before beginning any blood draw.  Each facility has their own form, which may be hand written or computer generated.

Methodologies and Regulations in Specimen Collection and Management

Copyright © 2005 Thomson Delmar Learning. ALL RIGHTS RESERVED.1 This product was funded by a grant awarded under the President’s Community-Based Job Training.

Monitoring and Documentation Principles of IV Therapy BSN336.

Phlebotomy.

Laboratory Procedures Clinical Vanderbilt University Medical Center Nashville, TN Department of Pathology.

1 © 2013 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license.

PHLEBOTOMY Chapter 6 ART OF COLLECTING BLOOD Advanced Skills for Health Care Providers, Barbara Acello, Thomson Delmar, 2007.

Blood System. Blood Vessels Three major types of blood vessels: arteries, capillaries, and veins. Arteries (arteri/o) large blood vessels that carry oxygen.

Blood Collection Procedure

Phlebotomy Venipuncture. Steps Identify the Patient Assess the patient’s physical dispositon (i.e. diet, exercise, stress) Check the requisition form.

Basic Principles of Phlebotomy Part III: Safety & Equipment

1 PowerPoint ® to accompany Second Edition Ramutkowski  Booth  Pugh  Thompson  Whicker Copyright © The McGraw-Hill Companies, Inc. Permission required.

CHAPTER 17 Phlebotomy.

Hematology/Hemostasis Lab Introduction

CHAPTER © 2011 The McGraw-Hill Companies, Inc. All rights reserved. 5 Collecting, Processing, and Testing Blood Specimens.

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Free Phlebotomy Powerpoint Templates

Transcript: Phlebotomy Other forms of drawing blood. I hope you learned something new from my presentation & that you can use this information as you keep going in your education at Medtech College. yellow blue red tiger green lavender and gray & Needles greeting patient identify patient -name -DOB -doctor (wristband) Position and stick. How 2 Stick -Butterfly & -Straight Thank You :)) WASH HANDS!! Position patient's arm elbow down, so you can see the veins. Get your area ready; gloves on, tourniquet and needle ready, blood tube, alcohol pad, gauze, and bandage on the side opposite of the hand that will be sticking. Find the vein you want to stick. Tie tourniquet Clean area of puncture Aim bevel of needle up and stick selected vein Draw some blood and pop tourniquet Finish drawing needed amount of blood Unplug tube Place gauze on puncture area and pull needle out Clean area, check patient for bleeding, bandage wound, say thank you and bye. Order of Draw Foot Neck Finger Pricks Femural stick Hand Drawls Routine Venipuncture ORD

Transcript: Intro Procedure cont. Double-pointed safety needles Evacuated stoppered tubes Needle holder Sharps containers Syringes Winged infusion sets (butterfly needles) Tourniquet Marking pen Alcohol swabs Gauze pads Bandages Gloves Smelling salts Phlebotomy Equipment Procedural Steps 9. Clean area. 10. Hold the syringe in our dominant hand. 11. Grasp the ot arm with the non dominant hand while using your thumb and forefinger to draw the skin taut over the site to anchor the vein. 12. Insert the needle through the skin and into the vein with the bevel of the needle up aligned parrallel to te vein at a 15-degree angle. 13. Slowly pull back the plunger of the syringe with the non dominant hand. Do not allow more than 1mL of head space between the blood and the top of the plunger. Make sure not to move the needle. 14. Release the tourniquet when venipuncture is complete. 15. Place sterile gauze over the puncture site at the time of needle withdrawal. 16. Instruct the pt to apply direct pressure in the puncture site w/gauze. 17. Transfer blood immediately to the required tube or tubes using syringe adapter. 18. Inspect the puncture site for bleeding or hematoma. 19. Apply a hypoallergenic bandage. 20. Clean the work area, remove gloves, and wash hands. 21. Complete the laboratory requisition form and rout the specimen to the proper place. Record procedure in to chart. VeniPuncture : The puncture of a vein as part of a medical procedure, typically to withdraw a blood sample or for an intravenous injection Phlebotomy : The surgical opening or puncture of a vein in order to withdraw blood or introduce a fluid, or (historically) as part of the procedure of letting blood. 1. Check the requisition form to determine the tests ordered. Gather the correct tubes and supplies you will need. 2. Wash & dry your hands an d put on non sterile gloves. 3. Identify pt. explain the procedure and obtain permission to perform venipuncture. 4. Assist the pt to sit w/the arm well supported in a slight downward position. 5. Assemble equipment.Choice of syringe barrel needle size and needle size depend on your inspection of the pt veins and the amount of blood required for the ordered test. 6. Apply the tourniquet around the arm 3-4 inches above elbow. The tourniquet should never be tied so tightly. 7. Ask the pt to make a fist. 8. Select the venipunture site by palpating the antecubital space and use your index finger to trace the path of the vein and to judge its depth.

Transcript: Commonly known as multi-sample needles and are used in routine adult venipunctre. These needles are double-pointed, one point enters the patient's vein while the other punctures the rubber stopper of the collection tube. The point that enters the tubes is covered with a retractable rubber sleeve that allows tubes to be changed without blood leaking into the needle holder or tube holder. Sharps Container Canister in which to dispose of used needles Materials required for venipuncture Double-pointed safety needle Evacuated, stoppered tubes Needle holder Sharps Container Syringes Winged infusion sets (butterfly needles) Tourniquet Marking pen Alcohol Swabs Gauze pads Bandages Gloves Smelling salts By: Krystal Garza 1B/2B Double-Pointed safety needles Needle Holder The evacuated tube (Vacutainer) system is the most common collection system in use. It consists of evacuted tubes of various sizes, with color-coded tops indicating tube contents. Tubes are available in both glass and shatter-resistant glass. Phlebotomy Syringes Translucent cylinders that come in different sizes to accomodate the tube being used.The cylinders usually have a ring that indicates how far the tube can be pushed onto the needle without losing the vaccum. Evacuated Collection Tubes

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Transcript: Example of a Jeopardy Template By: Laken Feeser and Rachel Chapman When creating without a template... http://www.edtechnetwork.com/powerpoint.html https://www.thebalance.com/free-family-feud-powerpoint-templates-1358184 Example of a Deal or No Deal Template PowerPoint Game Templates There are free templates for games such as jeopardy, wheel of fortune, and cash cab that can be downloaded online. However, some templates may cost more money depending on the complexity of the game. Classroom Games that Make Test Review and Memorization Fun! (n.d.). Retrieved February 17, 2017, from http://people.uncw.edu/ertzbergerj/msgames.htm Fisher, S. (n.d.). Customize a PowerPoint Game for Your Class with These Free Templates. Retrieved February 17, 2017, from https://www.thebalance.com/free-powerpoint-games-for-teachers-1358169 1. Users will begin with a lot of slides all with the same basic graphic design. 2. The, decide and create a series of questions that are to be asked during the game. 3. By hyper linking certain answers to different slides, the game jumps from slide to slide while playing the game. 4. This kind of setup is normally seen as a simple quiz show game. Example of a Wheel of Fortune Template https://www.teacherspayteachers.com/Product/Wheel-of-Riches-PowerPoint-Template-Plays-Just-Like-Wheel-of-Fortune-383606 Games can be made in order to make a fun and easy way to learn. Popular game templates include: Family Feud Millionaire Jeopardy and other quiz shows. http://www.free-power-point-templates.com/deal-powerpoint-template/ Quick video on template "Millionaire" PowerPoint Games Some games are easier to make compared to others If users are unsure whether or not downloading certain templates is safe, you can actually make your own game by just simply using PowerPoint. add logo here References Example of a Family Feud Template PowerPoint Games are a great way to introduce new concepts and ideas You can create a fun, competitive atmosphere with the use of different templates You can change and rearrange information to correlate with the topic or idea being discussed. Great with students, workers, family, etc. For example: With games like Jeopardy and Family Feud, players can pick practically any answers. The person who is running the game will have to have all of the answers in order to determine if players are correct or not. However, with a game like Who Wants to be a Millionaire, the players only have a choice between answers, A, B, C, or D. Therefore, when the player decides their answer, the person running the game clicks it, and the game will tell them whether they are right or wrong.

Transcript: Phlebotomist are trained and specilize in venipunctures to draw blood through means of veins and sometimes arteries Preparing The Patient Steps before needle injection PHLEBOTOMY by Joey Uribe Select the site to insert the needle. Sterilize site with alcohol swab Anchor the vein. Use only thumb or index finger. Draw skin tight under the site. Perform venipuncture with bevel up at 30 DEGREES or less Release tourniquet. never leave on for more than 60 seconds Put dry gauze over the site. What is Phlebotomy? Who draws the blood? Apply the torniquet Assemble and check supplies. (expiration dates, cracks in tubes, needles in tubes. Have the patient close their hand.Never have patient pump fist more than 1 or 2 times. Excessive pumping will increase potassium The technique of venipuncture consist of the phlebotomist locating the correct size vein in which to administer the proper needle for blood recovery. Once the vein has been chosen, they shall insert the needle as trained and draw the needed amount for testing. Purpose Method Steps to draw blood the surgical opening or puncture of a vein in order to withdraw blood or introduce a fluid, or (historically) as part of the procedure of letting blood. Blood collection is often used as a source to find infections, illnesses, screen for cancer and to find someones blood type. Verify test orders Reassure patients Position the patient. Move arm downward from shoulder, always have a table or bar placed out in front Assemble and check supplies. (expiration dates, cracks in tubes, needles in tubes. Identify the patient Identify yourself Check the fasting state of the patient. Some tests require that the patient not eat or drink Wash hands and put on new gloves Some patients may be allergic to laytex, so please ask The fun part

Transcript: Thank You! -Hospitals/Doctor's Office -Home Hospice -Ambulance -Medical lab Tech. -Blood drives -The Procedure itself is known as a Venipuncture. -Used To Withdraw Blood -Inject Medicine Lancets Types of needles -Butterfly needle- used for smaller veins,or rolling veins. -Cools blood faster during withdrawl, causing blood to clot faster in the tube. Why would you see a Phlebotomist ? Phlebotomy Phlebotomy began in ancient culture as "Bloodletting". - Bloodletting was a process of attaching Leeches to the skin, to suck out the amount of blood needed. -Used for capillary blood sampling -single use -automated -used on 3rd or 4th finger -used on heel of non-walking infants -Have a high school diploma, or GED -You must be 18. -Complete a training program -Program usually last around 3-6 months -Obtain certification Sources Pay What Is Phlebotomy ? Basic Equipment Web. 2 Dec. 2014. <http://www.wikidefinition.com/>. http://www.phlebotomyguide.org/ Web. 2 Dec. 2014. <http://educational-portal.com ">. "Work." - Chron.com. Web. 2 Dec. 2014. <http://work.chron.com>. Where you can find them -Obtain blood for diagnostic purposes. -Monitor levels of blood components. -Remove blood due to excess amount of red blood cells. -Collection of blood for later use.( Such as transfusions) -To administer medicine such as chemo. Egyptians ,Greeks and the Romans used Bloodletting to rid the body of evil ,while the Mesopotamians and Mayans used it for ritualistic purposes. What You Need To Do. Phlebotomy Phlebotomist make on average an annual salary of $47,000 a year. -Average hourly wage is around $22.44. Bloodletting. -Plastic hub -Catheter -Hypodermic needle -vaccum tube History Of Phlebotomy 62 ECG bpm

Transcript: Education! -Take a college class and pass certification test -Have 120 hours of clinical experience -Receive license by passing state test Mistakes -Phlebotomy is a exciting job! -You are always helping people find out what is wrong with them and with out you there would be alot of unsolved Diseases Process Step 1 View info on patient. Step 2 Apply tourniquet, clean area Step 3 Ready objects, needle tubes, and bandage, etc. Step 4 Bandage area, mix tubes, and release patient. Phlebotomy -Missing the vein -Poking a tendon -Sticking a nerve Bad experience! And one more thing... Thank you for your attention! By. Kyle Dufour

Transcript: Chemistry Sodium heparin & Lithium heparin Heparin inhibits clotting by the conversion of prothrombin to thrombin Hematology Tubes & Additives Antiglycolytic agent preserves glucose. Sodium Citrate is a anticoagulant that binds calcium in the blood. Calcium is required for clotting. Light Blue Coagulation Yellow (sterile) By: Brittany Eggleston Green Light Green Used for blood cultures because it inhibits certain immune system components that could otherwise destroy blood borne bacteria and neutralizes antibiotics that the patient may be taking. This tube is also used to recover microorganisms that are causing blood infection. TUBES Gray Lavender Phlebotomy Tubes Additives, Departments, & Tests Red Gold/Tiger Top Tubes & Additives Light green green lavender gray By: Brittany Eggleston Tubes & Additives Tubes & Additives EDTA preserves blood integrity. It also prevents platelet clumping, it’s compatible with blood staining, but it interferes with coagulation studies. It binds calcium, inhibiting the coagulation cascade. Stop Light Red Stay Put Green Light Go In glass there is no additive. In plastic, there is a clot activator to enhance the factor of clotting. Departments Yellow Light Blue REd gold/tiger This tube contains heparin, and polymer gel. Heparin inhibits clotting by the conversion of prothrombin to thrombin. Polymer gel is an inert, synthetic substance whose density is between that of cells, blood serum, or plasma. SST Serum Separator tubes. They are used to separate the serum which is the liquid portion from the blood cells. Microbiology

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Phlebotomy Technician Program PowerPoint Slides Loose Leaf – January 1, 2020

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• Language English
• Publisher Pearson
• Publication date January 1, 2020
• ISBN-10 0136622402
• ISBN-13 978-0136622406
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• Publisher ‏ : ‎ Pearson (January 1, 2020)
• Language ‏ : ‎ English
• ISBN-10 ‏ : ‎ 0136622402
• ISBN-13 ‏ : ‎ 978-0136622406
• Item Weight ‏ : ‎ 1.13 pounds

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