what sites should be avoided when performing venipuncture quizlet55 communities in tennessee for rent

\u00a9 2023 wikiHow, Inc. All rights reserved. Specimens from infants under the age of 6 months are typically collected by heelstick. 9. Make certain that the blood completely saturates all four (4) circles and is visible from bothsides. In this elbow pit, phlebotomists have easy access to the top three vein sites used in phlebotomy: The median cubital vein, also known as the antecubital vein, is the most common vein for phlebotomy. C. all disposable equipment has been discarded properly Ask the patient to lie on their back. Approach the patient in a friendly, calm manner. Patches of purple or yellow may suggest bruising after a recent venipuncture. Phlebotomy issues and quality improvement in results of laboratory testing. We use cookies to make wikiHow great. Primary effect is hemoconcentration of non-filterable elements (i.e. 11. By holding the needle either by the plastic wings or the hub, phlebotomists can achieve a shallower angle, typically 10-15 degrees. A clinical study is performed to determine the optimal time for application of the tourniquet during phlebotomy. 5. This is more common in humeral and femoral punctures than radial punctures. ; worn to protect the patient and the phlebotomist. What sites should be avoided when drawing blood? The patient should either sit in a chair, lie down or sit up in bed. Do not place too tightly or leave on more than 2 minutes (and no more than a minute to avoid increasing risk for hemoconcentration). Interruptions and distractions during medical encounters and procedures should be avoided. obvious areas of skin infections Make the cut across the heelprint lines so that a drop of blood can well up and not run down along the lines. A commercial heel warmer may be used. D. Blue, Which of the following conditions should prevent a site from being selected for venipuncture? Avoid bruising the infants heel when obtainingblood. Never draw blood through a hematoma. The 6 Mistakes to Avoid When Building a Business Website (and - Medium Our students gain a vast amount of experience with phlebotomy vein sites through our hands-on and engaging curriculum and externship program. -use correct angle of needle insertion There are three phlebotomy vein sites located in the arm most utilized by medical professionals and three additional draw sites that are last resorts. Position the patient so that the hand is easily accessible. 8. Puncture only the uppermost wall of the vein, Remove the tourniquet before removing the needle, Make sure the needle fully penetrates the upper most wall of the vein. B. just after needle insertion, but prior to vacutainer activation Notify your supervisor or patientsphysician if unsuccessful. f.src = 'https://forms.zohopublic.com/healthservicesacademy/form/RequestCourseInformationCPTIAccelerated/formperma/SBGg-3DTNCwt65i9A6n_zU3SneyGD89SSqM_7F_nCas?zf_rszfm=1'; The median cubital vein and the cephalic vein in the wrist area should be avoided when possible. Procedures and Devices for the Collection of Diagnostic Capillary Blood. Prepare the patient's arm using an alcohol prep. This information must be given when requesting microbiology, cytology, fluid analysis, or other testing where analysis and reporting is site specific. Cleanse the heel with alcohol prep, then dry with a sterile 22 as alcohol can influence testresults. If none of these veins work, then the phlebotomists use the hand veins. Effects of Exercise: Muscular activity has both transient and longer lasting effects. Do not bend, break, recap, or resheath needles to avoid accidental needle puncture or splashing of contents. Avoid previous hematoma (draw distal of hematoma) Be sure to dispose of the lancet in the appropriate sharps container. A. Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system. 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. While the median cubital, cephalic, and basilic veins are the most popular draw sites for blood draws, phlebotomists may resort to other draw sites if their ability to draw is restricted. What are the contraindications to venipuncture? 11. Northfield, IL: College of American, NCCLS. For example, serum cortisol levels are highest in early morning but are decreased in the afternoon. The median cubital creates less bruising and pain than other draw sites. Order of draw for multiple tube phlebotomy. Mastering Pediatric Phlebotomy. Center, for Phlebotomy Education, Inc. 8. 10. -cotton sponges By using our site, you agree to our. Avoid bruising the infant's heel when obtaining blood. Therefore, your anchor should be gentle but firm to prevent the vein from moving away from you. 4. Inadvertently nicking a nerve causes intense pain. A thin soap bubble of index of refraction 1.33 is viewed with light of wavelength 550.0 nm and appears very bright. C. at a mastectomy site Select the appropriate microtainers for the specimens to be collected. After the needle selection, phlebotomists begin to look and feel for a viable vein. Place labeled specimens in zip lock bag and deliver to the laboratory as soon as possible. Over time and with several repeated punctures, significant amounts of scar tissue builds up. Airborne precautions may be considered to provide a level of safety against infectious diseases such as tuberculosis, influenza, and COVID-19. https://www.osha.gov/laws-regs/standardinterpretations/2007-10-26 and https://www.osha.gov/OshDoc/data_BloodborneFacts/bbfact03.pdf (Accessed June 13, 2022). The first step to choosing the right vein is to select the appropriate needle gauge. In the case of an accidental stick, immediately wash the area with an antibacterial soap,express blood from the wound, and contact your supervisor. Position the patient. 8. (b) How would you prepare tetracaine from p-nitrobenzoic acid? The first step to choosing the right vein is to select the appropriate needle gauge. 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. } B. Hematoma Tip: In spite of a difficult draw, remember to invert your tubes. What is the most common complication of venipuncture? X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6. It is observed that if the tourniquet is left on longer than 2 minutes, changes in the value of a total protein test occur. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. How to Troubleshoot a Difficult Venipuncture: 14 Steps - wikiHow Start with the arm closest to you and palpate the antecubital fossa. The use of a tourniquet during a venipuncture procedure makes: A. if ( (iframe.src).indexOf('formperma') > 0 && (iframe.src).indexOf(zf_perma) > 0 ) { Websites that masquerade as the ones you trust. Consult the nursing unit or your facility's resources prior to drawing from an IV or PICC line or performing venipuncture on an arm with an IV line in place. Blood is commonly obtained from the median cubital vein on the anterior forearm. Let's take a quick, high-level look at the venipuncture procedure. (See Use of Band-Aids in the Post Phlebotomy. Nursing Personnel. D. 70% isopropyl alcohol. 4. The median cubital creates, The dorsal venous network is the next most common vein site for phlebotomists. A government issued photo identification card such as a driver's license can aid in resolving identification issues. If the blood flow is diminished, repeat the capillary PUNCTURE to complete the collection. The service requires full cookie support in order to view this website. The patient has the right to refuse participation in such activity. Be methodical in your search for a vein. Most reference ranges are based on normal laboratory test values for: Healthy people in a basal state. iframe.style.height = zf_ifrm_ht_nw; In other words, there is no need for another venipuncture procedure. performing a capillary puncture is as follows: 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). Posture: Postural changes (supine to sitting etc.)