This venipuncture procedure is used primarily with infants. Do you have trouble finding veins when drawing blood, starting IVs, or other venipuncture procedures? Ialongo, C. and Bernardini, S. Phlebotomy, a bridge between laboratory and patient. You should maintain sharps safety, protect yourself and your patient from blood-borne pathogens, and remember the chain of infection at all times. In: Sedation. The needle is withdrawn from the patient’s arm after the desired amount of blood has been collected in the syringe. // Leaf Group Lifestyle, “Delmar’s Clinical Medical Assisting”; Wilburta Lindh, et al; 2010, Eastfield College: Phlebotomy Technician Certification, California Association for Medical Laboratory Technology: Review of blood collection equipment, Venipuncture Technique. Phlebotomy is no different. Phlebotomy is a medical profession in which phlebotomists perform skin punctures and venipuncture blood collections on their patients, which is essential to diagnostic testing for diseases and illnesses in both medical and clinical settings. Phlebotomy is essential for a variety of medical diagnoses, procedures, and tests. A number of different methods were employed. PROFICIENCY TRAINING - Perfect iv and phlebotomy techniques and procedures on the venipuncture simulation trainer before working on real people. It is also referred to as the Evacuated Phlebotomy Method. Apply the tourniquet below the IV site. You will learn three different phlebotomy techniques: butterfly needle and Vacutainer, straight needle and Vacutainer, and butterfly needle and syringe. For the trained phlebotomist, there are an array of various venipuncture procedures that can be used for drawing blood. Arch Pathol Lab Med. Find a spot on the middle finger or ring finger of the left hand. Wolowitz, A.; Bijur, P.; Esses, D. et al. Lines - Drawing from an intravenous line may avoid a difficult venipuncture, but introduces problems. Suction is created to draw blood out of the vein by pulling back gently, slowly and steadily on the syringe plunger. Using a system known as needle and sheath, the phlebotomist is able to fill several tubes from a single venipuncture. Draw 5 ml of blood and discard before drawing the specimen tubes for testing. Filled vacuum collection tubes can be removed and a new one added as needed until the desired amount of blood has been collected. When you go through a phlebotomy education program, you’ll learn the basics of drawing blood. A good, well trained phlebotomist will rub the heel vigorously prior to the venipuncture in order to increase the flow rate of the blood. 2.Phlebotomy – standards. Select a vein other than the one with the IV. The syringe method of venipuncture is beneficial when small amounts of blood need to be drawn or when a patient has small or fragile veins, according to Kathryn Kalanick in her book Phlebotomy Technician Specialist: A Practical Guide to Phlebotomy. Different syringes and techniques can be used in venipuncture. Certified Phlebotomists Phlebotomists must be certified at one of three levels as shown below. Use of Butterfly Needles to Draw Blood Is Independently Associated With Marked Reduction in Hemolysis Compared to Intravenous Catheter. DOI: 10.11613/BM.2016.002. 3.Needlestick injuries – … But, it’s a term that is very familiar to the certified phlebotomist. Blood is drawn into the collection tube from the vacuum inside the tube. Incision is a surgical procedure that involves a cut section of the vein. IMPROVED REALISM - Wearable design with an anti-piercing plate to prevent needle piercing through. The actual drawing of blood is central to venipuncture training, and phlebotomists are taught proper techniques for locating and tapping veins. The California Association for Medical Laboratory Technology states that the butterfly method is most appropriate for patients who have difficult veins to access, such as cancer patients, the elderly and children 3. In short, venipuncture is simply the process of puncturing a vein. The wings are brought up into a triangle above the needle. She then chooses a venipuncture method most appropriate for the patient. Venipuncture Procedure Step 1 Label the tube with the patient’s particulars Step 2 Put tourniquet on the patient about 3. One end of the double-pointed needle pierces the vein and the other enters the rubber top of the vacuum collection tube. Infection control Venipuncture may cause infection if performed incorrectly Strict aseptic techniques and universal precautions must be used IV filters can reduce the risk of infection Reduces rate of injection, too prepared by Yannick ngerageze a radiographer at Gihundwe Hospital 11 12. As such, all staff that perform venipuncture and phlebotomy services should be educated on the proper techniques performed with the least amount of … The fingerstick is a quick and easy venipuncture procedure used to extract a small blood sample from a patient. Turn off the IV for at least 2 minutes before venipuncture. Venipuncture is the process of piercing a vein with a needle to withdraw blood or start an intravenous line for giving medications. This venipuncture procedure uses a special type of needle known as a butterfly needle. Phlebotomy is a technique in which a needle is temporarily inserted into a vein to provide venous access for venous blood sampling. Going to the local hospital, a health care facility, or a freestanding reference laboratory where more experienced phlebotomists are drawing blood should also be discussed. She has taught clinical and administrative topics, as well as phlebotomy, medical terminology, and anatomy and physiology. Knowledge of anatomy and physiology is one of the most crucial phlebotomy principles.Anatomy is the study of body structure, and physiology is the study of body function. Phlebotomists with experience prior to the enactment of the regulations (April 9, 2003) must have additional training and take an approved exam to become certified under the new regulations. Apply a tourniquet Prepare material Remove needle and apply safety cover. Vacuum collection sets include a double-pointed needle, a plastic tube holder and vacuum collection tube. In very small kids, the veins can be used for collecting the blood, albeit in small quantities only. Prepare the patient for phlebotomy. This topic as it relates to phlebotomy is a major focus in phlebotomy schools—an understanding of the basics is required to be a successful phlebotomy technician. As with the fingerstick, a lancet is utilized and the phlebotomist pricks the side of the heel. There are two different techniques commonly used to obtain blood from this vessel. The syringe method is an older venipuncture procedure that is not used very often. List the factors that influence the integrity of a blood specimen. This venipuncture procedure is basically the same as a fingerstick but is done in the heel of the patient. The California Association for Medical Laboratory Technology states that the butterfly method is most appropriate for patients who have difficult veins to access, such as cancer patients, the elderly and children 3. As such it is subject to change. Phlebotomy Basics: With Other Laboratory Techniques. Below is information on the most common of those procedures: Basic Methods of Venipuncture Procedure Vacuum Tube Venipuncture Procedure using Vacuum Needle. These wings help to hold the needle in place after insertion and aid the phlebotomist in gripping the needle. The phlebotomist, or professional who draws blood, prepares a patient by choosing a vein; applying a tourniquet, or tight band, to slow blood flow in the chosen vein; and cleansing skin over the vein to prevent infection. It all depends on where you work and what is needed. For the trained phlebotomist, there are an array of various venipuncture procedures that can be used for drawing blood. Vacuum Tube Method. 2. Wear appropriate PPE and perform good hand hygiene. 2018:308-318. doi:10.1016/b978-0-323-40053-4.00024-x, Ohnishi H, Watanabe M, Watanabe T. Butterfly needles reduce the incidence of nerve injury during phlebotomy. Take a look at some of the ideas for developing good venipuncture technique. A Supervisor or Manager should be notified and the incident. These are the 5 most often used venipuncture procedures. But, there’s more to phlebotomy technique than just the types of venipunctures. 1.Bloodletting – standards. Vacuum tubes are glass tubes with rubber stoppers that contain anti-coagulating gel or powder to prevent blood from clotting in the tube. Phlebotomists may choose to draw blood from several different sites of the body Most commonly, venipuncture will be performed on the Antecubital Fossa, or the inside of the elbow. Allow the patient to sit comfortably. Here phlebotomists will typically choose from three veins: the median cubital vein, the cephalic vein or the basilic vein. Below is information on the most common of those procedures: This is the basic, and most often performed, type of venipuncture procedure. Venipuncture Methods Syringe Method. She has worked as a clinical assistant in family health and emergency medicine since 1995. This method serves the patient well in that only one “stick” is required. Identify potential veins (preferably at the antecubital area) Use clean straight needle and vacutainer and perform venipuncture (take blood) Remove tourniquet Assemble equipment Ask the … Without proper specimens, unhelpful or even harmful medical treatment could happen. Perform pre-venipuncture safety procedures. Blood is transferred from the syringe into the collection tube by slowly pressing down on the plunger. 2016 Feb 15;26(1):17-33. Procedure (Fig. Venipuncture syringes are composed of a plastic syringe with an attached, beveled needle. The needle is inserted into a prepared vein. Apply a tourniquet approximately 3 to 4 inches above the intended puncture site. Venipuncture is often performed so blood can be tested for a variety of medical reasons and conditions. Clean the venipuncture site with an alcohol pad for 30 seconds. BONNIE F. FREMGEN is a former associate dean of the allied health program at Robert Morris College. Vacuum tubes are glass tubes with rubber stoppers that contain anti-coagulating gel or powder to... Butterfly Method… The most common was phlebotomy, or venesection (often called "breathing a vein"), in which blood was drawn from one or more of the larger external veins, such as those in the forearm or neck. 2012;136(4):352. doi:10.5858/arpa.2011-0431-LE. Phlebotomy – Scribd • • • • • Have an interest in promoting and improving the practice of phlebotomy Develope competency statements Provide guidelines for healthcare organizations to provide standard • Correct venipuncture or skin puncture – Isolation techniques • Appropriate use of This study aimed to evaluate the effect of 3 different distraction methods on the pain and anxiety levels of children during venipuncture. Both the syringe and needle are available in varying sizes. The butterfly, or winged, method includes a very small needle attached to a rigid plastic piece that contains flexible plastic ‘wings’ on either side. Blood work is considered a basic diagnostic test in every species, including birds. Nursing schools do not teach this skill due to legality issues. One of the critical elements involved in this vacuum tube venipuncture procedure is the proper labeling of the various tubes of blood. The spot is located on the side of the finger,... 3. As you gather your supplies, you'll find that there's a variety of blood drawing equipment available. Veins have a 3-layered wall composed of an internal endothelium surrounded by a thin layer of muscle fibers, which in turn is surrounded by a layer of connective tissue. But, there is always more to learn. Different Venipuncture Techniques. Copyright © 2021 Leaf Group Ltd., all rights reserved. You’ll also have to perform successful blood draws to graduate. This is the basic, and most often performed, type of venipuncture procedure. Check the things you need. Society for Academic Emergency Medicine Annual Meeting; Atlanta, Georgia; May 2013. The word venipuncture is a very ominous sounding term. If so, you're not alone. The butterfly needle is connected to a tube through which blood flows into a collection reservoir. Students who are successful in the Phlebotomy Program like a challenge, enjoy working with all different types of people, possess … The most common reason for phlebotomists to draw blood is for sample purposes. Flexible plastic tubing is attached to the winged portion of the collection, set which is then attached to either a syringe or vacuum tube for collecting blood. Venipuncture Techniques. different site. The needle is then placed into the rubber stopper of a collection tube that contains powder or gel to prevent the blood from clotting. Students should study venipuncture in books and watch licensed nurses in clinical settings perform this task. The most common vessel used for lizard venipuncture is the caudal tail vein, also called the ventral coccygeal vein. should be documented. One end of the double-pointed needle pierces the vein and the other enters the rubber top of the vacuum collection tube. Please ensure you have the most up-to-date copy at all times. If an arterial puncture is suspected, as indicated by a bright red, quick, ... Order of Draw for Venipuncture: Blood collection tubes must be drawn in a. These samples are used to make sure a patient is healthy or to diagnose different conditions. Ask the patient to make a fist but not to pump the hand. These techniques include a lateral and ventral approach. 2. Flexible plastic tubing is attached to the winged portion of the collection, set which is then attached to either a syringe or vacuum tube for collecting blood. 11.4): 1. It is also often used with elderly patients who may have what is known as “rolling veins”. Perform the venipuncture. Lorain County Community College PHLEBOTOMY PROGRAM FREQUENTLY … Laboratory techniques, anatomy and physiology, first aid and safety for CPR certification What basic interests and academic skills are needed in the Phlebotomy Program? 6, Edition 3, Issue date: 12 July 2012 This is a controlled document. And what is known as needle and sheath, the cephalic vein or the basilic vein 2021 Leaf Ltd.! Should be offered to option to return to the office on a different day another! Through a phlebotomy education program, you want to become adept at keeping the..: best practices in phlebotomy third or fourth finger of the critical elements involved in vacuum. Median cubital vein, the cephalic vein or the basilic vein venipuncture technique levels. Very small kids, the veins can be tested for a lower angle of insertion when a. 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