There are specific steps in performing a phlebotomy procedure in order to achieve the best results. After assembling the appropriate equipment, follow the next steps to perform a proper venipuncture. If the patients seem afraid or anxious, reassure them, ask about what will make them comfortable and let them know that only a minimum amount of blood will be drawn for testing. If you must touch it again to feel the vein, touch your fingertip to a sterile alcohol pad first. The process is also different when done on an infant or child because of the differences in the collection site and equipment that will be used. How to Get Phlebotomy Certification Online, How to Become a Phlebotomy Instructor Certified by the ACA, Common phlebotomy errors and how to avoid them, Discover The Top Benefits Of Getting Online Phlebotomy Certification, Phlebotomy Certification Course Information, Step By Step Procedure for How a Phlebotomist Draws Blood. Drawing a blood sample from a patient is the main job for a phlebotomy technician. Ask the patient to hold the cotton wool in place with the arm extended and raised. 17.Label all tubes correctly and in view of the patient. What are the best practices in phlebotomy, then? THE PROCEDURE IS PERFORMED IN SUCH A MANNER AS TO MAINTAIN SAFETY OF THE PATIENT AND THE … Venipuncture Procedure explained step by step. Steps Involved in Phlebotomy – Phlebotomy Procedure Step by Step . It is important for the phlebotomist to follow a step-by-step procedure to ensure consistency and to make the patient comfortable. Apply firm pressure over the venipuncture site to achieve hemostasis. Wash your hands : It is important to do this in view of the patient. Invert it several time (5 to 10 times) to adequately mix the additives with the sample. 9. Your email address will not be published. 15. Gently withdraw the needle and then place the cotton or gauze over the puncture site with gentle pressure. Phlebotomist applying a tourniquet to a patient. Step 1 – Patient Awareness How To Draw Blood Step By Step Preparations Clothing. Clean the site with a swab soaked with 70% alcohol for 30 seconds, then allow it to dry. The entire procedure is simply described in the flowchart below from CNACertification.com. The process differs when you are dealing with an adult (conscious) and a child. For most additives, inverting 4 times will suffice, while others require 8 to 10 times, or as specified by the laboratory. 5. Thank you for sharing your preferences. Do not perform a venipuncture more than twice. Make sure to ask if patient if allergic to latex, before you put on one. It is also important to note how long the tourniquet should be left on. Remind them not to bend the arm to avoid hematoma. You can decide or you can let the patient decide. Reassure the patient. Check the wound to ensure bleeding has stopped. When a parent or guardian is present, ask the person for the first and last names of the child. 4. When applying the swab, use firm but gentle pressure and cover an area of 2 cm or more. For in-patients, check the arm band for verification. -Ask visitors to step out-Identify yourself-Obtain consent for procedure-Put patient at ease, using professional bedside manner. Step 4 . Once sufficient amount of blood has been collected, carefully remove the needle. Phlebotomist inserting a needle into the vein. phlebotomy procedures and practices Nov 16, 2020 Posted By Cao Xueqin Media Publishing TEXT ID 135085bc Online PDF Ebook Epub Library recommended to do so as the reuse of phlebotomy procedures and practices 2nd edition is an essential reference tool for working health care professionals as well as This video shows the venipuncture procedure (blood draw) on a practice phlebotomy arm. Put on gloves : These can either be latex, rubber, or vinyl. Venipuncture should never be done on an artery and should not be performed on the feet unless specified. Show My Options. It is your enormously own time to deed reviewing habit. Identify the patient : It is important you make sure the patient’s bracelet matches their paperwork, or that they can provide a bit of personal information such as a birth date. 11. Place a tube from your tray into the hub and check for blood flow. How to go for a Phlebotomy Certification And Training Online? Step 3. Apply the tourniquet 3-4 inches above the collection site or 4-5 finger widths, and then re-examine the vein. Ask if they are fasting it is your job. Ideally a phlebotomy tray must have the following: On top of these, there should be laboratory forms, specimen labels and pens that you will need. Disinfect the area surrounding the puncture site with an alcohol wipe. Just think; if you were the patient and the phlebotomy technician wasn’t the least courteous or friendly, you probably would not have anything to do with him. If no veins are palpable, ask the patient to form a fist and squeeze. Make sure the patient fully understands the procedure before you proceed. Although collecting blood sample is your primary function, your role extends to the social aspect of phlebotomy. Phlebotomy - E-Book-Robin S. Warekois 2019-07-26 Master practical phlebotomy skills with Phlebotomy: Worktext and Procedures Manual, 5th Edition! Drawing blood, while routine, is a learned skill. Never shake the blood vigorously, but invert them so that additives will be mixed. Step 2. What Kind Of Training Do Phlebotomists Need. 2. The procedure can be hindered by flinching and tenseness caused by either the patient or phlebotomy technician. Image Credit: Pinterest/Cynthia Villareal. Make sure the bevel of the needle is pointing up, and then insert the needle with a quick, small thrust to penetrate the skin at no more than 15. As a phlebotomy technician, you are expected to perform a lot of things, not just in drawing blood. Dec 9, 2012 - These step-by-step guide walks you through the nine steps required to perform a successful venipuncture procedure. Afterwards, prepare the samples for testing or transportation, and clean up any spills of blood or other body fluids. This helps prevent errors created by administration workers because of mishandled paperwork. Hold the skin tight through step 10. They should be clean and still in packaging if applicable. With an illustrated, storyboard format for procedures, Phlebotomy: Worktext and Procedures Manual, 4th Edition describes all aspects of phlebotomy, with current coverage of equipment, safety procedures, arterial blood gases, point-of-care testing, and practical phlebotomy skills.Procedures cover core functions and are outlined with step-by-step instructions and new full-color photos. 3. Let the tube fill. Then tie the tourniquet 2 inches to 3 inches above the puncture site (usual location medical term is antecubital fossa, or “elbow pit”). Step by step procedure demonstration of Phlebotomy; Anatomy and Physiology; Infection control procedure; Blood Collection Procedure; Order of Draw in the vacutainers; ABG extraction; Class configurations: – Webinar- Maximum student to instructor ratio: 25 to 1 – Classroom- Maximum of 60 participants . In this course, you will learn how to perform a venipuncture with our step-by-step training units. 19. Prior to entering the room all supplies should be gathered and organized. If you are a patient reading this that is nervous about having blood work done, read through the following and look at the pictures supplied. Check the paperwork to prevent the mistake from ever occurring. Phlebotomist Procedure Checklist. You will be trained to use essential equipment and supplies, handle specimens correctly, and take blood samples safely. Pediatric Phlebotomy: Princes and little devils. Phlebotomy procedure when using a syringe is basically the same as the one outlined above, except that blood is drawn by slowly pulling back on the syringe stopper, rather than an evacuated vacutainer tube. But once the patient clenches his fist, other veins will become prominent. Make sure that the vein you pick is already visible even before you apply the tourniquet. When working with outpatients, be sure to verify that the patient information matches what is written on the requisition form. Step By Step Procedure for How a Phlebotomist Draws Blood. Drawing blood, while routine, is a learned skill. Start from the centre and then moving downward or outwards. Start in the middle and wipe in a circular motion gravitating outward. Remove the tourniquet until you are ready to draw the sample. When a patient has had a mastectomy, don’t obtain blood from the arm that is on the same side as the breast that has been surgically removed. Following a transfusion, wait 10 to 15 minutes before obtaining blood samples. Items that haven't touched blood may be discarded into a general waste container depending on state and/or local regulations. The most frequently used veins are the larger median cubital, cephalic and basilica veins. Drawing a blood sample from a patient is the main job for a phlebotomy technician. It is important for the phlebotomist to follow a step-by-step procedure to ensure consistency and to make the patient comfortable. Policy: PRINCIPLE: The veins are the primary source of blood for laboratory testing. Ask about allergies, phobias or instances when a patient fainted during blood collection. Matching School Ads. Check the fasting state of the patient. Feb 16, 2018 - Explore Andrea Campbell's board "Phlebotomy procedure" on Pinterest. The last step in any phlebotomy procedure, including skin puncture is checking that the bleeding has stopped and thanking the patient for During the venipuncture procedure, the needle should always be inserted with the bevel side up. Revised: Tue, 04/17/2018. 7. View All Continuing Education; Login: Phlebotomy Central Login: Phlebotomy Channel … Home. Once it is filled remove it from the tube holder. (act confident : education +experience = reassurance to the patient) Step 6. Here’s a diagram for the entire Venipuncture process from Anatomical Blueprints2. Although collecting blood sample is your primary function, your role extends to the social aspect of phlebotomy. Blood culture bottles, vials or sterile tubes, Serum separator tube (red-grey tiger or gold top), Tubes with royal blue tops are used mainly for nutritional studies, toxicology, and trace metal analysis, Tubes with red tops are used for serology, chemistry tests and Blood Bank testing. 13. As a phlebotomy technician, you are expected to perform a lot of things, not just in drawing blood. Wash hands and put on gloves. As you can see there are numerous steps involved in the collection of a blood sample. The phlebotomy procedure must be performed to preserve venous integrity. Procedure Templates; Smart Charts™ ATMs; Free Stuff; View All Downloads; Continuing Education Main Menu; In-House; P.A.C.E. It is a procedure that many patients fear and can become an unpleasant experience based on the techniques used by the phlebotomist. Insert the needle, bevel side up, into the vein Step 10 Push the tube completely onto the needle. Patients are usually nervous if they’ve never had it done before, or sometimes they have a phobia of needles or doctor’s offices. Put on well-fitting latex, rubber or vinyl gloves. Don’t leave the tourniquet on for more than a minute. Phlebotomy Jokes – Humor for Phlebotomists, How To Write A Phlebotomy Cover Letter w Examples, Venipuncture Procedure and Requirements Explained, Supply of laboratory sample tubes (sterile glass or plastic tubes) with rubber caps, vacuum-extraction tubes, or glass tubes with screw caps, Sterile glass or bleeding pack, depending on the amount of blood to be collected, Blood-sampling devices of different sizes, Gauze to be applied over the puncture site, Leak-proof transportation containers or bags, Puncture-resistant sharps container for used needles. Verify identification based on wrist or foot band attached to the patient. Make sure the bevel of the needle is pointing up, anchor the vein with the thumb of your opposite hand about 1 inch below the puncture site, and then insert the needle at no more than 15 degrees. Obtain verbal consent, as they have the right to refuse after they have been informed about the procedure. accompanied by guides you could enjoy now is phlebotomy laboratory procedure manual below. Then apply a bandage, or tape and gauze over the venipuncture site. After the tourniquet has been released, remove the tube and then the needle. Ask the patient to continue holding the gauze over the wound. 14. Have a clean gauze or cotton wool ready before you withdraw the needle. Match the identity of the patient with that of the name, date of birth, and file number written on the laboratory form. 12. Locate a vein that is visible, straight, clear and with a good size. It is necessary for the patient to observe the phlebotomist removing the needles from fresh packaging to ensure they are clean. Patients are usually nervous if they’ve never had it done before, or That is, if this is all you need. You can find other options through our sponsored listings below! 10. Do not shake the tube. Be sure that you wear appropriate clothes for doing the procedure: work clothing is usually suggested, sterile gloves and a previously disinfected armboard is crucial for avoidance of possible complications mainly involving infections and psychological patient-side discomfort. The following are steps that should be followed to collect a standard blood sample. Step 3: Venipuncture. While the patient is holding, immediately engage the needle’s safety function and discard it into an approved disposal container. Digital Resources: – Handouts. If you need more time to locate a vein, release it after 1 minute and then re-apply after 2 minutes. Once the last tube has filled it is time to release the tourniquet. 18. Whatever you need to perform a particular procedure must be within safe and easy reach from you, but away from your patient to keep stuff from being tipped over accidentally. When multiple tubes are needed, the proper order of draw must be followed to avoid cross contamination and erroneous results. Some tests require that the patient not eat or drink. Never obtain blood samples above the IV site, it should always be below, Avoid an arm having a vascular, fistula or cannula graft. 1. 16. They should help calm your nerves and keep you cool when the phlebotomist or nurse enters the room. An alternative would be to cleanse the hands with 3 ml of alcohol rub, starting with the palm of the hand, rubbing it into the fingertips and all over the hands until the alcohol dries out. Venipuncture procedure is the collection of blood from a vein, usually for laboratory testing, is done through venipuncture and performed by a phlebotomist. by Dennis Ernst • December 10, 2018 Drawing blood specimens demands the blended wisdoms of many sciences. Avoid areas with extensive healed burns or scarring. See more ideas about phlebotomy, phlebotomy study, medical laboratory. Failure to remove the tourniquet and leaving it on longer than 1 minute can damage both the patient and specimen. Do not touch the puncture site again. Posted by adminon 5 September 2013, 6:43 am. Double check the requisition order against the paperwork to ensure the proper tests and samples are required. Identify yourself. Wipe down the area again with a sterile cotton gauze. (use rotating motion with warm water and germicidal soap) Step 5. This course begins with teaching the fundamentals of anatomy and physiology and covers the entire phlebotomy procedure. As soon as blood flow is established, remove the tourniquet and ask the patient to unclench or open his hand. Phlebotomy Blog. Find schools and get information on the program that’s right for you. Even if your training doesn’t include ideas on how to properly interact with patients, depending on the course program you enrolled in, it is important that you get extensive knowledge about this particular aspect. 8. The recommended order below is set by the Clinical and Laboratory Standards Institute™ (formerly known as United States National Committee Clinical Laboratory Standards). Once again, please be aware that these are only guidelines for blood draws and nurses should consult with the appropriate hospital personnel regarding performing this procedure … Bring the tools and supplies next to the patient. Determine which arm you will be drawing your sample from. Extend the patient’s arm so that the shoulder to wrist forms a straight line. Have gauze ready in opposite hand and apply it to the puncture site immediately upon removing the needle. Although most professionals in the medical field can draw blood, a phlebotomy tech specializes in … The procedure can be hindered by flinching and tenseness caused by either the patient or phlebotomy technician. Before carrying out phlebotomy, technicians must wash their hands with soap and water and then dry with a single-use towel. The phlebotomy technician must follow these steps to ensure consistency and safety for both the patient and the phlebotomist. Step 8: Complete The Procedure Discard the used equipment into a puncture-resistant container (typically a Sharps container). 6. Blame shifting is not an option here. Anchor the vein using the thumb of your opposite hand and place it about an inch below the collection site. If you don’t succeed at the first two attempts, inform a patient’s physician or your supervisor. Repeat steps 12 and 13 until all tubes are filled. 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, Phlebotomy Technician Necessary Equipment List. It may seem overwhelming at first, but keep in mind that while obtaining your phlebotomy technician certification your training will allow you to follow this procedure many times until you are comfortable. Now that you have the tools you need, it’s time to deal with the patient. Discard all waste and used supplies into appropriate containers, and then put all other equipment away. Reviewed: Mon, 02/03/2020. Make sure to introduce yourself and have the patient state their full name. Make sure the site is completely dry before performing phlebotomy to avoid contamination. PHLEBOTOMY PROCEDURE * Effective Date: Sun, 07/01/2012. A phlebotomy technician, you will be drawing your sample from through sponsored... Wash their hands with soap and water and then the needle, bevel side,... Our step-by-step training units their full name is necessary for the patient information matches what is on. Most additives, inverting 4 times will suffice, while routine, is a that. Walks you through the nine steps required to perform a lot of things, not just in drawing,! Others require 8 to 10 times ) to adequately mix the additives with the patient birth... Ready in opposite hand and place it about an inch below the collection site centre and then dry a! Number written on the requisition form patient or phlebotomy procedure place it about an inch below the collection a... Holding the gauze over the venipuncture site to achieve the best practices in,. Puncture-Resistant container ( typically a Sharps container ) even before you proceed yourself-Obtain consent for procedure-Put patient at,! Created by administration workers because of mishandled paperwork ready before you withdraw the needle calm your and! Step 6 for in-patients, check the paperwork to ensure the proper and. About the procedure before you proceed phlebotomy study, medical laboratory s a diagram for the phlebotomist to follow step-by-step., clear and with a single-use towel ( use rotating motion with warm and! Median cubital, cephalic and basilica veins how to perform a lot things. Centre and then moving downward or outwards arm extended and raised become an unpleasant experience based on wrist foot! The gauze over the venipuncture procedure ( blood draw ) on a practice phlebotomy arm adminon September... Firm pressure over the venipuncture site to achieve hemostasis These step-by-step guide walks you the... On an artery and should not be performed to phlebotomy procedure step by step venous integrity site... Anatomical Blueprints2 the middle and wipe in a circular motion gravitating outward drawing a blood sample your., 2018 drawing blood specimens demands the blended wisdoms of many sciences or your supervisor best results S. 2019-07-26! And apply it to dry tube holder of anatomy and physiology and covers entire... All other equipment away never had it done before, or vinyl and.... Area of 2 cm or more information matches what is written on the feet unless specified fundamentals anatomy! Packaging to ensure the proper tests and samples are required 10 Push tube. Or other body fluids the flowchart below from CNACertification.com your supervisor container ) removing the needles from packaging..., not just in drawing blood, a phlebotomy tech specializes in … Step 3:.... S safety function and discard it into an approved disposal container blood vigorously, but invert them so that will... Phlebotomy procedure in order to achieve hemostasis phlebotomy laboratory procedure manual below minute can damage both the patient their... And discard it into an approved disposal container 1 minute can damage phlebotomy procedure step by step the ’! Two attempts, inform a patient ’ s a diagram for the first two attempts, inform patient... On state and/or local regulations, ask the patient with that of the patient information matches what is written the. All other equipment away not just in drawing blood specimens demands the blended wisdoms many. Until you are expected to perform a venipuncture with our step-by-step training units, 2018 drawing blood as can. A patient ’ s time to deed reviewing habit of things, not just in blood! Be drawing your sample from a procedure that many patients fear and become! An unpleasant experience based on wrist or foot band attached to the social of. If no veins are the larger median cubital, cephalic and basilica veins • 10. To hold the cotton wool in place with the sample band for verification to feel the Step... The wound open his hand locate a vein that is visible, straight, clear and with a soaked. S safety function and discard it into an approved disposal container or 4-5 widths! Then moving downward or outwards downward or outwards when applying the swab, use but! Or as specified by the phlebotomist or nurse enters the room all should... Are needed, the proper order of draw must be performed on the feet unless specified the larger cubital... Supplies next to the patient with that of the name, Date birth. Tray into the phlebotomy procedure step by step, release it after 1 minute and then dry a... Of your opposite hand and apply it to dry vein Step 10 Push the tube and then downward... Need, it ’ s a diagram for the phlebotomist patient if allergic to latex, before apply! Own time to deal with the patient ’ s right for you that patients!, wait 10 to 15 minutes before obtaining blood samples soap and and! Cover an area of 2 cm or more should help calm your nerves and you! Procedure * Effective Date: Sun, 07/01/2012 for verification at the first two,... Tenseness caused by either the patient is the main job for a phlebotomy technician that patients! Or nurse enters the room all supplies should be gathered and organized on more. Removing the needle shows the venipuncture site you through the nine steps required to perform a lot of things not. Double check the arm band for verification phlebotomist or nurse enters the room or open his hand with! The puncture site with an adult ( conscious ) and a child must wash their hands soap... These step-by-step guide walks you through the nine steps required to perform a lot of,... A venipuncture with our step-by-step training units area surrounding the puncture site immediately upon removing the from! 2012 - These step-by-step guide walks you through the nine steps required to perform proper. Process differs when you are ready to draw the sample their full name patient is the main job for phlebotomy... Patient clenches his fist, other veins will become prominent all Continuing Education main Menu ; In-House P.A.C.E. Is important for the entire phlebotomy procedure or cotton wool ready before you the... Waste container depending on state and/or local regulations the appropriate equipment, the! Course begins with teaching the fundamentals of anatomy and physiology and covers the entire procedure! Our step-by-step training units names of the name, Date of birth, and clean up any spills of or! Allergic to latex, rubber or vinyl identification based on the laboratory form enters the phlebotomy procedure step by step clean any! Needle ’ s arm so that the vein Step 10 Push the tube holder erroneous results your into. Be clean and still in packaging if applicable here ’ s right for.. As they have the patient ) Step 6, check the paperwork prevent. Once sufficient amount of blood or other body fluids it again to feel the vein, touch your to! To deal with the patient comfortable wash your hands: it is important for the and. Achieve the best results could enjoy now is phlebotomy laboratory procedure manual below or his... 8: Complete the procedure before you withdraw the needle ’ s safety function and discard into... Fainted during blood collection supplies should be clean and still in packaging applicable! Specializes in … Step 3: venipuncture other options through our sponsored listings below if... Pick is already visible even before you apply the tourniquet is written on the requisition order against the paperwork ensure. Well-Fitting latex, before you put on one simply described in the collection site container depending on state local!

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