what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. if( evntData && evntData.constructor == String ){ Other draw sites, particularly below the waist, are rarely used. Therefore, your anchor should be gentle but firm to prevent the vein from moving away from you. chemistries, serology, immunnology, blood bank. B. sterilized and reused Previous puncture sites should be avoided. Tetracaine is a substance used as a spinal anesthetic. If none of these veins work, then the phlebotomists use the hand veins. Povidone-iodine wipes/swabs - Used if blood culture is to be drawn. Arm with fistula or cannula placement Greet the patient and identify yourself and indicate the procedure that will take place. Mix and label all appropriate tubes at the patient bedside. Draw 5 ml of blood and discard before drawing the specimen tubes for testing. Back the needle out until the bevel is just below the skin. This information must match therequisition. If the blood flow is diminished, repeat the capillary PUNCTURE to complete the collection. Edematous extremities with swollen tissue alter the results. However, do not use too high a temperature warmer, because baby's skin is thin and susceptible to thermal injury. The maximum number of times an individual should attempt a venipuncture on a patient is two, True or False? B. just after needle insertion, but prior to vacutainer activation wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Refuse treatment to the extent permitted by law. All rights reserved. C. Iodine Recognize complications associated with the phlebotomy procedure. BD Vacutainer), rather than IV catheter insertions. Preferred venous access sites, and factors to consider in site selection, and ability to differentiate between the feel of a vein, tendon and artery. When there is an IV line present, blood can be drawn from this line. Lippi G, Blanckaert N, Bonini P, Green S, Kitchen S, Palicka V, Vassault AJ, Mattiuzzi C, Plebani M. Causes, consequences, detection, and prevention of identification errors in laboratory diagnostics. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Hold the baby's foot firmly to avoid sudden movement. To prevent hemolysis (which can interfere with many tests): Mix tubes with anticoagulant additives gently 4-6 times, Avoid drawing the plunger back too forcefully, if using a needle and syringe, or too small a needle, and avoid frothing of the sample. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. At least two patient identifiers, such as name and date of birth, are needed. What should you do with a CBC or lavender top tube before putting them down? Common Venipuncture Sites | Healthfully Dorsal hand veins are often utilized for intravenous infusions but are viable options for blood draw sites. 2004;24(4):979-96, vii. C. Red The line must be flushed first. } What sites should be avoided when drawing blood? Warm the heel from which blood is to be obtained. This process is automatic. if ( (iframe.src).indexOf('formperma') > 0 && (iframe.src).indexOf(zf_perma) > 0 ) { In fact, many search engines provide the option to avoid dangerous sites by turning on a "safer" search. Move it forward (it may not be in the lumen). X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6. Observe universal (standard) safety precautions. containers. Let's take a quick, high-level look at the venipuncture procedure. What sites should be avoided when drawing blood? 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 on patients. Proper labeling procedures and completion of laboratory requisitions. C. placed in the sharps container Wipe away the first drop of blood, which tends to contain excess tissue fluid. Phlebotomy Essentials 5th Edition Chapter 9. How can you tell if you are palpating a vein? This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. Do not use excessive pressure or heavy massaging because the blood may become diluted with tissue fluid. When using a syringe inserted into the line, blood must be withdrawn slowly to avoid hemolysis. 10. Thrombosed veins lack resilience, feel cord-like, and roll easily. D. All of the above, Needles are sterile until: A clinical study is performed to determine the optimal time for application of the tourniquet during phlebotomy. This preliminary action allows you to safely adjust the needle's position. Label collection tubes after identification of the patient. Proper patient identification MANDATORY. Do not attempt a capillary puncture more than twice. D. 70% isopropyl alcohol. Reassure the patient that the minimum amount of blood required for testing will be drawn. B. the needle is inserted into the patient's arm Have the patient drink fluids if dehydrated. Assess the patient's physical disposition (i.e. Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, the basilic vein on the dorsum of the arm or dorsal hand veins are also acceptable for venipuncture. While this may be effective in some difficult draws, the risk of a needlestick injury is higher if the patient has a withdrawal reflex and the needle recoils back into your finger. Compare and contrast the two major types of neuronal pathways. Hyperextend the patient's arm. antecubital fossa What are the best veins for venipuncture? very small or difficult vein, Ch 46 Phlebotomy & Ch 47 Hematology (MULTIPLE, Chapter 47: Phlebotomy and Blood Collection, Positive and negative feedback & examples, Meds Vanessa doesn't need because she sleeps, Medical Terminology: Learning Through Practice, April Lynch, Jerome Kotecki, Karen Vail-Smith, Laura Bonazzoli. 6. www.mlo-online.com is using a security service for protection against online attacks. Preanalytical phase of the testing process begins for the laboratory when a: Test is ordered by a patient's physician. Our courses are designed to provide students with the skills and knowledge necessary to work in a variety of medical settings including: Hospitals, Clinical Laboratories, Clinics, Physicians Offices, Blood Banks and much more. After the third attempt, further medical directions must be sought with the attending physician before proceeding. If this is not successful, remove the needle, take care of the puncture site, and redraw. There are three phlebotomy vein sites located in the arm most utilized by medical professionals and three additional draw sites that are last resorts. Lightly touch the microtainer capillary collection device (or filter paper) to the LARGE drop of blood. Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes. The first attempt is the antecubital fossa area, starting with the median cubital vein, then the cephalic vein, and the basilic vein. Second - coagulation tube (light blue top). A tin can containing air is sealed. Apply an adhesive bandage. Use a smaller tube with less vacuum. The median cubital vein is used the most for its accessibility. A typical single vial contains about five milliliters, which is about one teaspoon. PDF Collection of Blood Specimens by Skin Puncture Wikipedia. D. Blue, Which of the following conditions should prevent a site from being selected for venipuncture? 6. f.style.border="none"; B. Yellow A. EMLA Giavarina D, Lippi G. Blood venous sample collection: Recommendations overview and a checklist to improve quality. Primary effect is hemoconcentration of non-filterable elements (i.e. When working with patients who have undergone a mastectomy, draw from the arm on the opposite side of the mastectomy to avoid edematous tissue. Adjust the height and swivel the chair to ensure your body is in line with the vein. All of the following are common types of equipment used for venipuncture EXCEPT: For operation at steady state, determine for the motor, each in kW\mathrm{kW}kW The patient shall be informed if the hospital proposes to engage in or perform human experimentation or other research/educational profits affecting his or her care or treatment. Valenstein PN, Sirota RL. Complications occurring from diagnostic venipuncture - PubMed Do not use a previous puncture site. Two forms of active identification are required. Have an assistant stabilize the arm by firmly locking the elbow joint. After cleansing, allow the venipuncture site to air dry. While we are ranked among the best children's hospitals in the country, it's our compassionate approach to treatment that makes us truly exceptional. Use pillows or foam wedges to elevate the arm and help with extension. 1. Unlike the cephalic and basilic veins, the median cubital vein is not near major nerves or arteries.