Lesson 1-12 Routine Venipuncture

Routine Venipuncture Phlebotomy Superficial arm vein Large sample of blood Requires skill and experience Preserve vein integrity

Venipuncture Supplies Needles Various safety designs 21 gauge, 1- to 1.5-inch length Needle holders Vacuum tubes Anticoagulants and additives Draw exact volume Various sizes Coded colors

Venipuncture Supplies

Venipuncture Supplies

Venipuncture Supplies Syringes and safety needles

Venipuncture Supplies Winged collection set with retractable needle

Venipuncture Supplies

Safety Precautions Observe Standard Precautions Wear gloves and other PPE Use engineering controls Use work practice controls Use only safety collection devices

Quality Assessment Patient ID Follow SOP manual Use correct tube(s) Labels Handling of specimen

Quality Assessment Use correct technique Observe order of draw when filling more than one type of tube Avoid Hemoconcentration Hemolysis

Select Equipment Vacuum tube(s) Safety needle Needle holder

Select Equipment Order of draw

Prepare Patient Patient I.D. Explain procedure Support patient and arm Be prepared!

Apply Tourniquet 3–4 inches above elbow Use quick release tie Do apply longer than 1 minute

Identify Suitable Vein Veins commonly used Median cubital Cephalic Palpate vein

Select Venipuncture Method Vacuum tube and holder Winged collection set Syringe See Table 1-36

Perform Venipuncture Alcohol-cleanse site Observe needle bevel Anchor vein Puncture vein

Perform Venipuncture Insert vacuum tube into holder Fill clot tube first Invert filled anticoagulant tubes

Perform Venipuncture Release tourniquet Remove vacuum tube from needle Withdraw needle from vein Apply pressure to site

Venipuncture Procedure Using Vacuum System

Complete Procedure Activate safety feature Dispose of sharps immediately Label tubes Care for patient

Venipuncture Procedure Using Syringe

Venipuncture Procedure Using Winged Collection Set

In Case of Accident Immediately clean exposed area Flood with water Clean with antiseptic soap Report immediately to supervisor Seek medical attention This project was funded at $3,000,000 (100% of its total cost) from a grant awarded under the Trade Adjustment Assistance Community College and Career Training Grants, as implemented by the U.S. Department of Labor’s Employment and Training Administration. Rogue Community College is an equal opportunity employer/program. Auxiliary aids and services, alternate form and language services are available to individuals with disabilities and limited English proficiency free of cost upon request.   This work is licensed under a Creative Commons Attribution 4.0 International License.