1. Lesson 1-12
Routine Venipuncture

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

3. 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

4. Venipuncture Supplies

5. Venipuncture Supplies

6. Venipuncture Supplies
Syringes and safety needles

7. Venipuncture Supplies
Winged collection set with retractable
needle

8. Venipuncture Supplies

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

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

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

12. Select Equipment
Vacuum tube(s)
Safety needle
Needle holder

13. Select Equipment
Order of draw

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

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

16. Identify Suitable Vein
Veins commonly used
Median cubital
Cephalic
Palpate vein

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

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

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

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

21. Venipuncture Procedure Using Vacuum System

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

23. Venipuncture Procedure Using Syringe

24. Venipuncture Procedure Using Winged Collection Set

25. 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.
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