what sites should be avoided when performing venipuncture quizlet

\u00a9 2023 wikiHow, Inc. All rights reserved. What are the green/lavender top containers used for? Feel for the median cubital first, the cephalic vein second, and the basilic vein third. You must check the timing of these variations for the desired collection point. Areas of the body that look infected, scarred, or burned must also be avoided. Each time a vein is accessed with a needle, scar tissue forms as part of the body's healing process. try{ wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. Hematoma formation is a problem in older patients. 2. Cap, rotate and invert the microtainer to mix the blood collected. Arteries pulsate, are very elastic, and have a thick wall. Effective methods use distraction. Do not use the central portion of the heel because you might injure the underlying bone, which is close to the skin surface. wikiHow, Inc. is the copyright holder of this image under U.S. and international copyright laws. However, if there is no alternative and an arm with an IV line in place must be used for venipuncture, try to choose a site away from and below the location of the IV. 1. Other Factors: Age, gender, and pregnancy have an influence on laboratory testing. This article has been viewed 43,712 times. Dispose of contaminated materials in appropriate waste receptacles. 1. -obvious skin infection (including newly tattooed areas) -extensive scarring -don't use same side as mastectomy -avoid previous hematoma -avoid arm w/ fistula/cannula -edamtous extremity What is the most common site for blood sampling? 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. A. the plastic sleeve is removed What is the procedure to draw blood from an arm with an IV in it? Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system. 8. What are the contraindications to venipuncture? The performance of routine vascular access procedures by skilled phlebotomists requires, at a minimum, the use of gloves to prevent contact with blood. The sides and the tip of the. Some examples of these include notices from banks, online retailers such as Amazon or eBay, and even . A. EMLA 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. 1. Avoid trauma and excessive probing. Stabilize the needle as you're inserting your tubes. 3. List six areas to be avoided when performing venipuncture and the reasons for the restrictions. www.mlo-online.com is using a security service for protection against online attacks. Begin by selecting the proper, approved lancet, such as: BD Microtainer Quikheel Lancet, 2.5 mm for full-term babies (green), BD Microtainer Quickheel Preemie Lancet, 1.75 mm for neonatal, Unistick2 Neonatal 18G, 1.2mm Lancet for neonatal babies less than, Prepare the heel by cleaning it with a Chlorhexadine wipe. remove needle 6. An artery has been punctured (characterized by bright red, pulsating blood), A nerve has been nicked (patient may complain of an electrical sensation up and down the limb), A hematoma starts to form (a bubble under the skin starts to rapidly appear at the site), The patient loses consciousness or starts seizing. Impact of Use of Smaller Volume, Smaller Vacuum Blood Collection Tubes on Hemolysis in Emergency Department Blood Samples. It may be obstructing blood flow. What sites should be avoided when drawing blood? Edematous extremities with swollen tissue alter the results. Wait 2 minutes before reapplying the tourniquet. Prepare the equipment, the patient and the puncture site. If an inpatient is able to respond, ask for a full name and always check the armband or bracelet for confirmation. Extensive scarring or healed burn areas should be avoided Specimens should not be obtained from the arm on the same side as a mastectomy. Additionally, blood samples should not be taken on an arm with a fistula used for dialysis treatments. 3. He holds a Diploma in Medical Laboratory Assistance and is certified under the British Columbia Society of Laboratory Science. Sanders AM, Agger WA, Gray AM, Fischer CM, Kamprud EA. Watch for formation of a hematoma. When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped. 7. This type of venipuncture procedure is a little different, and sometimes can be a little more involved. drawing from hand or foot f.src = 'https://forms.zohopublic.com/healthservicesacademy/form/RequestCourseInformationCPTIAccelerated/formperma/SBGg-3DTNCwt65i9A6n_zU3SneyGD89SSqM_7F_nCas?zf_rszfm=1'; 8. At least two patient identifiers, such as name and date of birth, are needed. Compare and contrast the two major types of neuronal pathways. Which element has the highest ionization energy? Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand. 11. B. evacuated tube Always thank the patient and excuse yourself courteously when finished. Clean up any blood spills with a disinfectant such as freshly made 10% bleach. Some individuals are afraid of needles, while others are frightened at the sight of blood. Avoid a probing, traumatic venipuncture. A. standards Pre-warm the region of the vein to reduce vasoconstriction and increase blood flow. ACDA or ACDB (pale yellow top). When using a syringe and needle, avoid drawing the plunger back too forcibly. Contains acid citrate dextrose. Which of the following actions should the technician take? In the case of an accidental stick, immediately wash the area with an antibacterial soap,express blood from the wound, and contact your supervisor. BD Eclipse green-capped) is used for most routine and uncomplicated venipunctures. Guidelines established by the Clinical and Laboratory Standards Institute (CLSI) dictate that a phlebotomist shall not attempt a venipuncture more than two times, and a maximum of three attempts shall be undertaken on a patient. The median cubital creates less bruising and pain than other draw sites. IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED: Change the position of the needle. Have the patient make a fist and flex the arm, which helps engorge muscles to fill veins. A needle is then gently inserted into the vein. 4. antecubital fossa What are the best veins for venipuncture? 8. If a vein feels hard, it may be scarred or sclerosed. C. Iodine For most clinical examinations the blood is obtained: The vacuum (evacuated) tube system (vacutainer) requires the following components: The healthcare worker needs essential items for either venipuncture or microcollection. Remember that veins should ideally feel bouncy. Contains a gel separator and clot activator. Sometimes you may get initial blood flow, but then it stops when you change tubes. Capillary Specimens may be collected on filter paper and sent to lab for testing for. Please enable cookies on your browser and try again. PST (light green top). X=[Ar]4s23d5Y=[Ar]4s23d104p1Z=[Ar]4s23d104p6. Refuse treatment to the extent permitted by law. In this elbow pit, phlebotomists have easy access to the top three vein sites used in phlebotomy: Median cubital vein. What are the complications that can occur when performing a venipuncture? This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. If using a needle and syringe, avoid drawing the plunger back too forcefully.