-Vacutainer barrel 5. The infograph below provides a detailed description of the venipuncture steps as found in our how to draw blood resource. Edematous extremities - tissue fluid accumulation alters test results. Track marks are not only found on IV drug users, but also on chronically ill patients requiring repeated vascular access and blood draws and may be a sign of an anticipated difficult draw. What is the most common complication of venipuncture? This information must be given when requesting microbiology, cytology, fluid analysis, or other testing where analysis and reporting is site specific. Notify your supervisor or patientsphysician if unsuccessful. When wearing gloves, change them between each patient and wash your hands frequently. Using a sterile lancet, puncture the most medial or lateral portion of the plantar surface of theheel, medial to a line drawn posteriorly from the mid great toe to the heel. Blood is commonly obtained from the median cubital vein on the anterior forearm. Giavarina D, Lippi G. Blood venous sample collection: Recommendations overview and a checklist to improve quality. Applyan adhesive bandage. 2009 Feb;131(2):195-204. The upper extremity on the side of a previous mastectomy - test results may be affected because of lymphedema. C. placed in the sharps container 1. The creatine kinase (CK), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), and platelet count may increase. Phlebotomy NHA flashcards Flashcards | Chegg.com If blood is not obtained, change the position of the needle carefully by moving it forward or backward. Significant increases can be found in total protein, aspartate aminotransferase (AST), total lipids, cholesterol, iron, Affects packed cell volume and other cellular elements. For example, Google offers SafeSearch that can block explicit search results like porn, and it works for all image and video searches, as well as news and general search content. Too tight of a tourniquet may cause the vein to collapse upon needle insertion. Stabilize the needle as you're inserting your tubes. Clean up any blood spills with a disinfectant such as freshly made 10% bleach. Venipuncture Quiz Flashcards | Quizlet While hand veins may be utilized for blood draws and intravenous infusions, veins in the feet and legs should be avoided for adults. Procedure for Capillary Puncture of the Heel: A heel puncture is performed on the lateral or medial plantar surface of the, foot. When do you release the tourniquet during venipuncture? Use a butterfly to compensate for patient movement. Consult the nursing unit or your facility's resources prior to drawing from an IV or PICC line or performing venipuncture on an arm with an IV line in place. D. after needle removal, When drawing blood you should always follow universal ______ If superficial veins are not readily apparent, you can force blood into the vein by massaging the arm from wrist to elbow, tap the site with index and second finger, apply a warm, damp washcloth to the site for 5 minutes, or lower the extremity over the bedside to allow the veins to fill. This makes every subsequent poke harder and harder because scar tissue is more fibrous and tougher to puncture. Concentrations of fluids and medications could affect baseline test results. var zf_ifrm_data = evntData.split("|"); PDF Venipuncture - Central Zone - Alberta Health Services

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