Please enable JavaScript.
Coggle requires JavaScript to display documents.
Phlebotomy Ch.9: Lecture 2 (Syringe system (Withdraw needle and transfer…
Phlebotomy Ch.9: Lecture 2
Steps 10-14
perform using the thumb of your nondominant hand to anchor the vein below the puncture site
hold the tube assembly with the thumb of your dominant hand on top of the tube holder and your index finger under the holder
insert needle, bevel up with an angle of 15 to 30 degrees in one smooth quick motion
vein wall will give as the needle enters the vein
hold the tube holder steady, maintaining the angle, while the needle is in the arm
Push in the tube with the hand that anchored the vein using flanges to brace the holder and keep it ready
Remove the tourniquet as soon as blood flow is established by pulling on the free end
the tourniquet should not remain on for more than one minute
must be removed prior to needle removal to prevent hematoma prevention
Advance and change tubes
remove tube when blood stops flowing by gently pulling the tube while pushing against flanges of holder
all additive tubes must be gently inverted immediately after removal
Prepare for needle removal
make sure the tourniquet is off and the pt's fist is open
remove the last tube from the back of rubber sheath so that the blood does not drip out of the other end of the needle
Steps 15-19
Withdraw the needles at same angle
apply gauze square to puncture site but don't press down until eh needle is withdrawn
apply direct pressure with no arm bending because it can result in a bruise or hematoma
hold pressure until bleeding has stopped
Dispose of the used needle
make sure that you have activated the safety device before disposal and dispose of needle assembly intact
Label Tubes
label each tube at the patient's bedside or before the pt leaves the output drawing room
as a minimum the label must have the pt's full name, ID #, adte, time, and initials or code of the phlebotomist
Attend to pt
check puncture site for bleeding
apply bandage or adhesive tape to site
raise bed rail if you lowered it
remove gloves and wash hands
thank pt and remove any diet restrictions
Deliver the specimen
follow lab procedure for logging the specimen into the tracking system
make sure that you have completed all paperwork
Syringe system
Following the beginning steps for a routine venipuncture; 1,2,4-7 and 9
prepare syringe and perform the venipuncture as in steps 8 and 10
Fill the syringe
a flash of blood in the needle will indicate that you are in the vein
pull back the plunger to withdraw the blood
Withdraw needle and transfer blood to tubes
follow steps 12-14 of the procedure
activate safety device
attach a needleless blood transfer device to the syringe and hold upright
insert tubes into the transfer device in the same order as the ETS, making sure to invert immediately after removal
Dispose of the syringe and transfer device together into the sharps container
complete the procedure
finish as steps 15-17