Wash hands thoroughly and prepare materials for phlebotomy. 6. using excessive pressure on the syringe. Fax: 208-523-3318, 444 Hospital Way Venipuncture can be painful, and a patient may experience anxiety or fear before the procedure. 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 750 Once blood flow is established, or a sufficient amount of … 278 333 556 556 556 556 280 556 333 737 370 556 584 333 737 552 Venipuncture Procedure Step 1 Label the tube with the patient’s particulars Step 2 Put tourniquet on the patient about 3-4’ above the venipuncture site Step 3 Ask patient to form a fist so veins are more prominent Step 4 After finding the vein, clean the venipuncture site with alcohol using circular motion. 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 Procedure and Performance of a Venipuncture: Select the proper size needle and attach it to the syringe or Vacutainer. 8 0 obj Specimen Collection Manual Venipuncture Procedure I. %PDF-1.3 A phlebotomist is a medical... IV hydration. Collect blood into an airtight tube or vial that is attached to the needle. 278 278 355 556 556 889 667 191 333 333 389 584 278 333 278 278 By following an established procedure for venipuncture many pre-analytical errors can be avoided. "$"$�� C�� ny" �� Venipuncture Collection Procedure ( directly into tubes) 5-10 Venipuncture Collection Procedure ( via butterfly needle and syringe) 10-12 References 13 Related Documents 14-15 Appendices: Appendix A – Maximum Allowable Total Blood Volumes 16 … ] (This varies with patient size and vein location.) The following instructions are for butterfly (winged infusion set) and/or syringe usage: Butterfly needle sizes range from 21- to 25- gauge in diameter and ½ to ¾ inches in length. You need to arrange the colors on the board to achieve the steps involved in the procedure. Phlebotomy Procedure: Venipuncture with 21G Butterfly. 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 Basic Methods of Venipuncture Procedure Venipuncture Procedure using Vacuum Needle. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 556 556 556 556 556 556 556 556 556 556 278 278 584 584 584 556 667 667 667 667 667 667 1000 722 667 667 667 667 278 278 278 278 During venipuncture (the insertion of a needle into a vein), a phlebotomist or nurse will hold the butterfly needle by its wings between the thumb and index finger. 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 Allow the blood to flow into the tubes naturally, with the needle aimed toward the side of the tube, do not force as this can cause hemolysis. Drag the color balls from the panel below the grid and drop them on the placeholders starting from the row at the bottom. /Filter /DCTDecode However, there is a new blood drawing needle beginning to be used that leaves the patient with less pain and reduces speed during the venipuncture procedure; it is called the Vacutainer UltraTouch Push … ���� JFIF �� C ! USING SAFETY ENGINEERED VACUTAINER HOLDER WlTH ATTACHED NEEDLE COVER . In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling (also called phlebotomy) or intravenous therapy.In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 Each phlebotomist generally establishes a routine that is comfortable for her or him. 11 0 obj 1. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 750 400 549 333 333 333 576 537 278 333 333 365 556 834 834 834 611 When drawing with a syringe, either … PURPOSE … Venipuncture Procedure I. … These videos were created for educational purposes. 346 >> Gauges 21 and 23 are used for most procedures. stream �[��qEz�ǵ4���_�x���]g� �� �� ���?�2�?�/� X�T��߭W�w��k��� �ˬ� �t��U}5�����n�=į,�XB�#�ff( $�I���� � ȍ��:��p>���T�^����n�ͺ(���ࢊ( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��(�� h��,� �$��*Z� Venipuncture is performed on all Capital Health patients (inpatients and ambulatory care) in accordance with this policy and procedure to ensure that blood specimens have the required integrity to provide quality results and inform patient care. 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 How Butterfly Needles Are Used . 750 222 222 333 333 350 556 1000 333 1000 500 333 944 750 500 667 VENIPUNCTURE PROCEDURE The venipuncture procedure is complex, requiring both knowledge and skill to perform. 14 0 obj 722 722 778 778 778 778 778 584 778 722 722 722 722 667 667 611 Insert the needle to the vein at a 30-degree angle or less. /ColorSpace /DeviceRGB A winged infusion set—also known as "butterfly" or "scalp vein" set—is a device specialized for venipuncture: i.e. How is a butterfly needle used? If using a butterfly, sheath the needle with the safety sheath before disposing in the sharps container. 2 0 obj 722 722 722 722 722 722 1000 722 667 667 667 667 278 278 278 278 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 17.2)Hold bevel side facing up. /Type /XObject Rexburg, ID 83440 1.Bloodletting – standards. 670 17.1)Remove the plastic guard on the butterfly end on the needle. << Suite 210 ] Typical syringe type needle for venipuncture. POLICY: By establishing a procedure for the correct collection of blood by venipuncture many pre-analytical errors and patient management complications can be avoided. What is venipuncture Venipuncture is also called phlebotomy, is a procedure in which a needle is used to take blood from a vein. Demonstration of phlebotomy using a butterfly needle on a mannequin. Apply the Use appropriate size sterile needle or Safety-Lok Blood collection set (Butterfly). endobj Aseptically attach the syringe to the needle or butterfly setup, making sure the plunger is pushed all the way in. Anxiety may be Venipuncture is most often done for laboratory testing. Do not allow the contents of the tube to contact the stopper as backflow of blood into the venous system can cause possible adverse patient reaction. Place a sheathed needle or butterfly on the syringe. Butterfly needle sizes range from 21- to 25- gauge in diameter and ½ to ¾ inches in length. a.) If the plunger is pulled too hard, the red blood cells may be hemolyzed and the vein collapse. Phlebotomy Procedure: Venipuncture with 21G Butterfly Phlebotomy Procedure: Venipuncture with 21G Butterfly by Crystastic Jewels 5 years ago 7 minutes 2,528,278 views The stick you've all been waiting for....ME using a \"Butterfly\" (smile) I woke up and this video was STILL being PROCESSED! 208.529.8330 ext. G. Remove tourniquet when blood flow is established. �.�(��(�=���_���N�����B��lWː��#����x���]g� �� ��h��,� �$��*Z� 556 556 556 556 556 556 889 556 556 556 556 556 278 278 278 278 The fingers support the back of the arm just below the elbow. Fax: 208-497-2098. 208-529-8330 [ b.) Tube is inserted into the hub. Place a tube from your tray into the hub and check for blood flow. This type of venipuncture procedure is a little different, and sometimes can be a little more involved. 18. 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 endobj 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 333 556 611 556 611 556 333 611 611 278 278 556 278 889 611 611 Place the thumb at least 1 to 2 inches below, but slightly on the side of the site of venipuncture, and pulling the skin towards the wrist. WHO Library Cataloguing-in-Publication Data WHO guidelines on drawing blood: best practices in phlebotomy. Phlebotomists are considered to have occupational exposure to blood borne pathogens. The butterfly needle is connected to a tube through which blood flows into a collection reservoir. In many patients, venous access is necessary for obtaining blood for laboratory testing and administering fluid and intravenous drugs. Venipuncture is a procedure in which a needle is used to take blood from a vein ,usually for laboratory testing and may also be done to remove extra red blood cells from blood to treat certain blood disorder . When using a syringe, make sure that you pull the plunger in and out to. 667 778 722 667 611 722 667 944 667 667 611 278 278 278 469 556 16 0 obj Fax: 208-523-3318, 2001 S. Woodruff, Suite 15B VENIPUNCTURE PROCEDURE USING A SYRINGE: 1. 556 750 222 556 333 1000 556 556 333 1000 667 333 1000 750 611 750 Venipuncture Procedure. The following instructions are for butterfly (winged infusion set) and/or syringe usage: 3910 Washington Parkway ... Butterfly use should be reserved for fragile veins. Idaho Falls, ID 83404 >> PURPOSE: After accessing the patient, choose appropriate sized safety butterfly needle & syringe. Vacutainer Brand Evacuated Blood Collection System Product … Remove the needle from the patient’s arm, have them hold the cotton ball with pressure; remove the needle from the syringe and dispose of correctly in a sharps container. Position the draw site for best visualization and/or palpation. 2. /Width 377 The most common needle used is a butterfly needle. 556 556 556 556 556 556 889 500 556 556 556 556 278 278 278 278 Withdraw the needle from the vein. Remove syringe from sterile packaging and push plunger in and out to ensure smooth movement. 975 722 722 722 722 667 611 778 722 278 556 722 611 833 722 778 Small gauge needles should be avoided. Infants, children, and some adults have small veins, which require using a butterfly with a syringe. Gauge 25 may be used for small veins. Procedure Site selection Site preparation Venipuncture Administration prepared by Yannick ngerageze a radiographer at Gihundwe Hospital 21 22. /Name /Im16 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556 My phlebotomy clinical externship Venipuncture. VENIPUNCTURE •NOTE: •A clearing tube must be used if using a butterfly for coagulation studies •A non-additive tube may be drawn before coagulation studies when using a multi-draw needle •NO clot activator or additive tube should be drawn before coagulation studies 48 8.10.1 208-529-8330 556 556 556 556 556 556 556 549 611 556 556 556 556 500 556 500 667 778 722 667 611 722 667 944 667 667 611 333 278 333 584 556 When inserting the needle, the phlebotomist should hold the collection device or butterfly needle with his dominant hand. 556 556 556 556 556 556 889 556 556 556 556 556 278 278 278 278 /Height 110 endobj 556 750 278 556 500 1000 556 556 333 1000 667 333 1000 750 611 750 COLLECTION & HANDLING TIPS » Butterfly Venipuncture. /Creator (easyPDF SDK 5.1) %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz��������������������������������������������������������������������������� Fax 208-232-0755, 101 E Main St 611 611 389 556 333 611 556 778 556 556 500 389 280 389 584 750 Most common method of venipuncture that is used in healthcare Venipuncture sampling is the most common way to collect blood from adults' patients … Make sure the bevel of the needle is pointing up, anchor the vein with the thumb of your opposite hand about 1 inch below the puncture site, and then insert the needle at no more than 15 degrees. This is an interactive game to test your knowledge on Butterfly Venipuncture Procedure. �� �;�D�?� '���������W� #肊(�>h+� � ȍ��:���}}a���/�A� �֪��g��z/�ۢ�+C� ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��( ��(��h�k���?�� =��Z�����z� /BitsPerComponent 8 333 556 556 500 556 556 278 556 556 222 222 500 222 833 556 556 556 556 556 556 556 556 556 556 556 556 333 333 584 584 584 611 278 333 556 556 556 556 260 556 333 737 370 556 584 333 737 552 2.Phlebotomy – standards. $4�%�&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz�������������������������������������������������������������������������� ? In some cases, just the appearance of a needle is frightening. 12. [ /CreationDate (D:20180827110655-06'00') 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 After doing so, pull back on the plunger. 611 611 611 611 611 611 611 549 611 611 611 611 611 556 611 556 Building 100, Suite 224 Venipuncture can also happen when patients have intravenous (IV) lines started. 208.529.8330 ext. These wings help to hold the needle in place after insertion and aid the phlebotomist in gripping the needle. 278 333 474 556 556 889 722 238 333 333 389 584 278 333 278 278 �� � w !1AQaq"2�B���� #3R�br� If you need IV fluids, a nurse or doctor may use a butterfly needle to access a vein. ] Site Selection Prime factors to consider Suitability of location Condition of vein Purpose of infusion Duration of therapy prepared by Yannick ngerageze a radiographer at Gihundwe Hospital 22 This venipuncture procedure uses a special type of needle known as a butterfly needle. /Producer (BCL easyPDF 5.10 \(0420\)) A venipuncture is when a phlebotomist accesses a vein to draw blood. [ 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Make sure the needled moves along the vein. << This removes … 556 556 333 500 278 556 500 722 500 500 500 334 260 334 584 750 Blood will appear in the hub of the needle if the position is correct. A butterfly needle is specially designed with wings on the sides. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 750 750 Patient safety is the ultimate 750 278 278 500 500 350 556 1000 333 1000 556 333 944 750 500 667 Venipuncture with butterfly needle – notice the wings that help to secure the needle. endobj 1015 667 667 722 722 667 611 778 722 278 500 667 556 833 722 778 Perform the venipuncture procedure. assure free motion. 400 549 333 333 333 576 556 278 333 333 365 556 834 834 834 611 2. 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