ets venipuncture procedure

Review and accession test request. Aseptically attach the syringe to the needle or butterfly setup, making sure the plunger is pushed all the way in. Procedure 4: Routine ETS Venipuncture Purpose: To obtain a blood specimen for patient diagnostic or monitoring purposes from an antecubital vein using the evacuated tube system (ETS) Equipment: Tourniquet, gloves, antiseptic prep pad, ETS needle, tube holder and tubes, gauze pads, sharps container, permanent ink pen, bandages Note: Either the needle or tube holder must have a safety feature to … Select a vein and release tourniquet. Select and organize equipment. If bleeding persists beyond 5 minutes, notify the patient's nurse or physician. Clean and air-dry site. D. 8-2 Routine ETS Venipuncture Procedure* E. 8-3 Venipuncture of a Hand Vein Using a Butterfly and ETS Holder Procedure* F. 8-4 Needle-and-Syringe Venipuncture Procedure* G. 9-1 Performing Venipuncture Below an IV Procedure H. 9-2 Steps to Follow if a Patient Starts to Faint During Venipuncture Procedure Name, DOB, and MR number must be, verified and matched to the test order and, inpatient’s IDband.Preparing the patient by, explaining procedures and addressing inquiries, patient care compromised if diet requirements have, not been met. The results illustrate that blood collection can be a source of significant anxiety for patients even when the procedures go well. Prepare equipment and put on gloves. The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. 7. Approach, greet and properly identify the patient. Releasing the tourniquet and opening the fist allows blood flow to normalize. Warn the patient, line the needle up with the vein, and inserted into the skin using a smooth forward motion. (See PHL-1) 4. 2. Place the patient's arm downward in a straight line from shoulder to wrist to aid in vein selection and avoid reflux as tubes are filled. Blood will not flow until the needle pierces the tube stopper. Preparing the patient by explaining procedures and addressing inquiries helps reduce patient anxiety. Uncap and inspect the needle for defects and discard it if flawed. Fill additive tubes until the vacuum is exhausted to ensure correct blood to additive ratio and mix them immediately upon removal from the holder using 3 to 8 gentle inversions (depending on type and manufacturer) to prevent clot formation. Select vein, release tourniquet,ask patient to relax hand . The right approach for a successful patient encounter, includes a professional bedside manner, being, organized and efficient, and looking for signs that, convey important inpatient information or infection-, Correct ID is vital to patient safety and meaningful, test results. PROCEDURE Routine ETS Venipuncture Step Explanation/Rationale 1. Review and accession test request. Follow ETS steps 15–20. Venipuncture*Procedure* The venipuncture procedure is complex and requires both knowledge and skill. Sanitize hands. In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of venous blood sampling or intravenous therapy. Remove the winged infusion needle from its packaging. If bleeding has stopped, apply bandage and advise the patient to keep it in place for at least 15 minutes. According to the OSHA BPP standard, gloves must be worn during phlebotomy procedures. Select a suitable site for venipuncture. For accurate results, some specimens require special handling such as cooling in crushed ice (e.g., ammonia), transportation at body temperature (e.g., cold agglutinin), or protection from light (e.g., bilirubin). 6. Step 3. Proper positioning is important to patient comfort and venipuncture success. The primary choice for a routine venipuncture that will be performed on an adult or an older child is a blood collection system that consists of a holder (or adapter), a needle that is pointed on both ends, and evacuated blood collection tubes. Videos: Venipuncture of a Hand Vein Using a Butterfly and ETS Holder Videos: Venipuncture Using a Needle and Syringe Videos: Venipuncture Using the Evacuated Tube System (ETS Venipuncture) Most had multiple procedures in the year prior to being interviewed. The fist aids needle entry. 4. Selecting appropriate equipment for the size, condition, and location of the vein is easier after vein selection. In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some EMTs, paramedics, phlebotomists, dialysis technicians, and other nursing staff. Venipuncture Steps 210 Venipuncture Steps 217 Routine ETS Venipuncture 235 Routine ETS Venipuncture 235 . Position the draw site for best visualization and/or palpation. Dermal Puncture vs Venipuncture In some situations, the phlebotomist will make the decision if a blood specimen will be obtained by dermal puncture or venipuncture. Procedure and Performance of a Venipuncture: Select the proper size needle and attach it to the syringe or Vacutainer. Some facilities require that contaminated items such as blood-soaked gauze be discarded in biohazard containers. 5. Approach, identify, and prepare patient. Preparing it while the site is drying saves time. Cleaning the site with an antiseptics such as 70% isopropyl alcohol helps avoid contaminating the specimen or patient with skin surface bacteria picked up by the needle during venipuncture. Performing the Test Prepare and clean the site with antiseptic or other germ-killing medicine. 2. Place the tourniquet 3 to 4 inches above the venipuncture site, making it swell with blood. In veterinary medicine, the procedure is performed by veterinarians and … Approach. The blood is normally drawn from a vein on the top of the hand or from the inside of the elbow. The accession process records the request and assigns it a unique number used to identify the specimen and related processes and paperwork. Procedure for Inability to Collect Specimen Venepuncture is the process of obtaining intravenous access – most commonly for the purpose of blood sampling. Place your thumb 1- to 2-inches below and slightly beside the vein and pull the skin toward the wrist. The tourniquet aids needle entry. Prepare equipment and put on gloves. Materials such as needle caps and wrappers are normally discarded in the regular trash. Question: Chat 259 152 Unit Blood Collection Procedures SKILLS DRILL 8-3: ROUTINE ETS VENIPUNCTURE (Text Procedure 3-2) Pin In The Banks With The Missing Information Steps 1. Review And (1) Request Th Le Ar 2. 5). The evacuated tube system (ETS) is the standard equipment used for routine venipuncture. New photos . Reapply tourniquet, uncap, and inspect needle. Note: Either the needle or tube holder must have a safety feature to prevent needle sticks. Find answers and explanations to over 1.2 million textbook exercises. A test request is reviewed for completeness, date and time of collection, status, and priority. ( see PHL -1 ) 2 is the first choice, followed the. Inserted through the skin surface does not mean that the needle pierces tube... Inserted through the skin using a smooth forward motion, as appropriate advise the patient s! 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