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CH9
Routine Veinpuncture
| Question | Answer |
|---|---|
| ICD-9-CM code | Billing code used to submit charges for services to insurance companies and providers. |
| Requisition | full name, DOB, sex, race If inpatient: also hospital ID number and room and bed number. Physician, test status (stat, fasting) |
| where to place the tourniquet | 3-4 inches above the puncture site. |
| how long to leave on the tourniquet? | < 1 minute |
| hemoconcentration | increased blood concentration due to prolonged time of tourniquet |
| hemolysis | destruction of RBC's, due to too tight or too long time of tourniguet |
| petechiae | spots on skin, due to too tight torniquet |
| first choice vein | MEDIAN CUBITAL |
| second choice vein | CEPHALIC VEIN (thumb side) best on OBESE patient |
| third choice vein | BASILIC VEIN (pinky) near the brachial artery |
| if it feels SPONGY, BOUNCY FIRM | it's a VEIN |
| Allow alcohol to dry on skin for | 30 to 60 seconds |
| Anchor the vein at | 1-2 inches bellow the vein puncture site |
| Angle the needle | 15-30 degrees above the skin |
| Tube labeling includes | Patient name, patient ID#, Date, Time, Initials (or ID#) |
| If tube is labeled add | Initials or ID# and time of collection |
Created by:
glamorousglenys
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