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Routine Venipuncture
24 steps
Question | Answer |
---|---|
Step 1 | Verify the requisition for the tests. |
Step 2 | Identify the patient: check the patient's ID number and name & dob. |
Step 3 | Identify yourself to the patient , explain the procedure, and secure his/ or consent. |
Step 4 | Palpate the veins in the antecubital fossa, using your index finger and a tourniquet. |
Step 5 | Gather the necessary equipment. |
Step 6 | Wash hands; put on gloves. |
Step 7 | Tie the tourniquet. ( should be tied 4 inches above the site) - Ask the patient to make a fist to help engorge the vein. |
Step 8 | Palpate the vein, cleanse area using a circular motion starting at the inside of the venipuncture. |
Step 9 | .Assemble the needle while the alcohol is drying. - Than uncap the needle |
Step 10 | Hold the patient's arm, and taunt the patient's skin. |
Step 11 | With the bevel facing upward, insert the needle at an angle of 15-30 degrees ( IN THE SAME DIRECTION OF THE VEIN!) |
Step 12 | Once the needle is inside the vein, push the collection tube into the holder to puncture the tube stopper with the back end of the needle. |
Step 13 | Release the tourniquet once blood flow has begun. ( Never leave a tourniquet on more than 1 minute) |
Step 14 | Fill the needed tubes, follow the ORDER OF DRAW. |
Step 15 | Pull out the collection tube from the holder. |
Step 16 | Place folded gauze over the venipuncture site and withdraw the needle |
Step 17 | Discard the needle into the biohazard's sharp container. |
Step 18 | Label each collected specimen; patient's name, ID number, time & date of collection and your initials. |
Step 19 | Place labeled tubes inside the biohazards transport bag. |
Step 20 | Before leaving check venipuncture site: |
Step 21 | At any point when bleeding stops, apply band aid. (Advise patients to remove bandages within 1 hour) |
Step 22 | Clean up everything and dispose of waste properly. |
Step 23 | Leave the patient's call light within his/her reach. |
Step 24 | Remove gloves, wash your hands, say goodbye to the patient and tell him/ her that the physician will deliver results. |