the form on which test orders are entered

irrational fear of pins and needles

condition brought on by effects of treatment

anemia caused by repeated blood draws

Step 1. Test Requisition

the test request, ordered by HCW, must accession test request -> unmistakably assign it to an individual

Step 3. Gain consent before touching patient

expressed consent: patient verbally agrees or in writing implied consent: patient extends arm, unconscious

Step 4. Verify collection requirements

fasting, timed, history of fainting

Step 5. Sanitize hands and put on gloves

sanitize hands and put on gloves

Step 6. Position patient, apply tourniquet and locate vein by palpating

position patient, apply tourniquet and locate vein by palpating

Step 7. Select vein and release tourniquet

select vein and release tourniquet

Step 8. Clean and air dry the site

isopropyl/isopropanol, air dry bc it stings, evaporation helps, alcohol causes rapid hemolysis

Step 10. Reapply tourniquet and inspect needle

reapply tourniquet and inspect needle

Step 11. Ask patient to make fist, anchor vein, and insert needle

ask patient to make fist, anchor vein, and insert needle

Step 12. Establish blood flow and ask patient to relax fist

establish blood flow and ask patient to relax fist

Step 13. Fill tubes using correct order of draw

fill tubes using correct order of draw

Step 14. Remove tourniquet, withdraw needle, safety needle, apply gauze, have patient apply pressure

remove tourniquet, withdraw needle, safety needle, apply gauze, have patient apply pressure

Step 15. Discard needle and holder in sharps container

discard needle and holder in sharps container

Step 16. Label and invert tubes and prepare for transport - reverify patient

label and invert tubes and prepare for transport - reverify patient

Step 17. Check on patient, apply bandage

check on patient, apply bandage

Step 18. Dispose of unused supply, wrappers, etc

dispose of unused supply, wrappers, etc

Step 19. Thank patient and sanitize hands

thank patient and sanitize hands

Step 20. Transport specimens to laboratory

transport specimens to laboratory

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Ch 8 Study Guide

Venipuncture Procedures

Term	Definition
Requisition	the form on which test orders are entered
DOB	date of birth
Belonephobia	irrational fear of pins and needles
Recumbent	lying down
Palpate	examine by touch or feel
Anchor	secure firmly
Taut	pulled tight
Iatrogenic	condition brought on by effects of treatment
Iatrogenic anemia	anemia caused by repeated blood draws
Step 1. Test Requisition	the test request, ordered by HCW, must accession test request -> unmistakably assign it to an individual
Step 2. ID Patient	always use a 3-part ID
Step 3. Gain consent before touching patient	expressed consent: patient verbally agrees or in writing implied consent: patient extends arm, unconscious
Step 4. Verify collection requirements	fasting, timed, history of fainting
Step 5. Sanitize hands and put on gloves	sanitize hands and put on gloves
Step 6. Position patient, apply tourniquet and locate vein by palpating	position patient, apply tourniquet and locate vein by palpating
Step 7. Select vein and release tourniquet	select vein and release tourniquet
Step 8. Clean and air dry the site	isopropyl/isopropanol, air dry bc it stings, evaporation helps, alcohol causes rapid hemolysis
Step 9. Prepare VP equipment	prepare vp equipment
Step 10. Reapply tourniquet and inspect needle	reapply tourniquet and inspect needle
Step 11. Ask patient to make fist, anchor vein, and insert needle	ask patient to make fist, anchor vein, and insert needle
Step 12. Establish blood flow and ask patient to relax fist	establish blood flow and ask patient to relax fist
Step 13. Fill tubes using correct order of draw	fill tubes using correct order of draw
Step 14. Remove tourniquet, withdraw needle, safety needle, apply gauze, have patient apply pressure	remove tourniquet, withdraw needle, safety needle, apply gauze, have patient apply pressure
Step 15. Discard needle and holder in sharps container	discard needle and holder in sharps container
Step 16. Label and invert tubes and prepare for transport - reverify patient	label and invert tubes and prepare for transport - reverify patient
Step 17. Check on patient, apply bandage	check on patient, apply bandage
Step 18. Dispose of unused supply, wrappers, etc	dispose of unused supply, wrappers, etc
Step 19. Thank patient and sanitize hands	thank patient and sanitize hands
Step 20. Transport specimens to laboratory	transport specimens to laboratory

Created by: user-2043425

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