Phlebotomy Procedures
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| 1 Rationale | show 🗑
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| show | Tincture of iodine solution or chlorhexidine gluconate
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| 3 Equipment | show 🗑
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| 4 Equipment | show 🗑
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| 5 Equipment | show 🗑
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| 6 Equipment | show 🗑
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| show | Safety needles (25- to 26-gauge, for lidocaine administration)
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| 8 Equipment | show 🗑
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| 9 Equipment | show 🗑
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| 10 Equipment | show 🗑
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| show | Oxygen-measuring device to record bon laboratory requisition the oxygen concentration on patient receiving oxygen
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| show | Thermometer to record patient's temperature on laboratory requisition
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| show | Mask
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| show | Protective laboratory coat or smock.
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| 15 Preparation | show 🗑
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| 16 Preparation | show 🗑
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| 17 Preparation | show 🗑
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| 18 Preparation | show 🗑
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| 19 Preparation | show 🗑
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| 20 Procedure | show 🗑
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| show | With the forefinger or first two fingers, press at these sites to find the artery. Never use your thumb (has a pulse). Avoid any site that has a hematoma or that was previously used for an arterial puncture
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| show | Position the patient's arm with the wrist slightly extended and rotated. Check for adequate collateral circulation using the modified Allen test
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| show | Once the radial artery site is chosen, clean the area well with tincture of iodine or chlorhexidine. Do not touch the site after it is cleansed.
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| show | If the patient desires a local anesthetic, fill a 1-mL syringe with lidocaine and inject the lidocaine with the 25- to 26- gauge needle subcutaneously around the anticipated puncture site
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| show | No tourniquet is required because the artery has its own strong BP. Use a prefilled heparinized safety syringe (1 to 5 mL) with a needle to withdraw the sample
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| 26Procedure | show 🗑
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| 27 Procedure | show 🗑
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| show | Engage the safety syringe cover to cover the needle exposure, gently mix the blood in the syringe with the heparin, and label the syringe. Mix the blood gently by inverting the syringe at least 5x.
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| show | Before leaving the patient, clean the puncture site with an alcohol pad to remove the excess iodine or chlorhexidine solution; leave a pressure bandage on the site
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| 30 Procedure | show 🗑
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| show | Notify the primary nurse after an arterial puncture is performed so that the area may be checked frequently for deep or superficial bleeding
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| show | Discard blood-soaked gauze pads, contaminated items, and gowns or gloves used in isolation rooms in approximate biohazardous waste containers
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| 33 After the Procedure | show 🗑
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| 34 After the Procedure | show 🗑
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| 35 After the Procedure | show 🗑
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| 36 After the Procedure | show 🗑
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Created by:
DenmarkH0ttie
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