Perform a Venipuncture Collect a Venous Blood Sample Using the Vacuum Tube Method
Venous Blood Specimen Collection Procedure
Introduction to the Procedure
- The procedure begins with an overview of collecting a venous blood specimen using the vacuum tube technique, emphasizing the importance of following provider orders and clarifying any questions.
- It is crucial to gather appropriate tubes as specified on the requisition form along with all necessary supplies before starting.
Patient Identification and Preparation
- Verify the patient's identity using three identifiers: full name, date of birth, and last name spelling or photo ID.
- Explain the procedure to the patient (Tina), ensuring she understands what will happen and obtaining her permission for venipuncture.
Selecting the Venipuncture Site
- Ask the patient if she has a preference for which arm to use; assess both arms for vein accessibility.
- Apply a tourniquet around 3-4 inches above the elbow without restricting arterial blood flow; it should not remain in place longer than 60 seconds.
Performing Venipuncture
- Cleanse the selected site with an alcohol pad in a circular motion from center outward before assembling equipment.
- Insert the needle at a 15 to 20-degree angle into the vein while anchoring it properly with your non-dominant hand.
Collecting Blood Samples
- Once in position, push vacuum tubes onto the double-pointed needle without moving it; allow each tube to fill completely.
- After filling all required tubes, gently invert them to mix additives with blood before releasing the tourniquet prior to needle removal.
Post-Venipuncture Care
- Apply pressure over puncture site after removing needle and engage safety device; instruct patient on how to apply pressure effectively.
- Label all tubes accurately with patient's information and ensure proper disposal of contaminated materials in biohazard waste containers.
Final Steps
- Complete laboratory requisition forms and document all procedures performed in patient's record for future reference.
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