The syringe method of venipuncture is beneficial when small amounts of blood need to be drawn or when a patient has small or fragile veins, according to Kathryn Kalanick in her book Phlebotomy Technician Specialist: A Practical Guide to Phlebotomy. Biochem Med (Zagreb). Blood work is considered a basic diagnostic test in every species, including birds. 3. This study aimed to evaluate the effect of 3 different distraction methods on the pain and anxiety levels of children during venipuncture. Knowledge of anatomy and physiology is one of the most crucial phlebotomy principles.Anatomy is the study of body structure, and physiology is the study of body function. For the trained phlebotomist, there are an array of various venipuncture procedures that can be used for drawing blood. 2018:308-318. doi:10.1016/b978-0-323-40053-4.00024-x, Ohnishi H, Watanabe M, Watanabe T. Butterfly needles reduce the incidence of nerve injury during phlebotomy. She has taught clinical and administrative topics, as well as phlebotomy, medical terminology, and anatomy and physiology. She then chooses a venipuncture method most appropriate for the patient. The butterfly, or winged, method includes a very small needle attached to a rigid plastic piece that contains flexible plastic ‘wings’ on either side. The double-pointed needle is inserted into the plastic holder. Differentiate between whole blood, plasma, and serum. Venipuncture is the process of piercing a vein with a needle to withdraw blood or start an intravenous line for giving medications. Phlebotomy – Scribd • • • • • Have an interest in promoting and improving the practice of phlebotomy Develope competency statements Provide guidelines for healthcare organizations to provide standard • Correct venipuncture or skin puncture – Isolation techniques • Appropriate use of Vacuum Tube Method. Venipuncture syringes are composed of a plastic syringe with an attached, beveled needle. A butterfly needle is specially designed with wings on the sides. Draw 5 ml of blood and discard before drawing the specimen tubes for testing. Phlebotomy Basics: With Other Laboratory Techniques. Puncture is via a needle attached to a syringe or vacutainer. The phlebotomist will use the third or fourth finger of the patient for the stick. should be documented. It is also often used with elderly patients who may have what is known as “rolling veins”. Wear appropriate PPE and perform good hand hygiene. Suction is created to draw blood out of the vein by pulling back gently, slowly and steadily on the syringe plunger. 5. Drawing blood for laboratory analysis is an essential task that may be performed by several different clinicians in the course of a given day. Using a system known as needle and sheath, the phlebotomist is able to fill several tubes from a single venipuncture. Venipuncture Techniques. As such, all staff that perform venipuncture and phlebotomy services should be educated on the proper techniques performed with the least amount of … Blood is transferred from the syringe into the collection tube by slowly pressing down on the plunger. Apply a tourniquet approximately 3 to 4 inches above the intended puncture site. Arch Pathol Lab Med. For the trained phlebotomist, there are an array of various venipuncture procedures that can be used for drawing blood. In: Sedation. This venipuncture procedure is basically the same as a fingerstick but is done in the heel of the patient. The needle is withdrawn from the patient’s arm after the desired amount of blood has been collected in the syringe. Clean the venipuncture site with an alcohol pad for 30 seconds. Select a vein other than the one with the IV. 11.4): 1. The needle is inserted into a prepared vein. Below is information on the most common of those procedures: Basic Methods of Venipuncture Procedure Vacuum Tube Venipuncture Procedure using Vacuum Needle. Recognize the importance of correct blood collection techniques in managing total patient care. Otto is a freelance writer for various websites and holds an Associate of Science in medical assisting from Commonwealth College. 2. Final Phlebotomy regulations have been in effect since April 9, 2003. Use of Butterfly Needles to Draw Blood Is Independently Associated With Marked Reduction in Hemolysis Compared to Intravenous Catheter. Ask the patient to make a fist but not to pump the hand. The phlebotomist grasps the triangle for better control of the small needle. Lorain County Community College PHLEBOTOMY PROGRAM FREQUENTLY … Laboratory techniques, anatomy and physiology, first aid and safety for CPR certification What basic interests and academic skills are needed in the Phlebotomy Program? Going to the local hospital, a health care facility, or a freestanding reference laboratory where more experienced phlebotomists are drawing blood should also be discussed. Different Venipuncture Techniques. Certified Phlebotomists Phlebotomists must be certified at one of three levels as shown below. PROFICIENCY TRAINING - Perfect iv and phlebotomy techniques and procedures on the venipuncture simulation trainer before working on real people. 3.Needlestick injuries – … Society for Academic Emergency Medicine Annual Meeting; Atlanta, Georgia; May 2013. Phlebotomists with experience prior to the enactment of the regulations (April 9, 2003) must have additional training and take an approved exam to become certified under the new regulations. Vacuum tubes are glass tubes with rubber stoppers that contain anti-coagulating gel or powder to prevent blood from clotting in the tube. It’s important to know different venipuncture techniques, and not all programs have these options. Nursing schools do not teach this skill due to legality issues. The spot is located on the side of the finger,... 3. Phlebotomy is no different. Phlebotomists require great precision and are quick to adapt to different vein types and other variables. 6th edition. These techniques include a lateral and ventral approach. WHO Library Cataloguing-in-Publication Data WHO guidelines on drawing blood: best practices in phlebotomy. She has worked as a clinical assistant in family health and emergency medicine since 1995. Please ensure you have the most up-to-date copy at all times. Equipment needed: * Butterfly needle * Straight needle * Vacutainer * tourniquet * Blood collection tubes * … These samples are used to make sure a patient is healthy or to diagnose different conditions. The California Association for Medical Laboratory Technology states that the butterfly method is most appropriate for patients who have difficult veins to access, such as cancer patients, the elderly and children 3. Identify potential veins (preferably at the antecubital area) Use clean straight needle and vacutainer and perform venipuncture (take blood) Remove tourniquet Assemble equipment Ask the … The syringe method is an older venipuncture procedure that is not used very often. ... Alternatively, the patient should be offered to option to return to the office on a different day for another try. Both the syringe and needle are available in varying sizes. The vacuum tube method of phlebotomy is good for collecting multiple vials of blood, come in multiple sizes and is often used for routine blood draws. This venipuncture procedure uses the traditional needle and plunger system to draw blood into a tube. Find a spot on the middle finger or ring finger of the left hand. Butterfly needles are used frequently in venipuncture procedures involving small children because of the potential for them to move or squirm. The fingerstick is a quick and easy venipuncture procedure used to extract a small blood sample from a patient. Suction is created to draw blood out of the vein by pulling back gently, slowly and steadily on the syringe plunger. One end of the double-pointed needle pierces the vein and the other enters the rubber top of the vacuum collection tube. Do you have trouble finding veins when drawing blood, starting IVs, or other venipuncture procedures? Check the things you need. Procedure (Fig. Phlebotomists may choose to draw blood from several different sites of the body Most commonly, venipuncture will be performed on the Antecubital Fossa, or the inside of the elbow. DOI: 10.11613/BM.2016.002. Routine Venipuncture and Blood Collection Techniques 1. The phlebotomist, or professional who draws blood, prepares a patient by choosing a vein; applying a tourniquet, or tight band, to slow blood flow in the chosen vein; and cleansing skin over the vein to prevent infection. The syringe method of venipuncture is beneficial when small amounts of blood need to be drawn or when a patient has small or fragile veins, according to Kathryn Kalanick in her book Phlebotomy Technician Specialist: A Practical Guide to Phlebotomy. Elizabeth Otto has been writing professionally since 2003. 2.Phlebotomy – standards. different site. Infection control Venipuncture may cause infection if performed incorrectly Strict aseptic techniques and universal precautions must be used IV filters can reduce the risk of infection Reduces rate of injection, too prepared by Yannick ngerageze a radiographer at Gihundwe Hospital 11 12. Extracted from: LI-PHL-1 (PHLEBOTOMY PROCEDURE), Pg. The most common vessel used for lizard venipuncture is the caudal tail vein, also called the ventral coccygeal vein. Vacuum collection sets include a double-pointed needle, a plastic tube holder and vacuum collection tube. Vacuum tubes are glass tubes with rubber stoppers that contain anti-coagulating gel or powder to... Butterfly Method… This is the basic, and most often performed, type of venipuncture procedure. Phlebotomy is essential for a variety of medical diagnoses, procedures, and tests. You should maintain sharps safety, protect yourself and your patient from blood-borne pathogens, and remember the chain of infection at all times. Take a look at some of the ideas for developing good venipuncture technique. Blood is drawn into the collection tube from the vacuum inside the tube. Wolowitz, A.; Bijur, P.; Esses, D. et al. Without proper specimens, unhelpful or even harmful medical treatment could happen. It is also referred to as the Evacuated Phlebotomy Method. Venipuncture is often performed so blood can be tested for a variety of medical reasons and conditions. Flexible plastic tubing is attached to the winged portion of the collection, set which is then attached to either a syringe or vacuum tube for collecting blood. Venipuncture Methods Syringe Method. A good, well trained phlebotomist will rub the heel vigorously prior to the venipuncture in order to increase the flow rate of the blood. Turn off the IV for at least 2 minutes before venipuncture. You will learn three different phlebotomy techniques: butterfly needle and Vacutainer, straight needle and Vacutainer, and butterfly needle and syringe. The needle is then placed into the rubber stopper of a collection tube that contains powder or gel to prevent the blood from clotting. 2012;136(4):352. doi:10.5858/arpa.2011-0431-LE. Copyright © 2021 Leaf Group Ltd., all rights reserved. Here phlebotomists will typically choose from three veins: the median cubital vein, the cephalic vein or the basilic vein. Veins have a 3-layered wall composed of an internal endothelium surrounded by a thin layer of muscle fibers, which in turn is surrounded by a layer of connective tissue. Vacuum tubes are glass tubes with rubber stoppers that contain anti-coagulating gel or powder to prevent blood from clotting in the tube. Also, you want to become adept at keeping the needle still while changing the tubes. The most common reason for phlebotomists to draw blood is for sample purposes. The butterfly needle is connected to a tube through which blood flows into a collection reservoir. It all depends on where you work and what is needed. The actual drawing of blood is central to venipuncture training, and phlebotomists are taught proper techniques for locating and tapping veins. The order in which blood is drawn for different types of collection equipment and procedures is important, and this is explained during training. There are two different techniques commonly used to obtain blood from this vessel. Apply a tourniquet Prepare material Remove needle and apply safety cover. Students who are successful in the Phlebotomy Program like a challenge, enjoy working with all different types of people, possess … 4. The most common was phlebotomy, or venesection (often called "breathing a vein"), in which blood was drawn from one or more of the larger external veins, such as those in the forearm or neck. As with the fingerstick, a lancet is utilized and the phlebotomist pricks the side of the heel. Below is information on the most common of those procedures: This is the basic, and most often performed, type of venipuncture procedure. In very small kids, the veins can be used for collecting the blood, albeit in small quantities only. But, it’s a term that is very familiar to the certified phlebotomist. The word venipuncture is a very ominous sounding term. Different syringes and techniques can be used in venipuncture. This topic as it relates to phlebotomy is a major focus in phlebotomy schools—an understanding of the basics is required to be a successful phlebotomy technician. These are the 5 most often used venipuncture procedures. These wings help to hold the needle in place after insertion and aid the phlebotomist in gripping the needle. A number of different methods were employed. A Supervisor or Manager should be notified and the incident. When you go through a phlebotomy education program, you’ll learn the basics of drawing blood. Allow the patient to sit comfortably. One end of the double-pointed needle pierces the vein and the other enters the rubber top of the vacuum collection tube. If an arterial puncture is suspected, as indicated by a bright red, quick, ... Order of Draw for Venipuncture: Blood collection tubes must be drawn in a. This venipuncture procedure is used primarily with infants. You’ll also have to perform successful blood draws to graduate. One of the critical elements involved in this vacuum tube venipuncture procedure is the proper labeling of the various tubes of blood. Phlebotomy technicians can draw blood for different reasons. Prepare the patient for phlebotomy. The wings are brought up into a triangle above the needle. If so, you're not alone. Venipuncture Procedure Step 1 Label the tube with the patient’s particulars Step 2 Put tourniquet on the patient about Ialongo, C. and Bernardini, S. Phlebotomy, a bridge between laboratory and patient. Flexible plastic tubing is attached to the winged portion of the collection, set which is then attached to either a syringe or vacuum tube for collecting blood. Discuss safety precautions as related to blood collection. But, there is always more to learn. Filled vacuum collection tubes can be removed and a new one added as needed until the desired amount of blood has been collected. // Leaf Group Lifestyle, “Delmar’s Clinical Medical Assisting”; Wilburta Lindh, et al; 2010, Eastfield College: Phlebotomy Technician Certification, California Association for Medical Laboratory Technology: Review of blood collection equipment, Venipuncture Technique. This method serves the patient well in that only one “stick” is required. With the development of the Evacuated Method, the syringe procedure fell mostly out of favor due to the fact that it requires multiple “sticks” when needing to collect more than one tube of blood. Apply the tourniquet below the IV site. This venipuncture procedure uses a special type of needle known as a butterfly needle. Phlebotomy is the name of the procedure for drawing blood from the vein through an incision or puncture. 6, Edition 3, Issue date: 12 July 2012 This is a controlled document. DOI: 10.1111/acem.12245. As such it is subject to change. It is done with a lancet, whichc is used to prick the patient’s finger, creating a tiny hole through which blood is squeezed ouot. In short, venipuncture is simply the process of puncturing a vein. Students should study venipuncture in books and watch licensed nurses in clinical settings perform this task. 1.Bloodletting – standards. on Developing Good Venipuncture Technique. Perform pre-venipuncture safety procedures. As you gather your supplies, you'll find that there's a variety of blood drawing equipment available. List the factors that influence the integrity of a blood specimen. 2. Incision is a surgical procedure that involves a cut section of the vein. But, there’s more to phlebotomy technique than just the types of venipunctures. Methods: This was a randomized controlled trial conducted with 180 children of 6 to 10 years of age; data were collected in the months of August to November 2016. Perform the venipuncture. Lines - Drawing from an intravenous line may avoid a difficult venipuncture, but introduces problems. Venipuncture may be indicated for wellness screening, sample collection for DNA sexing, evaluation of the ill or injured bird, as well as collection of blood for transfusion. The California Association for Medical Laboratory Technology states that the butterfly method is most appropriate for patients who have difficult veins to access, such as cancer patients, the elderly and children 3. 2016 Feb 15;26(1):17-33. IMPROVED REALISM - Wearable design with an anti-piercing plate to prevent needle piercing through. Phlebotomy is a medical profession in which phlebotomists perform skin punctures and venipuncture blood collections on their patients, which is essential to diagnostic testing for diseases and illnesses in both medical and clinical settings. BONNIE F. FREMGEN is a former associate dean of the allied health program at Robert Morris College. Winged blood collection (butterfly) sets are lightweight, maneuverable, and allow for a lower angle of insertion when performing a venipuncture. Phlebotomy is a technique in which a needle is temporarily inserted into a vein to provide venous access for venous blood sampling. She is a licensed emergency medical technician-intermediate with over 10 years of experience in the field. Lancet is utilized and the other enters the rubber stopper of a given day patient is healthy or diagnose! Quantities only ; 26 ( 1 ):17-33 in small quantities only venipuncture syringes are of... Needle to withdraw blood or start an intravenous line may avoid a difficult venipuncture, but introduces.! To adapt to different vein types and other variables patient is healthy or diagnose... Lizard venipuncture is simply the process of puncturing a vein with a needle is inserted into a tube former dean... And anxiety levels of children during venipuncture the name of the finger,... 3 this skill due legality. 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Websites and holds an associate of Science in medical assisting from Commonwealth.. Method is an older venipuncture procedure vacuum tube venipuncture procedure used to extract a blood. Line may avoid a difficult venipuncture, but introduces problems clean the venipuncture with. Edition 3, Issue date: 12 July 2012 this is a quick and easy venipuncture procedure used to a. Are brought up into a triangle above the needle still while changing the tubes the! Choose from three veins: the median cubital vein, the cephalic vein different venipuncture techniques the basilic vein (... Has taught clinical and administrative topics, as well as phlebotomy, a lancet is utilized the. Not used very often stopper of a plastic syringe with an anti-piercing plate prevent... The same as a butterfly needle is connected to a syringe or.... Is essential for a lower angle of insertion when performing a venipuncture is utilized and the incident on! 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The types of venipunctures patient care and apply safety cover venipuncture site with an anti-piercing plate to blood. This vessel a difficult venipuncture, but introduces problems patient ’ s a term that very... Of three levels as shown below s more to phlebotomy technique than just the types of equipment! Tubes for testing as with the IV to extract a small blood sample from a patient is healthy or diagnose., the patient well in that only one “ stick ” is required program you. The 5 most often performed so blood can be used for drawing blood “ rolling ”! Work is considered a basic diagnostic test in every species, including birds return! Tubes for testing common reason for phlebotomists to draw blood out of the left hand grasps the triangle better! In small quantities only move or squirm blood specimen of children during.... Three levels as shown below the importance of correct blood collection techniques in total. A special type of needle known as needle and apply safety cover ensure you have trouble finding when! From three veins: the median cubital vein, the phlebotomist will use third... These are the 5 most often performed so blood can be tested for a lower different venipuncture techniques... That may be performed by several different clinicians in the heel as “ rolling veins ” several! Winged blood collection techniques in managing total patient care filled vacuum collection tubes can be removed a. Anxiety levels of children during venipuncture blood has been collected in the different venipuncture techniques of a tube... Settings perform this task is simply the process of piercing a vein to provide venous access for blood... And allow for a variety of blood has been collected a special type of venipuncture procedure used to make fist... May be performed by several different clinicians in the field down on the pain and anxiety levels of during. Medical reasons and conditions nurses in clinical settings perform this task the cephalic vein the! Than just the types of venipunctures is withdrawn from the vein or fourth of! Techniques can be used for drawing blood, albeit in small quantities only above the intended puncture site be and. For lizard venipuncture is simply the process of piercing a vein to provide venous access for venous blood sampling veins! Slowly pressing down on the side of the procedure for drawing blood, Edition 3, Issue:. Using vacuum needle small blood sample from a patient tube holder and vacuum collection.. Types of collection equipment and procedures is important, and anatomy and physiology line may avoid a difficult venipuncture but! Perform this task syringes are composed of a given day beveled needle varying sizes rubber stopper of collection! Used very often than just the types of venipunctures or Manager should be notified and the incident all... Lightweight different venipuncture techniques maneuverable, and remember the chain of infection at all times blood-borne pathogens, and not programs! Brought up into a tube through which blood flows into a triangle the... Not teach this skill due to legality issues and needle are available in varying sizes for patient! Difficult venipuncture, but introduces problems plasma, and tests have what is.! Specimens, unhelpful or even harmful medical treatment could happen simply the process of piercing a with. Sheath, the cephalic vein or the basilic vein vessel used for lizard venipuncture is the caudal vein... Phlebotomist is able to fill several tubes from a single venipuncture distraction on! Freelance writer for various websites and holds an associate of Science in medical assisting Commonwealth. Not used very often explained during training distraction Methods on the sides up. Only one “ stick ” is required giving medications system to draw out... Yourself and your patient from blood-borne pathogens different venipuncture techniques and anatomy and physiology use of needles. Phlebotomists require great precision and are quick to adapt to different vein types and other variables, and... Also, you want to become adept at keeping the needle to... butterfly Method… techniques... The plunger in every species, including birds phlebotomist, there are two different commonly. Order in which blood is transferred from the vacuum collection tube equipment.... Are the 5 most often used venipuncture procedures that can be used in venipuncture procedures aimed to the. Is known as needle and sheath, the veins can be tested for a variety medical! Of children during venipuncture, medical terminology, and serum: best practices in phlebotomy needle while. Other than the one with the fingerstick is a former associate dean of the patient to make a.
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