Phlebotomy tubes

Describe and perform the venipuncture process including: Appropriate clothing and protective equipment Ensuring the comfort of the patient Proper patient identification procedures.

Phlebotomy tubes

Ensure that the rack containing the sample tubes is close to you, the health worker, but away from the patient, to avoid it being accidentally tipped over.


Identify and prepare the patient Where the patient is adult and conscious, follow the steps outlined below. Introduce yourself to the patient, and ask the patient to state their full name. Check that the laboratory form matches the patient's identity i. Ask whether the patent has allergies, phobias or has ever fainted during previous injections or blood draws.

If the patient is anxious or afraid, reassure the person and ask what would make them more comfortable. Make the patient comfortable in a supine position if possible. Place a clean paper or towel under the patient's arm. Discuss the test to be performed see Annex F and obtain verbal consent.

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The patient has a right to refuse a test at any time before the blood sampling, so it is important to ensure that the patient has understood the procedure. For paediatric or neonatal patients, see Chapter 6.

Select the site General Extend the patient's arm and inspect the antecubital fossa or forearm. Locate a vein of a good size that is visible, straight and clear.

Phlebotomy tubes

The diagram in Section 2. The median cubital vein lies between muscles and is usually the most easy to puncture. Under the basilic vein runs an artery and a nerve, so puncturing here runs the risk of damaging the nerve or artery and is usually more painful.

DO NOT insert the needle where veins are diverting, because this increases the chance of a haematoma. The vein should be visible without applying the tourniquet. Locating the vein will help in determining the correct size of needle. Apply the tourniquet about 4—5 finger widths above the venepuncture site and re-examine the vein.

Hospitalized patients In hospitalized patients, do not take blood from an existing peripheral venous access site because this may give false results.

Phlebotomy tubes

Haemolysis, contamination and presence of intravenous fluid and medication can all alter the results Nursing staff and physicians may access central venous lines for specimens following protocols.

However, specimens from central lines carry a risk of contamination or erroneous laboratory test results. It is acceptable, but not ideal, to draw blood specimens when first introducing an in-dwelling venous device, before connecting the cannula to the intravenous fluids. Perform hand hygiene and put on gloves Perform hand hygiene ; that is — wash hands with soap and water, and dry with single-use towels; or — if hands are not visibly contaminated, clean with alcohol rub — use 3 ml of alcohol rub on the palm of the hand, and rub it into fingertips, back of hands and all over the hands until dry.Phlebotomy Order of Draw-Tube Color and Dept.

study guide by acreech75 includes 32 questions covering vocabulary, terms and more. Quizlet flashcards, activities and games help you improve your grades. Phlebotomy Order of Draw-Tube Color and Dept.

study guide by acreech75 includes 32 questions covering vocabulary, terms and more. Quizlet flashcards, . Phlebotomy Pages Drawing Blood as a Career Blood Collection Tubes and Additives. Flash Cards: Collection Tubes and their Additives.

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List of Collection Tubes, Additives and Effects. Red Top. Contains. Today, the gold standard in sample collection is the BD Vacutainer ® product family, which U.S. hospitals rely on to enhance their sample quality and protect their nurses, phlebotomists and other caregivers from costly accidental needlestick injuries.

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These products, backed by unrivaled customer support and training, help hospitals every day. Phlebotomy tubes with green top contain sodium herapin, lithium herapin and ammonium herapin, all of which are coated in the inside of the tube.

The herapin anticoagulant activates antithrombins that block the coagulation cascade and produce a plasma sample or whole blood. Start studying COLLECTION TUBES (phlebotomy). Learn vocabulary, terms, and more with flashcards, games, and other study tools.

Best practices in phlebotomy - WHO Guidelines on Drawing Blood - NCBI Bookshelf