Technique Of Venipuncture

Technique Of Venipuncture

I have heard this said somewhere and really loved the expression:

"Phlebotomy Safety Means Sticking to Good Practices!"

No matter which venipuncture technique you select and prefer, there are a number of steps that should be followed carefully and meticulously when it comes to collecting blood. Though these steps are generally followed in the order given, some may be considered simultaneously with others.

These steps include:

Properly identifying the patient by name, you can also check DOB

Assessing the patient and environment before proceeding

Properly completing the lab requisition slip and labels

Considering special needs and difference approaches for children and the elderly

Special needs of the psychiatric patient

Assembling proper (safety) equipment

Selecting an appropriate site and venipuncture method

Properly preparing the site

Wearing PPE and using Universal Precautions

Performing the venipuncture

Recognizing and appropriately intervening with complications

Controlling of bleeding

Properly obtaining, handling, and labeling specimens

Properly charting procedure into patient record

Practicing infection control

Maintaining specimen integrity during transit. Most laboratory tests are performed on anticoagulants whole blood, plasma, or serum. In general, specimens should be refrigerated until placed in the courier box for transport to the laboratory.

After two unsuccessful sticks no further attempts to draw blood should be made without the patient's express permission. From then on forward any further attempts depend on the policies of the laboratory, supervisory guidance, and the experience and training of the phlebotomist. For example, having another health care worker such as a laboratory technician, nurse, or physician try to collect the blood sample when a phlebotomist has failed is very appropriate. Alternatively, the patient should be offered to option to return to the office on a different day for another try. 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.