WebWhen the patient has never had blood drawn The most important factor in controlling the spread of infection is Hand washing before and after the patient Latex sensitivity is a type of Allergic reaction The recommended vein to perform the venipuncture b/c sometimes is more superficial than other veins is called Median cubical vein *This website is provided for educational and informational purposes only and does not constitute providing medical advice or professional services. In the case of elderly patients, make sure to use smaller needles and to be extra gentle. If I can't feel it then I let SWAT come in with the ultrasound. Apply the tourniquet one to two inches above the wrist if drawing a hand vein. Password must have upper and lower case letters. Make sure to find a vein that is properly hydrated. It can help veins to pop up, making them probably visible and easier to find. Avoid excessive probing. Apply a heat compress to the area for 3-5 minutes. A better vein might be available in the forearm or at the back of the hand. If you're drawing blood cultures, be sure to follow the policy and procedure at your facility. If this does not happen then the needle has either not punctured the vein or the needle went through the vessel. 0000001689 00000 n Utilize the combination of massage, heat, and gravity. Doctors usually mistake if for hyperkalemia when assessing the results. For hand veins, apply the tourniquet 1-2 inches above the wrist. Then, push down with the flat of the finger over the area. Just my opinion. WebSome obese people are no prob, but some have deep veins, rolly pollies, etc. of water (or other nonalcoholic drink) before your appointment. Additionally, you will have to consider the reason why you are performing insertion of the needle. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Standard data rates may apply. If a person doesnt have enough experience, he might make a mistake by not removing the tourniquet before the needle. Sign up to receive the latest nursing news and exclusive offers. Once again, please be aware that these are only guidelines for blood draws and nurses should consult with the appropriate hospital personnel regarding performing this procedure on patients. Blood tests are no longer Hi! Excess fat around the waist can put you at an even higher risk for obesity-related health problems, including heart disease and type 2 They will be much easier to spot and throbbing. Follow the cephalic and basilic veins down the forearm. Phlebotomy basics 0000018898 00000 n 11. Password must have at least 1 special character(s). Try tourniquets, hot packs, gravity, and ask the patient where they usually have luck with blood draws. Using alcohol or some other antiseptic, wet the site. What if I cant find a vein? After identifying the site for the blood draw, gather the appropriate supplies needed. They already have pain, so lets make the process easier and more comfortable for them. Grab the patients lower arm (below the site of puncture) firmly to draw the skin taut and anchor the vein from rolling. This will move their fluid and/or tissue out of the way so you can see a good vein. It can be easy, especially when youre conducting multiple blood drawing procedures on a daily basis, to become somewhat detached from the patient that youre drawing blood from. That means that you can trust us to have reliable, up-to-date information Has 1 years experience. professionals to write our content whenever possible. Drink an extra four (8 oz.) Insert the needle into the vein. 0000001848 00000 n Some patients have hypovolemia or reduced volume of circulating blood. All rights reserved. Veins may collapse in the process and failed attempts at blood draws lead to hematomas which bring about pain. if (window.ClickTable) { Tips for drawing blood successfully | Carrington College You need to overcome those fears by exuberating confidence and persuading a person that everything will be alright. If possible, look at areas that tend to have less subcutaneous fat, such as the back of the hand, the thumb, the wrist, and even the top of the foot. My trick is to press on their hand or arm with both of my thumbs. equally, but do you know which nurses are making the most money in 2023? You may need the approval of a physician or someone else. go-to source for nursing news, trending topics, and educational resources. With the foot- some places require a specific order r/t other dx that can increase DVT risk :). If you experience dizziness or lightheadedness, stop what youre doing and sit down or lie down until you feel better; avoid performing any activity where fainting may lead to injury for at least 24 hours. Fat, or obese patients, have more fat around their veins which can make it difficult to find the vein for drawing blood or starting an IV. Some veins can be deep in the antecubital fossa area, especially, if there is a lot of fat tissue. Warn the patient that they will experience a sharp scratch. Blood tests are one of the most important diagnostic techniques available to physicians. 0000022045 00000 n No matter what, always take your time to find just the right vein. All these factors contribute to their veins staying low. This will cause a lot of mess. Feel out all your possible options before you decide to go for it. Do not apply the tourniquet too tightly over the arm or wrist as it could cause injury or collapse the vein. Properly label the tubes and send to the laboratory for analysis. 0000006606 00000 n This study guide will help you focus your time on what's most important. Be careful, though. An example of data being processed may be a unique identifier stored in a cookie. Dispose of contaminated materials and needles in the designated hospital-approved containers. WebUsing consistent, proficient personnel to per-form blood draws. H\@E|E/g#0tW Y3y(N> CA}G)H6GUab/Jqk;gy>>n5%sLWorayo|zEnmn;4d~{;m/E. If you are going to start an IV in the hand always have the patient pump their fist. This makes sense, as many individuals, particularly those with very low body fat in their arms, will have extremely visible veins. 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