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Premium member Presentation Transcript Phlebotomy and Disposal of Needles: Phlebotomy and Disposal of Needles Dr.T.V.Rao MD 1 Dr.T.V.Rao MDPhlebotomy definition : Phlebotomy definition phle·boto·my (fli) noun the act or practice of bloodletting as a therapeutic measure Dr.T.V.Rao MDLABELING THE SAMPLE : LABELING THE SAMPLE Properly labelled sample is essential so that the results of the test match the patient. The key elements in labelling are: Patient's surname, first and middle. Patient's ID number. NOTE: Both of the above MUST match the same on the requisition form. Date, time and initials of the phlebotomist must be on the label of EACH tube. Dr.T.V.Rao MDThe requisitions form should be completely filled out, and the requisition must indicate the tests ordered: The requisitions form should be completely filled out, and the requisition must indicate the tests ordered Dr.T.V.Rao MDBarrier protection for the phlebotomist consists of the latex gloves. : Barrier protection for the phlebotomist consists of the latex gloves . Dr.T.V.Rao MDThe tourniquet is applied and the phlebotomist palpates for a suitable vein for drawing blood. : The tourniquet is applied and the phlebotomist palpates for a suitable vein for drawing blood. Dr.T.V.Rao MDThe area of skin is cleaned with a disinfectant, or an alcohol swab. : The area of skin is cleaned with a disinfectant, or an alcohol swab. Dr.T.V.Rao MDThe vein is anchored and the needle is inserted. : The vein is anchored and the needle is inserted. Dr.T.V.Rao MDThe vacutainer tube is depressed into the needle to begin drawing blood : The vacutainer tube is depressed into the needle to begin drawing blood Dr.T.V.Rao MDAdditional vacutainer tubes can be utilized. Determine what tests are ordered and what tubes will be necessary BEFORE you begin to draw blood, and determine the order of draw for the tubes. . : Additional vacutainer tubes can be utilized. Determine what tests are ordered and what tubes will be necessary BEFORE you begin to draw blood, and determine the order of draw for the tubes. . Dr.T.V.Rao MDWhen the final tube is being drawn, release the tourniquet. Then remove the tube, and remove the needle. : When the final tube is being drawn, release the tourniquet. Then remove the tube, and remove the needle. Dr.T.V.Rao MD After the needle is removed from the vein, apply firm pressure over the site to achieve haemostasis. : After the needle is removed from the vein, apply firm pressure over the site to achieve haemostasis . Dr.T.V.Rao MDApply a bandage to the area. : Apply a bandage to the area. Dr.T.V.Rao MDDo not leave the needle to their fate discard scientifically: Do not leave the needle to their fate discard scientifically Virtually all needle stick injuries of domestic and portering staff are from needles that have either been lost in the workplace or thrown into regular garbage. Janitors and garbage handlers can also experience needle stick injuries or cuts from "sharps" when handling trash that contains needles or scalpels. Some attribute the problem to forgetfulness or lack of motivation or training on the part of people who work with and dispose of needles. Others feel that inconvenient disposal systems contribute to these incident s. 14 Dr.T.V.Rao MDHow to dispose the needles: Workers should place needles in wide-mouth, puncture-proof containers. Locate disposal containers specifically where needles are used to make safe disposal possible without recapping. Replace the containers before they are completely filled. Make sure they are sealed, collected, and disposed of in accordance with local regulations for biomedical waste. How to dispose the needles 15 Dr.T.V.Rao MDNewer Devices for Safe Disposal of Used Needles: Newer Devices for Safe Disposal of Used Needles Dr.T.V.Rao MDYellowone Needle Cap: Yellowone Needle Cap is a non-reusable sharps container for disposal of hypodermic needles. It is designed for syringes with luer-slip. The cap fits over 90 percent of all beverage cans in the world. Yellowone Needle Cap 17 Dr.T.V.Rao MDPowerPoint Presentation: 18 Dr.T.V.Rao MDYellowone Needle Cap© functional advantages: Yellowone Needle Cap © functional advantages Recycles soda cans, which are readily accessible, into safe and permanent needle disposal containers • With just one click, the cap is permanently locked in place • Is easy to use with luer-slip syringes needles • Secures needles which may transfer infectious diseases • Prevents accidental stick injuries during needle disposal • Is ideal for emergency relief efforts, remote clinics and field situations • Makes it safe to dispose of infectious disease waste by burying the securely locked can, or placing it in a waste disposal site • One can holds over 150 needles (small can of 330 ml) or 400 needles (larger can of 500 ml ) 19 Dr.T.V.Rao MDSafer ways to discard needles: Discard contaminated sharps immediately and without recapping in puncture- and liquid-proof containers that are closed, sealed and destroyed before completely full. Safer ways to discard needles 20 Dr.T.V.Rao MDFollow me for more articles of interest on issues on Biosafety visit Dr.T.V.Rao MD: Follow me for more articles of interest on issues on Biosafety visit Dr.T.V.Rao MD Dr.T.V.Rao MD 21 You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.