Intro to Phlebotomy

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Intro to Phlebotomy

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Added: October 27, 2008 This Presentation is Public 
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Basic Phlebotomy Techniques :Basic Phlebotomy Techniques


Tim Marshel, CNMT :Tim Marshel, CNMT presented by


6 steps to perform proper phlebotomy :Supplies Requisitions Patient Preparation Phlebotomy Procedure Patient After-Care Specimen Preparation 6 steps to perform proper phlebotomy


SUPPLIES :Inventory performed a minimum of twice weekly (’Rotate’ stock...use oldest first!) Check expiration dates on all phlebotomy materials (dispose of all expired inventory) Ensure at least 1-2 week supply available SUPPLIES


REQUISITIONS :ALL information written/printed clearly ALL information spelled correctly ALL copies of supportive documents clearly legible (Med-Cal, Medi-Care, B-X...) Double-Check all requisition info prior to submission REQUISITIONS


PATIENT PREP :Make patient as comfortable as possible Ask patient if one arm is better than another? Have all required tubes (and backups) at arm’s reach to avoid drawing problems Make sure you have ammonia ampoule available PATIENT PREP


PHLEBOTOMY PROCEDURE #1 :Make sure patient is as comfortable as possible Locate vein on arm...if tourniquet is required to locate, minimize time used Apply/reapply tourniquet and swab arm with disinfectant...allow to dry or wipe off excess PHLEBOTOMY PROCEDURE #1


PHLEBOTOMY PROCEDURE #2 :Do NOT utilize ‘butterfly’ unless absolutely necessary (more chance of hemolysis) Pumping/Squeezing of the hand/fist should not be too vigorous...slow & rhythmical Remember to gently invert ALL tubes several times after drawing Begin drawing blood utilizing the following ‘tube order:’ PHLEBOTOMY PROCEDURE #2


TOURNIQUET TIP :TOURNIQUET TIP ONLY leave tourniquet on long enough to begin the removal of the specimen(s). Prolonged use will falsely elevate certain analytes. Unless absolutely necessary, remove tourniquet after blood begins to ‘free-flow.’ Should be no longer than 1.0 minute (if possible)


PATIENTAFTER-CARE :Ask the patient how they feel? Apply bandaid over (or without) gauze Inspect site for bleeding or hematoma Help patient to their feet Ask patient if they have any questions? Thank the patient and escort them to the door PATIENTAFTER-CARE