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Training For Phlebotomy Of Children:

Training For Phlebotomy Of Children Tamra Brooks OCTOBER 27,2014

Orientation:

Orientation To become familiar with Phlebotomy technique for children we must first have knowledge of what the word means. Define Phlebotomy - the act or practice of opening a vein for letting or drawing blood as a therapeutic or diagnostic measure. Proper equipment should be available for pediatric blood draws. Assure safety for both the child and the phlebotomist. The amount of blood specimen needed to analyze by laboratory equipment for accurate results. Assessment after the blood draw that bruising does not appear.

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THE PROCEDURE OF A CHILD BLOOD DRAW When doing venipuncture on a child you must first gain a comfort zone for the child, the parent and yourself (the phlebotomist). Make sure you have the equipment nearby for an easy reach and maintained. Have the child still as possible (if possible have a parent hold the child)prior to initial pinch. Once the blood has been obtained hold pressure on the sight to stop bleeding then bandage.    

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EQUIPMENT NEEDED FOR CHILD PHLEBOTOMY BUTTERFLY NEEDLE SYRINGE MICRO BLOOD VIALS GLOVES ALOCOHOL BANDAIDS GAUZE SHARPS CONTAINER HAND SANITIZER

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There is also a topical anesthetic called EMLA cream that will numb the skin and make the needle stick more comfortable. It must be applied one to two hours before the procedure. Ela-Max is a similar cream that requires less time to work. However, EMLA and Ela-Max are not routinely used for blood draws and can add to a child ’ s anxiety, because he or she may begin to think about (and often dread) the experience during the preparation period. Frequent blood draws can become a major emotional issue for children. If your child is already afraid of needles or if he or she comes to that point, you may want to seek the help of professionals. ALSO NOTE,

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ACCURACY OF CHILDREN BLOOD DRAWS Phlebotomy for children it is important to get the amount needed for the testing to see how healthy your child is. With a poor blood flow and minimal amount of blood can give negative results that may require a redraw of blood. This can be hard on the child and parent. It is always a good practice to draw an extra tube of blood in case of more testing. There are two methods of blood draws that work well with drawing blood from children. Finger sticks, the nurse will use a swab to wash your child ’ s fingertip. The nurse will then hold your child ’ s finger and poke the fingertip once with a plastic lancet to produce a drop of blood. Venipuncture blood draws, the nurse will ask your child to roll up his or her sleeve. The blood will be drawn from the forearm—usually in the area inside your child ’ s elbow—where the veins are closest to the skin.

Overview :

Overview The demand for phlebotomist grows, the number of schools offering phlebotomy courses has also grown. The complete program can run anywhere from four to twenty-four months depending on the school and the type of certification they offer. While specific classes may vary from school to school, these are the basic phlebotomy courses that students will be required to take. An adult is easily eased into what otherwise is an uncomfortable and even traumatic process, while children are often scared of the entire procedure and of the prospect of experiencing pain while the procedure is performed. This means that pediatric phlebotomists have to deal with resistant movements from patients, making it that more difficult to locate the right area to draw blood from. Hospitals with large pediatric or neonatal units may require that their phlebotomists specialize in young patient care. However, this may rarely be the case. It seems important to be equally flexible as each age group has special needs and differing attitude towards needles. The need with specialty clinics such as Oncology and Pediatric care for children mainly would want a phlebotomist with training and certification of drawing children.

REFERENCES:

REFERENCES www.phlebotomycertificationprograms.com Center for Phlebotomy Education, Inc. childlab.com Children 's Hospital of Pittsburgh of UPMC www.stelizabeth.com/laboratoryservices

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