})(); The cephalic vein is a safe secondary option if the median cubital vein is not working. Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. PST (light green top). Proper Handling of an Uncooperative Patient in an Outpatient Setting Akron. Allsurfaces are cleaned daily with bleach. Antiseptic. Povidone-iodine wipes/swabs - Used if blood culture is to be drawn. A test that has been ordered may be cancelled due to problems unrelated to drawing the specimen, and these are the most common causes for cancellations: A test may be cancelled due to a technical problem in the specimen collection process: Identification of the specimen is suspect. Areas of fingers and heels that are cold, swollen, scarred or covered with a rash, should be avoided. Kiechle, Frederick L. So Youre Going to Collect a Blood Specimen: An, Introduction to Phlebotomy, 11th Edition. Please enable JavaScript on your browser and try again. Sites that should be avoided include areas with extensive scarring, healed burns, inflamed sites, edematous sites, previous puncture sites, earlobes and thumbs. 2. A. standards If it is then heated, what can you say about: b) how often the molecules hit the walls of the can. Capillary Specimens may be collected on filter paper and sent to lab for testing for. This guide follows the steps as outlined in the World Health Organizations Guidelines on Drawing Blood: Best Practices in Phlebotomy. Label all specimens per accepted guidelines. IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED: Change the position of the needle. This type of venipuncture procedure is a little different, and sometimes can be a little more involved. Notify your supervisor or patientsphysician if unsuccessful. The patient should either sit in a chair, lie down or sit up in bed. Phlebotomy issues and quality improvement in results of laboratory testing. Recommended order of collection for microtainer specimens: 7. When using a syringe and needle, avoid drawing the plunger back too forcibly. A. EMLA Expect that any discussion or consultation involving the patient's case will be conducted discretely and that individuals not directly involved in the case will not be present without patient permission. Adhesive bandages / tape - protects the venipuncture site after collection. Normal reference ranges are often noted according to age. This is why a required skill for most phlebotomy jobs is to have excellent people skills with the ability to keep the patient calm during the venipuncture procedure.
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