(1) VENIPUNCTURE

1. syringe method

2. ETS method

3. butterfly method

What are the three methods of phlebotomy?

• deoxygenated

• oxygenated

What are the two kinds of blood?

VENIPUNCTURE

A process by which blood is obtained from a patient’s vein.

Venous blood

__________ is the deoxygenated blood with a dark red color

deoxygenated blood

Venous blood is the ________ with a dark red color.

bright red

What is the color for oxygenated blood?

• antecubital fossa

• veins of the wrist

• dorsal aspect of the hands

• veins of the ankle

What are the sites for venipuncture?

• Syringe

• Evacuated Tube System

What are the methods for venipuncture?

ANTECUBITAL FOSSA

What is the major site for venipuncture?

• Median Cubital

• Cephalic vein

• Basilic vein

What are the three types of veins?

Median Cubital

__________vein is the best site for venipuncture because it is the largest and the best anchored vein.

Cephalic vein

What is the second choice for the vein?

Basilic vein

What is the third choice for the vein?

closeness to the brachial artery

Why basilic vein should not be chosen unless no other vein is more prominent due to its ?

• Intravenous lines in both arms

• Burned or scarred areas

• Areas with hematoma

• Edematous arms

• Cast on arms

• Thrombosed veins

• Arms with arteriovenous (AV) shunt or fistula

What are sites to be avoided?

• INTRAVENOUS LINE

• INDWELLING LINES

What are the collection sites problem?

• NEVER draw above an IV

• Draw from other arm

• Draw from hand

  on other arm

• Draw below the IV

What should be remember in intravenous line?

• Heparin locks

• Used to administer medication

• Only nurses may access these lines

• Can obtain blood: called a ‘line draw’

• Must clear line of heparin contamination by discarding first 5-10 cc of blood

What should be remember in indwelling line?

Can obtain blood: called a ‘line draw’

How can you obtain blood in indwelling lines?

first 5-10 cc

In indwelling line, must clear line of heparin contamination by discarding ________ of blood

Nurses

In indwelling line, the only one that can access it is the ______.

on the opposite side

If the patient underwent mastectomy, where you should collect the sample?

go for the veins on the ankles

What if the patient underwent mastectomy on both breast?

2-5 minutes

Turn off the IV fluids or line for _____?

discarded

The first sample tube that you collected in the IV line should be______?

the second sample

In IV line, what sample you should use?