Venipuncture

• • Process of collecting or drawing blood from VEIN.

  Venipuncture
• Most common way to collect blood specimens for Laboratory Testing

  Venipuncture
• METHODS

  1. Syringe Method
  2. Evacuated Tube System
  3. Butterfly
• Skills used in Phlebotomy:

  1. Social Skills (Interpersonal)
  2. Administrative/Clerical Skills 3. Technical Skills

   
• Lists the information needed for the phlebotomist to collect blood sample; Form on which test orders are entered

  Test Request Form/Requisition Form
• (if inpatient)

  Patient’s medical record number & Room number and bed
• (if outpatient)

   Billing information and ICD-9 codes
• (e.g., timed, fasting, priority)

  Test status
• • Ordering physician’s name
  • Patient’s firstand last names and middle initial
  • Patient’s medical record number (if inpatient)
  • Patient’s date of birth or age
  • Room number and bed (if inpatient)
  • Type of test to be performed
  • Date test is to be performed

  Test Request Form/Requisition Form
• • Test status (e.g., timed, fasting, priority)
  • Special precautions (e.g., latex sensitivity)
  • Accessioning number
  • Department or location where to do the test

  Test Request Form/Requisition Form
•  A number to identify all paperwork and supplies associated with each patient

  Accesion Order
• contain the actual labels that are placed on the specimen tubes immediately after collection

  Computerized
• Multipart carbon form

  Manual
• Imprinting plate

  Manual
• Full name, ID #, Rm#, Physician’s name, Request tests (handwritten only)

  Manual
•    Can be given to the phlebotomist or the patients

  Manual
• Accesion Order, Computerized, Manual

  Test Request Form
• print out at a special computer terminal at the phlebotomist station in the laboratory

  Computer requisitions for inpatients
• laboratory requisitions or prescription slips with test orders written on them by their physicians

  Outpatients
• responsible for taking them to a blood collection site

  Outpatients
• Process of recording in the order received

  Accesioning of Test Request
• This means to take steps to unmistakably connect the specimen and the accompanying paperwork with a specific individual

   

  Accesioning of Test Request
• Knock lightly and open the door slowly

  True
• The patient's name, date of birth, hospital number (if applicable), and physician's name are recorded on the request form.
• Define as the behavior of the healthcare provider towards the patien

  Bedside manner
• To easily gain patient’s trust

  Bedside manner
• Never collect blood without permission  

  Obtaining Consent-“patient’s consent”
• Gaining the patient’s trust

  Greeting the Patient
• Most important step in the collection process

  Patient Identification
• Ask full name (verbally), confirm using ID bracelet

  Conscious Inpatients/Hospitalized patients
• Same as conscious, awakened before collection

  Sleeping patients
• Ask relative or nurse or physician and record name of person, ID bracelets

  Unconscious
• Ask relative or nurse and record name of person, ID bracelets

  Infants and Children and Mentally Incompetent
• Receptionist verifies the ID of the patient

     úPatient may show ID

     úClinic issued ID CARD

     úState full name, date of birth and spell the last name

  Outpatient/Ambulatory patients
• Inform the patient what type of test he/she needs to undergo.
• If no identification band, ask the patient to identify himself by giving his complete name.
• The patient must be informed about the procedure that will take place.
• Check if there is an identification band on the wrist or ankle.
• Assign a temporary number to patient and record it on test forms
• Fill out labels by hand or computer and apply them to the test request and specimens after collection