Phlebotomy Equipment

• Blood Drawing Station- Dedicated area of a medical laboratory for performing phlebotomy procedures on outpatients.
• Phlebotomy Chair- 


  Comfortable chair with armrests to support the arm and prevent falls.
• Occupational Safety and Health Administration (OSHA)


  Agency that requires the wearing of gloves during phlebotomy
• 1:1


  Ratio for wearing new pair of gloves must be used for each patient
• Latex Gloves


  Even when permitted by the healthcare facility, these type of gloves should not be used when a patient has latex allergies
• Sharps Container


  These are rigid, leakproof, puncture resistant, and clearly marked with the biohazard symbol. These containers are usually red and are available in a variety of shapes and sizes. These disposal units are marked with a biohazard label and are to be disposed of according to the biohazard guidelines established by OSHA.
• Disinfectant


  Removes or kills microorganisms on surfaces and instruments
• Antiseptic


  Prevents microorganisms and their toxins from infecting the blood. These are used for the skin.
• 10% sodium hypochlorite


  Best disinfectant to be used
• Hand sanitizers


  Alcohol-based rinses, gels and foams. Can replace handwashing if hands are not visibly soiled
• Glass Slides


  Precleaned 25x75 mm glass microscope slides are used to make blood film for hematology determination.
• 25x75 mm


  Standard size of a glass slide
• Pen or Permanent Markers


  Label tubes and record other patient information.
• Watch or Timer


  Accurately determine specimen collection times and time certain tests.
• Plaster or Cotton


  To stop the bleeding after puncture
• Tissue/Heel Warmer


  Increase blood flow to the intended puncture site. Common in dermal puncture/capillary puncture
• Transport Bag


  To transport blood from the collection location to the testing location.
• Evacuated Tubes


  Use both in syringe and ETS. Contains a vacuum with a rubber stopper sealing the tube. Volumes vary from 2ml-15ml. Contains additives to improve sample quality and accelerate sample processing
• Tourniquet


  Constricts the flow of blood in the arm and makes the veins more prominent. Usually 1 inch wide, 15-18 inches long. Applied 3-4 inches above the site, not more than 1 minute
• 2-15 ml


  Volumes of evacuated tubes
• 15-18 inches long, 1 inch wide


  Length and width of a tourniquet
• 3-4 in above the site


  Where to put tourniquet?
• Syringe Method


  An open system used for patients with small or difficult veins. One of the oldest methods known that does not destroy the integrity of the vein.
• 15-30 degrees


  Angle for syringe method
• Syringe


  Come in sterile pull-apart packages and are available in various sizes or volumes
• Barrel and Plunger


  Parts of a Syringe
• 2, 5, 10, 20 ml


  Common volumes of syringe
• Breathing the syringe


  This technique needs to be done before a syringe is used.
• Hub, Shaft, and Bevel


  Parts of a Needle
• Hub


  Attached to a syringe (screw the hub)
• One to one and a half inch


  Recommended length of a needle
• Needle gauge


  Is the diameter of the lumen or opening of the needle
• Needle Bore


  Needle gauge is inversely proportional to the
• Upward


  The bevel must always be facing _, the opening of the needle should be visible
• Evacuated Tube System


  Closed system: prevents exposure to air from outside contaminants. Preferred method of blood collection. Allows multiple tubes to be collected in a single venipuncture
• Multisample Needles


  Double pointed needle. The needle is a straight hollow type with double points and a screw hub near the center
• Tube Holder


  Where the phlebotomist holds. Clear plastic disposable cylinder with a small threaded opening at one end where the needle is screwed into it, and a large opening at the other end where the collection tube is placed
• Butterfly Collection System


  Used for small and fragile veins that are difficult to draw from. 21- or 23- gauge needle with attached plastic wings on one end. 3-12 inches tubing leads from the needle inserted at a 5-degree angle instead of the usual 15-30 in
• 21-23 gauge


  Gauge for butterfly needle
• 5 degrees


  Angle for needle insertion using butterfly needle