9.1

• Routine venipuncture is the most common procedure a phlebotomist performs.
• The most important step in venipuncture is positive identification (ID) of the patient
• REQUISITIONS All blood collection procedures begin with a request for a test from the treating physician.
• The physician must provide the International Classification of Diseases, Ninth Revision, Clinical Modification code for the requested tests.
• The ICD-9-CM code is a billing code used to submit charges for services to insurance companies and other providers.
• Test names may be abbreviated, so it is important to know the meaning of test abbreviations.
• Medicare regulations require that the patient sign an Advance Beneficiary Notice of Noncoverage is signed by the patient to indicate he or she understands that the service may not be reimbursed by Medicare.
• get a verbal informed consent from the patient - The patient must consent to the procedure before you proceed
• The tourniquet should be applied 3 to 4 inches above the puncture site.
• The tourniquet should not be left on longer than 1 minute.
• Hemoconcentration: An increase in the ratio of formed elements to plasma caused by leaving the tourniquet on too long or too tight.
• Hemolysis: Can occur if the tourniquet is too tight or left on too long. Destruction of red blood cells can alter test results.
• Petechiae: Small red spots on the skin, caused by a tourniquet that is too tight.
• Allow the site to dry for 30 to 60 seconds.
• you will be able to locate the vein, scrub and dry the site, inspect the needle, and insert the needle within 30 to 60 seconds.
• Anchor the vein by gently pulling the skin taut with the thumb of the nondominant hand,
• Angle the needle 15 to 30 degrees above the skin.
• To make sure you will be able to clearly see blood as it flows into the tube, insert the tube with the manufacturer’s label facing down.
• The tourniquet must be removed before the needle is removed from the vein to prevent formation of a hematoma.
• hematoma, which is a reddened, swollen area where blood collects under the skin