venipuncture procedure'

• Venipuncture


  The process of collecting or drawing blood from a vein of the patient for lab testing purposes
• the test request that comes from the physician.


  The 1st step of the pre-examination phase is
• Request Form


  Information on the type of test ordered & any special instruction or conditions that should be considered during the pre-examination & examination phase.
• Manual forms


  - usually have parts for request, report, and billing
• Computerized forms


  - patient info, test status, and other details useful for the test
• Bar-Coded


  - which is scanned into a computer using a special device w/ a laser.
• Required Information

  in Requisition Forms

  
  

  ➔ Name of the requesting physician

  ➔ Patient's full name + middle initial

  ➔ Medical record number (inpatients)

  ➔ Birthday + age of patient

  ➔ Room & bed number (inpatient)

  ➔ Type of test ordered

  ➔ Date when the test is to be performed

  ➔ Billing info (if required)

  ➔ Test status

  ➔ Special precautions
• STAT


  ➔ Meaning: immediately

  ➔ When used: results needed + critical patients

  ➔ Collection Conditions: immediately collect, test & report test. Alert - delivered, ER stats = priority
• : glucose, H&H, electrolytes, cardiac enzymes


  ➔ Test Examples of STAT
• FIRST


  ➔ Priority of STAT
• MED EMERG


  ➔ Meaning: medical emergency

  ➔ When used: results needed + critical patients

  ➔ Collection Conditions: immediately collect, test & report test. Alert - delivered, ER stats = priority
• glucose, H&H, electrolytes, cardiac enzymes


  ➔ Test Examples for Med Emerg
• FIRST


  ➔ Priority of Med Emerg
• Timed


  ➔ Meaning: collect at a specific time

  ➔ When used: timing - collection - important

  ➔ Collection Conditions: collect close - required time - record actual time
• 2 hr PP, GTT, Cortisol, Cardiac Enzymes, TDM, Blood

  ➔ Test Examples for timed
• SECOND


  ➔ Priority of timed
• ASAP


  ➔ Meaning: as soon as possible

  
  

  ➔ When used: results needed - respond - serious - not yet critical

  ➔ Collection Conditions: follow hospital protocol
• electrolytes, glucose, H&H


  ➔ Test Examples for ASAP
• SECOND OR THIRD


  ➔ Priority of ASAP
• Fasting


  ➔ Meaning: prior to collection - no food or drink intake - 8 to 12 hrs

  
  

  ➔ When used: eliminate effects of diet

  ➔ Collection Conditions: verify - fasted - if not - check test - could still proceed
• glucose, cholesterol, triglycerides


  ➔ Test Examples of fasting
• FOURTH


  ➔ Priority of Fasting
• NPO


  ➔ Meaning: nothing by mouth

  
  

  ➔ When used: prior to surgery or anesthesia procedures

  ➔ Collection Conditions: do no give food or water

  ➔ Test Examples: N/A

  ➔ Priority: N/A
• Preop


  ➔ Meaning: before operation

  
  

  ➔ When used: determine eligibility for surgery

  ➔ Collection Conditions: collect before surgery
• CBC, PTT, Platelet function studies


  ➔ Test Examples of Preop
• SECOND OR THIRD


  ➔ Priority of preop
• Postop


  ➔ Meaning: after operation

  
  

  ➔ When used: assess condition after surgery

  ➔ Collection Conditions: collect after surgery
• H&H


  ➔ Test Examples of postop
• SECOND OR THIRD


  ➔ Priority of post op
• Routine


  ➔ Meaning: relating - established procedure

  ➔ When used: establish - diagnosis or monitor progress

  ➔ Collection Conditions: collect on time - not urgent

  ➔ Test Examples: CBC, Chem Profile

  ➔ Priority: NONE
• Bedside Manner


  ➔ The behavior of a healthcare worker as perceived by the patient which applicable to both in - out patients settings
• lower leg


  where ID bands for newborns or babies under 2 yrs old are placed in the _________
• 6-8hrs


  fasting hours for FBS
• 12-14hrs


  fasting hours for lipid profile
• 10hrs


  fasting hours for both FBS and lipid profile
• Antecubital area


  - preferred venipuncture site
• 3 to 4inches: 4 to 5 finger widths


  Place the tourniquet ______ inches or about _______ finger widths from the intended puncture site.
• 70% isopropyl alcohol


  - used to prevent infection or contamination
• 2 to 3 inches - circular motion - outward motion - concentric circular motion


  when cleaning the site....
• Age of patient - vol of blood collection - size and location - vein


  factors considered when choosing the system