phh training slides

7/30/2019 PHH Training Slides

1/21

PART I - HOW TO TAKE A BLOOD SAMPLE

36 Total Cholesterol Measurement


2/21

CHOLESTEROL SCREENING SETUPCholesterol Monitor

CapillaryBand-Aid Alcohol Swab

Tube

Lancet Test Strip

Gloves


3/21

PRIMING THE LANCET1 2

3

Primed lancet


4/21

BEFORE PRICKING..

Warm Hands

Make sure the patients hand is warm to touch (this means

there is more blood available at the finger tips)


5/21

CHOLESTEROL SCREENING:PROCEDURES

Before prick:

Alcohol-swab finger and let air dry

Squeeze their finger from the palm to the finger tip ratherthan just the finger itself.

Stop blood flow at the finger tip and allow it to turn redbefore pricking.


6/21

SQUEEZE FINGER

Red finger

\


7/21

PRICKING

Slightly

off center


8/21

MILKING THE FINGER

Large drop of blood


9/21

COLLECTING SAMPLE

Black line

Filled capillarytube


10/21

AIRBUBBLES = BAD!!!

Incorrect tubeorientation


11/21

CHOLESTEROL SCREENING:TIPS & ADVICE

During prick:

REMEMBER: dont be afraid to prick the patient.Pricking them hard ONCE is better than having to

prick them TWICE!

Make sure there is an adequate size blood on thefigure before taking the sample.

Have the patient stand up for you if you havetrouble getting a sample.


12/21

CHOLESTEROL SCREENING:TIPS & ADVICE

Other things to know:

Capillary tubes will clot with blood if the sample is nottaken quickly.

Collect the blood sample with the capillary tube lying

sideways to the finger (this will maximize the amount of

blood collected and minimize air bubbles).


13/21

DISPOSING OF MATERIALS

sharps container


14/21

ACCIDENTAL FINGER-PRICK

1. Immediately wash needle stick andcuts with soap and water. [1]

2. Report the incident to your supervisor3. Contact the UCSF needle stick hotline# 415-353-7842 [2]

[1] http://www.cdc.gov/niosh/topics/bbp/emergnedl.html

[2] http://www.occupationalhealthprogram.ucsf.edu/ohpEE.asp


15/21

PART II - HOW TO MEASURE BLOOD PRESSURE

(MANUALLY)

Manual Blood Pressure Measurement

Slides by Johnny Chin

September 2013


16/21

BP Measurement SetupCholesterol Monitor

CapillaryBand-Aid Alcohol Swab

Tube

Lancet Test Strip

Gloves

Stethoscope

Cuff


17/21

Positioning the Cuff

1. Determine the right

size cuff for the patient

2. Wrap cuff around arm

3. Align arrow on cuffwith the brachial artery


18/21

Pulse Obliteration Technique

1. Press using the index and middle fingers

to feel the patients radial pulse

2. Inflate cuff until the pressure is no longer

felt (aka obliterated)3. Record this value.


19/21

Inflating the Cuff

1. Position the

diaphragm of the

stethoscope above the

brachial artery

2. Inflate cuff to

~20mmHg above the

recorded value from

previous step


20/21

Deflating the Cuff

3. Deflate cuff at 2-3mmHg/s until the 1st

Korotkoff sound is heard.

This is the systolic value.

4. Continue deflating until the sound

disappears (~5th Korotkoff sound).

This is the diastolic value.


21/21

Blood Pressure Screening:TIPS & ADVICE

Patient should be seated with legs

uncrossed at all times

If you must redo, wait one minute before

taking a second measurement.

Thank the patient.

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