TermsHematomaHemoconcentrationID BandPalpatationPetichiaeEcchymosis

RequisitionsWhat ?Why ?How ?

Use military Time24 hour clock040017000245

Information included:

Name & ID #LocationDr.Tests orderedDate & collection

timeOther info.

Steps to venapunctureGreet pt.Pt. identification- call name & check bandPt. prep and position: inpt- in bed outpt- chair Do not allow to stand !!Reassure pt.Answer ???Conversation- prep, meds, NPO

Assemble equipmentAlcoholGauzeTourniquetNeedleAdapterTubes- place in order of drawBandage

Tourniquet application2 functions of tourniquets: A. allow blood to accumulate in

vein B. make vein easier to feelApplication:Place 3-4 inches above venapucture siteLeave on no more than 1 minute

Improper tourniquet application

Too long- cause hemolysis, hemoconcentration

Too tight-petichiae

Site selection preferred site anticubital fossa 3 veins : median cubital cephalic basilicHow to find veins : put on tourniquet open & close fist don’t squeeze con’t palpate- soft & spongy

Technique con’tClean site- circular motionAssemble/Check equipment Venapuncture: 1. reapply tourniquet 2. hold needle holder in

dominant hand 3. anchor vein 4. insert 15-30 degrees 5. insert tubes- anchor if

change 6. mix tube

Technique con’tRemove tourniquet remove tubeApply gauzePull out needleApply pressure- pt can doDispose of needleLabel tube- date, time, initial

Technique con’tBandaging arm: make sure bleeding stop apply gauze and bandage remove within 1 hour do not put on child < 2Leaving: clean up make pt safe as ordered wash handsCompletion: get blood to lab/protocol