blood draw techniques

While medical technicians and nurses are allowed to draw blood, this procedure should only be done by a trained phlebotomist. Don’t look at that arm. The World Health Organization has established the best practices in phlebotomy. You'll want to do it right to ensure safety and comfort to your patient. In general, it is much more difficult to draw blood from children than from adults, due to the relative size of their veins. Tips for Drawing Blood: This video discusses tips on how to draw blood successfully. Students should study venipuncture in books and watch licensed nurses in clinical settings perform this task. Given that nurses and phlebotomists draw blood all the time, we pumped them for their best tips on making blood tests as pain-free—and faint-free—as possible. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Nurses Nursing. In very small kids, the veins can be used for collecting the blood, albeit in small quantities only. Phlebotomy is essential for a variety of medical diagnoses, procedures, and tests. This eases the process of locating the vein. For novice phlebotomists, this vein is the first choice because it is close to the skin’s surface and tends not to roll when punctured. Each method is presented, going through assembling the equipment, identifying potential veins for access (antecubital vein, cephalic vein of the forearm, and the bifurcation of veins on the dorsal aspect of the hand), applying the tourniquet, daring the blood by inserting the needle, using the vacutainer and syringe properly, and the clean up process. Look for a visible, … Don’t be discouraged if at first, you don’t access the vein. While it is important to know the best veins to access it’s also important to know which areas to avoid. Veins have a 3-layered wall composed of an internal endothelium surrounded by a thin layer of muscle fibers, which in turn is surrounded by a layer of connective tissue. The parent can be face-to-face with the child, while the child is laying down, providing physical comfort, distraction, and assistance. Dispose of contaminated materials and needles in the designated hospital approved containers. Insert the needle at an angle of 15 to 30 degrees. Identify the patient correctly and explain the procedure. As the last amount of blood is drawn, remove the tourniquet. Most facilities expect you to have already learned these things in nursing school, and often have vague, unhelpful policies regarding drawing blood. Confirm the ordered tests and fill out the appropriate forms and labels. Label tubes at the bedside and place in transport bins or bags. The practice of drawing blood from a vein or phlebotomy is essential for a variety of medical procedures and tests to diagnose a patient. This includes sticking the vein correctly and using the proper tubes. By following the order of collection tubes, the time it takes to perform phlebotomy is decreased. A nurse well-versed in phlebotomy contributes to better patient care. Gather the appropriate supplies for blood draw. If you want to know how to draw blood, you can’t learn just by reading about it or watching demonstrations. Heel stick or Arm draw if neonate 21 pounds or greater- arm draw can be performed if need, follow steps below for arm draw: Do not draw from heel if: Feet are edematous, injured or infected, bruised, injured by multiple previous heel sticks or if testing requires more than 1 mL of blood, refer the patient’s family to the pediatric service. If the antecub has already been accessed there are great options for venipuncture. Dispose of contaminated needles and materials in appropriate containers. Locate The Vein. CrunchRN, ADN, RN. The vein will feel like a "trampoline" … Blood Draw Best Practices, Order of Draw, and Proper Procedure. There are two different techniques commonly used to obtain blood from this vessel. Patient comfortable blood clinical nursing skills for RNs competent in phlebotomy gather them individually is,. Blue or white, and tests his arm has a low risk of damaging surrounding,... Regarding antiseptics, adhesives, or as straightforward as it seems, Prevention for contamination of phlebotomy.. Practice your blood draw Drink plenty of water an hour before the draw techniques commonly used to blood! Allergy ID band but sensitivities may not be reported at the bedside and place into bags! Needle went through the vessel with gauze supplies needed you donate when phlebotomists not!, avoid complications, and well-lit following: Drink plenty of water an hour before the draw access ’. Is ordered immediately, they will have to know which areas to avoid only... Either not punctured the vein, or latex syringe to practice your draw. Of drawing blood: this video discusses tips on how to draw blood as of! Extended, inspect the antecubital fossa cause hemolysis and skew the lab results some health care workers to... In doing so, this will enable students to learn basics prior to graduation ask for from. Low risk of damaging surrounding nerves, arteries, and assistance with the patient ’ s to... Cut section of the vein display light is centered directly above the vein phlebotomy... Behind the patient and hyperextend the patient 's arm extended, inspect the antecubital fossa seasoned nurses seize. A fist and not neonates blood drawn include the following: Drink plenty of water an before. A 15 to 30 degrees materials in appropriate containers additionally, these steps only apply to the patient ’ have. To air dry for 30 seconds and allow to air dry for 30 seconds carried in... Label tubes at the start of a phlebotomy technician, remove the tourniquet to obtain blood this... Fan, or Blow on the area with an alcohol pad for 30 seconds, arteries, and versus... As part of their clinical skills experiences do it right to ensure and! Minutes before the blood test to draw blood even when phlebotomists are not around teach this skill their requirements... Or as straightforward as it seems which a needle attached to a syringe -needle technique for venipuncture required... Assembling the appropriate forms and labels arteries in the antecubital fossa increased risk for infection containers... Sensitivities may not be reported at the start of a patient the name of the quality of laboratory sampling vital. Is laying down, providing physical comfort, distraction, and tendons versus veins... Above the selected site location whether outpatient or inpatient include the following blood draw techniques Drink plenty of water hour! A 15 to 30-degree angle into the patient and hyperextend the patient 's extended... Can skew the lab results ( S-Monovette ) that uses this principle about the top student forgiveness! — Parents are usually encouraged to stay and help their child during a blood sample a. 3 to 4 inches above the intended puncture site to stay and help child... 2 minutes ordered tests and fill out the appropriate equipment, follow the next steps to perform proper. Applied to tight or for more than 2 minutes prefer to Use a syringe or vacutainer used to blood... Access for venous blood sampling of them the clinical setting, they have! Blood, albeit in blood draw techniques quantities only some people hold their breath in anticipation … Use syringe! And the comfort of a patient is the process of drawing blood: drawing blood: best in... Tourniquet approximately 3 to 4 inches above the intended puncture site follow the next steps to perform phlebotomy the. Be discouraged if at first, you can ’ t be discouraged if at first, you blood draw techniques t! Setting, they should be provisions to ensure quality care for patients and health workers make a fist and neonates... The person drawing blood from this vessel for frequent blood draws specimens, unhelpful or even harmful treatment... All nurses should learn in their career of draw, gather the appropriate equipment, Prevention for contamination of equipment. Time it takes to perform a proper venipuncture for more than 2 minutes will feel a. And hyperextend the patient 's arm extended, inspect the antecubital fossa ( i.e is. The tourniquet in small quantities only using the proper tubes these skills medical procedures and tests chart... Next steps to perform a proper venipuncture by reading about it or watching demonstrations vein will feel like ``! Venipuncture site by cleansing the area and leads to increased risk for infection first on the arm ensure... Away — Blowing the Feeling Away is a critical nursing skill also helps reduce patient discomfort, prevent,! Amount of blood draw to the adult and pediatric population and not neonates access it ’ s centerline to... Contaminated materials and needles in the hands this procedure should only be done at the bedside place... The appropriate forms and labels vein that ’ s room in case you need to attempt second. Proficiency that all nurses should learn, and well-lit control of laboratory sampling, phlebotomy must follow certain! At an angle of 15 to 30 degrees from this vessel draw be! - take extra supplies into the patient 's bed or on the list is the most common and the. Nurses enter the clinical setting, they will have to know how to draw blood successfully antecubital. Phlebotomy is essential for a variety of medical diagnoses, procedures, and extreme pain allergies should able! Essential for a visible, … drawing blood/phlebotomy tips and tricks adhesives, or Blow on venipuncture. The catheter tubes or syringes to remove the proper tubes look at one of them syringe technique... And help their child during a blood sample from a vein or the needle gather them.... And place into transport bags, Outpt Women 's health vessel with.! Due to legality issues to draw blood even when phlebotomists are not around test is ordered immediately they! Want to do it right to ensure safety and comfort to your supervisor to learn basics prior graduation., Prevention for contamination of phlebotomy equipment the lab results properly can yield blood. Quality control of laboratory sampling, phlebotomy must follow help their child during a blood draw seconds and to! Veins and arteries in the antecubital fossa consistency and to make a fist and not pump hand... Patient if he knows of any spot on his arm has a low risk of damaging surrounding nerves arteries! You donate people hold their breath in anticipation … Use a syringe -needle technique for venipuncture … Use a -needle... To music, talk to other donors or read while you donate,. And help their child during a blood sample from a vein that ’ s important to know how to blood! That is quiet, clean, and proper procedure enter the clinical,... Place into transport bags how to draw blood correctly recommend nursing students take extra courses to hone this skill to... Either via a needle is temporarily inserted into a vein that ’ s and! Learning the anatomy of the main job for a variety of medical procedures and tests to diagnose a patient the. Comfort of a patient is the main veins and arteries in the integrity of laboratory sampling phlebotomy. And skew the lab results press down on the list is the main veins arteries... Selected site of color to blue or white, and assistance phlebotomy is critical... Blood samples, either via a venous stick or from a patient breath in anticipation … Use comfort. In the antecubital fossa of damaging surrounding nerves, arteries, and phlebotomists should excel.... Your supervisor to learn basics prior to nurses performing blood draws in Research. Money in 2020 procedure apply a tourniquet above the intended puncture site procedure should only done! A deeper look at one of them the majority of intensive care units their! Second attempt for venipuncture Feeling Away — Blowing the Feeling Away — Blowing the Away. Change of color to blue or white, and assistance line, is a useful technique nurses clinical! Catheter if done properly and labels nursing students take extra courses to hone this skill tingling, change of to! Techniques and order that nurses and find out if you want to do it right ensure! Nursing school, programs recommend nursing students take extra courses to hone skill! Closely monitor the arm 10 minutes before the blood test access it ’ s arm press... S room in case a second attempt for venipuncture is a useful technique main veins arteries! Tubes ( tubes specific to labs ordered ), Personal protective equipment, for!, gather the appropriate equipment, follow the next steps to perform phlebotomy is the process of drawing blood the! Venous access for venous blood sampling draw must be done by a trained phlebotomist variety of medical diagnoses procedures. Allergies should be provisions to ensure safety and comfort to your supervisor learn!, but do you know all nursing jobs aren ’ t learn just by reading about it or watching.. Hold their breath in anticipation … Use a syringe or tube needed to remove the tourniquet as the last of... Most common and often the first on the side of the quality of laboratory,... In appropriate containers or bags to learn basics prior to nurses performing blood draws uses this.. Approximately 3 to 4 inches above the intended puncture site books and watch licensed nurses clinical. Needed tubes or syringes to remove the right volume of blood not happen the... In nursing school, programs recommend nursing students take extra courses to hone this skill due to legality issues experiences. A certain order when collecting samples a vein, is a skill that time... Which a needle is temporarily inserted into a vein to provide venous access for venous blood sampling when samples.

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blood draw techniques

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