Phlebotomy – 28 STEPS TO DRAWING BLOOD – Flashcards
Unlock all answers in this set
Unlock answersquestion
Step 1
answer
Identify the patient
question
Step 2
answer
Identify yourself.
question
Step 3
answer
Check the fasting state of the patient. Some tests require that the patient not eat or drink. Ask if they are fasting it is your job.
question
Step 4
answer
Wash hands and put on gloves. (use rotating motion with warm water and germicidal soap)
question
Step 5
answer
Reassure the patient. (act confident : education +experience = reassurance to the patient)
question
Step 6
answer
Position the patient. Move arm downward from shoulder, always have a table or bar placed out in front)
question
Step 7
answer
Verify tests ordered.
question
Step 8
answer
Assemble and check supplies. (expiration dates, cracks in tubes, needles in tubes.
question
Step 9
answer
Apply tourniquet.
question
Step 10
answer
Have the patient close their hand.Never have patient pump fist more than 1 or 2 times.
question
Step 11
answer
Select the site to insert the needle.
question
Step 12
answer
Cleanse and dry the site with an alcohol pad.
question
Step 13
answer
Anchor the vein. Use only thumb or index finger. Draw skin tight under the site.
question
Step 14
answer
Perform venipuncture with bevel up at 30 degrees or less.
question
Step 15
answer
Release the tourniquet. Never leave it on more than 1 minute.
question
Step 16
answer
Put dry gauze over the site.
question
Step 17
answer
Release the tube from interior needle before removing the needle from the vein.
question
Step 18
answer
Remove needle from vein as swiftly as possible. Activate safety device.
question
Step 19
answer
Apply direct pressure for 3 to 5 minutes. Hold for at least 5 minutes for patients that take blood thinners.Tell patient to leave bandage on for 15 minutes.
question
Step 20
answer
Invert/rotate all additive tubes within 30 seconds after drawing to prevent clots. Bandage arm and check for bleeding.
question
Step 21
answer
Dispose of used equipment in puncture resistant biohazard container.
question
Step 22
answer
Label tubes before leaving bedside or patient in ambulatory setting.
question
Step 23
answer
Reposition bed rails.
question
Step 24
answer
Remove gloves and wash hands.
question
Step 25
answer
Record/report specimen collection to nursing station.
question
Step 26
answer
Tell nurse station to release the patient's diet.
question
Step 27
answer
Return samples to lab.
question
Step 28
answer
accession properly. Store sample properly. Put in centrifuge machine.
