what sites should be avoided when performing venipuncture quizlet

List six areas to be avoided when performing venipuncture and the reasons for the restrictions. Regardless of the source of payment, request and receive an itemized and detailed explanation of the total bill for services rendered in the hospital. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. This requisition form must contain the proper information in order to process the specimen. Collect drops of blood into the collection device by gently massaging the finger. Do not place too tightly or leave on more than 2 minutes (and no more than a minute to avoid increasing risk for hemoconcentration). Precautions include a medical grade face mask. puncture site downward and gently applying intermittent pressure to the surrounding tissue (or proximal to the puncture site when the blood is obtained from a finger). Blood Collection Procedure: Capillary - University of Florida Using the requisition for reference, ask a patient to provide additional information such as a birthdate. Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand. Never draw above an IV site. Wipe away the first drop of blood with sterile 22 gauze. A. Syringe Avoid UE on same side of mastectomy (lymphedema) The Patient's Bill of Rights has been adopted by many hospitals as declared by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Smaller collection tubes for sample sizes of 2 mL or less may be appropriate in situations where a smaller amount blood should be drawn, as in pediatric patients, or to minimize hemolysis during collection, or to avoid insufficient sample volume in the collection tube. Do not use excessive pressure or heavy massaging because the blood may become diluted with tissue fluid. Do not use a previous puncture site. Here phlebotomists will typically choose from three veins: the median cubital vein, the cephalic vein or the basilic vein. This image is not<\/b> licensed under the Creative Commons license applied to text content and some other images posted to the wikiHow website. For children over 6 months and adults, the finger is punctured. (2017). Start with the arm closest to you and palpate the antecubital fossa. obvious areas of skin infections Hematoma formation is a problem in older patients. Hold a gauze pad over the puncture site for a couple of, minutes to stop the bleeding, and then tie gauze around the foot. Therefore, your anchor should be gentle but firm to prevent the vein from moving away from you. All other items used for the procedure must be disposed of according to properbiohazardous waste disposal policy. -use correct angle of needle insertion If blood stops flowing into the vacuum tube, the vein may have collapsed. Avoid areas of hematoma. While most patients veins are compatible with a standard needle gauge, others require a. . An assortment of needles and syringes of different sizes Tourniquet Alcohol and alcohol swabs Gauze or cotton balls Laboratory forms and blood-specimen labels Transportation bags and sharps container Step 2: Prepping The Patient Once you have the necessary supplies, it's time to ready the patient. Always thank the patient and excuse yourself courteously when finished. 2. Filter paper should touch only the blood and not the heel or finger. Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes. Preferred venous access sites, and factors to consider in site selection, and ability to differentiate between the feel of a vein, tendon and artery. Cannula/fistula/heparin lock - hospitals have special policies regarding these devices. Look at the dorsum of the hand as a last resort.