tips for drawing blood on obese patients

Using your thumb, pull back on the skin and hold the vein down. If using wet or damp washcloths, do so with caution. The only way to make sure is by touching it yourself. Beaumont Laboratory GERIATRIC PHLEBOTOMY TIPS First, remember where to look. 0000008998 00000 n WebPatients who are dehydrated, obese, terminally ill, or hard sticks often get their blood drawn in other locations rather than the antecubital fossa. Apply heat for about 3 to 5 minutes and then assess for vein. Check between the knuckles. These devices are good at locating superficial veins, however, their ability is limited for deeper veins. Create an account and get 24 hours access for free. It is the sharpest part and this will be the best way of insertion. Doctors have access to deep veins like the femoral and subclavian vein that other phlebotomists dont have. Have iron-rich foods, such as red meat, fish, poultry, beans, spinach, iron-fortified cereals or raisins. Some of our partners may process your data as a part of their legitimate business interest without asking for consent. However, thats not always a luxury most phlebotomists are afforded. Quiz and answer key included. By submitting this form, I authorize and agree that a representative of Carrington College can contact me about educational services and future offers by email, phone and/or text messaging at the email and telephone number provided above using an automated telephone dialing system, and/or an artificial or pre-recorded voice or text message. The bevel of the needle should go upwards. Slapping can lead to contraction which can further decrease the veins, producing an adverse result. WebBy using a syringe and needle to draw the patient's blood, you can control the pressure and speed at which the blood is removed by varying the rate that you pull back on the This represents the massive concentration of certain molecules in the blood. With the foot- some places require a specific order r/t other dx that can increase DVT risk :). This can help individuals with deep veins, who are obese, or with some edema. Premarital blood tests have been done away with. Most of the time, the visibility of the vein depends on the patient. Attach the needed tubes or syringes to remove the proper volume of blood. Improve knowledge and awareness of the risks associated with phlebotomy among all health workers involved in the practice, Increase safe practices and reduce blood borne virus exposure and transmission, Availability of appropriate supplies and protective equipment, Availability of post-exposure prophylaxis (PEP), Avoidance of contaminated phlebotomy equipment, Recapping and disassembling vacuum-containing tubes and holders, Reusing tourniquets and vacuum-tube holders that may be contaminated with bacteria and sometimes blood, Working alone with confused or disoriented patients who may move unexpectedly, contributing to needle-sticks, Proper safety standards to avoid a needle stick, standards for quality care for patients and health workers, including, availability of appropriate supplies and protective equipment, availability of post-exposure prophylaxis (PEP), avoidance of contaminated phlebotomy equipment. They can help you to find a usable vein quickly, so you can get the blood draw you need, and your patient can remain comfortable throughout the experience. I had one not too long ago where I had to do a 1 hour glucose tolerance test and was having trouble finding a vein. Sometimes the veins are deeper so therefore you will have to go deeper. The heat will help dilate the veins and gravity will assist in filling those veins. Venipuncture tips: 50 Actionable Tips to Perform In certain cases, the patient may move a bit which may result in you sticking the needle in your own finger. Doing so can help move veins and tendons away from each other increasing the likelihood for a vein to show up. No matter how a patient looks like, it is necessary for a medical professional to protect himself. Insert the needle at a 15 to 30-degree angle into the vessel. If no blood flows, pull out the needle and repeat the draw. Remove the needle, take care of the site and repeat the procedure. possible. In order to reduce the risk of thrombosis, lines need to be flushed with a solution of heap in. just like everyone else. For adult patients, the most common and first choice is the median cubital vein in the antecubital fossa. Massage the arm from the wrist to the elbow if using arm veins. Its important to speak to your supervisor to learn the steps in order to become certified in your hospital. Then, push down with the flat of the finger over the area. A better vein might be available in the forearm or at the back of the hand. This is a common misconception - pumping the hand does not increase venous circulation. Wetting the area, followed by deep massaging or palpating will oftentimes reveal or confirm vein location. Press enter to open the dropdown list, then press tab and enter to choose the language. On average, it is much harder to find veins in people with darker skin tone. Lab gives us an 8 minute window (+/- 4 minutes from exactly one hour from when they finish their glucose) to get the draw. If necessary, apply the tourniquet and examine the median cubital, cephalic, and basilic veins. hbba`b``3~0 U endstream endobj 197 0 obj <>/Metadata 31 0 R/Pages 30 0 R/StructTreeRoot 33 0 R/Type/Catalog/ViewerPreferences<>>> endobj 198 0 obj >/PageTransformationMatrixList<0[1.0 0.0 0.0 1.0 -306.0 -396.0]>>/PageUIDList<0 193>>/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 199 0 obj <> endobj 200 0 obj [/Separation/Beaumont#20Blue 221 0 R<>] endobj 201 0 obj <>stream

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