MA 202 Specimen Collection

Single Most Important Step

Patient ID
Blood Draw Requirement
- Requisision Form
- Ordered by Physician
Blood Draw Prioritize
- STAT
- Timed
- Fasting
- Routine
First Enter Room
- Greet and state name
- Verify Patient (arm band to order form)
- On any medication
- Nothing in mouth
Patient Preparation after Verification
- Position / Prepare arm
- Support arm
- Verbal informed consent
- Verify any pretests
Assemble Equipment
- Wash hands
- glove
- prepare needle
Venipuncture
- Apply tourniquet
- Select site
- Palpate
- Remove tourniquet
- Clean site (allow dry 30-60sec)
- Reapply tourniquet
- Examine needle for damage
- Perform puncture 15-30 degrees
- Fill first tube
- Remove tourniquet
- Change tubes as needed
- Remove last tube
- Verify tourniquet removed
- Withraw needle
- Dispose of needle immediately
- Gauze
- Apply pressure
- Label tubes at bedside
- Attend to patient (bandage)
- Deliver to lab
Hemoconcentration
- Increase ratio formed elements to plasma
- Tourniquet on too long
Hemolysis

Destruction of RBC
Petechiae
- Small red spots on skin
- Tourniquet too tight
Palpate Vein (looking for)
- Locate depth and direction
- Feels - spongy, bouncy, but firm
Cyanotic Patients
- Difficult to draw blood
- No flow in extremities

Author

Shutrbug20

77078

Card Set

MA 202 Specimen Collection

Description

Chapter 3 Unit 9

Updated

2011-04-04T01:51:17Z

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