Phlebotomy
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About this ebook
Topics covered includes:
- Overview – Routine Venipuncture
- How Phlebotomy is Performed
- Circulatory System
- Blood Tests
- Types of Specimens
- Common Blood Tests
- Common Chemistry Tests & Panels
- Table of Test Types & Purpose
- Phlebotomy Tools, Techniques & Equipment
- Blood Collection Basics
- Tourniquets
- Gloves
- Needles
- Evacuated Blood Collection Tubes
- Tube Additives
- Order of Blood Draw
- Order of Blood Draw
- Color-Coded Tops for Blood Draw
- Glossary of Phlebotomy Terminology
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Book preview
Phlebotomy - Kathryn Almquist
Essentials of Performing Phlebotomy, Circulatory System, Blood Tests, Tools, Techniques, Equipment, Color-Coded Tops & Terminology
OVERVIEW
Phlebotomy is derived from the Greek, phlebo- (relating to veins), and -tomy (relating to cutting)
Phlebotomy (a.k.a., venipuncture) can be summarized as the incision of the vein for blood letting
The main purpose of phlebotomy is to obtain blood for diagnostic testing and to remove blood for transfusion
It involves highly developed and rigorously tested procedures and equipment to ensure the safety and comfort of the patient and the integrity of the sample collected
Phlebotomy skills and responsibilities are performed in a variety of healthcare settings, ranging from hospital care units to home-health settings
Furthermore, phlebotomy practice is more widely performed by all types of healthcare professionals, including:
nurses
respiratory therapists
emergency medical technicians (EMTs)
clinical laboratory professionals
In hospital and clinical settings, the person performing the venipuncture procedure is often called a phlebotomist
[NOTE: See Glossary of Phlebotomy Terminology]
HOW PHLEBOTOMY IS PERFORMED
[NOTE: Detailed procedural steps are outlined throughout the sections of this guide]
Routine Venipuncture Procedure
Greet and identify patient
introduce yourself
explain that you are going to take a blood sample
make sure that you have the correct patient by checking the requisition or prescription
Position and prepare the patient
position for both safety and comfort
explain the procedure and get a verbal informed consent from the patient
Assemble your equipment
gloves
tourniquet
tubes
gauze
needle adapter
antiseptic pads, etc.
Apply the tourniquet
3–4 inches above the puncture site
REMEMBER: tourniquet should not be left on longer than one minute; a tourniquet left on too long may cause the following:
hemoconcentration (too many blood elements in plasma)
hemolysis (destruction of red blood cells)
petechiae (red spots on the skin)
patients with difficult veins may be asked to make a fist or squeeze a rubber ball after the tourniquet is applied; once blood starts flowing, the patient is asked to open the fist or