SEGi COLLEGE SARAWAK

FACULTY OF NURSING AND ALLIED HEALTH

Venepuncture (Blood taking)
Purpose: to take blood specimen for investigation
Best sites: median cubital, cephalic or basilic veins
Assessment
Verify Drs order for correct specimen order and correct client identification
Assess clients medical history: fasting needed, history of bleeding
tendency
Assess clients condition: anxiety, conscious level
Assess the site for blood taking : no injury, hematoma or pain
Assess the vein to be punctured: straight, soft, palpable, easy
visualization, size of the vein
lanning
ash hands
!repare re"uisites: kidney dish #ith
o $orrect needle size %usually &'()
o *yringe%according to the amount of blood needed)
o *pecimen tube+bottle
o *pirit s#ab
o !laster %,andiplast)
o -atex gloves
o .ncontinent pad %/lue sheet)
!mplementation
(reet client and explain procedure to gain cooperation and reduce
anxiety0
1nsure privacy0
Ask for clients name to verify identification
!ut client in 2o#lers or recumbent position %as per comfort)0
*traighten the hand, #ith palm facing up#ards0 !lace incontinent pad
under the hand0 $heck for suitable vein0
,and #ash
Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
1
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH
!ut on latex gloves
Apply tourni"uet 34'5cm above the vein to be punctured %to dilate the
vein)0
Ask client to open and close the fist for several times, and, finally clench
the fist0
Attach the needle to the syringe and loosen the needle cap0
!alpate the selected vein0
*#ab the site to be punctured
!ull the skin of the vein site taut to prevent mobility of the vein #ith the
nurses non4dominant hand0
.nsert the needle at a '3465 degree #ith the bevel facing up#ards0 !ush in
until presence of blood is seen at the hub %ensure needle is in the vein)0
*tabilize the needle #ith the non dominant hand0
ithdra# the amount of the blood needed0
7elease tourni"uet once amount is met0
!lace the spirit s#ab onto the puncture site then remove the needle0 !lace
the needle #ith blood into the kidney dish0
Apply pressure onto the puncture site until bleeding has stopped0 Apply
handiplast onto the puncture site0
8ake client comfortable0
*yringe the amount of the blood needed into respective specimen
tube+bottle0
-abel the tube+bottle properly0
Dispose the needle and syringe into *harps bin0
7emove gloves
ash hands
*end the specimen to the laboratory0
E"aluation
9bserve the site for any excessive bleeding, pain or hematoma0
2ollo#4up #ith the specimen result and report accordingly0
Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
2
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH

Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
3
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH
erip#eral !V cannulation
Purposes:
2or iv infusion
2or iv medication
Best sites: start #ith dorsal aspect of upper limb0 $ommonly
cephalic or basilic veins
Assessment
Verify Drs order for correct specimen order and correct client identification
Assess clients condition: anxiety, conscious level
Assess the site for cannulation : no injury, hematoma or pain, not joint
area, site not been puncture before
Assess the vein to be punctured: straight, soft, palpable, easy
visualization, size of the vein accordingly to the cannula
lanning
ash hands
!repare re"uisites: kidney dish #ith
o $orrect branula size
o *pirit s#ab
o *topcock or .V drip
o 3 ml syringe #ith normal saline %for flushing #ith stopcock)
o !laster for taping
o -atex gloves
o .ncontinent pad %/lue sheet)
Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
4
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH
o :ello# bag for contaminated material
!mplementation
(reet client and explain procedure to gain cooperation and reduce
anxiety0
1nsure privacy0
Ask for clients name to verify identification0
!ut client in 2o#lers or recumbent position %as per comfort)0
*traighten the hand, #ith palm facing up#ards0 !lace incontinent pad
under the hand0 $heck for suitable vein0
,and #ash
!ut on latex gloves
Apply tourni"uet 34'5cm above the vein to be punctured %to dilate the
vein)0
Ask client to open and close the fist for several times, and, finally clench
the fist0
!repare the brannula4loosen the cap0
!alpate the selected vein0
*#ab the site to be punctured
!ull the skin of the vein site taut to prevent mobility of the vein #ith the
nurses non4dominant hand0
.nsert the needle at '3465 degree #ith the bevel facing up#ards0 !ush in
until backflo# of blood is seen at the flashback chamber (indicate
$ranula is inside t#e "ein)%
!ull out the stylet by 503cm (to pre"ent per&oration o& t#e "ein $' t#e
st'let)
!ush in the branula until the hub rests at the puncture site0
7elease tourni"uet #ith the non4dominant hand0
Apply pressure at puncture site to prevent blood flo# #hen removing
stylet0
7emove stylet and connect to stopcock or .V infusion0 .f on stopcock,
inject normal saline or heparin saline as per hospital protocol
1nsure that the branula is in4situ
*ecure it #ith plaster %as per hospital protocol)0 -abel time and date of
insertion onto the plaster0
8ake client comfortable0
7emove gloves
Dispose the needle and syringe into *harps bin0
ash hands
Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
5
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH
E"aluation
9bserve the site for any signs and symptoms of phlebitis, bleeding,
inflammation or infiltration0
9bserve proper .V drip rate %if on infusion)

Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
6
Preferred insertion site : upper limb
Digital
doral !"i#
Doral
$"ta%ar&al
!"i#
Doral
!"#o'
#"t(or)
C"&*ali%
!"i#
+aili% !"i#
C"&*ali% !"i# ,"dia# %'-ital !"i#
A%%"or.
%"&*ali% !"i#
+aili% !"i#
C"&*ali% !"i#
,"dia#
a#t"-ra%*ial !"i#
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH
Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
/
SEGi COLLEGE SARAWAK
FACULTY OF NURSING AND ALLIED HEALTH
Re&erences
Abdul 7ahman 70, 8ohamed -udin *0 %&553) Prosedur
e!urura"atan #engguna$an Proses e!urura"atan0
!earson ; !rentice ,all0 8alaysia
-e8one, !0, /urke, <0 %&55=)0 %edical&Surgical Nursing.
Critical 'hin$ing in Client Care. >
th
ed0 !earson !rentice ,all0
?e# @ersey0
Prepared by Adeline Han SRN, Adv. Dip in Critical Care Nursing, Bch. in Nursing
0