the extremities or extremities so as to limit - but not stop - blood flow. This can be used in emergencies, in operations, or in postoperative rehabilitation Tourniquet is a flexible mechanical material that can be made from synthetic rubber that can stretch. The purpose of using this dam to fixation, inauguration of the vein that the blood will be taken, also to add pressure veins to be taken so that it will facilitate the process of drawing blood into in syringes. Veins will cause changes in some components in the blood if tourniquet is left more than one minute, then the installation of the tourniquet must be mounted so that it is easily removed with one hand at a time when the needle has begun to vein wall (Kiswari, 2014). Tourniquet is a bandage that functions to compress blood vessels so that blood flow stops and does not flow at all. This tool is usually used when taking blood. Stopping bleeding in open wounds on the arms or legs (usually in traumatic cases on the battlefield or traffic accidents), if it is feared it will make the sufferer / victim bleed. Stopping blood flow during surgery on the arm or leg. This termination is done temporarily with the open and close system for a certain period of time. There are two types of tourniquets surgical tourniquets emergency tourniquets A silicon ring tourniquet, or an elastic ring tourniquet, is a standalone mechanical device that does not require electricity, cables or tubes. tourniquets pressure must exceed the systolic pressure, for the lower extremities it needs 450 mmhg or 150 mmhg above the systolic arterial pressure, and for the upper limb 250 mmhg or 100 mmhg above the systolic arterial pressure. Emergency tourniquets are cuff-like devices designed to stop severe traumatic bleeding before or during transport to a care facility. They are wrapped around the limb, proximal to the site of trauma, and tightened until all blood vessels underneath are occluded. Installation of tourniquet a maximum of 1 minute, if more then it will cause an increase in the concentration of molecules in the plasma due to the rupture of red blood cells or hemolysis. so that the molecules in the red blood cells come out. the tourniquet should be removed after the needle has entered the vein, but in some conditions it can extend the tourniquet to 3 minutes such as restoring venous location, needle sticking to the vein and a large sampling.