Procedure for Phlebotomy

Posted September 11th, 2013 in Phlebotomy by Michele
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  1. Phlebotomy is the process of drawing blood from a person for laboratory examination. Phlebotomists and nurses remove blood to carry out different medical examination. Outlined below are steps involved in drawing blood from patients.
  2. Examine any patient precautions. Go through the patient’s medical records and identify any condition.
  3. Present yourself to your patient. Clarify to your patient about the phlebotomy process you are about to carry on them.
  4. Clean and disinfect your hands. Wear sanitary gloves.
  5. Examine the order of the patient. Confirm the request is stamped with the name of the patient, medical document number and birth date.
  6. Bring together your supplies. Confirm that the blood cultures and blood tubes have not expired.
  7. Choose the right needle. The needle selected will depend on the patient’s physical characteristics, age and the blood amount to be removed.
  8. Find a vein.
  9. Seat the patient. Give the patient a chair which have an armrest and have no wheels. A pillow must be placed under the arm of the patient in case he is lying down for support.
  10. Make a decision or allow the patient to decide about which arm to draw blood. Fasten a tourniquet around the arm of the patient just above the venipuncture site.
  11. Request the patient to make a fist. The patient should not be requested to force his fist.
  12. Use the index finger to trace the patient’s veins. Valve the vein using your index finger to enhance expansion.
  13. Sterilize the spot to be punctured using an alcohol cleaner. Disinfect the area in a circular motion and do not wipe the same place twice.
  14. Let the sterilized spot dry for about 30 seconds. This assists the patient not to feel a string when the needle is put in.
  15. Carry out the Blood Draw
  16. Make sure the needle is free from any defects.
  17. Needle sheath will assist in cording the needle into its holder.
  18. Valve any tubes with additives to remove the preservative from the tube.
  19. Put in the tube for collecting blood into the holder.
  20. Grab the arm of your patient and ensure it is pointing down so as to avoid reflux.
  21. Array the needle near the vein.
  22. Insert the needle.
  23. Fill the tube
  24. When blood stops flowing remove the tube from its holder.
  25. Add additives and fill all tubes.
  26. Request a patient to open his hand.
  27. Take the needle out and apply mild force to stop bleeding.

 

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How to choose a Phlebotomy Program

Posted September 7th, 2013 in Phlebotomy by Michele

If you have a huge interest in the medical field but you are concerned about the long duration of study and costly fees phlebotomy might be just the right career for you keeping in mind that it takes only eight to twelve weeks and a maximum of two years for an associate degree.

In the recent time there are many phlebotomy courses and institutions of learning offering phlebotomy training and this can be quite confusing for someone interested in joining the career. You need guidelines before selecting the right course and institution to join because this will be the first step towards your career development. A well defined program can make you competitive among others in the field so it is important to go for the best.

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A normal training program takes between six to twenty four months and this may cost around $1000 or even $15000 for tuition fee. The cost of the program does not necessary indicate the quality that will be offered so you will need to look for finer details like the program description, reputation of the school you want to join and the quality of education provided there.

The course you are selecting needs to cover the vital area that will be used in your work as a phlebotomist and this will include topics like human anatomy, drawing of blood, vein locations and also laboratory administration work.

It is important for the curriculum you are planning to study to involve the students in learning the legal aspect of phlebotomy, drawing blood with least discomfort and environmentally friendly disposal of the sharp objects used in the phlebotomy procedures. A course which offers some aspect of administrative work should be considered before others because phlebotomists need to have knowledge in keeping the results of the patients’ diagnosis.

With the growing population joining the phlebotomy you need to be equipped with the right skills which will make you stand out from the rest of the population and also offer you a good salary compared to others in the field.

Getting a certification with the organization bodies is also important because most states require you to be certified before you get employed. You may choose from the various bodies available like the national phlebotomy certification, American society for clinical pathologists (ASCP) and American society for phlebotomy technicians (ASPT) the organization you choose will depend on your specialization in the field and the kind of interest you have.

 

 

 

 

 

 

 

 

 

Phlebotomy Steps

Posted September 7th, 2013 in Phlebotomy by Michele

Phlebotomy is the process of drawing blood from a person for laboratory examination. Phlebotomists and nurses remove blood to carry out different medical examination.

Outlined below are steps involved in drawing blood from patients.

Patient Examination:

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  • Examine any patient precautions. Go through the patient’s medical records and identify any condition.
  • Present yourself to your patient. Clarify to your patient about the phlebotomy process you are about to carry on them.
  • Clean and disinfect your hands. Wear sanitary gloves.
  • Examine the order of the patient. Confirm the request is stamped with the name of the patient, medical document number and birth date.
  • Bring together your supplies. Confirm that the blood cultures and blood tubes have not expired.
  • Choose the right needle. The needle selected will depend on the patient’s physical characteristics, age and the blood amount to be removed.
  • Find a vein.
  • Seat the patient. Give the patient a chair which have an armrest and have no wheels. A pillow must be placed under the arm of the patient in case he is lying down for support.
  • Make a decision or allow the patient to decide about which arm to draw blood. Fasten a tourniquet around the arm of the patient just above the venipuncture site.
  • Request the patient to make a fist. The patient should not be requested to force his fist.
  • Use the index finger to trace the patient’s veins. Valve the vein using your index finger to enhance expansion.
  • Sterilize the spot to be punctured using an alcohol cleaner. Disinfect the area in a circular motion and do not wipe the same place twice.
  • Let the sterilized spot dry for about 30 seconds. This assists the patient not to feel a string when the needle is put in.

Procedure for drawing Blood:

  • Make sure the needle is free from any defects.
  • Needle sheath will assist in cording the needle into its holder.
  • Valve any tubes with additives to remove the preservative from the tube.
  • Put in the tube for collecting blood into the holder.
  • Grab the arm of your patient and ensure it is pointing down so as to avoid reflux.
  • Array the needle near the vein.
  • Insert the needle.
  • Fill the tube
  • When blood stops flowing remove the tube from its holder.
  • Add additives and fill all tubes.
  • Request a patient to open his hand.
  • Take the needle out and apply mild force to stop bleeding.

 

 

Phlebotomist salary

Posted September 7th, 2013 in Phlebotomy by Michele

Phlebotomy technicians are medical professionals whose core responsibilities are gathering blood specimens from patients. Phlebotomists must take caution when drawing and storing the fluids to avoid any contamination. There is an increase in demand for more phlebotomist as the health centers are growing in number. A phlebotomy technician can work in a hospital lab, private clinics, insurance industry, government agency, blood banks and in research centers.

A person interested to join this field must first learn what the discipline contains including the mean salary. Phlebotomist’s salary depends on ones experience, working center and level of education. The mean salary of a certified phlebotomist is $ 30,000 annually. Phlebotomy field also have part-time staffs that who are paid on hourly bases which is not less than $10, they also have other allowances like reduced cafeteria prices.

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A number of factors influence a phlebotomist salary, one being his experience. The longer a person has worked in an area the more skilled a person is and the more accurate one is. A phlebotomy technician who has worked in a place for one to three years will earn a salary ranging between $20,000 and $36,000 every twelve months. Those with five to ten years practice earns a real decent income that is between $36,000 and $40,000. Their phlebotomists who have been in the field for decades, their annual salary are more than $40,000.

Another factor is the phlebotomist employer. The employer may be the government, NGO and hospital management. NGO’s are the best paying employers; they pay their phlebotomy technician an average of $36,000 and $ 39,000 annually. Hospitals lead in the number of phlebotomists they hire. They pay an average salary of $29,000 per year. Those working in labs earn an average of $30,000 and those in clinical labs taking home a mean of $35,000.

Qualification is very important, as no employer is willing to hire someone who is not certified. One who passes well in phlebotomy exams is assured a better salary; passing includes excellent performance in phlebotomy practical.

Location of the working premises also influences ones income, before entering into any field it is always good to consider the firm’s location. There are a number of cities that are favorable for phlebotomists to work in they include San Francisco, Los Angeles, Newark, Chicago. The living standard in these places is very high even if the salary is high. Location is therefore another factor that influences income.

 

 

Phlebotomy equipments

Posted September 7th, 2013 in Phlebotomy by Michele

Collection tubes – Intended to fill a fixed amount of blood.  The codes used in labeling the rubber stoppers should be in different colors according to the sample color they hold. The tubes come in different sizes. NEVER transfer blood samples from one tube to another as the tubes may contain dissimilar coatings or additives. Once their used, they should be cleaned and stored in dry and tidy place.

Needles – The estimated number signifies the bore extent, therefore the smaller the estimated number the larger the needle bore. For the evacuated methods, the needles are accessible and with syringe use, in either single draw or butterfly method they are used.

Adapter/Holder – Used with evacuated collection apparatus. The holder should be non-flammable.

Tourniquet –Clean with alcohol and change often.

Alcohol wipes –It should always be maintain at 70% isopropyl alcohol

Providone –This iodine wipes have their use in drawing blood cultures.

Gauze sponges –Once the needle is withdrawn from the skin their used to dry the skin surface.

Tapes/ adhesive bandages –Used to protect the venipuncture site after blood samples are collected.

Needle disposal –After using a needle it should NEVER be bend, reused or broken instead it is good to dump it in a proper needle disposal unit. The dumping must be right away after their use.

Gloves –There worn to protect both the phlebotomy technician and the patient from any contamination. Phlebotomist puts them on. Gloves are made of rubber, latex or vinyl. They should be disposed like the needles and not reused.

Syringes – Used in special cases to substitute evacuated collection tube

Vacutainer tube –Depressed into a needle to start removing blood from a patient

Microtainers –This is one of microcollection tube used in blood collecting from either the heel or the finger. This method of collecting blood sample is mostly for patients who are elderly or small children and patients with difficult veins.

Fecal occult blood examination –Used to test for colorectal cancer by spotting any unseen blood in the stool specimen. The cards in the examination pack have a guiac paper that react with the blood portion causing a blue color to show once the developer is introduce.

Urine dipsticks –used for chemical testing of urine

Butterfly needles –draws blood from patients who has delicate veins.

Safety transfer equipments –protects the phlebotomists from accidental stick of a needle during blood transfer from a syringe to tubes.

 

 

 

 

 

 

 

 

 

Blood Collection Regular Venipuncture and Samples Handling

Posted September 7th, 2013 in Venipuncture by Michele

Illustrate and carry out the venipuncture process that includes:

  • Appropriate patient identification measures
  • Appropriate tools choice and application
  • Correct labeling measures and achievement of laboratory demands
  • Order of draw for various tube phlebotomy
  • Ideal venous access position and factor to regard when selecting a venipuncture site and the capability to distinguish between a tendon, vein and artery feel
  • Patient concern after conclusion of venipuncture
  • Protection and contamination control measures
  • Quality guarantee issues

Recognize the preservative, preservative purpose, degree and samples considerations to be used in the various color-coded tubes.

List down the areas to be shun when carrying out venipuncture and explanations for the set limitations

Review the problems, likely to be met in vein accessing, including the process to pursue when a sample is not found.

Highlight several consequences of venipuncture exercise and posture upon the lab standards.

 

Venipuncture Process

This procedure requires both knowledge and experience for its performance. For a successful specimen collection process, the following essential steps are necessary:

Recognize the patient.

Review the physical nature of the patient this includes his diet, basal state and exercise.

Go through past medical records of the patient.

Select the appropriate spot for venipuncture.

Prepare the tools, patient and the site

Carry out venipuncture

Put together the specimen in the right container

Take note on any complications that may arise after venipuncture process

Identify the need for specimen recollection

Label all the tubes with the samples correctively

Send the samples and the requisition form to the laboratory on time for samples examinations

 

 

 

Requisition /Order Form

An order form must go together with any sample set to the laboratory. The form must contain the right information about a sample collected. Outlined below are the essential elements of this form:

Patient’s complete name: surname followed by his first name and then his middle name

Identification card number of a patient

The sex and the date of birth of a patient

Attending physician’s full name

Sample source

The date and the exact time of specimen collection

Phlebotomist’s initials

Specify the examination(s) requested

 

Specimen Labeling

A correctly labeled specimen is necessary for them to match with the patient. The vital fundamentals in labeling are:

Full patient’s name

ID number of the patient

Date and time of specimen collection

Phlebotomist’s initials

NOTE: patient’s name and his ID number must match those in requisition form.

 

 

 

 

Significance of Phlebotomist qualifications

Posted September 5th, 2013 in Phlebotomy Certification by Michele

For any person planning to enter phlebotomy field must understand the importance of being a certified phlebotomist as the employer requires it. The potential boss makes sure that you have the obtained the essential phlebotomy training and you posses the right credentials.

Passing the National Phlebotomist Certification Examination is a guarantee to a better salary; those who passed are making decent salaries in phlebotomy jobs. The exam equips the student with skills that improves his understanding in this discipline. They give him the experience to do an acceptable job and handle any arising issue in this field.

Phlebotomy training varies in duration depending on the training institute, in United States’ institutes it mostly takes around 8 to 12 months. The course work uses models, presentations, experiments, group work, assignments and practical to enhance understanding. Two years after training the student gets his degree, by this time he is well equipped with phlebotomy knowledge. Phlebotomy course work includes other medical area like human anatomy and lab administration. Certification for one to perform as a phlebotomist is a necessity in states like Florida and Louisiana.

For those who are going to work in any health center like research centers, hospitals and insurance companies or at private clinics, certification is mandatory before you are hired. To be qualified one must consider the specific requirements for the state you want to work in as each state has its own terms. California for example, requires a phlebotomist to pursue phlebotomy technician 1 and on top add phlebotomy technician 2 to be qualified.

Many courses require a mixture of tutorial lectures and practical experiments. Phlebotomy practical prepares a student with the ability to work in a lab setting and get the real working knowledge. Consider where to take your course from either online or from a formal classroom and the institute to certify you before applying for phlebotomy certification. Organizations that offer phlebotomy certification include:

American Society of Phlebotomy Technician (ASPT)

National Phlebotomy Certification

American Society for Clinical Pathologists (ASCP)

During course work, one can get the revision materials online. On course completion, one sits for the phlebotomy Certification exams. The student now has skills in location of veins and blood drawing. Phlebotomy Certification Exams is done as any other exam paper or online. When using a computer there is, software called CAT that allows selection of the next question that based on the past answers.

 

Advantages of Taking Phlebotomy Training in a Formal Classroom

Posted September 1st, 2013 in Phlebotomy Training by Michele

A phlebotomy technician has other duties rather than just drawing blood from patient. He prepares and disinfects the site for puncturing, goes through the patient past medical history, sets the specimens for laboratory examination and he works closely with other medical professionals like doctors, nurses, lab technicians and dentists. Therefore, anyone interested in taking phlebotomy career must go through a course that encompasses all this things.

Luckily, in the programs of training phlebotomy technicians, their multiple options, ranging from online classes to university and colleges. Sorting through all this options becomes very difficult for the potential student to choose the best school. Thus, it is advised that one should carry out a research to gather information about the advantages and short comes of each school in order to make the right decision. Outlined below are reasons why it is important to obtain phlebotomy classes in a formal class.

Practical learning

For one to be eligible to take the phlebotomist qualification exams, he must have taken practical practices of whatever is learning. In a classroom, the student is able to meet the set hours of practicing phlebotomy without any straining as all the required equipments are available. A student training online has to look for centers to carry out the practical or even internships that are very strenuous and inflexible.

 

 

 

Learners Cooperation and Participation

When you attend a classroom that has other like-minded students you tend to interact more and freely than when you are learning online with every student situated in his or her location alone. Phlebotomy students in a formal class are able to exchange ideas and insights this gives one a broader understanding of a topic. The students are also able to form discussion groups making it easy for them to expound an idea.

Tutor Guidance

Seeing and listening to an instructor creates learning atmosphere. The teacher answer questions, give instructions on practical and give summarized notes on time.

Immediate response

In case a student does not understand something or needs immediate help during an experiment, he can get assistance right away as the instructor is there. This is not the case when the student is taking online classes, he has to send the tutor an email and wait for the reply if he needs any help.

Discipline

It takes a lot of discipline for a student to fix his online classes into his busy schedule. Unlike in formal class where one has to attend the set classes.

 

 

Job Duties of a Phlebotomist

Posted September 1st, 2013 in Phlebotomy by Michele

Phlebotomist technicians can work in private clinics, physician’s offices, hospitals, research centers, blood banks, nursing homes and in insurance industries. In this field, there is an interaction with nurses, doctors, patients and other clinical workers of which all have different ages and social classes.

Tasks of Phlebotomists

The main duty of a phlebotomy worker is to remove blood from patients that is used in different ways. Their responsibilities expand past drawing blood to being good communicators, timekeepers, knowing and practicing all lab rules, sticking to CDC approvals and OSHA recommendations. The following are some of phlebotomist obligations that he carries daily.

  • Bringing together timed samples, the phlebotomist must have the understanding of the importance of timing especially if it relates to curative medicine level and any other crucial examining procedures. They must also adhere to all rules established for lab samples.
  • They should always make sure they label and record all the specimens’ tubes they gather with the correct dates and corrects initials. The label consists of the patient’s name, date of birth, date and time of blood drawing.
  • Phlebotomy technicians are obliged to match all the lab application forms and samples tubes and keep all the lab records in a safe place out of access to authorized personnel.
  • Phlebotomists have to follow all safety measures in the lab and communicate the precautions to any other laboratory user.
  • They make orders and receive all ordered items to be used in the laboratories. They arrange the supplies.
  • They make sure the laboratory is clean and all equipments are clean, sterilized and dry and are stored in safe positions to protect them from breaking.
  • Phlebotomy technician has a duty of making sure blood-removing trays are stored while clean and neat.
  • In case of a research in the phlebotomy field to resolve a problem, they take part in data collection, data analysis and in decision-making.
  • They communicate to the Lab Supervisor of any likely danger.
  • In the case when the phlebotomists visit patients in their homes, they are responsible in the transportation of the samples to the labs.
  • They also have a duty of taking measures for storing and transporting specimens to be analyzed by other health professionals.
  • Phlebotomists working in labs have a duty to make sure that specimens are examined correctly and are free from any contaminations.

 

 

National Association of Phlebotomists (NAP)

Posted September 1st, 2013 in Uncategorized by Michele

Phlebotomy is a small field in the medical sector. Its members need protection and representation to air their demands and to address on any emerging issues. NAP is an activist and training group for all medical qualified staff practicing phlebotomy in America. It aims at supporting, empowering and training the professionals. The group addresses on any trend in phlebotomy discipline. It gives phlebotomy personnel a right to vital supplies and other specialized staffs who assist the phlebotomy in their duties.

National Association of Phlebotomists goal is to educate and certify American phlebotomists; it helps to solve the problem of career identification and representation of the phlebotomist in their discipline. NAP is not an authoritarian institute for phlebotomist in UK and it do not register phlebotomy education providers. Teaching providers supporting NAP culture and their teaching program is approved by NAP are given the right to use NAP symbol on marketing their items. This body is a non-employment organization; it is not responsible for helping phlebotomist search for jobs opportunities.

Members Duties

  • NAP members must be in a position to get four newsletters each year.
  • Take part in innovative projects.
  • Attend all AGM meetings.
  • Undertake all the training in phlebotomy field.
  • Committed persons with interest in expanding phlebotomy practice.
  • Maintain supplier relationship.

The managerial committee gives time to the group and are looking for phlebotomy technicians with additional skills in administration and marketing ability. The committee also encourages anyone with info that concern phlebotomy to forward it to them. The information is then written in phlebotomy newsletters.

NAP Training

National Association of phlebotomists is a no profit-making firm it aims at training and improving the phlebotomy career so that in future it can reap the admiration and support it abundantly requires. It enthusiastically works with health unit on putting down measures for phlebotomy teaching. They are also taking part in plans that want to improve phlebotomy as a career, which involves developing and raising the phlebotomy practices.

To aid in the approaching execution of National Measures, this body offer different services that meets the National Working Measures. NAP offers:

  • Training on paediatric phlebotomy
  • Teaching the teacher
  • Teaching the already taught
  • Taking care of technical unease
  • Legal and occupational matters
  • Phlebotomy workshops
  • Consultancy and advice to phlebotomists

More about NAP can be obtained from their website.