Procedure for Phlebotomy

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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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