Phlebotomy Lesson With My MA Students | Straight Needle

Medical Assisting with Ms. K
28 Sept 202307:01

Summary

TLDRIn this educational video, the presenter demonstrates a live venipuncture lesson on a patient with an ideal vein. The process includes selecting the appropriate needle, applying a tourniquet, and finding the vein through palpation. The video emphasizes proper technique, such as not pumping the patient's arm to avoid altering test results, and maintaining a steady hand during the procedure. It also covers the importance of inverting blood collection tubes with additives and securing the needle after use to prevent accidents.

Takeaways

  • 💉 The lesson is about performing a venipuncture on a real patient using a straight needle or vacutainer system.
  • 🔍 Before starting, the patient's arm is checked to determine the appropriate needle size, with smaller veins requiring a butterfly needle.
  • 👀 The patient has a visible and accessible vein, which is ideal for a successful venipuncture.
  • 🤝 The tourniquet is applied 3 to 4 inches above the elbow, and is not left on for more than a minute to prevent discomfort.
  • ✊ The patient is asked to make a fist to make the vein more prominent, but not to pump the fist as it can alter blood results.
  • 👐 The vein is palpated gently to confirm its location and feel; it should be spongy and bounce back when touched.
  • 🧼 The site is cleaned using a circular motion, starting from the point of insertion and moving outward.
  • 📦 All supplies are prepared and organized before starting the procedure to ensure a smooth and efficient process.
  • ✂️ The tourniquet is the last step before inserting the needle, and the patient's arm is positioned to stabilize the vein.
  • 🩸 The needle is inserted with the bevel up, and the tube is filled with blood, which is then removed carefully to avoid needlestick injury.
  • 🔄 After drawing blood, the tube is inverted a specific number of times depending on the additive it contains to ensure proper mixing.

Q & A

  • What is the purpose of the video?

    -The purpose of the video is to demonstrate a live lesson on phlebotomy, which involves drawing blood from a patient.

  • Why is it important to check the patient's arm before starting the procedure?

    -Checking the patient's arm is important to determine the appropriate needle size, especially for pediatric or geriatric patients with small or fragile veins.

  • What is the significance of the vein's appearance in the video?

    -The vein's appearance is significant because a prominent and spongy vein is easier to access, making the phlebotomy procedure more straightforward and less painful for the patient.

  • Why should the tourniquet be tied 3 to 4 inches above the elbow?

    -The tourniquet should be tied 3 to 4 inches above the elbow to provide sufficient pressure without cutting off circulation, and to ensure the veins are accessible for needle insertion.

  • What is the reason for having the patient make a fist during the procedure?

    -Having the patient make a fist helps to make the veins more prominent, which can facilitate easier needle insertion and blood draw.

  • Why is it advised not to have the patient pump their fist?

    -Pumping the fist can alter the blood results, so it's advised to only have the patient make a fist without pumping to maintain the accuracy of the blood sample.

  • How long should the tourniquet be left on before it's considered too long?

    -The tourniquet should not be left on for more than a minute to avoid unnecessary discomfort and potential complications.

  • What is the proper technique for cleaning the skin before needle insertion?

    -The proper technique involves cleaning from the inside out in circular motions, focusing on the area where the needle will be inserted and then working outwards.

  • Why is it important to have all supplies ready before sticking the patient?

    -Having all supplies ready prevents the needle from being moved unnecessarily, reducing the risk of contamination and ensuring a smooth procedure.

  • What is the significance of the order in which the blood collection tubes are set up?

    -Setting up the blood collection tubes in the order of draw helps streamline the process, making it easier to pick up each tube in sequence and maintain an organized workflow.

  • Why is it crucial to apply pressure after the needle is removed?

    -Applying pressure after the needle is removed helps to stop bleeding and prevent bruising at the puncture site.

  • How should the blood collection tubes be handled after drawing blood?

    -After drawing blood, the tubes should be inverted a specific number of times as indicated by the tube's requirements to ensure proper mixing of the blood with the additive.

Outlines

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Highlights

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Transcripts

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Ähnliche Tags
VenipunctureMedical TrainingPatient CareBlood DrawHealthcareNursing SkillsPhlebotomyHealth EducationClinical PracticeMedical Procedures
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