Vacuum Blood Collection - Austin Community College - Start 真空采血-奥斯汀社区学院-开始.ppt

Problems with Needle Insertion Needle inserted into artery, IMMEDIATELY withdraw needle. Needle inserted too far, back up. Safety Devices /9bovf safety device animation Sources of Error Failure to insert the needle completely into the vein. The phlebotomist should feel resistance initially following insertion of the needle, the resistance is almost immediately followed by a sensation of free or easier movement as the needle enters the vein. With experience you will feel a “pop” or “give” as the needle enters the vein. Puncturing the stopper before entering the vein. If the phlebotomist partially pushes the evacuated tube onto the needle before inserting the needle into the vein, there is a risk of puncturing the stopper and releasing the vacuum. If after pushing the tube onto the back end of the needle once the needle is in the vein there is no blood change tubes to see if the problem is a defective tube. Not anchoring the vein before inserting the needle. The vein must be held in place for successful needle penetration. Bouncing the needle on the skin before guiding it into the vein. This results in contamination of the needle and it should be discarded. Not keeping the holder stationary during tube change. This may cause the needle to go through the vein when pushing the blood collection tube onto the back end of the needle OR cause needle to come out of vein during tube removal. Rejection of Samples Hemolysis - this is usually caused by a procedural error such as using too small of a needle, or pulling back to hard on the plunger of a syringe used for collecting the sample. The red cells rupture resulting in hemoglobin being released into the serum or plasma, making the sample unsuitable for many laboratory tests. The serum or plasma will appear red instead of straw colored. Clotted - failure to mix or inadequate mixing of samples collected into an additive tube. The red cells clump together making the sample unsuitable for testing. Insufficient sampl