Vacuum-Blood-Collection静脉采血英文课件.pptVIP

Patient Identification It is vitally important that the phlebotomist correctly identifies the patient. Do not offer the patient a name to respond to. All hospitalized patients have an identification arm band with their name, hospital identification number and other pertinent information. Always compare the laboratory test request slip name and ID number with the name and ID number on the patients hospital arm band. If there is any discrepancy, do not draw the patients blood. For an out-patient, verify the patients identity by having the patient give you additional identifying information such as a social security number, date of birth or address. Preparation wash or disinfect his or her hands Identify patient Introduce yourself, state your mission Have you ever had your blood drawn before? If no, explain the procedure Choose the appropriate tubes for the tests requested Tourniquet Application Apply approximately 3-5 inches above antecubital fossa. If the skin appears blanched above and below the tourniquet it is too tight. If your finger can be inserted between the tourniquet and the patients skin it is too loose. Palpate After tourniquet application have patient clench fist. Feel for a vein that rebounds (bounces) when pushed or tapped on. PALPATE any potential vein to help determine size, direction and depth. A slight rotation of the arm may help to better expose a vein that may otherwise be hidden. Vein Selection Choose the veins that are large and accessible. Large veins that are not well anchored in tissue frequently roll, so if you choose one, be sure to secure it with the thumb of your nondominant hand when you penetrate it with the needle. Avoid bruised and scarred areas. Can’t Feel the Vein? Tricks to Help Distend Veins: Have the patient pump the hand 3 times. Dont overdue it because over-pumping can create hemoconcentration Have the patient dangle arm below the heart level for 1-3 minutes. Warm the area with a hot pack or warm, moist