Medina CollegeOzamiz CityCollege of Medical TechnologyHematology SubjectName:________________________________Course&ear _______________ !ate_____________ROUTINE VENIPUNCTURE GUIDELINESMATERIALS1.Safety Needles, 22g or less2.Syringes g 21 or less3.Blood Collection Tubes.The vacuum tubes are designed to draw a redetermined volume of blood. Tubes with different additives are used for collecting blood secimens for secific tyes of tests. The color of the rubber stoer is used to identify these additives. See Selecting the !roriate Collection Tube and Secimen Container Tyes.".Tourni#uets.$ate%&free tourni#uets are available'.!ntisetic.(ndividually ac)aged *+, isoroyl alcohol or wies.-.2%2 .au/e or cotton balls.*.Shars 0isosal Container.!n accetable, uncture roof container mar)ed 1Bioha/ardous1.2.Bandages or tae SAFETY1.3bserve universal 4standard5 safety recautions.3bserve all alicable isolation rocedures.2.6678s will be worn at all time.3.9ash hands in warm, running water with hand washing roduct aroved by the (nfection Control Committee5, or if not visibly contaminated with a commercial foaming hand wash roduct before and after each atient collection."..loves are to be worn during all hlebotomies, and changed between atient collections. 6alation of hlebotomy site may be erformed without gloves roviding the s)in is not bro)en.'.! lab coat or gown must be worn during blood collection rocedures.-.Needles and hubs are single use and are disosed of in an aroriate 8shars8 container as one unit. Needles are never recapped, remved, !r"en, r !en# a$#er p%le!#m& prced're(*..loves are to be discarded in the aroriate container immediately after the hlebotomy rocedure. !ll other items used for the rocedure must be disosed of according to roer bioha/ardous waste disosal olicy.2.Contaminated surfaces must be cleaned with freshly reared 1+, bleach solution.!ll surfaces are cleaned daily with bleach.:.(n the case of an accidental needlestic), immediately wash the area with an antibacterial soa,e%ress blood from the wound, and contact incharged."nstructor: #eli$e !% Saren& 'r%&(MT% )age1 of 6Medina CollegeOzamiz CityCollege of Medical TechnologyHematology SubjectName:________________________________Course&ear _______________ !ate_____________Needle )osition"nstructor: #eli$e !% Saren& 'r%&(MT% )age2 of 6Medina CollegeOzamiz CityCollege of Medical TechnologyHematology SubjectName:________________________________Course&ear _______________ !ate_____________PROCEDURE1.(dentify the atient.3utatients are called into the hlebotomy area and as)edtheir name and date of birth.This information must match the re#uisition.(natients are identified by their arm band. (f it has been removed, a nurse must install a new one before the atient can be drawn.2.;eassure the atient that the minimum amount of blood re#uired for testing willbe drawn.3.!ssemble the necessary e#uiment aroriate to the atient8s hysical characteristics.

".9ash hands and ut on gloves.'.6osition the atient with the arm e%tended to form a straight&line form shoulder to wrist.-.0o not attemt a veniuncture more than twice.Notify your suervisor or atient8s hysician ifunsuccessful.*.Select the aroriate vein for veniuncture. The larger median cubital, basilic and cehalic veins are most fre#uently used, but other may be necessary and will become more rominent if the atient closes his fist tightly.A# n #)me ma& p%le!#m)s#sper$rm ven)p'nc#'re n an ar#er&( A# n #)me *)ll !ld !e dra*n $rm #%e $ee#( 7%tensive scarring or healed burn areas should be avoided> Secimens should not be obtained from the arm on the same side as a mastectomy.> !void areas of hematoma.> (f an (? is in lace, samles may be obtained below but N7?7; above the (? site.> 0o not obtain secimens from an arm having a cannula, fistula, or vascular graft.> !llow 1+&1' minutes after a transfusion is comleted before obtaining a blood samle.2. !ly the tourni#uet 3&" inches above the collection site.Never leave the tourni#uet on for over 1 minute.(f a tourni#uet is used for reliminary vein selection, release it and realy after two minutes.:. Clean the uncture site by ma)ing a smooth circular ass over the site with the SCO(*+%______________,% ______________-% ______________.% ______________/% ______________0% ______________1% ______________2% ______________"nstructor: #eli$e !% Saren& 'r%&(MT% )age3 of 6Medina CollegeOzamiz CityCollege of Medical TechnologyHematology SubjectName:________________________________Course&ear _______________ !ate_____________*+, alcohol ad, moving in an outward siral from the /one of enetration.!llow the s)in to dry before roceeding. 0o not touch the uncture site after cleaning.1+.6erform the veniuncture!.!ttach the aroriate needle to the hub by removing the lastic ca over the small end of theneedle and inserting into the hub, twisting it tight.B.;emove lastic ca over needle and hold bevel u.C.6ull the s)in tight with your thumb or inde% finger @ust below the uncturesite.0.Aolding the needle in line with the vein, use a #uic), small thrust to enetrate the s)in and enter the vein in one smooth motion.7.Aolding the hub securely, insert the first vacutainer tube following roer order of draw intothe large end of the hub enetrating the stoer.Blood should flow into the evacuated tube.