2009. what is phlebotomy it is the process of inserting the needle into the vein for the collection...
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WHAT IS PHLEBOTOMYIt is the process of inserting the needle into
the vein for the collection of blood.The phlebotomist is a trained and skilled
person who performs the act of phlebotomy.
Phlebotomy SkillsProper donor identificationProperly secure & access the veinMaintains the samples integrityUse the right techniqueFollow the right order of drawEffective communicationListening abilityObservantTolerant
Phlebotomy ProcessPrepare your trolleyCalibrate the blood weighing scaleWelcome the donor with a smileUse positive identifier for every donorMake the donor comfortable.Re-assure the donorCheck the donor’s form, donor data and
label/bar code.
Phlebotomy Process contAccept or defer the donorExplain the procedure to the donorCheck bag for leakagesFix the bag to weighing scalePlace the donor’s arm on the arm restApply tourniquet in between the shoulder
and elbowHand the soft ball to the donor to squeeze
Phlebotomy Process (cont)Feel for vein (if not visible to see) and select
the best one Put on glovesClean the Phlebotomy site with methylated
spirit, starting from the middle outwards (which is called spiral cleaning) or up down cleaning.
Follow with providine iodine solution.
Phlebotomy process(cont)Clamp the blood bag tube with an artery forcepsAsk the donor to take a deep breath.Gently insert the needle with the bevel turned
downwards in an aero plane landing technique (insert not more than a quarter of the needle) into the donors vein and note the time
Release the clampSecure with plasterMix the blood bag periodically
Phlebotomy process(cont)Interact with the donorAnswer any question put to you by the donor.Collect 450mls of blood in 5-7 minutesClamp the tube with two artery forceps and
cut between.Collect the blood samples into the specimen
bottles and note the timeRelease the tourniquet and ask the donor to
take a deep breath, gently remove the needle
Phlebotomy process(cont)Discard needle into the sharp containerPlace a dry cotton wool and apply plasterChange plaster before donor leaves.Ask the donor to keep his/her arm straight
and apply pressure on the Phlebotomy site
Phlebotomy process(cont)Strip the blood tubing immediatelyObserve donor after donation for 5-10
minutesPut blood into a cold chain box and the pilotSamples into the rackThank the donor and give IPDCConfirm all information on the blood bag,
pilot bottles, donor form & lab control sheet(LCS)
Personal Hygiene/SafetyCooperate dressingHand washingRemoval of gloves in between donorsPhlebotomist should be aware of policies and
guidelines concerning needle stick injury and contamination with blood