Venipuncture: Blood and Vein

There are many ways that blood can be drawn from a patient. There are patients who may have special needs, such as the elderly and infants. These patients often have collapsible or delicate veins that often make drawing blood more difficult, than other patients. Individuals who learn what is phlebotomy will find these people work in all aspects of the medical field. They can be found in nursing homes, doctor's offices, hospitals, and various clinical-type settings.

After a suitable vein has been visualized and the venipuncture site thoroughly cleansed, the needle is then placed into the patient’s vein for blood collection. Difficulties can arise if a needle is not fully inserted or if it went entirely through the vein and a hematoma will be the result. (Morgan, 2005) Hematomas are bruises due to the collection of blood from veins or arteries in the surrounding tissues. (Garza, 2010) Sticking a fragile vein, excessive probing of the needle if the vein is initially missed, and failure to remove the tourniquet before removing the needle are some other ways a hematoma can develop during a venipuncture procedure. (Garza, 2010) When needles are incorrectly inserted into a vein, blood is allowed to escape, forming a bruise. (Garza, 2010) If at any time this should happen, the phlebotomist should immediately end the procedure by first removing the tourniquet, then the needle, and apply firm pressure to cease the blood flow. (Morgan, 2005) Improper needle placement can also cause neurological damage. With deep insertion of a needle, hitting the nerve behind the vein is likely. (Garza, 2010) Radiating or shooting pain and sometimes numbness has been reported by patients in these situations. (Garza, 2010) Phlebotomist should always insert needles with care to avoid any injury to the

Verbally or in writing, screen the individual for sexual transmitted diseases, recent unprotected sexual contact with prostitute or individual who has numerous contacts with other individuals of an unprotected individual.

Sterilize and prepare the patient's genital area. You have wipe the patient's genital area with disinfectant soaked cotton swabs, to remove any debris. Repeat step if needed. For female patients, be sure to clean the labia and urethral meatus (the outside of the opening of the urethra located above the vagina). For the men clean the urethral opening on the penis. When you finish wiping down the patient, lay down surgical drapes around the genitals, leaving yourself enough work

• An IV tube may be inserted into a vein. You may get fluids and medicine through the IV tube. This may include antibiotic medicine to treat or prevent infection.

Bloodletting was a procedure used to drain “bad” blood from the victim of a shot. This practice led to many medical related deaths and has since been stopped by modern doctors.

(Hwang 2015). This is typically controlled by snare tip soft coagulation (STSC), a technique involving protruding the snare tip 2-3 mm beyond the catheter, followed by application of coagulating current while lightly touching the tip directly onto the bleeding point. Vigorous irrigation with the foot pump clears the resection field of blood and helps localize the bleeding vessel. In the minority of cases where STSC does not achieve hemostasis, coagulating forceps or through the scope (TTS) clips may be used, both of which have been associated with a low rate of re-bleeding and complications. (Ma 2016)

Furthermore, a brief description of a Phlebotomist is simply someone who completes a venipuncture on another person. The basic daily functions of a Phlebotomist is to accurately collect the appropriate amount of blood for patient samples, treatment, prevention of disease, and medical laboratory testing purposes. Proper techniques include, cleaning puncture site, wearing gloves for protection agonist blood borne pathogens, applying pressure after the needle is removed. Failure to use proper technique during a venipuncture may result in bruising, inaccurate blood culture results, infection in or under the skin. Phlebotomists also preform sticks called “finger

• A needle will be inserted into your arm to administer the IV contrast material.

Phlebotomy once known as bloodletting has been practiced for thousands of years. Bloodletting was known as draining the blood from a patient. Today, phlebotomist work in almost every area of medicine and they improve their quality of work. This career is an average paying job that keeps increasing by time.

In reviewing Heparin flushes in Central Venous Catheters (CVCs); one must first understand the importance of their placement. To properly investigate central venous catheter (CVC) care; documentation will focus on Heparin flushes as it relates to renal care. The renal dialysis patient undergoes CVC placement as a basis of receiving hemodialysis treatments. It is essentially the first access point placed in preparation of a more permanent access point. Central venous catheters, fistulas, and grafts are considered the lifeline of a dialysis patient. Their function and patency is of the utmost importance to the morbidity and mortality rate of a renal patient. “Venous catheters generally develop a fibrin sheath at the tip, which evolve into a clot due to body’s physiological response to the vein injury and the foreign catheter 1 and subsequent catheter obstruction.” (Journal of Evolution of Medical and Dental Sciences, 2014, pg. 46).

The vein visualization is a little device that will show you where someone vein is at. I have not got to use one on a patient but I got to test it on the employee that showed it to me. I did however get to watch the nurse use it on the patient. Using this device kept the patient from having to be stuck twice and saved the nurse some time as well. She turned lights off and put it on the top of the patient arm and was able to see the vein, before she used the device she could not see or feel the vein. This little device that the clinic has fits in the palm of my hand and its light weight. I found information about another device that says you don’t have to touch the patient with it (AccuVein, 2015), but the one the clinic has you have to touch the patient with it. If you didn’t put it on the

The first thing that Angie should be do before performed venipuncture a 17-year-old upcoming college student who is Matt come to draw his blood at the office, try to make him clam down and, ask him to relax until his anxious gone. Therefore, a medical assistant Angie can draw Matt’s blood without happened any incident.

Nerve injury and subcutaneous bleeding. There are two major variation in the placement of veins in the cubital fossa and forearm,one is “H” orientation of cubital fossa veins,this is most common and simplest placement of veins,found in approximately 70%-80% of individual,other is “M” orientation of cubital fossa veins,this is the less common placement of superficial veins,20%-30 % of individual forms in the cubital fossa.

Surgery normally consists either of saphenofemoral ligation (where a cut is made at the top of the groin above the main varicose vein) or short saphenous ligation, with or without stripping, and phlebectomies (removal of the vein). Alternatively, varicose veins can be treated by sclerotherapy, an injection treatment which shrinks the blood vessel, although this has been associated with a high recurrence rate.