Segments in this Video

Introduction—Blood Collection: Performing Phlebotomy (2021 edition) (00:60)


This segment orients viewers to the second film of a three-part series. It focuses on performing venipuncture, troubleshooting venous access, and common complications.

Blood Collection Tubes and Bottles (05:17)

Equipment includes evacuated blood collection tubes, a syringe with an attached needle, and butterfly needles. Learn the advantages and disadvantages if each, the correct sequence for drawing a blood specimen, and needle gauge guidelines; blood culture bottles include aerobic and anaerobic.

Performing Venipuncture (01:33)

Double-check the order and gather the necessary equipment. These include gloves, tourniquet items, cleaning agents, gauze pads, cotton balls, bandages, tape, collection tubes, and specimen bags.

Topical Anesthesia (01:03)

Topical anesthesia is a valuable adjunct for pediatric and adult patients.

Location for Procedure (00:26)

Outpatient settings should have an examination table or two chairs and a nearby table for supplies. Some labs have a specially designed chair.

Standard Precautions (00:59)

Precautions include handwashing, nonsteroidal protective gloves, a moisture-proof gown, safety needles, sharps containers, hazardous waste bagging, and surface cleanliness.

Patient Identification and Preparation (03:26)

Approach patients in a calm and friendly manner. Use two identifiers to corroborate identity, gather valuable information, provide a step-by-step explanation of the procedure and some measure of patient control, and place the patient in a comfortable and safe position.

Setting Up the Equipment (01:11)

Don gloves after completing hand hygiene. Place equipment at the work area, remove packaging, assemble the evacuated blood collection tube system or butterfly if necessary, ensure the needle remains covered, set tubes in the order to be filled, and affix labels.

Locating the Vein (02:38)

Ask whether the patient has an arm preference; understand circumstances in which not to use an arm. Apply the tourniquet, inspect the antecubital fossa, and palpate the area. Estimate the vein's direction, size, and depth; note any nearby valves. Remove the tourniquet and apply topical anesthesia if necessary.

Locating the Vein: II (01:07)

Cleans the site with chlorhexidine or isopropyl alcohol using gentle, firm pressure in an outward circular motion.

Venipuncture (00:58)

Reapply the tourniquet and visualize the vessel. Extend the patient's arm, place a thumb or finger below the site and stretch the vessel toward the wrist. Hold the collection device at an angle with the needle bevel up and insert into the vein. Push the tube onto the needle.

Butterfly with Tubing (00:29)

Anchor the vein in the same manner and insert the needle at a 5-15 degree angle with the bevel up; watch for flashback.

After Obtaining the Sample (01:06)

Release the tourniquet before completely filling the last tube. Withdraw the needle, activate the safety device, and apply pressure. Dispose of the Sharps, double-check the labels, place the samples and requisition in a plastic bag, and wash hands. Assess the client and disinfect the work environment.

Special Considerations to Drawing a Blood Culture (01:35)

The Emergency Nurses Association's Clinical Practice Guidelines identifies additional practices. Topics include chlorhexidine, providone-iodine, sterile gloves, bottle caps, aerobic and anaerobic samples, needle changes, and multiple samples.

Troubleshooting (01:47)

Learn tips for helping to prevent difficulties when performing venipuncture and actions to take when having trouble locating a vein.

No Blood Flow or Incomplete Collection (00:60)

Gently move the needle forward to ensure it is in the lumen or pull back if it is against a valve or too far in the vessel. Other tips include twisting the bevel, loosening the tourniquet, and replacing the collection tube.

Unsuccessful Attempts (00:26)

Allow the patient to rest between attempts; each phlebotomist should only have two attempts.

Complications (01:55)

Learn tips for addressing venipuncture complications including syncope, hematomas, piercing an artery, nerve injury, and compression injury.

Documentation (01:26)

Record the date, time, amount collected, number of vials, patient response, the time the clinician sends the specimen to the lab, any complications and interventions, and clinician/patient response.

Credits: Blood Collection: Performing Phlebotomy (2021 edition) (00:60)

Credits: Blood Collection: Performing Phlebotomy (2021 edition)

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Blood Collection: Performing Phlebotomy (2021 edition)

Part of the Series : Blood Collection
DVD (Chaptered) Price: $315.00
DVD + 3-Year Streaming Price: $472.50
3-Year Streaming Price: $315.00



This program shows how to perform venipuncture, troubleshoot problems with gaining venous access, and recognize common complications. It reviews proper labeling used for various blood tests, the preparation procedure before drawing blood, venipuncture procedures, and types of equipment used. It explains the Emergency Nurses Association's Clinical Practice Guidelines for taking a blood culture and describes the solutions to three common problems when performing phlebotomy. It also looks at what information to include when documenting a blood draw.

Length: 31 minutes

Item#: BVL273954

Copyright date: ©2021

Closed Captioned

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