ues
Medial cubital nerve Subclavian ein
ein
Ensure your students are successful in
Phlebotomy! FIGURE 815 Placement of the fingers when anchoring
the vein.
not anchored properly. These patients are really saying that they have had blood drawn in the past by phlebotomists who were not sufficiently anchoring the veins. As mentioned previously, the median cubital vein is the easiest to anchor and the basilic vein the most difficult. In general, the closerMedial a veincubital is to the surface, the more likely it is to roll. nerve Anchor hand veins by having the Subclavian patient make a vein fist or grasp the end of a table or the arm of the drawing chair. Pull the patient’s skin tightly over his or her Basilic vein Cephalic knuckles with the thumb of your nondominant hand vein (Fig. 8-16).
FIGURE 816 Placement of the fingers when anchoring and palpating a hand vein.
Technical Tip 8-24. Tell the patient that “there will be a little poke” before needle insertion to alert the patient to hold very still. 552 pages | 435 illustrations Soft cover | 2019
Technical Tip 8-25.
$83.95 (US)
Entering the vein too slowly is ISBN-13: 978-0-8036-6842-3 more painful for the patient and may cause a spurt of blood to appear at the venipuncture site, which can be disconcerting for both you and the patient.
Instructor § eBook median Anterior median Brachial § the Instructor’s Guide Once the needle has entered vein, move the hand us nerve cutaneous nerve artery § Image Bank anchoring the vein and use it to push the evacuated Phlebotomist Alert Anchoring themedian vein above r median Posterior § Test Use Bankyour thumb to tube completely into the holder. Accessory us nerve nerve and below the site using yourcutaneous thumb and index § PowerPoint Presentation cephalic vein push the tube onto the back of the evacuated tube cubital finger is not an acceptable technique because Basilic vein § Procedural Videos needle while your index and middle fingers grasp the Median sudden patient movement could cause you to § Animations cephalic vein flanges of the holder to stabilize the device. As blood ein Median basilic puncture your index finger accidentally. vein begins to flow into the tube, ask the patient to open Cephalic vein Student vein Median vein his or her fist, and you can§ release the tourniquet; if Procedural Videos the procedure does not last§ more than 1 minute, you Inserting the Needle Animations can leave the tourniquet on until the last tube is filled. Place the ETS holder securely in your dominant hand Some phlebotomists prefer to change hands at this with your thumb on top, close to the needle hub, and M point so that the dominant hand is free for performyour remaining fingers below the holder. When you Cephalic ing the remaining tasks. This method of operating is vein have the vein anchored securely, align needle with Susan Kingthe Strasinger, DA, MT(ASCP) | Marjorie Schaub Di Lorenzo, BS, MT(ASCP)SH usually better suited for use by experienced phlethe vein and insert it, bevel up, at an angle of 15 Cephalic veinto botomists because holding the needle steady in the 30 degrees depending on the depth of the vein.basilic This Median Rely on this comprehensive resource to teachMedian students vein patient’s vein is often difficult for beginners. cubital should be done in a smooth, quick movementvein so the the whys and hows of safely obtaining qualityBasilic blood vein patient feels the stick only briefly. You Median will notice a specimens. Our coverage of medical terminology andvein feeling of lessening of resistance to the needle moveBasilic basic anatomy and physiology make this an ideal resource Median ment when the needle has entered the vein. After invein Leaving the tourniquet on for more than 1 minute for phlebotomy technician programs. The phlebotomy cephalic sertion, vein brace the fingers holding the ETS holder causes hemoconcentration that may adversely theory, equipment, and procedures are based on the against the patient’s arm to provide stability while you affect test results. current standards the CLSI. Up-to-date coverage, antecubital veins showing the H- and of M-shaped patterns. change tubes in the holder. illustrations, and hallmark features that learners love will help your students to collect, transport, and process specimens with confidence. or tendons. Veins on the side of the wrist above the Pre-examination Considerations alert students thumb also must not be used to avoid nerve injury. to procedures that ensure patient safety and avoid erroneous laboratory test results. Phlebotomist Alert According to the CLSI standard, you must never use the veins on the lateral (sides) and palmar (underside) of the wrist. phalic vein
pal
d wrist.
Filling the Tubes
The Phlebotomy Textbook, 4th Edition
Preexamination Consideration 8-7.
Median Cubital Vein Of the three veinsemphasize located in the antecubital Phlebotomist Alerts! critical informationarea, the median cubital is the vein of choice for venipuncture that can cause the greatest danger to the patient or it is large and tends not to move when a needle thebecause phlebotomist. is inserted. It is in the median (center) of the antecubital fossa. It is often closer to the surface of the skin, isolatednarrated from underlying and the least Full-color, videos onlinestructures, at FADavis.com painful tomust-know puncturetechniques because there are fewer nerve demonstrate step-by-step. endings in this area. Because the median cubital vein
Cross-training? Continuing education? Refresher? Blood Collection for Healthcare Professionals
288 pages | 207 Illustrations Soft cover | 2022 $59.95 (US) ISBN-13: 978-1-7196-4599-7
A Short Course, 4th Edition Marjorie Schaub Di Lorenzo, BS, MT(ASCP)SH Susan King Strasinger, DA, MT(ASCP) Perfect for a short module on phlebotomy Here’s “to-the-point” instruction on the whys and hows of blood collection techniques based on the latest CLSI standards. Case Studies throughout the text challenge students to apply knowledge to realistic patient situations, while videos online at FADavis.com demonstrate proper techniques.
Instructor § eBook § Instructor’s Guide § Test Bank § PowerPoint Presentation § Videos § Animations Student § Videos § Animations
Anytime, anywhere! Phlebotomy Notes Pocket Guide to Blood Collection, 2nd Edition Susan King Strasinger, DA, MT(ASCP) Marjorie Schaub Di Lorenzo, BS, MT(ASCP)SH Here’s the perfect, clinically focused guide to collecting, transporting, and processing quality blood specimens for laboratory testing. Your students will have concise descriptions, with photographs, of venipuncture, dermal puncture, and arterial puncture techniques, along with safety and technical tips and troubleshooting how-tos. Phlebotomy theory, equipment, and procedures are based on the current standards of the CLSI.
216 pages | Soft cover, spiral binding │ 2020 $41.95 (US) ISBN-13:978-0-8036-7565-0
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