Basic%20Principles%20of%20Phlebotomy%20Part%20III:%20Safety%20 - PowerPoint PPT Presentation
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Basic%20Principles%20of%20Phlebotomy%20Part%20III:%20Safety%20
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Title: Slide 1 Author: UOTTEN Last modified by: Jeremy Created Date: 2/1/2005 3:57:51 PM Document presentation format: On-screen Show Company: University Of Nebraska – PowerPoint PPT presentation
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Title: Basic%20Principles%20of%20Phlebotomy%20Part%20III:%20Safety%20
1
Basic Principles of Phlebotomy Part IIISafety
Equipment
- CLS 424 Phlebotomy
- Student Lab Rotation
2
Safety Practices
- For infection to spread
- Infectious substance HBV, HCV, HIV
- Mode of transmission
- Susceptible host
?
3
Modes of Transmission
- Parenteral any route other than the digestive
tract - Intramuscular
- Intravenous
- Subcutaneous
- Mucosal
- Ingestion
Non-intact skin chapped hands, cuts,
cuticles Percutaneous needles,
sharps Permucosal mouth, nose, eyes
4
Safety Practices
- Infection Control stop the spread of infection
5
Safety Infection Control
- Hand washing
- Primary means of preventing spread of infection
(especially nosocomial) - Minimum 15 seconds, soap, friction
- Wash hands before and after each blood draw
- PPE
- Lab coat
- Gloves
- Mask
- Standard precautions at all times
6
Safety Engineering Controls
- PPE
- Sharps containers
- Safer medical devices
7
Safer Medical Devices
8
Equipment
- PPE gloves, lab coat, mask
- Cleaning agent
- Alcohol pads routine
- Povidone iodine blood culture collection and
blood gases - Soap and water alcohol testing, allergies
- Cotton balls, gauze
9
Equipment
- Bandage, tape (use caution with children)
- Sharps container
- Discard needles,
- lancets
- Biohazard marking
- Puncture resistant
- NEVER recap, bend
- break needles
10
Equipment
- 6. Tourniquets
- Slows venous blood flow down
- Causes veins to become more prominent
- NEVER leave on for gt1 minute
- AVOID rigorous fist clenching or hand pumping
(potassium, lactic acid, LD) - Latex allergy
11
Tying on the Tourniquet
12
Equipment
- 7. Needles
- NEVER reuse a needle
- NEVER use if shield is broken
- NEVER recap, cut, bend or break
- Drop immediately into sharps container after
venipuncture - Size of needle is indicated by gauge
- Larger gauge number indicates smaller needle
diameter - 21, 23 gauge needles routinely used for phlebotomy
13
Needles
Used with syringe system Used with
vacutainer system
14
Multi-sample Needle
15
Butterfly Needle
16
Butterfly Needle
- Most often used with syringe
- Expensive, thus not used for routine draws
- Used for small, fragile veins
- Increased risk of needle stick injury
17
Equipment
- 8. Tube holder/
- vacutainer adapter
- Threaded
- Flanges
18
Equipment
- Syringe
- Black
- water proof
- pen
19
Syringe Safety Device
20
Labeling Blood Collection Tubes
- Black indelible marker (water proof)
- Never pencil
- Legal document
- Print legibly
- Required information 5 items
- Patient name
- Identification number
- Date of draw (mm,dd,yyyy)
- Time of draw (military time)
- Phlebotomist signature first initial, last name
21
Vacutainer or Syringe?
- Vacutainer
- Most often used
- Most economical
- Quick
- Least risk of accidental needle stick
- Syringe
- More control
- Reposition easily
- Will see flash of blood in syringe hub when
vein successfully entered
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