You are excellent at explaining. I learned to NEVER put your index finger near the needle insertion point. Inversion is gentle so you don't destroy the cells. When you pull out the needle, place the gauze over the insertion point, however with your thumb and index finger on either side of the needle so as you place the gauze you are not pushing down on the needle. Just a couple things my teacher taught me.
She can palpate after cleaning the area, she would first need to tap the index finger on the alcohol pad to sanitize it. C shape is the wrong method to use when anchoring the vein, cuz any forward motion can cuz you to poke yourself.
Never palpate after the skin has already been cleansed or would recleans it with a new alcohol wipe which you did not do. Also you do not shake the tube like she did you gently invert them 4-6 times.
This video was done 4 years ago. It was probably on point at that time. All she'll need to do is update it to now. I think she did a good job in explaining what she was doing and why. A new video, would help if she did both needles, straight and butterfly. 😊
I'm training to become a phlebotomist currently, and I aim to be so much better than the wicked lady that gave me a hematoma fishing around my veins with 2 inch long nails, I should have reported her.
I saw a few mistakes in this video. She inverted her tubes too 😮quickly, and new procedures say you should never make a fist when having your blood drawn! What many patients don't realize is that pumping their fist can inadvertently 👉🏻double the concentration of potassium👈🏻in the sample of blood. And when that happens, the physician gets potassium results that no longer represent what's really going on with the patient.
@@Gemtheone a fist, yes. Don’t pump unless it’s a blood donation. Pumping your fist before a blood draw can have a serious effect on the accuracy of lab results. There are over 80 preanalytical variables that can cause potassium levels to be falsely elevated - and fist pumping is one of the biggest and most common. As an alternative, veins can be made more obvious by warming the site with a warm compress. If you can eradicate one most commonly committed clinical error and ensure that no patient has their blood drawn after pumping their fists, your patients are going to be treated according to more accurate potassium results.
the window method used to be what they followed. now we don’t use that method to prevent needle sticks, use your thumb only to pull down from under the site or draw.
Right? She said remove the tube before removing the needle-as she was doing the opposite in the video! Maybe the tube was filled and the vacuum was gone…but still!!
how much length of needle needs to be inserted inside the vein? If we insert more than needed is there chance of puncture on the other side of the vein because vein diameter is very small.
Yes, you can absolutely go through the vein. Not only will you not get your blood, you will leave a bruise. Make sure to gently feel the vein, clean the site, use the appropriate Guage (usually a 22 straight needle for a medial vein) then angle between 15-30 degrees at Insertion. You can feel how deep the vein is by gently feeling the vein after putting on the tourniquet. You will get used to how the proper placement in the vein feels. After proper insertion, you will see the red flash as the tube begins to fill. Keep an eye on the tube. If you only need one tube you can remove the tourniquet when you see the flash of blood, make sure the blood fills to the line on the tube, remove the tube and gently invert 8-10 times. Place the gauze over the needle insertion point, remove the needle and secure the lock device over the sharp. Ask the patient to hold the gauze while disposing of the needle. Check the wound site for bleeding. If still bleeding, continue to press gauze against site. Add another gauze if necessary. Check again after a minute. Bandage the site. Place the label on the tube, verifying the patient's name and birthdate again. Thank the patient.
Yes, she shook them rigorously. This would have surely messed up the test. Also, she didn't really invert them but rather just shook the tubes. Inverting is moving the tube upside down.
it's not supposed to be shaken, it must be inverted several times (depends on which tube you use) as shaking it rogorously might hemolyse RBCs and interfere with the tests.
Girl get your index finger out the way, dont shake the tube INVERT it and the needle doesn’t have to be that deep and don’t touch the site with your glove after you already cleaned it. If you do have to touch again wipe your tip of your glove with alcohol as well. This video is not a great example!
2 min into the video, but I just got my license and we were told to not have them pump their fist, that can mess with lab levels, only have them do so if they are donating blood. A different way of getting simulator results is to manipulate the arm, bend it, turn the hand over, that sort of thing.
Putting pressure with gauze on the needle while it is still in the arm causes pain. Wait until the needle is out before applying pressure with gauze. The tourniquet should not be on for more than one minute, total, not “for more than one minute after blood begins to flow.” A circular motion using an alcohol pad is no longer recommended. Back and forth and up and down. This changed in 2019. Do not allow the client to pump their fist-this can affect certain blood values. Allow only a steady fist. For your sake, and for the clients’ sakes, palpate only with a glove. I’ve performed thousands and thousands of venipunctures and have never palpated an arm with my bare hand. 😷
Nice however you cleaned the area then you contaminated the area by palpating with you finger. After you palpate you must clean area again after you have found the vein of choice.
DO NOT USE THIS VIDEO. As a Phlebotomy Instructor with 11 years experience, a lot lf this stuff is wrong. Very little is correct.😢 You will stick yourself on accident. Smh!!!! No mam!
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way......
I found this lady very professional except several US videos the venupuncturists say palpitation instead of palpation , please don’t say that , it’s incorrect . Otherwise a helpful vid 🇦🇺🦘
