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Phlebotomy in Medical Laboratories - PCLP
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Phlebotomy and Sample Management in Medical Laboratories - Professional Clinical Laboratory Practitioner Course - PCLP - Contact Us: 00201012371716.

Phlebotomy and Sample Management in Medical Laboratories - Professional Clinical Laboratory Practitioner Course - PCLP - Contact Us: 00201012371716.

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    Phlebotomy in Medical Laboratories - PCLP Phlebotomy in Medical Laboratories - PCLP Presentation Transcript

    • Phlebotomy The Art of Withdrawing Blood
    • Objectives • To know main sites of IV access. • Different types of syringes. • Indications and contraindications of IV access. • Steps of IV insertion.
    • Vasculature of the Upper Limbs
    • Vasculature of the Lower Limbs
    • Vasculature of the Lower Limbs
    • Types of Syringes Hypodermic syringe Toomey syringe Insulin syringe Multi shot syringe
    • Syringes Sizes
    • Different needles with Different Syringes ??
    • How to open a syringe pack ??
    • How to Hold a Syringe ?
    • How to Aspirate ?
    • Contraindications of syringe IV access 1) Arteriovenous shunt 2) Post mastectomy 3) Burn , infection or fracture over the site 4) Thrombosis
    • Steps of IV insertion 1) 2) 3) 4) 5) Greeting Introduction Consent Positioning Equipment preparation: Should prepare a syringe , tourniquet , alcohol swab , plaster , gauze , gloves ( substance to be injected if any ?? )
    • 6) Site preparation: (Vein preparation) Which Veins ?? 1. Look for a vein , the most straight vein (from distal to proximal). 2. Apply tourniquet (8-10cm above vein). 3. Exercise 4. Tapping of the vein; WHY ?? 5. Palpation of the vein. Palpable NOT visible !! 6. Disinfection; HOW ??
    • Don’t touch the area after disinfection !!!
    • 7) Skin traction ( Distal to site of puncture ) 8) Skin support 9) Insertion : • • • • 15-30 degrees to skin Bevel always up Grading always up Look for blood in the hub 10) Fixation (With non dominant hand). 11) Aspirate 12) Confirmation (Avoid extravasation).
    • 13) When withdrawing : • Withdraw enough sample • Remove tourniquet • Pull syringe out with pressure on puncture site. 14) Compression on site and plaster (3 minutes).
    • Complications of syringe IV access : 1) 2) 3) 4) 5) Infection !!! Extravasation; How to deal with ?? Thrombosis Arterio-venous fistula Air embolism
    • Types of blood collection tubes ?? What’s a Vacutainer ??
    • Blood collection Tubes
    • Vacutainer
    • Plastic Sharp Container
    • Incinerator
    • What if ???? • • • • • • • Swollen hand? Bleeding that doesn’t stop after syringe ? Can’t find an IV access ? Fragile veins in hands ? You are going to inject local anesthesia ? Suspected painful insertion?? Resistance during insertion ?
    • Extremes of Age
    • DISCUSSION
    • THANK YOU 
    • Telephone: +(202) 22744556 Fax: +(202) 22744679 Mobile: +(2010) 12371716 Email: info@al-academia.com URL: www.al-academia.com Facebook: fb.com/alacademia CONTACT US