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.

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Phlebotomy in Medical Laboratories - PCLP

  1. 1. Phlebotomy The Art of Withdrawing Blood
  2. 2. Objectives • To know main sites of IV access. • Different types of syringes. • Indications and contraindications of IV access. • Steps of IV insertion.
  3. 3. Vasculature of the Upper Limbs
  4. 4. Vasculature of the Lower Limbs
  5. 5. Vasculature of the Lower Limbs
  6. 6. Types of Syringes Hypodermic syringe Toomey syringe Insulin syringe Multi shot syringe
  7. 7. Syringes Sizes
  8. 8. Different needles with Different Syringes ??
  9. 9. How to open a syringe pack ??
  10. 10. How to Hold a Syringe ?
  11. 11. How to Aspirate ?
  12. 12. Contraindications of syringe IV access 1) Arteriovenous shunt 2) Post mastectomy 3) Burn , infection or fracture over the site 4) Thrombosis
  13. 13. 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 ?? )
  14. 14. 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 ??
  15. 15. Don’t touch the area after disinfection !!!
  16. 16. 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).
  17. 17. 13) When withdrawing : • Withdraw enough sample • Remove tourniquet • Pull syringe out with pressure on puncture site. 14) Compression on site and plaster (3 minutes).
  18. 18. Complications of syringe IV access : 1) 2) 3) 4) 5) Infection !!! Extravasation; How to deal with ?? Thrombosis Arterio-venous fistula Air embolism
  19. 19. Types of blood collection tubes ?? What’s a Vacutainer ??
  20. 20. Blood collection Tubes
  21. 21. Vacutainer
  22. 22. Plastic Sharp Container
  23. 23. Incinerator
  24. 24. 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 ?
  25. 25. Extremes of Age
  26. 26. DISCUSSION
  27. 27. THANK YOU 
  28. 28. 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

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