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Phlebotomy in Medical Laboratories - PCLP
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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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Transcript

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