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

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.

5. Vasculature of the Upper Limbs

7. Vasculature of the Lower Limbs

8. Vasculature of the Lower Limbs

9. Types of Syringes
Hypodermic syringe
Toomey syringe
Insulin syringe
Multi shot syringe

10. Syringes Sizes

11. Different needles
with
Different Syringes ??

12. How to open a syringe pack ??

13. How to Hold a Syringe ?

14. How to Aspirate ?

15. Contraindications of syringe IV access
1) Arteriovenous shunt
2) Post mastectomy
3) Burn , infection or fracture over the site
4) Thrombosis

16. 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 ?? )

18. 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 ??

19. Don’t
touch the area after disinfection !!!

20. 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).

21. 13) When withdrawing :
• Withdraw enough sample
• Remove tourniquet
• Pull syringe out with pressure on puncture site.
14) Compression on site and plaster (3 minutes).

22. Complications of syringe IV access :
1)
2)
3)
4)
5)
Infection !!!
Extravasation; How to deal with ??
Thrombosis
Arterio-venous fistula
Air embolism

23. Types of blood collection tubes ??
What’s a Vacutainer ??

24. Blood collection Tubes

25. Vacutainer

26. Plastic Sharp Container

27. Incinerator

28. 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 ?

29. Extremes of Age

30. DISCUSSION

31. THANK YOU 

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