To prepare a client for a phlebotomy (blood draw) procedure, focus on communication, comfort, and safety. Explain the procedure clearly, address any anxieties, ensure proper positioning, and gather necessary equipment, including PPE. 1. Patient Communication and Education: Introduce yourself and the procedure: Clearly explain what will happen, why the blood draw is needed, and what to expect (e.g., a small pinch, brief pressure). Address anxiety: Reassure the patient, answer their questions, and use a calm and confident demeanor. Inquire about allergies and previous experiences: Ask about any allergies (especially to latex or antiseptics) and if they have had negative experiences with blood draws in the past. Obtain informed consent: Explain the procedure and gain verbal consent. 2. Patient Positioning and Comfort: Position the patient: Have the patient sit or lie down comfortably. If possible, position them supine (lying on their back) with the arm resting on a flat surface, potentially padded for comfort. Ensure proper support: Make sure the patient's arm is well-supported, especially if they are anxious. 3. Preparation of Equipment and Site: Gather supplies: Assemble all necessary equipment, including needles (appropriate size and type), collection tubes (correct type and number), tourniquet, alcohol wipes, gauze, bandages, and gloves. Verify patient identity: Double-check the patient's identity against the lab requisition. Prepare the site: Clean the puncture site with an antiseptic wipe, allow it to dry, and apply a tourniquet. 4. Safety Precautions: Hand hygiene: Wash hands thoroughly with soap and water or use an alcohol-based hand sanitizer. Personal Protective Equipment (PPE): Wear gloves and consider a face shield or mask if there is a risk of splash. Needle safety: Use appropriate safety needles and dispose of them properly in a sharps container. 5. During the Procedure: Distraction: If the patient is anxious, try distracting them with conversation or a calming activity. Monitor the patient: Observe the patient for any signs of dizziness, fainting, or discomfort. Proper technique: Use a smooth, confident technique to minimize pain and trauma. Apply pressure: After the draw, apply pressure to the puncture site with gauze until bleeding stops. 6. Post-Procedure Care: Secure the site: Apply a bandage to the puncture site. Provide instructions: Give the patient any necessary post-procedure instructions, such as keeping the bandage on for a certain amount of time and avoiding strenuous activity with the arm. Dispose of sharps: Properly dispose of all used needles and other contaminated materials in the sharps container. Best practices in phlebotomy - NCBI Check that the laboratory form matches the patient's identity (i.e. match the patient's details with the laboratory form, to ensur... NCBI Phlebotomy Periprocedural Care: Patient Education and ... Apr 17, 2023 — Patient Preparation. To alleviate potential anxiety, approach

1. Unit Title:
Prepare the Client for Phlebotomy Procedure
CONDUCT BY: DILAN THENNAKOON
DIP IN QM &HEALTH CARE, BSC.HONS IN CARDIFF METROPOLITAN UNIVERSITY
MSC IN UNIVERSITY OF COLOMBO FACULTY OF MEDICINE

2. Step-by-step Guidelines for Effective Client Preparation

3. Explain the Procedure
Blood Sampling Procedure
Explain the procedure clearly
Adapt explanation to the client's level of understanding
Use simple language and visual aids if needed
Patient Education:

4. Consent
“permission for something to happen or agreement to do something”

5. Ethical Dilemmas
Sometimes, phlebotomists face tough situations, like working with
patients who are really scared or making a mistake. Here’s how they can
handle these challenges the right way:
Difficult Patients
Difficult patients can come in many different forms. They might be
scared, have disabilities, have hard-to-find veins, or even be combative.
It’s important to be adaptable and have a plan for when these things
happen. If you find yourself in one of these situations, try these steps

6. 1.Approach the patient with compassion. Make sure that you are listening
and addressing their concerns.
2.Be sensitive to the needs of the patient. Make necessary adjustments for
those with disabilities or specific beliefs.
3.Use methods like distraction, conversation, or creating a soothing
environment to ease patient anxiety.
4.Always obtain consent before carrying on with a procedure. If consent is
withdrawn, stop immediately.

7. 1. Nawaloka Hospitals PLC management is committed to involve patients and
families in treatment and care consent.
2. As a part of an established process, all patients and families are informed as to the
scope of a general consent, when used by the hospital.
3. Consent is a communications process, not a form.
4. The process provides an opportunity for the patient to understand the benefits,
risks and alternatives to the treatment he or she is about to undergo.
General consent for treatment, if obtained when a patient is admitted as
an inpatient or is registered for the first time as an outpatient, is clear in its
scope and limits.
POLICY

8. 1. Consent forms are used to document the process.
2. It is generally the responsibility of the physician or his representative to obtain consent.
Situations may arise when a patient is not able to consent to treatment or a procedure as a
result of the patient’s medical condition including but not limited to unconsciousness, the
influence of drugs or intoxicants, mental illness, or other permanent or temporary
impairment of reasoning capability. In this case, a patient representative may give consent.
A patient representative may be any of the following, in order of preference:
a)A legal guardian or court appointed conservator of person; or if none
b)A patient appointed health care power of attorney or health care representative or if
none
c)The patient’s next of kin, in the following order of priority: (1) spouse, (2) adult child,
(3) parent, (4) adult sibling, (5) and grandparent.

9. Position the Client
 Ensure proper posture for safety and comfort
 Use arm supports
 Consider client's physical and emotional condition
Patient Positioning:
Arm Position:
•The patient's arm should be extended and slightly hyperextended at
the elbow.
Chair/Bed:
•The patient can be seated in a chair, lying down, or sitting up in bed,
depending on the situation.
Tourniquet:
•Apply the tourniquet 3-4 inches above the intended puncture site, but
not too tightly or for more than 2 minutes to avoid complications.

12. Address Client’s Concerns
Consider Client’s Concerns
 Use interviewing and
observation
 Identify any fears or hesitations
 Clarify and address them
empathetically

14. Reassure Throughout
 Provide emotional support
 Keep communication open
 Offer updates during the process if
needed
Reassure the Client and Relatives

15. Prepare Equipment
Gather Equipment and Material
Select equipment based on procedure manual
Consider volume calculations
Double-check all items before starting

18. Label Samples Properly
Label Bottles and Tubes
 Use the recommended containers
 Cross-check labels with the request form
 Ensure clarity and accuracy to avoid errors

21. Identify Puncture Site
 Apply anatomical and physiological knowledge
 Choose the most suitable vein
 Avoid areas with signs of infection or scarring
Identify the Puncture Site