...L-When I initially got my placement for this semester, I was not pleased with the setting because I thought I would not learn a lot; this has definitely changed. Learning and practicing intravenous (IV) access was a skill that I wanted to have before my graduation, and I believed that I needed to be in a hospital setting for this to occur. I am not currently doing intravenous initiation with the intension of hanging fluids or medications, but I have been practicing venipuncture. Looking back, I realize that student nurses need to be open minded to their placement areas and have a good attitude because they may pass on an opportunity to form new relationships and gain new skills. E- Doing venipuncture is significant to me because I have not done venous access before, and I realize that it has serious implications for the patients. Venipuncture, an introduction of a needle into a vein to obtain a blood sample for hematological, biochemical or bacteriological analysis, is one of the most invasive procedures in nursing (Lavery & Ingram, 2005). The fact that a sharp instrument is being introduced into a vein also means that there are serious implication for the health and safety of the nurse and the patient. Recently I had a patient who explained that she was “scared of needles”, so drawing blood from her was challenging in some way. She came in for her annual physical, and already was emotionally drained after speaking with myself and the doctor about the recent death of her father...
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...say “No, what is that?” So I say someone who is certified to draw blood or “Blood Sucker.” The definition for phlebotomist is a health professional that is trained in the process of making an incision or puncture in a vein for removing or collecting blood. The process itself is referred as a Phlebotomy. The first step is to have a requisition from the doctor. Ask the patient to have a seat. Print the labels needed to label the test tubes ordered by doctor. There is some prep work prior to the venipuncture. First you introduce who you are and what you will be doing. Then wash your hands so there sterilized from any kind of germs or infections. Put gloves on get the color tubes needed to run the appropriate test. Tubes come in different colors due to different additives in each color tube. The needle comes in different gauges 21, 22 or a butterfly needle is the most common. Place the tourniquet on the patient’s upper arm. In the mean time you should preparing tools needed for the venipuncture. Get gauze, medical tape, alcohol swabs and attach the adapter to the needle. Now the physical parts of the process, ID your patient, sterilize the antecubital space. Which is the space located at the bend of the elbow. The tourniquet makes the veins in your patients arm raise so you can feel the bulgy and spongy feeling of the vein. They always say “Don’t think it’s a vein just because you can see it” you want to be able to feel the vein. Take the needle remove safety place with bevel up assure...
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...Eastern University. 9 mL of blood will be collected from consented individuals. The subjects will be asked of their medical history regarding if they are not suffering from any blood disorders, diabetes, not a smoker, not taking any medication like heparin, non-steroidal anti inflammatory drugs, and warfarin and free from any bleeding disorders. Blood Collection First, position the patient’s arm then apply the tourniquet above the antecubital fossa for 3-4 inches. Then, locate the vein and cleanse the venipuncture site with 70% isopropyl alcohol, air-dry. After drying, the tourniquet will be reapplied and the multisample needle will be inserted with the bevel up at an angle less than 30 degrees. Following the correct order of draw, citrated tube will be collected first followed by the non-additive tube and lastly the EDTA tube. 3 ml of blood will be collected from each tube. Remove the tourniquet as soon as blood flow is established. Then, apply direct pressure to the venipuncture site using cotton or gauze pad. The puncture equipment and biohazard wastes will be disposed properly. (Rodaks, 2012) Collection and Preparation...
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...The procedure steps for a Venipuncture blood draw starts off with preparing all the things being used which are Alcohol pads, needles, hub, gloves, Gauze pads and tourniquet. The first step is palpating the arm for a vein, then making sure it’s clean with an alcohol pad. After making sure the vein is clean, prepare the needle, hub, and pads. After the tourniquet is put on the arm, then you place the needle in the arm. After the needle is in the arms and the tubes are filled, before the last tube is filled the tourniquet must be taken off. After the tourniquet is taken off the tubs need to be out and the needle out as well. The place where the blood was taken should be cleaned and a bandage should be placed on it. The procedure of drawing blood is pretty simple, following the...
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...had the worse veins in the entire hospital. Both residents previously failed when they tried drawing blood from Mrs. Jefferson. Andy and Marc were certain Frankie would also fail and return to the conference room with his tail between his legs. Within ten minutes, Frankie returned to the conference room, but instead of dragging his tail between his legs, he handed over three vials of Mrs. Jefferson's blood to the astonished Dr. Kaufmann. Neither Andy nor Marc said anything to Frankie, mainly because neither of the residents knew what to say. As we were leaving for the day, I overheard Andy and Marc talking about Frankie's unexpected feat. Their only conclusion was Frankie got lucky and would never be able to duplicate his fortuitous venipuncture. During the next afternoon's chart rounds, Marc told Frankie he needed more blood drawn from Mrs. Jefferson. Without asking any questions, Frankie left for Mrs. Jefferson's room, and Andy and Marc smiled as though Frankie's impending failure was a fait accompli. For the second day in a row, however, Frankie came back with the blood, and Andy and Marc were left speechless. Andy and Marc refused to believe Frankie could draw blood from Mrs. Jefferson when their attempts had been unsuccessful. So, for the third straight time in as many days, they instructed Frankie to once again draw blood from Mrs. Jefferson. Giving Frankie enough time to start the procedure, Andy and Marc then went to Mrs. Jefferson's room to observe Frankie's technique...
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...OPERATIONS ORDER | primary client NAVISION #: 100725 | |CLIENT: Albert Einstein College of Medicine |CONTACT: Melanie Brown | |1300 Morris Park Ave |Assistant Administrator | |Bronx, NY 10461 |718-430-4152 | | |Email: Melanie.brown@einstein.yu.edu | |SECONDARY CLIENT #: (Location & Contact) | |NAVISION #: 151776 | |1300 Morris Park Ave | |Bronx, NY 10461 | | ...
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...Executive Summary The idea of establishing a Leading Comprehensive Cancer Center in the Middle East was accomplished through the foundation of King Hussein Cancer Center. This center has been very distinctive by drawing a smile on many faces and by planting hope in the hearts of those who needed it the most. To accomplish their vision they applied values and processes that went hand in hand with their goals. Their main task is to decrease mortality rates and ease the suffering of cancer patients in a respectable manner. Therefore it was recommended that we offer a brief of the major functions in the center and a thorough analysis of their Lab. The aim of this study is to investigate the satisfaction level of the laboratory patients, determine bad processes adopted by the Lab and provide potential ideas that would enhance its’ services. The team had some access to Customer Satisfaction Questionnaires and Interviews that were carefully developed to handle patients’ feedback and complaints in addition to some observations’ outcome. It is apparent that KHCC Lab enjoys a good to very good customer satisfaction in most aspects; nevertheless the major drawbacks were the delays and repetitive activities. As we went through the process and analyzed the workflow utilizing flowcharts, and control charts, we concluded that some functions are working perfectly and others need a little refinement. In conclusion, the team members identified two areas of concern; the workflow and the...
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...Phlebotomists are healthcare assistants who collect blood from patients for examinations in laboratories, for diagnostic testing and monitoring. They are people who are trained to draw blood from the patient for clinical or medical testing, transfusions, donations or research. They collect blood by performing venepunctures. Phlebotomists are usually expected to work around 37.5 hours a week and they can earn from £14,294 to £17,425 a year. They are responsible for taking blood without harming the patient and would also need to ensure that the blood is taken correctly, so that it is left untouched during collection, so that the test results wouldn’t turn out to be unobtainable and wrong. Some patients may be nervous, particularly children who have never experienced the process before, so they must be able to get along with a wide variety of people since their patients would be from different age groups and background. As a phlebotomy, before the blood sample is taken, they would need to explain the procedure to the patient and if patients are nervous or distressed, they should be able to put empathy and put the patients at ease, to calm them and distract them from the procedure. Phlebotomists would need to have the ability to work calmly with no pressure as the patient is at risk. Also, whilst starting to take blood from the patient, they would need to insert a hypodermic needle into the vein and draw off the blood into a tube, then apply a dressing to the puncture made by the...
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...Phlebotomy is defined as the surgical opening or puncture of a vein in order to withdraw blood or introduce a fluid, or as part of the procedure of letting blood. There is a high demand for Phlebotomy Technicians. There is more to the job then just taking blood. You'll have to explain to the patients the blood drawing process and provide a calm place where the blood drawing takes place. Before you draw the blood you'll have to prepare the area first. Cleaning the area and making sure the area is safe after the blood is drawn is very important. Protective equipment is needed to ensure personal and patient safety. Put blood samples into appropriate marked containers, add stains to the samples as required and store safely. You'll also have to monitor vitals when working as part of a medical team and update records with patient information and blood test results through the computer data base and records. Maintaining inventory is also something that'll be part of the job along with transporting the blood samples to the lab for testing. You'll be perfroming duties in the office setting including receptionist tasks, answering telephone and writing out requests for blood sample taking. On the job you should always have a positive attitude, a steady hand, and good patient handling skills. Like most jobs in the medical field there are good things and bad things about the being a Phlebotomist. After completing the training program to become a Phlebotomy Technician there are many other routes...
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...I am a single African American female living in a middle class economy providing for my family. At this time, I’m at the point in my life where I find living round this economy is difficult. It’s difficult because I’m a single mother that’s living off a single income striving to make things work for my family. I am the second generation to be in this economy. Born and raised in the United States of America in Jackson, MS. This state is where it all began. As the years go by I Constance see things that remind me of history in the past. I grew up in this society “world” with both parents and one sibling. My parents were the kind of parents who always strive for the best. They also make sure that their kids would not suffer for anything in their lives as we travel on our journey for the real world. In 1999, I graduated high school and wanted to continue with my education. I was determined to finish high school and attend college. I wanted to have a good life by raising a family and a good job, but suddenly things changed. As the years progress I became a single parent of a lovely daughter who I cherish more than life itself. I often find myself following my parent’s footsteps in caring and raising my daughter. I always strives’ for the best so that my child can have a comfortable life as she grows. After a few years later I graduated from Virginia College where I became a certified Phlebotomy and Medical Assistant. In my journey my goals were becoming a Resister Nurse and...
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...1.Identify the regulations concerning venipuncture, drug administration, and IV medication and how these standards in your field. The five rights (5 Rs) need to be followed when administering any medications: right patient, right medication, right dose, right time and the right route. Venipuncture procedure for the purpose of establishing peripheral venous access and for obtaining blood sample for laboratory tests follow the standards of practice framework. It is mandatory that health care professionals have and sustain in good status, all licenses, permits, and certificates required by law as well as follow the standards of practice imposed. 2.Explain the repercussions that could arise from violating these standards. Violating these standards will lead to adverse patient reactions to the drug administered; worst case will be death to the patient involved. Investigations regarding the medication error will result to fines/penalties, license revocations and even jail time (Sen, et al, 2005). Sadly, accidental deaths due to medication errors as a result of failure to follow these standards are not unusual cases in health care practice (Medical Mistakes 1999). 3.What are the responsibilities of a person in your health care position during a code arrest? If signs of patient’s condition/ state is worsening rapidly (i.e. increased respiratory distress and decreased oxygen saturation, call a code. The person who found the unresponsive patient should call the code right away...
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...Unit 10 disc 1 I reviewed the randomized, controlled trial to evaluate topical anesthetic for 15 minutes before venipuncture in pediatrics patients. The pending question is, is a topical anesthetic effective in decreasing pain in pediatric patients when applied 15 minutes before a venipuncture in an ED? I will use the following PICOS format to evaluate the outcome. P: The population in this study focuses on pediatric patients who are in need of a venipuncture between the ages of 5 – 18 years old. I: The use of topical atheistic for a venipuncture is evaluated after 15 minutes of use C: A 6-point validated FACES pain scale is used to evaluate pain levels along with a 100-mm visual analogue scale. Heart rate is monitored to evaluate indirect...
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...For example, although intensive care unit patients have central lines possibly if condition permits, collecting the blood sample for culture from a venipuncture may help decrease the incidences of blood culture contamination. Considering the reasons why is important to reduce this healthcare problem not only and most importantly protects patient but it allows for the reduction of healthcare costs and improvement of quality of care for the healthcare organization. Some of these techniques have already been applied in some hospitals and studies like in the Journal of Infection Control and Hospital Epidemiology, where attending physicians suggested to draw blood samples for culture by venipuncture instead of central lines unless patient has certain conditions that may not allow for intervention. The clinical microbiology department of the hospital created a monthly report hospital wide that included which samples were drawn from central lines and which were drawn by venipuncture. The results were drawn from January 2010 until December 2012. The data collected particularly for ICU showed a decrease in the catheter collected blood cultures from 75% in first 6 months of 2010, to 0-5 in early 2011 and 0-7 in first months of 2012 vs. the venipuncture collected...
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...Help me; I have to start an IV, and now! Darmeshia Brunson Leadership Mrs. Erica Lue Fortis Institute ABSTRACT Nurses frequently face challenges placing peripheral intravenous (IV) lines in adults and children. Multiple venipuncture attempts can heighten patient anxiety and suffering, delay vital treatment, and increase costs. Numerous factors such as small, fragile or hidden veins can predispose patients to collapsed veins due to dehydration are especially challenging. Several techniques can improve venous prominence, but when IV access cannot be achieved promptly, other routes of administration can be valuable. For rehydration fluids and certain drugs, subcutaneous administration may be a safe and effective alternative, providing cost and ease-of-use advantages. The word intravenous simply means “within a vein”, but it is usually used to refer to IV therapy. Intravenous therapy is getting fluid directly into a vein. It can be intermittent or continuous; continuous administration is called an intravenous drip. Treatments administered intravenously are often much needed medications. Compared with other routes of giving medications, the intravenous route is the fastest way to deliver fluids and medications to the body. Some medications, like blood transfusions, can only be given intravenously. I have to put in an IV, my patients’ pervious IV is older than 72 hours and per protocol a new has to go in. Oh, I remember back in nursing school going to clinical watching the...
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...will allow your claims to be processed in a more timely fashion so you can get reimbursed for that particular patient. It is important to use your up-to-date coding books so you can “stay current with the changes in code, guidelines, regulations”, and rules so you can code accurately, and these codes can be stored for future use like, for the same procedure and/or diagnosis, for research, and for tracking public health. How could this error have been prevented? This error could have been prevented if the medical assistant would of looked up the code for venipuncture and verified the code, then she would of known that code G0001 had been deleted and she would of found the right code for the procedure. If she would of looked in the CPT book under venipuncture, then went to routine, she would of found code 36415 and if she would of checked the code out, she would of found that it was a collection of venous blood by venipuncture. I had to look it up myself to make sure it was right. Would this claim have been...
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