يديرو يريگ هنومن لمعلاروتسد
   يديرو يريگ هنومن لمعلاروتسد
       يگريومو
       يگريومو
          VENIPUNCTURE
          VENIPUNCTURE
 Pre collection: smoking, physical activity, stress
 Pre collection: smoking, physical activity, stress
 During collection: 
 During collection: 
           -different time of day
           -different time of day
           -posture: lying/standing/sitting
           -posture: lying/standing/sitting
           -haemoconcentraction:   prolong tourniquet   
           -haemoconcentraction:   prolong tourniquet   
  Handling of specimen :
 
   Handling of specimen :
    - Insufficient or excess anticoagulant
    - Insufficient or excess anticoagulant
    -Inadequate mixing of blood with anticoagulant
    -Inadequate mixing of blood with anticoagulant
    -pat./or specimen identification error
    -pat./or specimen identification error
    -delay to transit to Lab.
    -delay to transit to Lab.
        
        
           Room Facilities
           Room Facilities
  Venipunture chair& Bed
   Venipunture chair& Bed
  Blood collecting Trays
   Blood collecting Trays
  Gloves
   Gloves
  Needles&Holders
   Needles&Holders
  Sterile Syrings
   Sterile Syrings
  Venous Blood collection Tubes
   Venous Blood collection Tubes
  Tourniquets
   Tourniquets
  Antiseptices
   Antiseptices
  Guase Pads→5*5cm,7.5*7.5cm
   Guase Pads→5*5cm,7.5*7.5cm
  Punture –Resistance Disposal Container
   Punture –Resistance Disposal Container
  Ice or refrigerator
   Ice or refrigerator
  Adhesive Bandages
   Adhesive Bandages
  Warming Devices
   Warming Devices
  Test Reference Manual
   Test Reference Manual
      Venipuncture Procedure
      Venipuncture Procedure
 1- Identify the patient
 1- Identify the patient
 2-Assess the patient physical disposition (diet, 
 2-Assess the patient physical disposition (diet, 
  exercise ,stress,basal state)
  exercise ,stress,basal state)
 3-Equipment→ necessary supplies&Tubes
 3-Equipment→ necessary supplies&Tubes
 4-Position the patient
 4-Position the patient
 5-put on gloves
 5-put on gloves
 6-Apply Tourniquent →7.5-10cm  above ven. Site  , Not 
 6-Apply Tourniquent →7.5-10cm  above ven. Site  , Not 
  too tightly   No more than 1 min.
  too tightly   No more than 1 min.
     Patient should make a fist without pumping the hand
     Patient should make a fist without pumping the hand
 7-Select the vein site     Median cubital & Cephalic Vein
 7-Select the vein site     Median cubital & Cephalic Vein
     *Extencive scaring from burns & surgery
     *Extencive scaring from burns & surgery
 Mastectomy * Hematoma * IV therapy →below IV site
 Mastectomy * Hematoma * IV therapy →below IV site
 * Cannula,Fistula * Edematous
  Cannula,Fistula * Edematous
   
 *