Patient has multiple symptoms: what should I consider when obtaing a good quality blood sample from client?Patient symptoms are tachycardic, hypothermic, hypotensive, underweight, skin pallor; pt...

Patient has multiple symptoms: what should I consider when obtaing a good quality blood sample from client?

Patient symptoms are tachycardic, hypothermic, hypotensive, underweight, skin pallor; pt age 54; history of cancer of breast and argranulocytosis; she states she is menopausal, however intermittent pv loss over the past month.

Expert Answers
dano7744 eNotes educator| Certified Educator

I will assume you are asking about general venipuncture practices either for routine laboratory testing or blood cultures. Every health care institution has very specific procedures that must be correctly followed when obtaining these blood specimens. Slight variations exist depending on the instrumentation of the lab., but there are a few universal concepts. You listed several signs and symptoms that the person was displaying. From a venipuncture standpoint, the S/S of the patient are irrelevant. Your job is to get a good quality blood specimen so the lab. personnel can run whatever test the physician ordered.

A few universal's for venipuncture are as follows:

1. Introduce yourself to the patient and tell them why you are there.

2. Wash your hands, in the presence of the patient if possible.

3. Gather needed supplies.

4. Apply gloves, apply tourniquet to upper arm correctly.

5. Look for and palpate for an acceptable vein.

6. Before you insert the needle, tell them to "be still" and "your going to feel a little stick".

7. Clean the skin with an approved swab, gently insert needle and collect specimen in the proper blood tubes.

8. Release tourniquet, take needle out. apply firm, direct pressure to the site for at LEAST 3 minutes.

9. Apply approved dressing to site. Make sure they are not still bleeding.

10. Thank them, wash hands. Transport specimen to the lab.

It is imperative that you place the specimen in the correct blood tubes for the specific test ordered.

 

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