ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Blood Draw Procedure for Mobile Phlebotomists - Paramedical Examiners

Updated on August 17, 2018
Brinafr3sh profile image

She is a Writer and Author. She's inspired by Eric Thomas, Les Brown, Charles Stanley, Myles Munroe, and Napoleon Hill.

Venipuncture Steps Procedure

Day 1

  • Make Appointment
  • Confirm appointment
  • Check order or requisition for tests and specimen requirements
  • If fasting tell patient appropriate hours to not eat the night before until after appointment time
  • Map Quest your patients address


Day 2

  • Greet the patient
  • Confirm identity of the patient/compare information with work-order, same with social security card and identification card.
  • Have patient sign HIV consent form.
  • Cleanse your hands.
  • Have patient sit or lie down.
  • Put on gloves.
  • Ask patient "Which arm was their last blood draw in?"
  • Place tourniquet on patients arm.
  • Locate the vein to be punctured.

Paramedical Examiner/Insurance Examiner

Venipuncture Steps Procedure
Venipuncture Steps Procedure
  • Release the tourniquet.
  • Cleanse the venipuncture site with 70% isopropyl alcohol or other appropriate antiseptic. Clean venipuncture site area in circular motion from inside to out, with soiled alcohol-100% cotton ball.
  • Try to avoid or prevent from reaching over the patients arm, for supplies or changing hands during venipuncture to hold the hub. This way you never risk the needle being move while in the vein. You should never get too sure.
  • Place all venipuncture supplies to one side of patient's arm, especially the sharps container.
  • Assemble the venipuncture equipment (pre-open bandages, gauze, etc.)
  • Assure the antiseptic has dried on the arm.
  • Retie the tourniquet 2"- 4" above bend of elbow and use half bow with tourniquet.
  • For difficult veins use a warm towel compress placed on the arm.
  • Place arm on the arm wedge or have patient to place their fist under their other arm to form a bridge.
  • Locate the venipuncture site and perform the venipuncture. Tell the patient "this won't take long, please relax."
  • Ask patient to make a fist so the vein will be more prominent, NO fist pumping or clenching. Then patient can release fist once the blood is flowing into the tube.
  • Always use proper "order of draw" use red top tube first then the lavender. (Most Paramedical Exam Companies only use 2 tubes.
  • Pull skin below vein taut using your non-dominant hand.
  • Quickly but gently insert needle at 15 degree angle bevel up, if using syringe breathe syringe before entering vein, insert each tube for the procedure according to order of draw. ♥ There is a draw capacity line on each blood tube. ♥
  • While needle is in the arm, the first and second fingers should be lightly resting on the patients arm as your 15-degree angle.
  • Release tourniquet as soon as possible after last tube starts to fill with blood.
  • Quarter-fold gauze onto venipuncture site, then apply bandage and pressure* Ask patient to "keep their elbow straight, don’t bend."
  • Place sharps devices into bio-hazard container.
  • Invert tubes approximately 6- 8 times up and down, don't shake.
  • Place specimens in lab kit, dispose of all disposables.
  • Watch patient for signs of shock or syncope, ask patient if they are alright.
  • Urine collection, ask patient to bring urine cup back to you, to read temperature.
  • For males do chest measurements, for females ask about current menses; if this information is on insurance form ask for it.
  • Fill-out Medical exam questions, have patient sign all forms and initial lab slip for urine label, and males initial chest measurement section. Some insurance forms ask for patient initials for vitals section.
  • Check pulse-rate on thumb side of wrist.
  • Before doing the blood-pressure reading, wipe the stethoscope diaphragm with and alcohol-wipe.
  • Tell patient "Thanks for their time and have a nice day."
  • Put on a pair of gloves while handling blood tubes or centrifuged blood tube.
  • Centrifuge tubes, always set centrifuge at 15 RPM, pour serum into serum tube. Do this with a window partly open and with no one else in that room. Follow lab instructions on lab handling label, and placing blood tubes into lab pack kit. Transport specimens to required lab.
  • Call Fed-Ex for Specimen Pick-Up.
  • If Amplified/blood/urine = without paramedical examiner forms. Use HIV consent form also with lab form.
  • Always use HIV consent forms for all Paramedical Exam appointments.


Interacting With The Patient

The practice of collecting a blood sample does not rely on only the ability to draw blood from a patient, social skills are important. Always be polite and friendly with patients even if they are rude or inconsiderate. Patients are often angry about their condition, or fearful, or their doctor recently gave them bad news.

Whatever a patient says that is rude, it is inappropriate for the medical profession to reply with unprofessional remarks. The easiest way to defuse an upset patient is to be as polite as possible and explain that the doctor's orders need to be obtained.

This one patient I visited had a couple excuses for not getting his blood drawn the day of his appointment. But after I calmed him down with conversation, letting him know to relax and it wouldn't take long. Also telling him the reason why we needed to obtain the blood specimen for his doctor, he finally gave-in.

Mobile Phlebotomist Poll

Are you a Mobile Phlebotomist?

See results

Venipuncture, Close the Needle Cap on a Edge of Table, Then Dispose of the Needle and the Tube Holder!

© 2011 Brinafr3sh

Comments

    0 of 8192 characters used
    Post Comment

    No comments yet.

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: https://hubpages.com/privacy-policy#gdpr

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)