HOW BLOOD SAMPLE COLLECTION Veins (venous PUNCTIE) WITH VACUTAINER

HOW BLOOD SAMPLE COLLECTIONVeins (venous PUNCTIE) WITHVACUTAINER•Definition:a venous blood sample taken from a vein in the fossa cubiti,magna saphenous vein / venous another supervisial large enough toget a good blood sample and representative by usingvacutainer tube.•Objectives:1. To get a good venous blood samples and meetrequirement to conduct inspections.2. To reduce the risk of contamination with blood (infection, needlesticj injury) due to venous punctie for officers as well as patients.3. For instructions to officers who perform the blood sampling(Phlebotomy)
PROCEDURE1. Do the explanations onpatients (about whatperformed on patients,patient cooperation, sensationthat will shape the patient)
Rational: In order for the patient can actcooperative with officers andreduce anxiety inpatient
2. Find a vein to be punctured(Superficial, quite large, straight,there is no inflammation, nointravenously)rational: a. Ensuring a placeappropriate for decisionblood samplesb. Make it easy to takeblood samples
3. Place the hands straight andekstensikan with the help of the operator's left hand orfouled with your palmsfacing upwards whileknead
rational: Vena seen more clearly so thatfacilitate blood sampling
4. Do disinfectant areato be pierced withsterile cotton wool soaked in70% alcohol and allowto dryness
rational: Preventing infections
5. Do damming onproximal region of approximately 4-5finger from where the stabbing forveins appear more clearly (iftourniguet form ikatab sipulopen and upward direction),should not be dammingtoo long (maximum 2minutes, the best 1 minute)
rational: 1. Facilitate stabbingin the area because of venousveins appear more clearly2. Arterial flow is interruptedprevent venous3. Damming thetoo long willresulting changescomposition of the plasma becauseoccur hemokonsentrasi
6. Prepare a vacutainer tubeappropriate to the typeexamination, needle-eyedtwo which one endhave been incorporated intoholder
rational: 1. Ensuring toolsuse appropriate and readywith2. Facilitate drainagevenous blood into vacutainer
7. Conducted needle stabbingvein at an angle of 150-300 lastwere fixed to avoidshift needle
Rational: In order for the needle does not penetrateposterior wall of the vein whenstabbed
8. Tourniguet released soonafter blood flow, thentube filled with a capacityvacutainer, patients were askedopen griphand.
Rational: In order when the needle is taken,blood does not flow out ofarea that was stabbed.
9. Vacutainer is released fromholder, then the needle slowly withdrawn
Rational: The volume of blood in vacutainerin accordance with the required volume of blood

 10. Letakaan cotton 70% abovepuncture marks over severalminutes to preventbleeding, plaster, presswith the index finger and thumbpatients for as long as ± 5minutes.
rational: Preventing infection and bleedinga result of needle prick
11. Disposed of used needlesin a disposal containerspecial needle
rational: Preventing disease transmissionthrough used needles
12. In each tubelabeled vacutainer identitypatient
rational: Distinguishing patients who are singlewith the other so that noidentification errors
13. Note the special instructionshandling specimens.
rational: Reducing the spread of disease
14. Thank you pronounced onpatientSo people feel comfortable
15. Gloves are released andwash hands with liquidantiseptic
rational: Preventing disease transmission
16. Specimen sent to the section-section according to the typeexamination requested.rational: Getting resultsneeded to enforcediagnosis