Venepuncture / Phlebotomy- clinical skills - Dr Gill
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- Опубликовано: 25 июн 2024
- Venepuncture clinical skills - Dr Gill
Taking blood from a vein is probably the most used core skill for the junior doctor. So thinking that it isn't really appropriate to ask if I can film someone else, I donated my arm to science!!
Timestamps:
00:00 - Preparing Your Kit
00:14 - Importance of the Sharps Bin
00:36 - Alcohol Wipes and Vacutainers
02:02 - Additional Equipment
02:46 - Megan Takes Over
03:28 - Vein Selection
03:58 - Disinfecting the Entry Site
04:55 - Preparing for Blood Draw
06:07 - Performing the Blood Draw
07:23 - Post-Draw Procedure and Tips
08:21 - Conclusion
Great to see the roles change in this video. Megan deserves her own clinical skills channel 😁
Great video, doc. Informative and fun as always!
As a nurse, I often fold a paper towel to about 1-2 inches thickness and then wrap it around the upper arm like a cuff to act as a barrier between the skin of the patient and the tourniquet. This is useful as it can minimise pinching of the skin and discomfort for the patient. It’s also useful for people who have more fragile, papery skin, such as older adults, who may be more susceptible to skin tears. It generally allows for the tourniquet to be pulled a bit tighter too for those with tricky veins.
Just a thought but certainly something that’s helped me over the years!
That’s a great idea!
Would have loved it if the video had started with the tourniquet being out on you before *record scratch* *freeze frame* "Yes, that's me Dr. Gill. I imagine you're probably wondering how I ended up in this situation?"
Great job from Megan!
This was a cool way to switch it up. The best way to truly learn something, is by teaching it to someone else, or communicating it in a way that someone else can understand. Awesome job!!
Wonderful job Megan
Is this the first time Dr.Gill was in the chair?
We love to see it
Wasn't he in the chair with the tournaquet video and the other insertion in the hand?
@@jarnovanherreweghe218 I don't even remember lol
@@jarnovanherreweghe218yes and no, he was initially but had problems so he had to switch places again.
I think the only time he has been on the video, yes. He was supposed to be for the cannulation one but that ended up not going to plan, so he filmed himself doing the cannulation on the student instead.
"Why does the vial have sandwich breath?"
I have a request to assist younger doctors and students alike. Have volunteer patients of varying makes, weights and builds be in the chair for a number of different examinations and show differences in perhaps finding certain anatomical structures. For example certain veins may be more difficult to locate in a clinically overweight patient, or the electrodes for an ecg may be more difficult to place on an anorexic patient
You don’t have to be overweight to have ‘difficult veins’ though lol. I’m not overweight, I have blood drawn usually twice a year due to check ups but it’s always a hassle for them to even find a vein, let alone jab it correctly. Some nurses actually get nervous over it. 8 out of 10 times they end up in my hand. I’m used to it by now but it’s still not my hobby..
@YvieT81 This is very true, you do not need to be overweight for veins that are difficult. Wasn't only referring to veins though, this was just in general, finding things in obese patients in general can sometimes be tricky as it can with the opposite
Well done Megan. Not easy to perform in front of your tutor never mind on camera too. You did a great job and will continually improve with practice 🙏🏻
i ve been watching your channel since i was a family medicine professor. Nowadays Im a psychiatry and resident of child and adolescent. Pleane, dr Gill, perform a mental status examination´s clinical skills video.
I had no idea those vials were under vacuum...
I always thought it was my amazing blood pressure.
I dealt with leukemia in 2022. I have had so many blood draws in the past 2 years that my veins are caput. It weirdly comforting to see done with Dr Gill's calming demeanor.
Now that the chemistry tube has been potentially contaminated with EDTA...
My veins in the crook of my arm are really hard to find. When it suits me, I take part in studies and the negative record for blood collection is 12 stitches and 4 newbies. They were playful when they were allowed on the back of my hand 😅.
But I'm not made of sugar and practice makes perfect. I always find it admirable how you medics do it with the blood sampling.🎉
You are Fantastic Dr Gill Also your student ,like Megan a hug from italy 😁
great experiment
I wish I was more confident with medical procedures, it's just so stressful to perform them when you're in the beginning, because you just think about making no mistakes, and any deviation from what you were taught/read in the books will throw you off
much thanks !
1984 here too. Turn 40 in one week!
Great job.
that was an incredible video well done to the both of you, it actually makes me want to donate blood.
Omg Megan is doing so well
Love it! Great video! But then again I’m the weirdo who loves watching that stuff and has a high pain tolerance so I strangely find it a pleasurable experience for some reason, even with deep veins. But then again I’ve been giving blood for 20 years and have great bleeders with a high platelet count so I know what I’m doing/how to prepare for it so that makes a difference too, granted giving blood is a little different do to the size of the needle used and amount of blood taken but close enough.
4:28 freaking out internally and putting the alcohol wipe in the sharps bin lol yeah that was me early on too
I think this is what Americans call phlebotomy.
That’s I’ll add that to the title!! Might help the almighty algorithm!
owwwwww they grow up so fast 😊 thumbs up for Megan
Quite interesting 👌
CONCENTRIC CIRCLES YO!
What’s your best approach to helping a student figure out mistakes or improve on something?
Ask them what they feel the issue is. Get them to walk through how they are performing a skill, discuss if we could make any changes, have them run through it again with changes, when they are confident about that, do it - observed - in real life, and repeat
THIS. This right here is why I could never go into the medical field; I love learning about the human body and helping people, but needles and blood draws just make me so uneasy and pale
Bro most don’t do blood draws 😂 to become an RN they don’t even teach you how, it’s for geriatrics LPN’s, MA’s, and primarily Phlebotomists (me). Unless you’re doing something like oncology RN.
As a junior doctor you do a lot in the first few years out of medical school, but I problem only do a handful in a month now
I actually miss it, because it’s an active part of helping the patient, rather than just saying “get an xray”
@@DrJamesGill ahh I just realized it’s different out of the states, that’s both cool and depressing though, does that mean that there are no phlebotomists at your hospital systems?
I just found out that I have the same birthday as him, except for year, I’m only about to be 17
Definitely tell Dr Gill is athletic and drinks a lot of water. Nice juicy veins.
Serious character development here
Doctor lore
You were born in 1984? 😮
Flip! lol
And me 1986!
and me 1988!
We ♥Megan
Easy? That's assuming the patient has good veins. Deep or thin veins are tough and you might need to get another nurse to try.
I absolutely hate getting blood drawn.. even seeing other people getting it drawn makes me feel shaky
New video. Let's go
👏
Megan Struvas innit?
megan got her revenge
How long did you wait for your appointment?
Hang on, birthday coming up?
I have a crush on megan
Great dynamic change with Megan💉🩸
Plot twist 😏
@@LongNailsASMRtist left on a cliffhanger haha