Venipuncture Procedure
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- Опубликовано: 6 сен 2024
- In this video, PCC Medical Assisting faculty member Stephen Date explains and demonstrates a venipuncture procedure using a multi-needle and evacuated tube system. Alena Fehr, also a PCC Medical Assisting faculty member, is in the patient role here. The video includes a step-by-step demonstration of the procedure followed by the uninterrupted recording of the procedure.
For information about PCC's Medical Assistant program, please visit: www.pcc.edu/pr...
Produced by the Medical Assisting program, Video Production Unit, and Online Learning at Portland Community College.
Credits:
Stephen Date: script, narration recording, medical assistant-role, production collaboration
Alena Fehr: patient-role, production collaboration
Michael Annus: producer, script advice, demonstration recording & direction, and editing
Alma Annuse: vein illustration:
Special thanks to Alena Fehr, Jason Johnson (Director of Allied Health Programs, Cascade Campus) and Virginia Chambers (Medical Assisting Program Director & Clinical Coordinator)
Video Production Unit at PCC: www.pcc.edu/vi...
Online Learning at PCC: www.pcc.edu/on...
Starting my first phlebotomy job tomorrow!
Congratulations 🎊 I'm starting class in a few weeks
I started mine 2 weeks ago lol
How was your first day?? I just got licensed and going to be applying soon!
Congrats!
Did u get d job
Best venipuncture video online. Clearly explained, and presented. Thanks for the valuable lesson.
This explanation and procedure was very good.
Even without putting the tourniquet on initially I can feel the ridges where the veins sit.
To practise knowing where veins are, what they feel like and where the valves are....place a tourniquet on yourself and trace the veins . How I learnt.
Thanks
It's people like you that make it so much easier for me xxx
Good idea!
Watching this before I start my medical assistant classes. This video was very descriptive but also simple to follow. I like that I was able to see the process.
I'll be taking my Phlebotomy class this June. Thank you for making this video!
how did it go?
stuff like this I thank RUclips FOR.. what A time to be alive, really!
Your video is truly knowledgeable I'm taking a phlebotomy class, I like the fact that how you explained it so well and how gentle you were with the patient. Thank you so much.
Great video!!! Just remember needle should always immediately go into a sharps container
I’ve been doing other duties and now it’s the main duty so I was alittle nervous you were super simple straight to the point . Thanks ❤
My colleagues often call me for difficult veins.. now I am watching which of these techniques I am using.. I learned more because of this. Thanks
I needed this so bad, exam is on 23 august 2022. Grateful for this video!!!🤓😁🙏
Hope you passed!
The venipuncture video is incredibly helpful and clear. Thank you!
The blood draw procedure in the video is very well explained and presented. It was very detailed, very useful and informative. Very helpful for anyone who wants to learn phlebotomy...👌🏻
Thanks so much for your efforts and wonderful educational videos 🙏🏻
I can't wait to start practicing Venipuncture , now I am reading and watching videos. So excited!!
one of the best field to enjoy in life
I started practicing phlebotomy today and am happy I have had 5 sticks at a go.
Starting my classes in October I appreciate this video
This was very well performed I was so good I watched it twice.
Thanks for the video I will start my phlebotomy exam next weekend
Thank you Stephen, this video is very understandable and its so helpful...
This was such a great video!! I’m going to be starting my phlebotomy training in a couple weeks and I’m trying to familiarize myself with terms and procedure and this is one of the best videos I’ve seen!!
Hope your training is going well.... good luck for the future.... Jah blessings frm New Zealand...
Thank you for sharing! I just had my son's blood test and it is showing very high TSH; the tourniquet was left on the whole time while the blood was drawn out; the last two TSH levels were under 2. Doing a complete Thyroid panel somewhere else in 3 weeks.
Going to take a phlebotomy course for certification! I enjoyed your video!
better than my $1k books that I was required to purchase for nursing classes
😄
Future midwife here, love these kinds of videos! I am In a medical class that will transfer me into a job my senior year of high school. I am gonna be a junior this next school year! (2022)
This video was very helpful to me as a Phelbotomy student
I watch videos like this because I’m terrified of blood draws ever since I was fished really bad. The lady who drew my blood moved the needle around so much going deeper. Ever since I been scared to trust phlebotomist. But watching this videos assure me it was her mistake and not every phlebotomist will be the same.
My test is in two days, wish me luck!!!!
Thank you for this video I start in April to become a phlebotomist tech
How's it going? I start training in May. So nervous!
@@landofthebeyond9078 I’m also starting classes in may. Good luck!
@@aniquap You too girl!!! We got this!
I started a 3 week course in April and just landed a job at a hospital! Good luck everyone!
Thank you I absolutely loved your video its was professional, educational, calming & at a steady pace which will help me for when I start up schooling.
Brilliant, I’ll be watching again and again!!😃
I have beeen surfing youtube for what might look like exceptional phleb practices, in order to help this newbie become awesome! What I loved about this vid is watching from the side how you anchored both your fingers holding the hub, as well as the lower skin before puncturing. It's something I am going to practice on someone! Lol>.. Husband?? LOL..Anyway, I like your teaching style and would love to see you do a set where you really delve into finding the cephallic vein and drawing from that one. For me that's slippery bugger. I can't tell the difference between the muscle in that area and the cephallic vein. So if you do something like this PLEASE TAG ME!
This is the best I've seen... Really well done!
Very interesting video. I never done this before and waiting for it. Excellent explanation
I assume when you cleansed the entire area with disinfectant wipes the final time, you also disposed of your needle in the sharps container. ❤ I was taught never to set the needle down. Always dispose immediately in sharps container after draw. Otherwise excellent video. Thank you!!!
Scared and excited to have mine to be done soon!
I'm starting externship today and just wanted to watch someone else's process and the fact that he included his pronouns made me very happy!
same!
Im in a phleb class, absolutely loveeeeee it
well explained
This is an excellent video, from editing, to your technique, to your soothing and reassuring voice.
One of the best most detailed videos I have seen greatly appreciate it going into my externship next week
Great vedeo
Thanks 🙏
One of the best phlebotomy video I have seen thank you
FYI Light Blue Citrate tubes shouldn’t be inverted more than 4 times.
I will do my second live blood practice on Wednesday.
The only thing I observed here is that The phlebotomist didn’t wear gloves in preparing his stuff and disinfecting the skin.
Love this video! Really would like to have seen that needle go immediately to the sharp container. Well done though!
Perfectly done.
started my Phlebotomy class doing Great wish me Luck!
This video is very interesting, this is really good for students in my humble opinion but when u get into the work force its a different story.. just letting yall know.
If by different you mean people just stopping doing things they're supposed to do for sample integrity and safety like inversions, taking off the tourniquet within 1 minute, not smacking at the vein, not going for the basilic except as a last resort, not waiting for the alcohol to dry by itself, then sure. I'd rather do it right.
Wdym
Can you explain more how is it different?
@@DannySwish On behalf of a nervous blood giver, Thank you xx
GREG
perhaps you could let us all know HOW it's different rather than leave a comment hanging in mid air to people who are trying to learn...?
If your work place rushes you and expects you to cut corners for the sake of speed then SAY SO.
If you're just "letting yall know" THEN LET US KNOW.
A discard tube should be used before the sodium citrate, for accurate fulfillment
A big thank you for this nice demonstration😄
Great video for PHL students , THANK YOU
it is a really great venipuncture video online. Thanks.
Basilic vein is close to the nerve and the brachial artery so that it’s not good venipuncture site.
Very good explanation for people like me who are not fluent in English although if another video came out giving an explanation to the jumping veins or something like that is a more complicated thing it would be appreciated
Thanks for uploading this demonstration video. Very helpful. Thank you
That was AWSOME!!! Thank you so much!
Okay so I like that the instructor took the tourniquet off after finding the vein to avoid collecting venous blood that would have metabolic wise altered. However, when he goes to insert the tubes after insertion of needle he leaves the tourniquet on. Which now defeats the whole purpose. One should not leave the tourniquet on more than 60 seconds when drawing blood as it will cause waste products especially potassium to build up in blood causing skewed lab results.
He removed it after 62 seconds.
He should follow the order of draw Green tube and then blue tube because it is very important for chemical enzymes analysis.
No he was very right
Plain bottle for cultures
Blue-sodium citrate
Red- clot activator
Gold-SST
Lightgreen- lithium heparin
Dark green- sodium heparin
Purple-EDTA
Grey- Sodium fluoride
Yellow - ACD solution
Get your point right
It is not standardized, so its likely it is different in your country. But in a lot of the world, light blue is the coagulant tube (sodium citrate) and must be drawn before other vacutainer tubes.
is sanitizing the site still starting at the center and then circling outward?
Great question-- yes!!
Yes always
Yes
Actually no, you should not do this anymore. The CLSI now recommends going back and forth.
@@madison3514 ..... "with friction" you left out the most critical piece. The studies were about "friction scrubbing", not a gentle wipe back and forth.
You are a pro! I have a fear of needles and wouldn't mind you taking my blood. It really does help to have an understanding vampire helping you out. Like you good sir! I do okay with little needles because I do acupuncture. But blood draws can be tricky because I feel queasy. But with you, I would do great.
You covered the site with cotton, which can reopen the wound once it starts to clot... should be gauze instead. But great vid.
This is correct.
You're right! A valuable update.
I swear I’m a vampire lol watching the draw was so satisfying. My first draw I was so excited I got it the first time!
I know me too!! I love it lol
Them: You’re gonna feel a small pinch.
Me: Ok
Them: starts digging into my arm to find a vein.
Me: screaming and crying in pain
My mom: you good
Me * rethinking my whole entire life* whaaaat
I never felt anything in there😂
I agree with you @ericleong8706. My only concern is that you should never touch the patient without your gloves.
Good video but I honestly feel like he should have had gloves on when preparing for the draw.
Its just a tutorial
@@itatchi8827 What's required and what you personally choose to do are two different things. Preparing for the draw, even finding the vein requires NO PPE - unless the patient has obvious blood or body fluids present - it's safe practice but not required PPE to don gloves for prep
I don’t see why he would need gloves for that. His hands were cleaned, gloves themselves aren’t sterile, and the lack of any patient fluids makes any contamination from patient to him basically impossible.
This was awesome, thank you. But I have a question, what if I don't feel beyond when I'm palpating? What am I doing wrong?
Great well understood
Thank you 😊😊😊
Very nicely explain 🎉🎉
This is a very clear and detailed producer l really enjoyed watching it . I am planning to do the course very soon. Thanks, God bless
My 6 year old son had his blood drawn yesterday and the tourniquet was very tight and left on for approximately 3 minutes. My son was pushing his arm away until finally at 2 minute mark she was able to put the needle in. Than she had a hard time getting the tourniquet off, maybe it was too tight. Anything i should be worried about, any damage can be done in that time frame to muscles, veins, organs? Couldn’t sleep the whole night.
Thank you!
thank you so much your explain is great
No one is going to mention that he did not put his needle straight to sharps?
What would be the confirmation messurement about depth of insertion needle from skin ie how do you know that how much depth the insertion. Should be done.?! Clearifybmy doubt
Great video. So clear. I have a general question? Is the Kaiser Permanente phlebotomy program really that much more advantageous than other smaller schools?
I would like to know that as well
I dont think so. Tbh. Im in the PCC MA program rn and there are standards to meet across Oregon Health Law expectations. I mean, they teach you what everone else in other programs also need to know. 🤷♀
Great step by step explanation
How’s it going???
Nice demonstration for my phlebotomy classes
When drawing blue what happen to discard tube first.
Very clear and informative thank u
Youre the best stephen! Always making everything easy to understand. 😄
Thanks
Excellent video
Everything seemed to be well thought out and very eloquently said. The only part I didn't like was when you pulled the needle out without the aid of the cotton ball already there. It was as if you quickly switched the needle for the cotton.
You can lay the cotton/gauze just above the site but you don’t want to cover the site d/t possible needle stick. You also don’t apply pressure while the needle is still on the arm because it could cause bruising.
Thank u sir
I was instructed never to lay the tubes flat, but they should be placed immediately in an upright position
Why must be it? Hope u reply
doesn't matter. you invert them gently in order to mix the reagants with the sample. i'm a medical lab technologist.
Before drawing blue tube , how come we did not discard a little and draw
Most satisfying video
Is it wrong if my doctor tilt and pull the needle Out at an upright 90degree angle?
Great information ❤️❤️❤️
I am in a lab technician program and we have been practicing on a fake arm but I am feeling really insecure about doing this on a real human beings and poking an artery. Does the confidence build as time goes on?
veins will be bouncy and have no pulse, arteries tend to be a little deeper and have a pulse, however if you’re really unsure, veins will be most prominent with a tourniquet and should disappear or become less prominent when the tourniquet is off, so check with tourniquet on & off if you’re in doubt. Never stick anything with a pulse or if it feels fibrous like a tendon
also, if you know how to check your pulse, you’ll be able to see/feel how an artery feels. try using to fingers (not your thumb since it has its own pulse) and feel in the area on the inner part of your wrist, underneath your thumb joint, you may have to look a little before feeling it. that is an artery and has a pulse and will be what it feels like
How long does it usually take to do the blood drawn
5 minutes start to finish is common, but straight-forward procedures can be even quicker
Excellent...thank you
great video!!! but the patient did not check if the specimens were labelled correctly
Am I the only Phlebotomy Student having a hard time locating veins ? I’m so frustrated and ready to throw in the towel but I know it’s gonna get better. I tried on three of my classmates and failed to retrieve any specimen. Any recommendations or techniques on how to get better at this ?
It took me ages, but now after 2-3 months I finally feel in control. But some patients have extremely difficult veins because of medication, overweight, dark skin, old age etc. So the struggle never ends. :p What helped me the most was keeping calm, being patient and taking good time looking for a good vein. Then, if I missed, instead of just have a co-worker go in after me, I came with and saw what she/he was doing and tried to learn from it. Small tricks like changing the angle a little upwards (carefully), or pulling the needle a little more out has helpled me a lot. And if I really cant find ANY veins after searcing forever, I get a co-worker to come help me locate one. It's actually starting to become fun now. Good luck :)
great video
Why did he not place the needle in the sharp container?
THANK YOU 😊❤
Thank you great imformation
I am watching this now cause we have phlebotomy practice tomorrow and also final demo😭
Very good!