Phlebotomy (Emergency Medicine)

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SAMPLE EXCERPT
- Full procedure text, video and illustrations available with the full product
PRE-PROCEDURE
INDICATIONS
  • Venous blood sampling
CONTRAINDICATIONS
  • Abnormalities of the overlying skin (cellulitis, burns, etc.)
  • Abnormalities of the extremity (trauma, ipsilateral radical mastectomy, presence of an arteriovenous fistula)
EQUIPMENT
  • Gloves, antiseptic solution
  • Rubber elastic tourniquet
  • 21- to 23-gauge “butterfly” needle, 5- to 10-mL syringe or vacuum bottles and vacuum bottle holder to collect the sample
  • If a syringe is used, specimen containers are needed
  • Cotton balls or gauze for bleeding and bandage
ANATOMY
  • Upper extremity veins are preferable.
  • Commonly used veins include the dorsal metacarpal veins, the basilic vein, and the cephalic vein.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Apply pressure to the phlebotomy site until bleeding stops, and apply a bandage.
COMPLICATIONS
  • Accidental arterial puncture
  • Thrombophlebitis
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