Phlebotomy Procedure: Blood Draw with Butterfly Needle

Introduction

• Phlebotomist: Desiree, CNN phlebotomy student
• Patient Verification:
  • Patient name and date of birth confirmed: Hillerman, 08/03/99

Preparation

• Hand Hygiene: Wash hands before glove application.
• Equipment Used:
  • BD Vacutainer Butterfly
  • Tourniquet
  • Alcohol wipes
  • ETS method (Evacuated Tube System)
  • Hub and syringe (optional)

Procedure Steps

1. Tourniquet Application:

   • Tie tourniquet 4 inches above the puncture site.
   • For hand draws, tie above the hand.

2. Vein Identification Methods:

   • Ask the patient to grab the chair or make a fist to make the vein pop.
   • Loosen fist for bigger veins.

3. Site Cleaning:

   • Use alcohol wipes to clean the site.
   • Wipe in concentric circles moving outwards.

4. Needle Preparation:

   • Remove plastic from the needle.
   • Uncoil the tubing carefully.

5. Needle Insertion:

   • Reapply tourniquet.
   • Ask the patient to make a fist again.
   • Uncap the needle, anchor at the knuckle, lay flat, and thread in.
   • Confirm flash and release the butterfly.
   • Ensure tubes fill from the bottom up.

6. Adjustments:

   • Lift angle if flow is lost to regain flow.
   • Alternative: Anchor skin more to bring the vein to the surface.

Post-Procedure

• Apply Pressure: Pull out needle and apply pressure.

• Labeling:

  • Add medical record number, date, time, phlebotomist initials, and tests on each tube.
  • Ensure labels are straight and correct.

• Bandaging:

  • Use Co-Flex for hand draws (not on blood thinners).
  • Ensure tightness is appropriate to avoid cutting circulation.

Final Verification

• Patient Confirmation: Reconfirm patient name and date of birth.
• Patient Well-being: Ensure the patient feels okay post-procedure.

Additional Notes

• Use a smaller needle for hand veins to ensure slower and more controlled flow.
• Be patient with slower flow due to smaller needle size.
• Always verify patient information before concluding the procedure.