Phlebotomy

1. Phlebotomy and Disposal of Needles Dr.T.V.Rao MD Dr.T.V.Rao MD

2. Phlebotomy definition • phle·boto·my (fli) • noun • the act or practice of bloodletting as a therapeutic measure Dr.T.V.Rao MD

3. LABELING THE SAMPLE • Properly labelled sample is essential so that the results of the test match the patient. The key elements in labelling are: • Patient's surname, first and middle. • Patient's ID number. • NOTE: Both of the above MUST match the same on the requisition form. • Date, time and initials of the phlebotomist must be on the label of EACH tube. Dr.T.V.Rao MD

4. The requisitions form should be completely filled out, and the requisition must indicate the tests ordered Dr.T.V.Rao MD

5. Barrier protection for the phlebotomist consists of the latex gloves. Dr.T.V.Rao MD

6. The tourniquet is applied and the phlebotomist palpates for a suitable vein for drawing blood. Dr.T.V.Rao MD

7. The area of skin is cleaned with a disinfectant, or an alcohol swab. Dr.T.V.Rao MD

8. The vein is anchored and the needle is inserted. Dr.T.V.Rao MD

9. The vacutainer tube is depressed into the needle to begin drawing blood Dr.T.V.Rao MD

10. Additional vacutainer tubes can be utilized. Determine what tests are ordered and what tubes will be necessary BEFORE you begin to draw blood, and determine the order of draw for the tubes.. Dr.T.V.Rao MD

11. When the final tube is being drawn, release the tourniquet. Then remove the tube, and remove the needle. Dr.T.V.Rao MD

12. After the needle is removed from the vein, apply firm pressure over the site to achieve haemostasis. Dr.T.V.Rao MD

13. Apply a bandage to the area. Dr.T.V.Rao MD

14. Do not leave the needle to their fatediscard scientifically Virtually all needle stick injuries of domestic and portering staff are from needles that have either been lost in the workplace or thrown into regular garbage. Janitors and garbage handlers can also experience needle stick injuries or cuts from "sharps" when handling trash that contains needles or scalpels. Some attribute the problem to forgetfulness or lack of motivation or training on the part of people who work with and dispose of needles. Others feel that inconvenient disposal systems contribute to these incidents. Dr.T.V.Rao MD

15. How to dispose the needles Workers should place needles in wide-mouth, puncture-proof containers. Locate disposal containers specifically where needles are used to make safe disposal possible without recapping. Replace the containers before they are completely filled. Make sure they are sealed, collected, and disposed of in accordance with local regulations for biomedical waste. Dr.T.V.Rao MD

16. Newer Devices for Safe Disposal of Used Needles Dr.T.V.Rao MD

17. Yellowone Needle Cap Yellowone Needle Cap is a non-reusable sharps container for disposal of hypodermic needles. It is designed for syringes with luer-slip. The cap fits over 90 percent of all beverage cans in the world. Dr.T.V.Rao MD

18. Dr.T.V.Rao MD

19. Yellowone Needle Cap© functional advantages Recycles soda cans, which are readily accessible, into safe and permanent needle disposal containers • With just one click, the cap is permanently locked in place • Is easy to use with luer-slip syringes needles • Secures needles which may transfer infectious diseases • Prevents accidental stick injuries during needle disposal • Is ideal for emergency relief efforts, remote clinics and field situations • Makes it safe to dispose of infectious disease waste by burying the securely locked can, or placing it in a waste disposal site • One can holds over 150 needles (small can of 330 ml) or 400 needles (larger can of 500 ml) Dr.T.V.Rao MD

20. Safer ways to discard needles Discard contaminated sharps immediately and without recapping in puncture- and liquid-proof containers that are closed, sealed and destroyed before completely full. Dr.T.V.Rao MD

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