Perfecting That Venipuncture!

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  • เผยแพร่เมื่อ 24 ธ.ค. 2024

ความคิดเห็น • 11

  • @JusToni
    @JusToni 5 ปีที่แล้ว +1

    Too many circles when wiping ... you want to wipe the top layer of dirt and cells away from the puncture site .
    Then you palpitate the vein again after cleansing which is a big NO-NO!
    You can contaminate the site ...
    My instructor said not to tap because it could turn into a lawsuit ( patients view things differently sometimes )
    And no chatting once tourniquet is placed . 60 seconds goes by pretty quick . .
    But other wise , pretty good !

    • @ThatClinicalInstructor
      @ThatClinicalInstructor  5 ปีที่แล้ว +5

      Hi Toni! Thank you for your feedback! I teach my students that it is alright to palpate again after cleansing the skin, as long as they wipe the area again before they stick. Also, in the real world, a standard venipuncture doesn’t necessarily need a spiral. In fact, it’s better to scrub hard. And while I understand your instructor’s thoughts on lawsuits, it is okay to gently tap, I assure you. (As far as chatting goes, I encourage it as long as the job is getting done properly. Takes the patient’s mind off the pike!)
      Thanks again, Dream Big!

    • @JusToni
      @JusToni 5 ปีที่แล้ว

      I guess it all depends on the instructor and state . Im in New York but she was firm about “no tapping “ . I was NEVER tapped so it was alarming seeing it lol . And in the real world some phlebotomists dont even use gloves lol ( it happens to me ) or they dont apply pressure and i bruise . But as far as chatting , i felt like she turned away and forgot what she was even doing for a few seconds . Im sure a patient would be annoyed if they had a tourniquet on and the tech turned to chat and laugh with someone else ...
      when we tested out it had to be serious and no playing . but i appreciate your reply as well as the video ! I have subscribed

    • @ThatClinicalInstructor
      @ThatClinicalInstructor  5 ปีที่แล้ว

      @@JusToni gloves are a must and holding pressure is the most important thing you can do! Again though, there's a difference between smacking the patient hard and gently tapping. In the 25 years I've been doing this, I've always gently tapped and never been sued. ;-) I'm in New York as well, BTW.
      This is a classroom video where the students are practicing on each other. Since you're currently a student, you know the bundle of nerves that comes along with those first few live sticks. I like to keep my classroom atmosphere fun, light and relaxed, because that's an environment condusive to learning! We laugh and chat during sticks in the classroom because laughter is a great coping mechanism for fear. They know not to turn away and laugh with a regular patient.
      Don't overthink it, my students always pass for a reason. :-)

    • @JusToni
      @JusToni 5 ปีที่แล้ว

      Oh i believe that ! I saw the video lol
      Amazing ! We had fun , just not while testing out .. we have food and everything almost everyday in class . But ive just come across your videos and everyone literally does it differently ! So its hard learning from other instructors on youtube when mine taught me a different way ... im not taking away from your brilliance .! And my instructor was an emergency room nurse for 30+ years .
      Im just going from what i was taught and observing ... no shade !
      My instructor said NOT to watch that lady crystastic Jewels ... the one who performed her own blood draw lol
      I think a lot of veteran phlebotomists cut corners ... because i cant believe she drew my blood with no gloves ! ( i had to get blood work for titers)

    • @ThatClinicalInstructor
      @ThatClinicalInstructor  5 ปีที่แล้ว +1

      @@JusToni kudos to your instructor on fun and food! That's the way to do it, yes! (She's right though, just not around body fluids haha!) Crystastic Jewels does have some good videos, and I like her because she legit does this for a living, but she does tend to be disorganized. I liked her order of the draw video, but with her disorganization confusing my students I decided to film my own. I do like her "what to put in your tray" video though!