Errors (for anyone wondering): She should not have said the patient's name at the start of the procedure. Her glove size is too large, which will make it difficult to palpate. The tourniquet should be 3-4 inches above the puncture site. She should have instructed the patient NOT to pump their fist. C hold anchoring is the old school way, but thumb anchoring is safer. Leads to less needlestick injuries. Order of draw should be Gold to Lav to prevent contamination of tube additives. She should have used her thumb to swiftly secure the needle and dropped it into the sharps container asap. Source: I'm a phlebotomist.
Here is another things that should happen. Some people like to have their hand held while blood is drawn. A friend or relative should always be allowed to be with the person. if that is not possible, then the phlebotomist should have someone available for this purpose. Just because someone is an adult doesn't mean they aren't scared.
@@samuellinares2001 phlebotomy jobs do not pay very well. So, if you are needing a job to be your primary income, I do not recommend doing phlebotomy for that. But, do not take my word for it, do your research for your area before jumping into it is what I would suggest. I have been a phlebotomist for 11 years and I love it, but I do have another source of income other than mine the one I have for phlebotomy. I wish you luck on your phlebotomy journey.
I'm a phlebotomy instructor and I showed this video to my students. Let's just say I'm glad they paid attention in class because they saw so many mistakes.....
Well today was my first day and the big mistake a saw was that she used the c anchor method which is incorrect and she used 2 hands to put the protective cover on the needle when she was done. She could’ve poke herself it was made for one hand closure
I got certified as a phlebotomist, and found a job within 3 months. It is pretty low pay compared to other healthcare jobs, but it is steady work you can do anywhere in the world. Also, if you go on to be a nurse, it looks good on a resume that you have experience working in healthcare drawing blood.
+matisyahup613 Hi, I was wondering if you could kindly recommend a course to get such certificate? Really need an advice.... (I hope you studied in the UK) Kind regards, Andrei
No, I live on the east coast in the US. Here we have a variety of technical schools that offer phlebotomy training. I am sure they have similar programs in the UK. Most courses are only 4-6 weeks.
depends on where you live. For example, I'm in el paso and I'm currently going to vista college. It's a 2.5 week course, so it's a lot of reading. Class is from 2-6:30. I dont know how it is for others, but for vista, you have to have some form of prior medical training/experience. I myself was in the army and NREMT/medic. Comming from experience, it is a lot of detailed info, especially the order of draw and the additives/tests that go with each tube. The course itself was 500 bucks, but it's more of a refresher course for me. Good luck!@
This was extremely helpful in alleviating my daughter's anxiety about having blood drawn. I know it wasn't the video's purpose, but I certainly appreciate it. Thanks!
Going to ross medical has made me really want to work in a lab setting because I really enjoyed doing venipunctures the staff really helped to keep everyone calm in the classroom
good video. The only problem I have with this is that the phlebotomist uses the "C" hold technique. This is where the thumb and forefinger straddle the needle entry point, with the thumb below, and the index finger above. This is not recommended for safety reasons; a reflex reaction could cause the needle to recoil as it comes out of the arm, and stick into the index finger. The "L" hold technique (thumb 1-2 inches below and slightly to the side of puncture site, and fingers grasping underneath the arm) is the proper way to anchor the vein and secure the patient's arm.
no it's not. this is a terrible video! Wrong order of draw, closed the safety with her thumb, the proper angle of insertion is 30 degrees or less NOT 15 degrees, DO NOT pump the fist with the tourniquet on. This didn't follow CLSI or ASCP guidelines AT ALL!!!!! And this is from a college that focuses on health education?
we also tell our patients to drink a glass or two of H2O before their blood draw, and we do not encourage to anchor the vein above where you're going to stick the needle. (this is especially true for newbies)!
I had a lab test and when I put the needle in my vein, the nurse used the syringe and no blood came out, I got air and gave me an injection (I never took the needle out of the vein), moved the needle from side to side and finally, draw blood from the vein. Is that air bad to inject it? Should the needle be moved like this to find the vein?
yes, it's a very bad practice to "inject" air inside. meanwhile, the moving of the needle is called probing, it is to blindly search for the vein if the phleb wasn't able to hit it the first time. possible, but totally not recommended as it may cause hematoma and other injuries
1:41 The patient signals to the MA because she already vocally identified the patient by name instead of simply introducing herself and asking for verification. We do not call the patient by name with procedures like this.
why safety glasses?? you are only drawing blood.../never uncap the needle, unless injecting- even for demonstration (that bothered me so much)../never pump the fist../injecting looked a little different (like she was jabbing it in the arm)/wrong order of draw (correct way - Yellow.Blue.Red.SST.Green.Lavender.Gray)- gold should of been before lavender .. some of the things i noticed. I am currently in a MA program in Michigan, and we were taught differently.
Hi ... introduce my name Nova Hardianti I studied at the High School of Health Sciences in Palembang, Indonesia. I like your videos really interesting and easy to understand ... #binahusadapalembang
I don't think the order of draw was used in this video I know this is just a video for demonstration but I always draw the gel barrier tube before the EDTA tube
You sound very snooty with your unnecessary bragging. Don't break your neck falling off the hi horse. Don't respond to us common folk. Just toss us some crumbs from your pedals tool your highness. All in all you deserve to have pride though I guess
I just came across this video and it is pretty good. Gloves are too big, and order of draw is wrong but otherwise I would use this as an example for my students.
Nice video!! It's easy to make an order of draw mistake so don't let the gremlins get you down. I think I wrote the textbook that you used as a narrative guide to make this video (Bonewit-West). I sure know how hard it is to make a video as we did videos for all the procedures in the textbook--can't count the number of retakes.0
I'm still in school for med lab assistant. If anyone in the industry could answer this, I would greatly appreciate your wisdom. We do full inversions for all tubes. For example a lavender would be inverted 8-10 times, and additional tubes require invasions as per the additive. In the "real world" do phlebotomists do full inversions? I find that beyond three tubes, my tourniquet time far exceeds one minute. Maybe I'm still a slow newbie:) Any thoughts?
I think it's just b/c you're new. Probably not anymore...but at the time of your comment. I'm new right now. Have 3 classes left out of 2 months. You'll get faster naturally,just don't rush it. I don't need to tell you what to do though. I am just a student still. I'd ask a pro just to be safe. Good luck!!
Depends on the tests that the blood will be ran through. Typically you will at least use the lavender vacutainer. Lavender is typically plain, yellow, red, blue, or orange will typically be used to test for specific elements in the blood. The lab rec sheet should indicate color and order of vacutainers. For example: LYRB would be Lavender, followed byYellow, Red, and then Blue.
The correct order of draw would indicate drawing the yellow first. This looks like a dated video hence why the draw was not followed. The order of draw is supposed to be always followed and you should not deviate from that order or you risk ruining the test because the additives in the tube can mix with each other if they are drawn out of order. Order of draw should be: Blue, Red, SST(Gold/red tiger, Green, Lavender, Gray)
wrong order of draw.... the reason we have to follow the recommended order of draw is because addivites can carry over from one tube to the next and u might be risking the patients life
headknocker2020 She anchored the vein inappropriatly and she drew the tubes in the incorrect order. The gold should have been filled first, then the lavender.
I had a lab test and when I put the needle in my vein, the nurse used the syringe and no blood came out, I got air and gave me an injection (I never took the needle out of the vein), moved the needle from side to side and finally, draw blood from the vein. Is that air bad to inject it? Should the needle be moved like this to find the vein?
My main problem doing this is the anchoring....I just don't know why i can't get it right. Like I feel I'm hurting the person. Ive only done it at school and ugh, i just can't.
Someone told me that if you're afraid to hurt people then you're in the wrong field because you're going to hurt people. Not on purpose or because of negligence,of course. I don't want to hurt folks either. My main problem was the stick itself. I believe you can train your nerves. It's difficult,but it can be done. I had a slight shaking problem at first. After doing 30 sticks,I'm happy to report that's not an issue anymore. Please don't let anchoring cause you a problem. If I can get over my fear,I believe you can defeat yours. I believe in you & I don't even know you. Best of luck to you! :) Maybe it'd be helpful to know that anchoring actually helps the procedure be less painful? I read that in the "Ten Commandments of Phlebotomy".
I just finished the class and they told us that the tourniquet could be on for 2 minutes. Twice as long is huge difference. What is everyone else taught?
Problem one, the patient should never pump their fist. This causes hemoconcentration which will result in a bad sample. Two. Never anchor the vein in the C position. Your needle is directly in front of your finger and can result in accidental stick. Three. Never use cotton to stop the bleeding. The fibers can stick to the site and cause bleeding again. Four. Never is a band aid. This can cause skin irritation or tear the skin with people who have thin skin. Also, always put the tubes in with the label up so you can see the blood flow.
I have just finished a 3 day course in phlebotomy at the maxis healthcare, certificate of competence, certificate of attendance, plus 23 live blood draws from patience in London, experience in vacutainer and monevette system,and butterfly technic just need a chance I am good at this job and know I would make a great phlebotomist" I will also be able to send you my references to and any other information you need I would also be willing to volunteer to show you my skills, as I am very impressed with myself meaning I have never done this before
Most Importantly, never anchor the skin above the puncture site. If the patient moves as the needle enters the skin, the needle could puncture the finger anchoring above.
Wow, you stated the right thing long before what safe practice guidelines are saying now to taut the skin below puncture site with a use of only thumb.
+Saima Patel I'm pretty sure leaving it on for too long causes hemoconcentration and could alter the results. It should be removed as soon as there's a steady blood flow into the tube.
why safety glasses?? you are only drawing blood.../never uncap the needle, unless injecting- even for demonstration (that bothered me so much)../never pump the fist../injecting looked a little different (like she was jabbing it in the arm)/wrong order of draw (correct way - Yellow.Blue.Red.SST.Green.Lavender.Gray)- gold should of been before lavender .. some of the things i noticed. I am currently in a MA program in Michigan, and we were taught differently.
I wondered the same thing about the glasses. Different institutions teach different techniques though. I'd love to know because I'm interested in learning all I can. Even though I just graduated from my training course, I'm sure I've got a lot more to learn.
+Fritz Araeb yes depends on where you go, we were taught to wear the glasses because blood can splatter. our order of draw is , blue, yellow which are the blood cultures, tiger top, blue top, lavender top then gray top. before becoming a phlebotomist I was a MA and before we pcsed to hawaii we were in Georgia and we were taught the lavender top was the(ptptt) but in hawaii the blue top is the ptptt and the lavender top is the k2edta I was all confused hahahaha.
never seen so many NO NO mistakes! finger placement,gloves too big which can cause traction problems, anchoring the artery above the puncture site.. order of draw, touching the needle, (even for educational purposes, at least specify it was for that use), also she took off the needle cap fast and when you do that, the body can have a natural reaction to go back and hit the needle accidentally. Also, that sharps container is way too full. PLEASE go find a credible source to learn phlebotomy!
Kyle Bell you are incorrect...you should be drawing a vein not an artery but she anchored the vein properly, I am certified and have been doing phlebotomy for quite some time and that is how to anchor a vein although you can also anchor only below it doesn't hold the vein as well, doesn't matter how fast she took the cap off that's up to her
gwynn nippert It does so matter how fast she took the cap off of the needle. It was disgusting how fast she took it off. It should be at a much slower pace to ensure everyone's safety. If this was a real patient and she did that it would scare the patient. And if she had accidently stuck herself the patient would be questioning rather he or she would let that lady draw her blood. Stop trolling unless you have the facts and its obvious that you don't.
Nina Morris I am not incorrect this is how we were taught in our class. You should be anchoring far enough away from the puncture spot to not be risking an accidental needle stick
order of draw is not correct gloves too big and cotton ball should never be used, she should have used gauze pads to prevent cotton fibers from adhering to the needle puncture.
tourniquet should be placed 3 inches above the crease of the are and as soon as blood starts to draw untie tourniquet, if tourniquet is left on over 1 min that can result in inaccurate test results. #medicalassistant
Errors (for anyone wondering):
She should not have said the patient's name at the start of the procedure.
Her glove size is too large, which will make it difficult to palpate.
The tourniquet should be 3-4 inches above the puncture site.
She should have instructed the patient NOT to pump their fist.
C hold anchoring is the old school way, but thumb anchoring is safer. Leads to less needlestick injuries.
Order of draw should be Gold to Lav to prevent contamination of tube additives.
She should have used her thumb to swiftly secure the needle and dropped it into the sharps container asap.
Source: I'm a phlebotomist.
I am laboratory technician in Africa, could I comminicate you please? My what Up number is 00252634299954
Thanks
so just instruct to close the fist?
Here is another things that should happen. Some people like to have their hand held while blood is drawn. A friend or relative should always be allowed to be with the person. if that is not possible, then the phlebotomist should have someone available for this purpose. Just because someone is an adult doesn't mean they aren't scared.
I’m a male and wondering in working on phlebotomy,do you think it’s worth it?
@@samuellinares2001 phlebotomy jobs do not pay very well. So, if you are needing a job to be your primary income, I do not recommend doing phlebotomy for that. But, do not take my word for it, do your research for your area before jumping into it is what I would suggest. I have been a phlebotomist for 11 years and I love it, but I do have another source of income other than mine the one I have for phlebotomy. I wish you luck on your phlebotomy journey.
I'm a phlebotomy instructor and I showed this video to my students. Let's just say I'm glad they paid attention in class because they saw so many mistakes.....
Well today was my first day and the big mistake a saw was that she used the c anchor method which is incorrect and she used 2 hands to put the protective cover on the needle when she was done. She could’ve poke herself it was made for one hand closure
Yellow top should be drawn before the lavender . Ayser hasan
I got certified as a phlebotomist, and found a job within 3 months. It is pretty low pay compared to other healthcare jobs, but it is steady work you can do anywhere in the world. Also, if you go on to be a nurse, it looks good on a resume that you have experience working in healthcare drawing blood.
+matisyahup613 Hi, I was wondering if you could kindly recommend a course to get such certificate? Really need an advice....
(I hope you studied in the UK) Kind regards, Andrei
No, I live on the east coast in the US. Here we have a variety of technical schools that offer phlebotomy training. I am sure they have similar programs in the UK. Most courses are only 4-6 weeks.
Thank you very much. Appreciated .
in the US, usually between 15- 20$ / hour.
depends on where you live. For example, I'm in el paso and I'm currently going to vista college. It's a 2.5 week course, so it's a lot of reading. Class is from 2-6:30. I dont know how it is for others, but for vista, you have to have some form of prior medical training/experience. I myself was in the army and NREMT/medic. Comming from experience, it is a lot of detailed info, especially the order of draw and the additives/tests that go with each tube. The course itself was 500 bucks, but it's more of a refresher course for me. Good luck!@
This was extremely helpful in alleviating my daughter's anxiety about having blood drawn. I know it wasn't the video's purpose, but I certainly appreciate it. Thanks!
anybody notice she had no gloves on when she discarded the needle?
Going to ross medical has made me really want to work in a lab setting because I really enjoyed doing venipunctures the staff really helped to keep everyone calm in the classroom
I think she did a wonderful job in explaining the procedure, but the order of draw should have been gold then lavender.
How come the tubes have to be in order
The additives in Lavender can mess up results of other tubes when drawn out of order
Yep also that tourniquet was a bit too low.
Correct I saw that! Good draw tho🤗
Jioiiu7o88piu0
good video. The only problem I have with this is that the phlebotomist uses the "C" hold technique. This is where the thumb and forefinger straddle the needle entry point, with the thumb below, and the index finger above. This is not recommended for safety reasons; a reflex reaction could cause the needle to recoil as it comes out of the arm, and stick into the index finger. The "L" hold technique (thumb 1-2 inches below and slightly to the side of puncture site, and fingers grasping underneath the arm) is the proper way to anchor the vein and secure the patient's arm.
This is a very good instructed video. I’m starting this Monday was nervous bout it. This made feel for an idea and gave me comfort
So after high school take a class for 10 months at a college and then the exam for license and that's it??? Am I correct???? And thank u so much
She made a mistake. We never use our finger to lock the needle u can accidentally stick urself. We always lock it against a surface not our hand.
Isaac Crespin In the uk we are always taught to use a surface as well for that exact reason
We were.taught to use the thumb because blood can splatter. You can use the table for an IM needle though no problem
Thanks for the tip😃 .I'm starting in March
Its not a mistake... my professor says its just more safe doing so but its not illegal or says that its wrong to close it using your hand
Its more for your safety than the patient so its your decision to make
Doc Godwin. I will keep letting tha world know about your good work and about your TH-cam channel.
i just finished my phlebotomy MOD, my favorite MOD by far!!
5/3 / 17
Great Job you did and the information you gave was outstanding Thank you
Thanks for your help in assisting a medical students
I loved the video. It is perfect for new students.
no it's not. this is a terrible video! Wrong order of draw, closed the safety with her thumb, the proper angle of insertion is 30 degrees or less NOT 15 degrees, DO NOT pump the fist with the tourniquet on. This didn't follow CLSI or ASCP guidelines AT ALL!!!!! And this is from a college that focuses on health education?
we also tell our patients to drink a glass or two of H2O before their blood draw, and we do not encourage to anchor the vein above where you're going to stick the needle. (this is especially true for newbies)!
I love this video,its explained so very well💯💯thnkx
This is what I'm studying at Everest University... its awesome!! :D
I had a lab test and when I put the needle in my vein, the nurse used the syringe and no blood came out, I got air and gave me an injection (I never took the needle out of the vein), moved the needle from side to side and finally, draw blood from the vein. Is that air bad to inject it? Should the needle be moved like this to find the vein?
yes, it's a very bad practice to "inject" air inside.
meanwhile, the moving of the needle is called probing, it is to blindly search for the vein if the phleb wasn't able to hit it the first time. possible, but totally not recommended as it may cause hematoma and other injuries
YOU NOT SUPPOSE TO MAKE THEM PUMP THERE FIST BECAUSE OF THE PROTEIN LEVELS WILL INCREASE GOOD VIDEO THOUGH, THANKS A LOT
Can these needles be reused?
1:41 The patient signals to the MA because she already vocally identified the patient by name instead of simply introducing herself and asking for verification. We do not call the patient by name with procedures like this.
This was very useful, thank you for posting 😊
Great video, thank you 😊
why safety glasses?? you are only drawing blood.../never uncap the needle, unless injecting- even for demonstration (that bothered me so much)../never pump the fist../injecting looked a little different (like she was jabbing it in the arm)/wrong order of draw (correct way - Yellow.Blue.Red.SST.Green.Lavender.Gray)- gold should of been before lavender .. some of the things i noticed. I am currently in a MA program in Michigan, and we were taught differently.
We must treat every pt as positive bcoz they may also b in window period n spill to eye may endanger us
Hi ... introduce my name Nova Hardianti I studied at the High School of Health Sciences in Palembang, Indonesia. I like your videos really interesting and easy to understand ... #binahusadapalembang
wut are safety glasses for? 🤔
I absolutely love Phlebotomy
So do I
I don't think the order of draw was used in this video I know this is just a video for demonstration but I always draw the gel barrier tube before the EDTA tube
I am a certifired Phlebostomist and have been for 8 years, also emergy room tect for 5 years
here have a cookie
You sound very snooty with your unnecessary bragging. Don't break your neck falling off the hi horse. Don't respond to us common folk. Just toss us some crumbs from your pedals tool your highness. All in all you deserve to have pride though I guess
Thank you so much for sharing this ❤
I just came across this video and it is pretty good. Gloves are too big, and order of draw is wrong but otherwise I would use this as an example for my students.
Because of how amazing my clinical teacher is , I love drawing blood and giving injections. I'm so comfortable -Karli
Nice video!! It's easy to make an order of draw mistake so don't let the gremlins get you down. I think I wrote the textbook that you used as a narrative guide to make this video (Bonewit-West). I sure know how hard it is to make a video as we did videos for all the procedures in the textbook--can't count the number of retakes.0
The good thing about a Phlebotomy is that it's always in high demands so yep money not wasted on a course like this 😁
I'm still in school for med lab assistant. If anyone in the industry could answer this, I would greatly appreciate your wisdom. We do full inversions for all tubes. For example a lavender would be inverted 8-10 times, and additional tubes require invasions as per the additive. In the "real world" do phlebotomists do full inversions? I find that beyond three tubes, my tourniquet time far exceeds one minute. Maybe I'm still a slow newbie:) Any thoughts?
I think it's just b/c you're new. Probably not anymore...but at the time of your comment. I'm new right now. Have 3 classes left out of 2 months.
You'll get faster naturally,just don't rush it. I don't need to tell you what to do though. I am just a student still. I'd ask a pro just to be safe. Good luck!!
thank u!
should it be yellow tube first before lavender?
Depends on the tests that the blood will be ran through. Typically you will at least use the lavender vacutainer. Lavender is typically plain, yellow, red, blue, or orange will typically be used to test for specific elements in the blood. The lab rec sheet should indicate color and order of vacutainers. For example: LYRB would be Lavender, followed byYellow, Red, and then Blue.
The correct order of draw would indicate drawing the yellow first. This looks like a dated video hence why the draw was not followed. The order of draw is supposed to be always followed and you should not deviate from that order or you risk ruining the test because the additives in the tube can mix with each other if they are drawn out of order. Order of draw should be: Blue, Red, SST(Gold/red tiger, Green, Lavender, Gray)
This will definitely help me with my exam. Very informative.
No no you will fail
I think that a blood collection should be a correct order of drowing a blood.
wrong order of draw.... the reason we have to follow the recommended order of draw is because addivites can carry over from one tube to the next and u might be risking the patients life
That's so true
Can you explain what she did wrong? I'm taking a phlebotomy class next week so I'm just watching videos to try and get a little head start
headknocker2020 She anchored the vein inappropriatly and she drew the tubes in the incorrect order. The gold should have been filled first, then the lavender.
very true
what school
Thank you, Yutube. I am learning alot. Better than a classroom.
I had a lab test and when I put the needle in my vein, the nurse used the syringe and no blood came out, I got air and gave me an injection (I never took the needle out of the vein), moved the needle from side to side and finally, draw blood from the vein. Is that air bad to inject it? Should the needle be moved like this to find the vein?
@@edwuingonzalez7705 when you injcet air in the vein it causes air embolism 20 mg of air is deadly
great video
HOW do you find a vein if the patient has a large layer of adipose (fat)?
kuhataparunks palpate with a tourniquet on, you'll feel it. It'll take a couple tries but you'll get it
kuhataparunks You can use a blood pressure cuff in place of a tourniquet.
So cant wait for tomorrow's class
how was it
Now that I've experienced my pbt class wrong order and draw and the way she anchored the swing is dangerous you can stick yourself like that
Cuol
Wow your tube colours are different to ours in the UK. FBC is dark purple
Thank you!
My main problem doing this is the anchoring....I just don't know why i can't get it right. Like I feel I'm hurting the person. Ive only done it at school and ugh, i just can't.
Someone told me that if you're afraid to hurt people then you're in the wrong field because you're going to hurt people. Not on purpose or because of negligence,of course. I don't want to hurt folks either. My main problem was the stick itself. I believe you can train your nerves. It's difficult,but it can be done. I had a slight shaking problem at first. After doing 30 sticks,I'm happy to report that's not an issue anymore.
Please don't let anchoring cause you a problem. If I can get over my fear,I believe you can defeat yours. I believe in you & I don't even know you. Best of luck to you! :)
Maybe it'd be helpful to know that anchoring actually helps the procedure be less painful? I read that in the "Ten Commandments of Phlebotomy".
+Crystal Angel hey thanks for the advice I'm happy to report that i got over my fear, and i love doing it. :)
@@stephanieespino324 awesome
Thanks for this video and to share this with us. 🤗💙💞🌼💐😎💉
Wrong order of draw! Order of draw is very important!!
I found some mistake in this vedio
As a vet tech I am ridiculously jealous of the size of these juicy veins 😂
I just finished the class and they told us that the tourniquet could be on for 2 minutes. Twice as long is huge difference. What is everyone else taught?
not over a minute is suggested
Shouldn't the tourniquet be a little higher up? That doesn't look like 3-4 inches.
Problem one, the patient should never pump their fist. This causes hemoconcentration which will result in a bad sample.
Two. Never anchor the vein in the C position. Your needle is directly in front of your finger and can result in accidental stick.
Three. Never use cotton to stop the bleeding. The fibers can stick to the site and cause bleeding again.
Four. Never is a band aid. This can cause skin irritation or tear the skin with people who have thin skin.
Also, always put the tubes in with the label up so you can see the blood flow.
I hope to become a phlebotomist some day
I have just finished a 3 day course in phlebotomy at the maxis healthcare,
certificate of competence, certificate of attendance,
plus 23 live blood draws from patience in London,
experience in vacutainer and monevette system,and butterfly technic
just need a chance I am good at this job and know I would make a great phlebotomist"
I will also be able to send you my references to and any other information you need
I would also be willing to volunteer to show you my skills, as I am very impressed with myself meaning I have never done this before
kevin brown I know this is three years old but did you manage to do it in the end?
wasn't u supposed to do the yellow tube first
Thankyou information
Wrong order of draw.... :/ that results in contaminated specimen and inaccurate reading
Most Importantly, never anchor the skin above the puncture site. If the patient moves as the needle enters the skin, the needle could puncture the finger anchoring above.
Wow, you stated the right thing long before what safe practice guidelines are saying now to taut the skin below puncture site with a use of only thumb.
Shouldn't the tourniquet be removed as soon as you start drawing blood?
No it's still on until they take all the blood
+Saima Patel I'm pretty sure leaving it on for too long causes hemoconcentration and could alter the results. It should be removed as soon as there's a steady blood flow into the tube.
I was taught that you usually don't take it off until your last tube is halfway full.
ertren6 shit I wasn't taught that. I'm gonna have to check with my professor.
***** yeah no hemoconcentration is only a concern after the minute mark. Honestly when I was doing it in the army we were given two minutes
اكو عرب بالطيارة؟
Good explaining
Yeah certain people make certain mistakes when it comes to patient contacts.There is like 3-4 mistakes i''ve seen so far on this instruction video.
Very good video
that is how it's done
you'll like its not hard just study and you will be fine
I just got nervous when the needle was exposed and she pointed the bevel. Whew!
They show how the blood draw works.
My profession! MA
So many errors. .. they're using this as an educational tool? If you are a current student or hoping to be one soon please find another video!
good video
State of Geogia we do not use cotton balls after blood draw.
we do
Ugh, never use a thumb to palpate as it has a pulse.
Where ih s her gloves when she was preping for the blood draw,always wear gloves before the procedure
Shut up
@@adammcpherson6286 immaturity wreaks from your comment.
As far as locking the needle, she should have did the one hand motion.
i mean in hospital i have never seen someone wearing saftey glasses for blood draw because my aunt is phlebotomist.
I like that
I will like to try it one day
Same
Tourniquet do not stay wrapped during the procedure it should have been popped at the flow of blood so that the red blood cells do not break.
Wrong order of draw.. gold tube first before the lavender
Relaxed veins roll, pro tip.
why safety glasses?? you are only drawing blood.../never uncap the needle, unless injecting- even for demonstration (that bothered me so much)../never pump the fist../injecting looked a little different (like she was jabbing it in the arm)/wrong order of draw (correct way - Yellow.Blue.Red.SST.Green.Lavender.Gray)- gold should of been before lavender .. some of the things i noticed. I am currently in a MA program in Michigan, and we were taught differently.
I wondered the same thing about the glasses. Different institutions teach different techniques though. I'd love to know because I'm interested in learning all I can. Even though I just graduated from my training course, I'm sure I've got a lot more to learn.
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+Fritz Araeb yes depends on where you go, we were taught to wear the glasses because blood can splatter. our order of draw is , blue, yellow which are the blood cultures, tiger top, blue top, lavender top then gray top. before becoming a phlebotomist I was a MA and before we pcsed to hawaii we were in Georgia and we were taught the lavender top was the(ptptt) but in hawaii the blue top is the ptptt and the lavender top is the k2edta I was all confused hahahaha.
From Nepal
Wrong order of draw -.-
It's 30 degrees not 15
never seen so many NO NO mistakes! finger placement,gloves too big which can cause traction problems, anchoring the artery above the puncture site.. order of draw, touching the needle, (even for educational purposes, at least specify it was for that use), also she took off the needle cap fast and when you do that, the body can have a natural reaction to go back and hit the needle accidentally. Also, that sharps container is way too full. PLEASE go find a credible source to learn phlebotomy!
I agree. So many mistakes.
Kyle Bell you are incorrect...you should be drawing a vein not an artery but she anchored the vein properly, I am certified and have been doing phlebotomy for quite some time and that is how to anchor a vein although you can also anchor only below it doesn't hold the vein as well, doesn't matter how fast she took the cap off that's up to her
gwynn nippert You are INCORRECT. You never ever ever anchor above the intended puncture site. For those sole purpose of protecting yourself.
gwynn nippert It does so matter how fast she took the cap off of the needle. It was disgusting how fast she took it off. It should be at a much slower pace to ensure everyone's safety. If this was a real patient and she did that it would scare the patient. And if she had accidently stuck herself the patient would be questioning rather he or she would let that lady draw her blood. Stop trolling unless you have the facts and its obvious that you don't.
Nina Morris I am not incorrect this is how we were taught in our class. You should be anchoring far enough away from the puncture spot to not be risking an accidental needle stick
Wrong order of draw. Now those chemistry tests will have critically low levels of calcium and high levels of sodium. QA issue
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her gloves are WAY to big, that's a big no no.
passed out
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order of draw is not correct
gloves too big
and cotton ball should never be used, she should have used gauze pads to prevent cotton fibers from adhering to the needle puncture.
She made a double mistake. She used the purple tube before the gold. The gold is used before the purple for the order of draw.
the rule has changed now, after you draw your first tube you remove tourniquet then fill second tube.
tourniquet should be placed 3 inches above the crease of the are and as soon as blood starts to draw untie tourniquet, if tourniquet is left on over 1 min that can result in inaccurate test results. #medicalassistant
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