Line Draws And Iv Starts In Phlebotomy: Techniques, Tips, And Complications

Summary

• Line draws and IV starts are common procedures in phlebotomy that require careful attention to detail and proper technique.
• Proper patient identification, equipment preparation, and technique are essential for successful line draws and IV starts.
• Phlebotomists must also be aware of potential complications and know how to address them effectively.

Introduction

Phlebotomy is the practice of drawing blood from patients for various medical tests and procedures. Line draws and IV starts are two common procedures that phlebotomists perform regularly. In this article, we will discuss the process for line draws and IV starts in phlebotomy, including the necessary steps, equipment, and techniques required for success.

Line Draws

Line draws, also known as venipunctures, involve inserting a needle into a patient's vein to draw blood for testing or donation. Proper technique is crucial to ensure the safety and comfort of the patient, as well as accurate Test Results.

Preparation

1. Verify patient identification to ensure you have the correct patient.
2. Gather necessary equipment, including a syringe, needle, alcohol swabs, tourniquet, and bandages.
3. Explain the procedure to the patient and obtain their consent.

Technique

1. Apply the Tourniquet 3-4 inches above the Venipuncture site to make the veins more visible.
2. Clean the site with an alcohol swab and allow it to dry completely.
3. Insert the needle at a 15-30 degree angle, bevel up, and advance it slowly until you see blood flash in the needle hub.
4. Fill the syringe with the required amount of blood and remove the needle from the vein.
5. Apply pressure to the site with a cotton ball or bandage to prevent bleeding.

Complications

1. Potential complications of line draws include hematoma, nerve damage, and infection.
2. If a complication occurs, apply pressure to the site and notify the appropriate medical personnel for further evaluation and treatment.

IV Starts

IV starts involve inserting a catheter into a patient's vein to administer medications or fluids. This procedure requires careful attention to detail and sterile technique to prevent infection and ensure proper medication delivery.

Preparation

1. Verify patient identification and explain the procedure to the patient.
2. Gather necessary equipment, including an IV catheter, saline flush, tape, and dressing.
3. Select a suitable vein for the IV insertion, keeping in mind factors such as vein size, location, and visibility.

Technique

1. Clean the insertion site with an alcohol swab and allow it to dry completely.
2. Insert the IV catheter at a 10-30 degree angle, bevel up, and advance it slowly into the vein.
3. Once the catheter is in the vein, remove the needle and secure the catheter with tape.
4. Flush the catheter with saline to ensure proper placement and functionality.
5. Apply a sterile dressing over the site to protect the catheter and prevent infection.

Complications

1. Potential complications of IV starts include infiltration, phlebitis, and catheter dislodgement.
2. If a complication occurs, assess the site for signs of inflammation or leakage, and notify the appropriate medical personnel for further evaluation and treatment.

Conclusion

Line draws and IV starts are essential procedures in phlebotomy that require proper technique, equipment, and attention to detail. By following the outlined process for line draws and IV starts, phlebotomists can ensure the safety and comfort of their patients, as well as the accuracy of Test Results. It is important for phlebotomists to stay informed about current practices and guidelines to provide the best possible care for their patients.

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