Wednesday, June 11, 2014

Phlebotomy Venipuncture Procedure : Assembly of Supplies/ Safety

All needles and syringes must be taken out of the original package in the patient’s presence. Never
preassemble the vacutainer apparatus with a needle prior to use.
1. Vacutainer Eclipse
a. Holding both colored shields, twist and remove white shield (end to be screwed into holder).
b. Screw in holder.
c. Rotate safety shield back out of way.
2. Syringe Draw
a. Open Hypodermic Needle package and remove device.
b. Attach appropriate Hypodermic Needle to syringe by twisting the needle onto the syringe.
c. When transferring the specimen to a vacutainer tube, no associate is to handle a tube at any time
with their hand while inserting the transfer needle into the vacutainer. This includes stabilizing a
tube with one’s hand, in the phlebotomy tray, while inserting the needle. The hand that is not
holding the syringe is not to aid in specimen transfer. The associate may only use their hand to
remove the vacutainer tube from the transfer needle, while pulling the vacutainer tube away from
the transfer needle and either immediately placing the needle in another tube located on the
phlebotomy tray, or immediately activating the safety shield for discard, if the specimen transfer is
complete. If the specimen cannot be successfully transferred without the need for an associate to
use their “free” hand to hold or stabilize a vacutainer tube, then a transfer hub is to be utilized.
3. Butterfly “Push Button” with a SYRINGE
a. Open Butterfly Push Button package and remove device.
b. Remove luer cap and attach syringe
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c. Remove the clear plastic needle sheath.
4. Butterfly “Push Button” with a VACUTAINER
a. Screw multiple adaptor into vacutainer.
b. Open Butterfly Push Button package and remove device.
c. Remove colored end of multiple sample adaptor and remove luer cap to attach butterfly.
d. Remove the clear plastic needle sheath.

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