Question

212 Part 2 Exam Review Davies Questions 176 Unit Blood Collection Procedures SKILLS DRILL 9-3: VENIPUNCTURE BELOW AN IV (Text Procedure 9-1) Fill in the blanks with the missing information Steps Explanation/Rationale 1. Ask the patient's nurse to turn off the IV for at A phlebotomist is not qualified to make IV least (A) — prior to collection. Turning off the IV for allows IV fluids to dissipate from the area. Avoids (E) the IV. 2. Apply the tourniquet (D) __ to the 3. Select a venipuncture site (F) — the IV and the tourniquet. 4. Perform the venipuncture in a than the one with the IV if possible. 5. Ask the nurse to (M) specimen has been collected Venous blood flows up the arm (G) - Drawing (H) IV affords the best chance of obtaining blood that is free of (1) IV fluids can be present (K) because of (L) and may still be there after the IV is shut off because of poor venous circulation. IV flow rates must be (N) and start- ing or adjusting them is not part of a phlebotomist's (0) This aids (8) and the patient's physician in the event that -are questioned. after the 6. Document that the specimen was collected an IV, indicate the (0) in the IV, and identify which (R)

Answer 1

Venipuncture below the IV

1.Before performing the venipuncture on the intravenous site ,the fluid should be stopped before puncturing.The IV should be turned off atleast for two or more minutes before the procedure

2.Always the tourniquet should applied distally to the IV .Applying at proximal site can lead to a greater pressure in the IV site,induration when the IV fluid is infused

3.The venipuncture site should be far away from the IV

4.The venipuncture can be performed in a non dominant hand when there is an IV

5.After venipuncture it is a must to monitor the site of puncture and the IV site for any changes or abnormalities