You are excellent at explaining. I learned to NEVER put your index finger near the needle insertion point. Inversion is gentle so you don't destroy the cells. When you pull out the needle, place the gauze over the insertion point, however with your thumb and index finger on either side of the needle so as you place the gauze you are not pushing down on the needle. Just a couple things my teacher taught me.
She can palpate after cleaning the area, she would first need to tap the index finger on the alcohol pad to sanitize it. C shape is the wrong method to use when anchoring the vein, cuz any forward motion can cuz you to poke yourself.
Never palpate after the skin has already been cleansed or would recleans it with a new alcohol wipe which you did not do. Also you do not shake the tube like she did you gently invert them 4-6 times.
the window method used to be what they followed. now we don’t use that method to prevent needle sticks, use your thumb only to pull down from under the site or draw.
I saw a few mistakes in this video. She inverted her tubes too 😮quickly, and new procedures say you should never make a fist when having your blood drawn! What many patients don't realize is that pumping their fist can inadvertently 👉🏻double the concentration of potassium👈🏻in the sample of blood. And when that happens, the physician gets potassium results that no longer represent what's really going on with the patient.
@@Gemtheone a fist, yes. Don’t pump unless it’s a blood donation. Pumping your fist before a blood draw can have a serious effect on the accuracy of lab results. There are over 80 preanalytical variables that can cause potassium levels to be falsely elevated - and fist pumping is one of the biggest and most common. As an alternative, veins can be made more obvious by warming the site with a warm compress. If you can eradicate one most commonly committed clinical error and ensure that no patient has their blood drawn after pumping their fists, your patients are going to be treated according to more accurate potassium results.
This video was done 4 years ago. It was probably on point at that time. All she'll need to do is update it to now. I think she did a good job in explaining what she was doing and why. A new video, would help if she did both needles, straight and butterfly. 😊
I'm training to become a phlebotomist currently, and I aim to be so much better than the wicked lady that gave me a hematoma fishing around my veins with 2 inch long nails, I should have reported her.
Right? She said remove the tube before removing the needle-as she was doing the opposite in the video! Maybe the tube was filled and the vacuum was gone…but still!!
how much length of needle needs to be inserted inside the vein? If we insert more than needed is there chance of puncture on the other side of the vein because vein diameter is very small.
Yes, you can absolutely go through the vein. Not only will you not get your blood, you will leave a bruise. Make sure to gently feel the vein, clean the site, use the appropriate Guage (usually a 22 straight needle for a medial vein) then angle between 15-30 degrees at Insertion. You can feel how deep the vein is by gently feeling the vein after putting on the tourniquet. You will get used to how the proper placement in the vein feels. After proper insertion, you will see the red flash as the tube begins to fill. Keep an eye on the tube. If you only need one tube you can remove the tourniquet when you see the flash of blood, make sure the blood fills to the line on the tube, remove the tube and gently invert 8-10 times. Place the gauze over the needle insertion point, remove the needle and secure the lock device over the sharp. Ask the patient to hold the gauze while disposing of the needle. Check the wound site for bleeding. If still bleeding, continue to press gauze against site. Add another gauze if necessary. Check again after a minute. Bandage the site. Place the label on the tube, verifying the patient's name and birthdate again. Thank the patient.
You can feel it when you insert your needle. At first, it’s a smooth space until you feel a a little give/the needle poking then going through the venous wall. You stop after that give, and your needle should be in the lumen. If you push deeper, you’ll end up poking through the other side
Yes, she shook them rigorously. This would have surely messed up the test. Also, she didn't really invert them but rather just shook the tubes. Inverting is moving the tube upside down.
it's not supposed to be shaken, it must be inverted several times (depends on which tube you use) as shaking it rogorously might hemolyse RBCs and interfere with the tests.
Girl get your index finger out the way, dont shake the tube INVERT it and the needle doesn’t have to be that deep and don’t touch the site with your glove after you already cleaned it. If you do have to touch again wipe your tip of your glove with alcohol as well. This video is not a great example!
Putting pressure with gauze on the needle while it is still in the arm causes pain. Wait until the needle is out before applying pressure with gauze. The tourniquet should not be on for more than one minute, total, not “for more than one minute after blood begins to flow.” A circular motion using an alcohol pad is no longer recommended. Back and forth and up and down. This changed in 2019. Do not allow the client to pump their fist-this can affect certain blood values. Allow only a steady fist. For your sake, and for the clients’ sakes, palpate only with a glove. I’ve performed thousands and thousands of venipunctures and have never palpated an arm with my bare hand. 😷
DO NOT USE THIS VIDEO. As a Phlebotomy Instructor with 11 years experience, a lot lf this stuff is wrong. Very little is correct.😢 You will stick yourself on accident. Smh!!!! No mam!
Nice however you cleaned the area then you contaminated the area by palpating with you finger. After you palpate you must clean area again after you have found the vein of choice.
2 min into the video, but I just got my license and we were told to not have them pump their fist, that can mess with lab levels, only have them do so if they are donating blood. A different way of getting simulator results is to manipulate the arm, bend it, turn the hand over, that sort of thing.
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way......
I found this lady very professional except several US videos the venupuncturists say palpitation instead of palpation , please don’t say that , it’s incorrect . Otherwise a helpful vid 🇦🇺🦘
You are excellent at explaining. I learned to NEVER put your index finger near the needle insertion point. Inversion is gentle so you don't destroy the cells. When you pull out the needle, place the gauze over the insertion point, however with your thumb and index finger on either side of the needle so as you place the gauze you are not pushing down on the needle. Just a couple things my teacher taught me.
New phlebotomists, find another video. Some of the things she does follow outdated guidelines or is just plain wrong.
i was about to comment the same thing.
thank you
Yes 🤦🏽♀️ she wasted the samples🤦🏽♀️
She was not supposed to palpate after cleaning the area with alcohol pad
She can palpate after cleaning the area, she would first need to tap the index finger on the alcohol pad to sanitize it.
C shape is the wrong method to use when anchoring the vein, cuz any forward motion can cuz you to poke yourself.
Never palpate after the skin has already been cleansed or would recleans it with a new alcohol wipe which you did not do. Also you do not shake the tube like she did you gently invert them 4-6 times.
Also.. she should have removed the tube first and then the needle ..
Gently invert. Do not shake the tube.❤
Oh my goodness! There are serious errors made in this video. STOP DO NOT USE THIS AS A TEACHING TOOL!
I just started a course in phlebotomy. Please explain the errors.
What seems wrong to you here?
She didn’t remove the tube before removing the needle
The tube should be snapped on once needle is in vein not already snapped in when inserting
No no nooooo. Why are you putting your finger next to the needle wtf
You should invert the tubes to mix the additive in the tube. Don't shake the tube from side to side.
Exactly she was shaking the tube’s.I’ve seen plenty of people doing that. That will cause hemolysis. Specimen may be rejected.
@@tikajoubert2473 exactly🤦🏽♀️
I was about to say! 😅
Why is she putting her finger in front of the needle.....
the window method used to be what they followed. now we don’t use that method to prevent needle sticks, use your thumb only to pull down from under the site or draw.
of draw *
I saw a few mistakes in this video. She inverted her tubes too 😮quickly, and new procedures say you should never make a fist when having your blood drawn! What many patients don't realize is that pumping their fist can inadvertently 👉🏻double the concentration of potassium👈🏻in the sample of blood. And when that happens, the physician gets potassium results that no longer represent what's really going on with the patient.
I just had labs done today and I pumped my fist.
I’m in school and they told us to make the Patient pump the fist, whats the truth?
I had labs today and it was the first time I haven't been told to make a fist. I did wonder!
@@Gemtheone a fist, yes. Don’t pump unless it’s a blood donation.
Pumping your fist before a blood draw can have a serious effect on the accuracy of lab results.
There are over 80 preanalytical variables that can cause potassium levels to be falsely elevated - and fist pumping is one of the biggest and most common.
As an alternative, veins can be made more obvious by warming the site with a warm compress.
If you can eradicate one most commonly committed clinical error and ensure that no patient has their blood drawn after pumping their fists, your patients are going to be treated according to more accurate potassium results.
This video was done 4 years ago. It was probably on point at that time. All she'll need to do is update it to now. I think she did a good job in explaining what she was doing and why. A new video, would help if she did both needles, straight and butterfly. 😊
Nope, not correct. I took a phlebotomy course back in 2006 there was a few mistakes in this video.
Nope, this was wrong 4 years ago and it’s wrong today!
I'm training to become a phlebotomist currently, and I aim to be so much better than the wicked lady that gave me a hematoma fishing around my veins with 2 inch long nails, I should have reported her.
I had no idea this could get that serious. Glad you are ok. 😊
Hi I have a question. I want to know the monthly payment for a phlebotomist. I'm still in grade 10, willing/aiming to become one
@siye.c4935 it varies from school to school, but mine is $242 every month totalling $3000
I'm in 11th grade and I'm taking a healthcare course and we have to learn how to draw blood and do phlebotomy
Did you become one ?
She didn’t remove the tube before removing the needle?? But said that it should be done. Not sure I heard it right..
Right? She said remove the tube before removing the needle-as she was doing the opposite in the video! Maybe the tube was filled and the vacuum was gone…but still!!
okay glad im not the only one confused by that! I have never kept the tube in while removing the needle
your not supposed to touch the site after you clean the site
Janae Lally you can actually touch anywhere ABOVE the site..
You can touch anywhere around the site except the vein you are about to stick. She made the mistake of palpating the vein again with the glove on.
how much length of needle needs to be inserted inside the vein? If we insert more than needed is there chance of puncture on the other side of the vein because vein diameter is very small.
Yes, you can absolutely go through the vein. Not only will you not get your blood, you will leave a bruise. Make sure to gently feel the vein, clean the site, use the appropriate Guage (usually a 22 straight needle for a medial vein) then angle between 15-30 degrees at Insertion. You can feel how deep the vein is by gently feeling the vein after putting on the tourniquet. You will get used to how the proper placement in the vein feels. After proper insertion, you will see the red flash as the tube begins to fill. Keep an eye on the tube. If you only need one tube you can remove the tourniquet when you see the flash of blood, make sure the blood fills to the line on the tube, remove the tube and gently invert 8-10 times. Place the gauze over the needle insertion point, remove the needle and secure the lock device over the sharp. Ask the patient to hold the gauze while disposing of the needle. Check the wound site for bleeding. If still bleeding, continue to press gauze against site. Add another gauze if necessary. Check again after a minute. Bandage the site. Place the label on the tube, verifying the patient's name and birthdate again. Thank the patient.
@@chrisl418 excellent
You can feel it when you insert your needle. At first, it’s a smooth space until you feel a a little give/the needle poking then going through the venous wall. You stop after that give, and your needle should be in the lumen. If you push deeper, you’ll end up poking through the other side
You inverted way too fast. My gosh
GENTLY invert as indicated
No c making , while u anchor, u might end up puncturing your own finger
Looks like she shook the tubes pretty hard. Aren't you supposed to just turn them as the diagram showed at video mark 3:12...?
Yes, she shook them rigorously. This would have surely messed up the test. Also, she didn't really invert them but rather just shook the tubes. Inverting is moving the tube upside down.
it's not supposed to be shaken, it must be inverted several times (depends on which tube you use) as shaking it rogorously might hemolyse RBCs and interfere with the tests.
Wow.. you’re amazing! Thank you for this great video! 💯🙏🏽
She’s not. Many errors of technique.
Nurse weighing in here. This demo is wrong on so many levels. Watch some other video!
palpating AFTER cleansing?? 😰 oh jeez
Girl get your index finger out the way, dont shake the tube INVERT it and the needle doesn’t have to be that deep and don’t touch the site with your glove after you already cleaned it. If you do have to touch again wipe your tip of your glove with alcohol as well. This video is not a great example!
I'm just getting started learning and I got pissed at the end cause my kid got poked over 5 times!! Thanks very helpfuk
m l t . dmlt mariya
No phlebotomist should be allowed to try more than twice.
Putting pressure with gauze on the needle while it is still in the arm causes pain. Wait until the needle is out before applying pressure with gauze. The tourniquet should not be on for more than one minute, total, not “for more than one minute after blood begins to flow.” A circular motion using an alcohol pad is no longer recommended. Back and forth and up and down. This changed in 2019. Do not allow the client to pump their fist-this can affect certain blood values. Allow only a steady fist. For your sake, and for the clients’ sakes, palpate only with a glove. I’ve performed thousands and thousands of venipunctures and have never palpated an arm with my bare hand. 😷
DO NOT USE THIS VIDEO. As a Phlebotomy Instructor with 11 years experience, a lot lf this stuff is wrong. Very little is correct.😢 You will stick yourself on accident. Smh!!!! No mam!
"slowly and gently remove the needle from the vein"
Pulls it out really fast
Nice however you cleaned the area then you contaminated the area by palpating with you finger. After you palpate you must clean area again after you have found the vein of choice.
2 min into the video, but I just got my license and we were told to not have them pump their fist, that can mess with lab levels, only have them do so if they are donating blood. A different way of getting simulator results is to manipulate the arm, bend it, turn the hand over, that sort of thing.
I regularly get blood drawn and always pump my hand..
@@ramieburtis2115 if you want your results to be accurate, you’ll stop doing that.
@@PowerWidow this was over a year ago...😂
@@ramieburtis2115 and? It’s still being seen, as evidenced by YOUR response
@@PowerWidow 😂 ok. Simmer down damn.
I went to a training site at a strip mall for one day. Now I work from home 😊
About to start my course in September any advice
Ps. I never done anything like this jus find it interesting
Yes, don’t believe what you see in this video. You need to watch other videos from other people. This lady made a lot of mistakes
@@angela1857 how long can one learn phlebotomy training? I want to learn never done before
@@okuodeamuza8953did you find out
@@okuodeamuza8953 contact your community college. Don’t go with a private business.
I hope They help keep Aids, Hiv & Std rate down.
My fingers are feeling weak by simply watching, I should watch more videos to get used to it 😅
I'm a 40 year old man tired of the warehouse life and am interested in doing this instead. Am I barking up the wrong tree?
You should do it!
Thank you so much 💓
Thank you very much
your not to leave last tube in.
at 50% volume you can barely hear anything is it just me or eveyone else also good job on dling the blood draw sincerly 27year plhebotomist in utah
Why did she shake it? Shouldn’t it be inverted⤴🔝⤵
One for VAMPIRE UNIVERSITY🎉❤
Very helpful video
Is there specific class for Phlebotomy and May I May I apply for this class? I live in California
She says to not wipe off the antiseptic with alcohol ,does she not realize that alcohol is an antiseptic , oh my
EVERYTHING IS WRONG IN THIS VIDEO… PLEASE STAY AWAY👍🏽
Whoa whoa whoa. @ 3:52 you are shaking with the sharp still exposed. Very dangerous.
Pop the balloon brought me here
You scare me
Great video
Goodwin Shores
Never shake the tubes 😔😔
I’m the best phlebotomist in LA.
I am looking for help, something that you recommend please, I got my license but I don’t have any experience
Your city has a ranking of phlebotomists?
Orlando Alley
Hodkiewicz Extensions
What the hell!! 🤦♀️
Jacobi Square
Damion Pike
For God so loved the world, that he gave his only begotten Son, that whosoever believeth in him should not perish, but have everlasting life. John 3:16 KJV, Jesus Christ is the only way......
Amen 🙏 GOD BLESS YOU
What?
Amen
Love!♡♡♡♡♡♡♡♡
Ameen
I found this lady very professional except several US videos the venupuncturists say palpitation instead of palpation , please don’t say that , it’s incorrect . Otherwise a helpful vid 🇦🇺🦘
Mariam Grove
Aryanna Tunnel
Zulauf Shore
This is wrong, dont follow this, even the tourniquet looks disgusting
Laura Prairie
This is scary, but i have to learn this in my patient care class