Question

skills drill 8:1 requisition activity(text fig.8-2)

Answer 1

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Answer:

Objective 8-2a: Describe how to perform a venipuncture using ETS, syringe, or butterfly, list required patient and specimen identification information, describe how to handle patient ID discrepancies, and state the acceptable reasons for inability to collect a specimen.

Lecture Outline — Objective 8-2a	Figures, Tables, and Features	Resources and In-Class Activities	Outside Assignments/ Evaluation	Instructor’s Notes
Content	Text	PPt
v Patient identification ¨ Most important step in specimen collection ¨ Verify patient’s name and date of birth o Ask patient ¨ Check identification bracelet (Figs. 8-5; 8-6) ¨ 3-way ID: verbal verification, ID band, comparison of labeled specimen to ID band ¨ ID discrepancies o If discrepancies — find patient’s nurse first o If ID band is missing — check ankle, see patient’s nurse, never draw blood if ID on IV pole or night table ¨ Missing ID: check ankle/check with nurse ¨ Emergency room ID procedures ¨ Identification of young, mentally incompetent, or non-English-speaking patients — ask nurse ¨ Neonates & other infants ¨ Outpatient ID	216–218	12	Figures 8-5: A. A phlebotomist at bedside checking patient identification band. B. Closeup of a typical identification bracelet. p. 216 8-6: An example of a special 3-part ID band used for unidentified ER patients. p. 218	In-Class Activities Discussion Compare identification on sample requisitions with information on ID bands worn by students. IRC Critical Thinking Question Video: “Introductory and Identification Processes Required Prior to Blood Specimen Collection” Materials Sample requisition Simulated ID bands Resources CLSI Document: Accuracy in Patient and Sample Identification [CLSI GP33-A] Wayne, PA	NA
Legend: PPt: PowerPoint; IRC: Instructor Resource Center (found at http://thepoint.lww.com/McCall6e); SRC: Student Resource Center (found at http://thepoint.lww.com/McCall6e); WB: Workbook.

Objective 8-2b: Describe how to prepare patients for testing, how to answer inquiries concerning tests, and what to do if a patient objects to a test.

Lecture Outline — Objective 8-2b	Figures, Tables, and Features	Resources and In-Class Activities	Outside Assignments/ Evaluation	Instructor’s Notes
Content	Text	PPt
v Preparing the patient ¨ Bedside manner — gain patient trust and confidence, put patient at ease ¨ Explain the procedure o Patient inquiry concerning tests — don’t explain what for, refer to physician or nurse o Patient objections — remind them that testing is an important part of care; they do have right to refuse testing ¨ Difficult patients — remain calm, professional, caring ¨ Addressing needle phobia ¨ Addressing objects in patient's mouth	219-220	13	NA	In-Class Activities Discussion Have students role play proper bedside manner. IRC Critical Thinking Question	Outside Assignments WB Matching 8-2: Situation and Action
Legend: PPt: PowerPoint; IRC: Instructor Resource Center (found at http://thepoint.lww.com/McCall6e); SRC: Student Resource Center (found at http://thepoint.lww.com/McCall6e); WB: Workbook.

Objective 8-2c: Describe how to verify fasting and other diet requirements and what to do when diet requirements have not been met.

Lecture Outline — Objective 8-2c	Figures, Tables, and Features	Resources and In-Class Activities	Outside Assignments/ Evaluation	Instructor’s Notes
Content	Text	PPt
v Step 3: Verify diet restrictions and latex sensitivity ¨ Diet restrictions o If not following, notify physician or nurse to see if testing should proceed; label specimen “nonfasting” ¨ Latex sensitivity o If patient is allergic, verify that all equipment used on him or her is latex-free	220-221	15	NA	NA	NA
Legend: PPt: PowerPoint; IRC: Instructor Resource Center (found at http://thepoint.lww.com/McCall6e); SRC: Student Resource Center (found at http://thepoint.lww.com/McCall6e); WB: Workbook.

Objective 8-2d: Describe each step in the venipuncture procedure, list necessary information found on specimen tube labels, and list the acceptable reasons for inability to collect a specimen.

Lecture Outline — Objective 8-2d	Figures, Tables, and Features	Resources and In-Class Activities	Outside Assignments/ Evaluation	Instructor’s Notes
Content	Text	PPt
v Step 4: Sanitize hands v Step 5: Position patient, apply tourniquet, and ask patient to make a fist ¨ Position patient ¨ Tourniquet application and fist clenching (Procedure 8-1) o Position o Tightness o Sensitivity ¨ Ask the patient to make a fist v Step 6: Select vein, release tourniquet, and ask patient to open fist ¨ Prominent veins generally in the dominant arm: palpate (Fig. 8-10) v Step 7: Clean and air-dry site ¨ Use antiseptic, and clean using concentric circles v Step 8: Prepare equipment and put on gloves ¨ Assemble supplies, put on gloves, do not remove the needle sheath ¨ Select appropriate ETS tubes o Check expiration dates ¨ Winged infusion set preparation o Verify sterility and select appropriate small-volume tubes ¨ Syringe equipment preparation o Select a needle-locking syringe (per OSHA) ¨ Position equipment for use v Step 9: Reapply tourniquet, uncap and inspect needle o Pick up and position blood collection equipment o Remove the cover and inspect the needle v Step 10: Ask patient to remake a fist, anchor vein, and insert needle ¨ Anchoring (Fig. 8-12) ¨ Needle insertion (Fig. 8-13) v Step 11: Establish blood flow, release tourniquet, and ask patient to open fist v Step 12: Fill, remove, and mix tubes in order of draw or fill syringe ¨ Guard against reflux ¨ A downward arm position helps maintain blood flow ¨ Fill ETS tubes until blood ceases to flow due to vacuum; remove the tube; gently invert if it contains an additive (Fig 8-15) v Step 13: Place gauze, remove needle, activate safety feature, and apply pressure ¨ Cover puncture site with gauze and hold lightly in place ¨ Withdraw needle ¨ Apply pressure ¨ Arm should be kept extended or raised v Step 14: Discard collection unit, syringe needle, or transfer device v Step 15: Label the tubes (Fig. 8-16) v Step 16: Observe special handling instructions v Step 17: Check the patient’s arm and apply bandage ¨ Instruct patient to avoid lifting v Step 18: Dispose of contaminated materials v Step 19: Thank patient, remove gloves, and sanitize hands v Step 20: Transport specimen to lab	221-235	16–37	Figures 8-7: A phlebotomist applying hand sanitizer. p. 221 8-8: A. A patient seated in a special blood-drawing chair. B. A home-draw patient seated in a reclining chair. p. 221 8-9: Three examples of antecubital vein patterns. A. H-pattern. B. M-pattern. C. Atypical pattern. p. 226 8-10: A phlebotomist palpating the antecubital area for a vein. p. 226 8-11: Marking the site with an alcohol pad before cleaning the site. p. 227 8-12: Proper placement of thumb and fingers in anchoring a vein. p. 230 8-13: A. Illustration of a 30-degree angle of needle insertion. B. Illustration of a 10-degree angle of needle insertion. p. 231 8-14: Proper placement of fingers and thumb in advancing a tube in an ETS holder. p. 231 8-15: A phlebotomist mixing a heparin tube. p. 232 8-16: A phlebotomist comparing labeled tube with patient's ID band. p. 235 Procedures 8-1: Tourniquet Application pp. 223-225 8-2: Routine ETS Venipuncture pp. 235-242	In-Class Activities Have students practice proper tourniquet application and venipuncture site selection on each other. Practice routine venipuncture on an artificial arm. Have students practice routine venipuncture techniques on each other. IRC Critical Thinking Question Video: “Hand Washing/Hand Antisepsis” Video: “Good and Poor Workplace Ergonomics in Phlebotomy” Video: “Proper Tourniquet Application for Venipuncture” Video: “Collecting a Blood Specimen by Venipuncture Using the Evacuated Tube System” Video: “Specimen Labeling and Venipuncture Follow-up Procedures” Venipuncture Procedure Evaluation form Transfer Device Procedure Evaluation form Materials Specimen collection equipment; tourniquets; venipuncture equipment; vein-locating device; artificial arm	Outside Assignments WB Labeling Exercise 8-1: Patient ID and Blood Specimen Label Labeling Exercise 8-2: Requisition and Blood Specimen Label Knowledge Drill 8-5: Tourniquet Rationale Skills Drill 8-3: Routine ETS Venipuncture
Legend: PPt: PowerPoint; IRC: Instructor Resource Center (found at http://thepoint.lww.com/McCall6e); SRC: Student Resource Center (found at http://thepoint.lww.com/McCall6e); WB: Workbook.

Objective 8-2e: Describe collection procedures when using a butterfly or syringe and the proper way to safely dispense blood into tubes following syringe collection.

Lecture Outline — Objective 8-2e	Figures, Tables, and Features	Resources and In-Class Activities	Outside Assignments/ Evaluation	Instructor’s Notes
Content	Text	PPt
v Butterfly Procedure (Procedure 8-3) ¨ Follow ETS steps 1-4 ¨ Position patient and apply tourniquet ¨ Choose a vein, release tourniquet, relax hand ¨ Clean and air-dry site ¨ Prepare equipment and put on gloves ¨ Reapply tourniquet, uncap and inspect needle ¨ Anchor vein, and insert needle ¨ Establish blood flow and release tourniquet ¨ Fill, remove, and mix tubes in order of draw ¨ Place gauze, remove needle, activate safety device, and apply pressure ¨ Discard collection unit ¨ Follow ETS steps 15–20 v Syringe Procedure (Procedure 8-4) ¨ Follow ETS steps 1-7 ¨ Prepare equipment and put on gloves ¨ Reapply tourniquet, uncap and inspect needle ¨ Ask patient to make a fist, anchor vein, and insert needle ¨ Establish blood flow, release tourniquet, ask patient to open fist ¨ Fill syringe ¨ Place gauze, remove needle, activate safety device, and apply pressure ¨ Discard needle, fill tubes, discard syringe and transfer device ¨ Follow ETS steps 15–20 v Using a transfer device to fill tubes (Procedure 8-5) ¨ Remove the needle from the syringe and discard it in a sharps container ¨ Attach the syringe hub to the transfer device hub, rotating it to ensure secure attachment ¨ Hold the syringe vertically with the tip down and the transfer device at the bottom ¨ Place an ETS tube in the barrel of the transfer device and push it all the way to the end ¨ Follow the order of draw if multiple tubes are to be filled ¨ Keep the tubes and transfer device vertical ¨ Let the tubes fill using the vacuum draw of the tube. Do not push on the syringe plunger ¨ If you must underfill a tube, hold back the plunger to stop blood flow before removing it ¨ Mix additive tubes as soon as they are removed ¨ When finished, discard the syringe and transfer device unit in a sharps container	243–249	NA	Procedures 8-3: Venipuncture of a Hand Vein Using a Butterfly and ETS Holder pp. 243-246 8-4: Needle-and-Syringe Venipuncture pp. 247-249 8-5: Using a Syringe Transfer Device pp. 250-251	In-Class Activities IRC Critical Thinking Question Video: “Blood Collection from a Hand Vein Using a Butterfly and ETS Holder” Video: “Collecting Blood from an Antecubital Vein Using a Needle and Syringe” Video: “Transferring Blood from a Syringe into ETS Tubes” Butterfly Procedure Evaluation form Syringe Procedure Evaluation form	Outside Assignments WB Skills Drill 8-4: Using a Syringe Transfer Device Skills Drill 8-5: Highlights of Hand Venipuncture Procedure Skills Drill 8-6: Highlights of Needle-and-Syringe Venipuncture Procedure
Legend: PPt: PowerPoint; IRC: Instructor Resource Center (found at http://thepoint.lww.com/McCall6e); SRC: Student Resource Center (found at http://thepoint.lww.com/McCall6e); WB: Workbook.

Chapter 8: Venipuncture Procedures

2 ObjectivesDemonstrate knowledge of each venipuncture step from the time the test request is received until the specimen is delivered to the lab, and define associated terminology.Describe how to perform a venipuncture using ETS, syringe, or butterfly, list required patient and specimen identification information, describe how to handle patient ID discrepancies, and state the acceptable reasons for inability to collect a specimen.

3 Objectives (cont.)Identify challenges and unique aspects associated with collecting specimens from pediatric and geriatric patients.Describe why a patient would require dialysis and how it is performed, and exhibit an awareness of the type of care provided for long-term care, home care, and hospice patients.

4 Overview Venipuncture
The process of collecting or “drawing” blood from a veinCovered in this chapter:How to correctly identify all types of patientsHow to safely obtain high-quality blood specimensVenipuncture procedures: ETS, butterfly, & syringe procedures on arm & hand veinsChallenges & issues unique to pediatric, geriatric, dialysis, long-term care, home care, & hospice patients

5 Venipuncture Steps Overview Review & accession test request
Approach, introduce, identify, & prepare patientVerify diet restrictions & latex sensitivitySanitize handsPosition patient, apply tourniquet, & ask patient to make a fistSelect vein, release tourniquet, & ask patient to open fistClean & air-dry the sitePrepare equipment & put on glovesReapply tourniquet, uncap & inspect needle

6 Venipuncture Steps (cont.)
Ask patient to remake a fist, anchor vein, & insert needleEstablish blood flow, release tourniquet, & ask patient to open fistFill, remove, & mix tubes in order of draw or fill syringePlace gauze, remove needle, activate safety feature, & apply pressureDiscard collection unit, syringe needle, or transfer deviceLabel tubesObserve special handling instructionsCheck patient’s arm & apply bandageDispose of contaminated materials

7 Venipuncture Steps (cont.)
Thank patient, remove gloves, & sanitize handsTransport specimen to labWORKBOOK Skills Drill 8-3 can help you commit these steps to memory.

8 Venipuncture Steps (cont.)
Step 1: Review & Accession Test RequestTypesManual requisitionsComputer requisitionsBar-code requisitionsPhlebotomist must:Check to see that all required info is present & completeVerify tests to be collected & time & date of collectionIdentify diet restrictions or other special circumstancesAccession or record the order received

9 Venipuncture Steps (cont.)
Manual RequisitionWith any type of requisition it is essential for the information to be transcribed or entered correctly.Copyright © 2016 Wolters Kluwer • All Rights Reserved

10 Venipuncture Steps (cont.)
Copyright © 2016 Wolters Kluwer • All Rights ReservedComputer RequisitionWhen a computer-generated label is used, the phlebotomist is typically required to write the time of collection and his or her initials on the label after collecting the specimen.

11 Venipuncture Steps (cont.)
Step 2: Approach, Identify, & Prepare PatientApproaching the patientBe organized & prepared w. paperworkLook for signs containing patient info. (e.g., DNR, DNAR)Knock lightly on doorAsk visitors to step outIdentify yourselfObtain consent for procedurePut patient at ease, using professional bedside mannerCopyright © 2016 Wolters Kluwer • All Rights Reserved

12 Venipuncture Steps (cont.)
Step 2: Approach, Identify, & Prepare Patient (cont.)Patient identificationVerify name & date of birthCheck ID braceletNotify nurse of ID discrepanciesSearch for missing IDsWake sleeping patientsAsk a relative or nurse to identify a patient who is unconscious, young, mentally incompetent, or non-English speaking

13 Venipuncture Steps (cont.)
Step 2: Approach, Identify, & Prepare Patient (cont.)Preparing the patientExplain the procedureAddress patient inquiriesHandle patient objectionsAddress difficult patientsAddress objects in patient’s mouthRegardless of the difficulties involved, you must always determine that the patient understands what is about to take place and obtain permission before proceeding. This is part of informed consent.

14 Venipuncture Steps (cont.)
Copyright © 2016 Wolters Kluwer • All Rights ReservedStep 2: Approach, Identify, & Prepare Patient (cont.)

15 Venipuncture Steps (cont.)
Step 3: Verify Diet Restrictions & Latex SensitivityCopyright © 2016 Wolters Kluwer • All Rights ReservedIf the patient has eaten and you are told to proceed with specimen collection, it is important to write “nonfasting” on the requisition and the specimen label.

16 Venipuncture Steps (cont.)
Step 4: Sanitize HandsCopyright © 2016 Wolters Kluwer • All Rights Reserved

17 Venipuncture Steps (cont.)
Step 5: Position Patient, Apply Tourniquet, and Ask Patient to Make a FistPositioning patientInpatients: typically are lying down in bedOutpatients: sitting up in blood-drawing chairPatients prone to fainting: reclining chair, sofa, or bedSupport hand or arm that is to be site of venipuncture

18 Venipuncture Steps (cont.)
Step 5: Position Patient, Apply Tourniquet, and Ask Patient to Make a Fist (cont.)Tourniquet application & fist clenchingApply tourniquet snugly 3 to 4 inches above intended siteNever apply over open soreApply over a dry washcloth or gauze if patient has sensitive skinAsk patient to make a fist

19 Venipuncture Steps (cont.)
Step 5: Position Patient, Apply Tourniquet, and Ask Patient to Make a Fist (cont.)A tourniquet has a greater tendency to roll or twist on the arms of obese patients. Bariatric tourniquets are available from manufacturers. However, if one is not available, two tourniquets placed on top of each other and used together will sometimes be sturdy enough to prevent this problem.Copyright © 2016 Wolters Kluwer • All Rights Reserved

20 Venipuncture Steps (cont.)
Step 6: Select Vein, Release Tourniquet, and Ask Patient to Open FistPreferred site is antecubital area of armFirst choices are median cubital & median veinsPalpate patient’s dominant arm with index fingerRoll finger side to side while pressing against vein to judge sizeAvoid veins that feel hard & cord-like or lack resilienceRelease tourniquet & have patient open fist

21 Venipuncture Steps (cont.)
Step 6: Select Vein, Release Tourniquet, and Ask Patient to Open Fist (cont.)Copyright © 2016 Wolters Kluwer • All Rights Reserved

22 Venipuncture Steps (cont.)
Step 7: Clean and Air-Dry the SiteClean site with an antiseptic to avoid infection or contaminationUse 70% isopropyl alcoholUse circular motion, moving outward in widening concentric circlesClean an area about 2 to 3 inches in diameterAllow area to dry 30 seconds to 1 minute (until dry)Don’t dry alcohol w. unsterile gauze or fan or blow on siteDon’t touch site after cleaning it

23 Venipuncture Steps (cont.)
Copyright © 2016 Wolters Kluwer • All Rights ReservedStep 7: Clean and Air-Dry the Site, leaving an alcohol pad pointing in the direction of the vein, if needed for marking the site.If it is necessary to repalpate the vein after the site has been cleaned, the site must be cleaned again.

24 Venipuncture Steps (cont.)
Step 8: Prepare Equipment and Put on GlovesETS equipment preparationPreparation of a winged infusion set (butterfly)Preparation of syringe equipmentPositioning equipment for useStep 9: Reapply Tourniquet, Uncap and Inspect NeedleAccording to the CLSI, when a tourniquet has been in place for longer than one minute, it should be released and reapplied after 2 minutes.

25 Venipuncture Steps (cont.)
Steps 8 & 9: Prepare Equipment and Reapply TourniquetCopyright © 2016 Wolters Kluwer • All Rights ReservedCopyright © 2016 Wolters Kluwer • All Rights Reserved

26 Venipuncture Steps (cont.)
Copyright © 2016 Wolters Kluwer • All Rights ReservedStep 10: Ask Patient to Remake a Fist, Anchor Vein, and Insert NeedleAnchoringUse nondominant hand to anchor (secure firmly) the veinPlace thumb at least 1 to 2 inches below & slightly to side of sitePull skin toward wrist

27 Venipuncture Steps (cont.)
Needle insertionHold collection device or butterfly needle in dominant handWith bevel facing up, position needle above insertion siteInsert at 30-degree angle or less in smooth, steady forward motionCopyright © 2016 Wolters Kluwer • All Rights Reserved

28 Venipuncture Steps (cont.)
Copyright © 2016 Wolters Kluwer • All Rights ReservedStep 10: Ask Patient to Remake a Fist, Anchor Vein, and Insert Needle

29 Venipuncture Steps (cont.)
Step 11: Establish Blood Flow, Release Tourniquet, and Ask Patient to Open FistAdvance collection tube into tube holder until stopper is completely penetrated by needlePush tube with thumb while index & middle fingers straddle & grasp flanges of tube holder, pulling back slightlyBlood will begin to flow into tubeRelease tourniquetHave patient release fist

30 Venipuncture Steps (cont.)
Step 11: Establish Blood Flow, Release Tourniquet, and Ask Patient to Open Fist (cont.)Copyright © 2016 Wolters Kluwer • All Rights Reserved

31 Venipuncture Steps (cont.)
Step 12: Fill, remove, and mix tubes immediately after removal from the holder.Copyright © 2016 Wolters Kluwer • All Rights ReservedCopyright © 2016 Wolters Kluwer • All Rights Reserved

32 Venipuncture Steps (cont.)
Step 13: Place Gauze, Remove Needle, Activate Safety Feature, and Apply PressureCopyright © 2016 Wolters Kluwer • All Rights Reserved

33 Venipuncture Steps (cont.)
Step 14: Discard Collection Unit, Syringe Needle, or Transfer DeviceCopyright © 2016 Wolters Kluwer • All Rights Reserved

34 Venipuncture Steps (cont.)
Step 15: Label TubesPatient’s first & last namesPatient’s identification number (if applicable) or date of birthDate & time of collectionPhlebotomist’s initialsPertinent additional information, such as “fasting”Compare information on each labeled tube with the patients wristband and the requisitionCopyright © 2016 Wolters Kluwer • All Rights Reserved

35 Venipuncture Steps (cont.)
Step 15: Label Tubes (cont.)Copyright © 2016 Wolters Kluwer • All Rights Reserved

36 Venipuncture Steps (cont.)
Copyright © 2016 Wolters Kluwer • All Rights ReservedStep 16: Observe Special Handling Instructions

37 Venipuncture Steps (cont.)
Step 17: Check Patient’s Arm and Apply BandageStep 18: Dispose of Contaminated MaterialsStep 19: Thank Patient, Remove Gloves, and Sanitize HandsStep 20: Transport Specimen to the LabCopyright © 2016 Wolters Kluwer • All Rights ReservedSee how well you know the key points and cautions in this chapter with WORKBOOK Knowledge Drill 8-1.

38 Pediatric Venipuncture
OverviewChildren <2 years: limit to superficial veinsChallengesSmall, undeveloped veinsConsiderable risk of permanent damageSmaller blood volume in body; risk for anemiaDealing With Parents or GuardiansEarn trust by being warm, friendly, calm, confident, & caringAsk about child’s past experiences with blood collectionAllow to stay in room, if desired

39 Pediatric Venipuncture (cont.)
Dealing With the ChildGain trust; approach slowly & determine level of anxietyExplain procedure in terms a child can understandEmphasize importance of remaining stillOffer a reward for cooperatingPain InterventionsEutectic mixture of local anesthetics (EMLA)Available in a cream & in oral solutionTakes about 1 hour to anesthetize areaNever tell a child that it won’t hurt. Instead, say that it may hurt just a little bit, but it will be over quickly.

40 Pediatric Venipuncture (cont.)
Selecting a Method of RestraintInfants: wrap in a blanketToddlers: have parent hold on lapHave second person lean over child who is lying downEquipment Selection23-gauge butterfly needle attached to an evacuated tube or syringeProceduresCollect minimum amount of blood required for testing

41 Pediatric Venipuncture (cont.)
Copyright © 2016 Wolters Kluwer • All Rights Reserved

42 Geriatric Venipuncture
ChallengesSkin changesHearing impairmentVisual impairmentMental impairmentEffects of diseaseArthritisDiabetesParkinson’s & strokePulmonary functionSafety IssuesMore space need for wheelchairs & walkersNonslip & clutter-free floorsPatients in WheelchairsLock wheels when drawing blood, assisting from chairMatching 8-3 in the WORKBOOK tests knowledge of geriatric tests and indications for ordering them.

43 Geriatric Venipuncture (cont.)
Blood-Collection ProceduresPatient identification: don’t rely on nods of agreement; verify patient information with a relative or attendantEquipment selection: butterfly needles or short-draw tubesTourniquet application: loose enough to not damage skinSite selection: avoid bruised areas from previous venipuncturesCleaning the site: don’t rub too vigorouslyPerforming the venipuncture: anchor vein firmly to avoid rollingHolding pressure: bleeding may take longer to stop

44 Patients on Dialysis and Those in Other Settings
Dialysis PatientsDo not use arm with AV fistula for venipunctureLong-Term Care PatientsAdult daycareAssisted livingRehabilitation facilitiesPrivate homes

45 Patients on Dialysis and Those in Other Settings (cont.)
Home Care PatientsHome care phlebotomists must have:Exceptional phlebotomy, interpersonal, & organizational skillsAbility to function independentlyAbility to be comfortable working in varied & unusual circumstancesAbility to carry all equipment with themHospice PatientsRequire extra care, kindness, & respectDon’t forget that questions in the EXAMINATION REVIEW can help you see how well you have learned venipuncture procedures.

46 NAACLS Entry Level Competencies Met in This Chapter
6.00 Follow standard operating procedures to collect specimens.6.3 Describe and demonstrate the steps in the preparation of a puncture site.6.5 Recognize proper needle insertion and withdrawal techniques, including direction, angle, depth and aspiration, for venipuncture.6.9 Describe signs and symptoms of physical problems that may occur during blood collection.6.10 List the steps necessary to perform a venipuncture and a capillary (dermal) puncture in order.6.11 Demonstrate a successful venipuncture following standard operating procedures.

47 NAACLS Entry Level Competencies Met in This Chapter (cont.)
7.00 Demonstrate understanding of requisitioning, specimen transport, and specimen processing.7.1 Describe the process by which a request for a laboratory test is generated.9.00 Communicate (verbally and nonverbally) effectively and appropriately in the workplace.9.1 Maintain confidentiality of privileged information on individuals, according to federal regulations (e.g., HIPAA).9.3 Interact appropriately and professionally.