Once you know the rules, you can draw a realisticlooking butterfly without any special drawing skills. After controlling for difficulty of the venipuncture as well as for other characteristics of the blood draw, hemolysis continued to be strongly associated with device used to draw blood table 1. A butterfly needle is a device used to access a vein for drawing blood or giving medications. Art was a stranger making eyes through the smoke of a foreign dive bar drawing blood is such an engaging read that i couldnt put the book down until i had devoured all of its contents and yet, there were so many lines and passages to savor and to reread, so many artworks by molly to let your eyes linger over. How to draw blood with three different phlebotomy techniques. A butterfly needle works best for self draw but junkies use straight needle on a syringe on themselves all the time. Bloodsampling systems who guidelines on drawing blood. The nurse informed the lab tech that only a 10ml syringe could be used for central lines. When drawing blood with a butterfly the needle is small and if the blood is not flowing like it should it is probably positional. This video will show you what you need to know to get it done. How to draw blood with a butterfly needle wonderhowto.
Phlebotomy, the practice of drawing blood from a vein, is a proficiency that all nurses should learn in their career. Inject 10 ml of blood though rubber top of each blood culture bottle. Simpson is a 45yearold male pt weighing 200 pounds who has come to the outpatient drawing station for blood work. When i asked about the air in the line affecting results they observed that even with an abg syringe some air enters so air in the tubing of a butterfly set shouldnt matter. A butterfly needle is a device used to draw blood from a vein or deliver intravenous iv therapy to a vein. Is a regular syringe better than a butterfly syringe for drawing blood. Under certain circumstances, a syringe may be used, often with a butterfly needle, which is a plastic catheter attached to a short needle. This could result in clot formation within the syringe. Attach a sterile syringe and flush lumen with heparin, if. Well tell you how this needle works and why its preferred for some people. A butterfly adapter should always be used when using a blood culture holder cap to prevent reflux into the patient. If you cant get the butterfly to work, use a syringe. What is a butterfly needle for drawing blood size, guage.
Learn some tips when drawing blood as a nurse, nursing student, or as a part of clinical skills. Also, see to it that you have all the equipment you need for your specific phlebotomy procedure. How to use the butterfly needle step by step comparer plus. Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system. This interactive video module will help familiarize you with the phlebotomy medical. Amateur drawing blood with needle creative writing forums. Patient comfort is assured with flomax needle wall, which is significantly thinner than a regular wall and virtually painless. Can be used for blood drawing in paediatric population for patient with small or difficult veins, blood drawing can be easier than an evacuated tube system if heparinized, can be used for arterial blood drawing. Butterfly stick with syringe august 30, 2016 tuesday. Taking these factors seriously can lessen discomfort and complications for your patient, lessen procedure time, and prevent errors in diagnosis caused by cross contamination of additives between blood collection tubes. The bd eclipse blood collection needle is a safetyengineered multisample blood collection needle that offers a simple, effective way to collect blood while reducing the possibility of needlestick injuries. All sites purpose this procedure provides instructions on how to collect a blood sample using a butterfly needle as well as when a blood collection requiring a butterfly needle should be considered. Phlebotomy incision into a vein is also the treatment of certain diseases such as. As you bring him back to have a blood sample drawn, he tells you that he never really minds having blood drawn, but that sometimes he tends to faint afterward.
Question about blood draws with butterfly needle student. Many venipunctures are routine, but you may occasionally encounter some difficult. Properly perform a venipuncture using the butterfly syringe and butterflyvacuum collection equipment in accordance with the objectives listed in exercise 2. Pulling the plunger out ahead of time and just using the syringe barrel and gravity really limits the control you have. After a discussion with the lab manager, she requested evidence to support using only a 10ml syringe or larger for aspirating blood from cvcs.
As nurses enter the clinical setting, they will have to know how to draw blood as part of their clinical skills experiences. For the fulllength dvd containing this clip, visit visi. Several choices of bloodsampling system are available for phlebotomy. Attach a sterile syringe and flush lumen with heparin, if indicated. Check out this video to see how to collect blood with the bd vacutainer eclipse blood collection needle. The phlebotomy butterfly technique is the process of drawing blood by means of a winged apparatus. I am a total believer in the use of butterfly syringes for blood. Using the butterfly needle to draw blood is nearly similar to the regular needle but with slight variation. Tubes with different additives are used for collecting blood specimens for specific types of tests. The skin on our phlebotomy simulation arms automatically reseal after each needle stick. Through this tool, superficial veins can be easily. Never draw blood cultures directly with a blood culture holder cap and vacutainer needle. E ch1 ch2 ch3 ch4 ch5 ch6 ch7 ch8 ch9 ch10 ch11 ch12 ch ch14 ch15 ch16 ch17 ch18 ch19 problem. Collecting the blood sample chap 26 flashcards quizlet.
Brite has everything a great horror novel should have. If you need to learn how to use a butterfly needle to draw blood phlebotomy then youve come to the right place. The system most appropriate for the procedure should be chosen. For the routine draws, im not sure why its not used. Winged butterfly needles are also available with safetyengineered. Veterinary phlebotomy supplies for drawing blood idiopathic issues. Some medical professionals call a butterfly needle. Theres nothing better about it except a visual of hitting a vein. This interactive video module will help familiarize you with the phlebotomy medical procedures three.
Learning how to draw blood is essential to becoming a phlebotomist. The odds ratio or of hemolysis in specimens drawn through iv catheter compared to butterfly needle, 7. If needed, a transfer device and syringe if using butterfly needle. A risky use of injection equipment by janine jagger, m. Blood drawing needles have a multiple draw design to provide the convenience of several sample collections with a single venipuncture.
This fun and informative guide details the stepbystep process of taking a blood sample and makes a great. Even if the patient tells me they want one because they think its better. Performing blood collections using a butterfly needle. A butterfly needle is a popular choice for drawing blood, getting iv fluids, or receiving certain medications. Fittings and adapters used to fill evacuated tubes from butterfly needle kits and syringes are also available.
Sometimes the blood stops flowing with a butterflyvacutainer combo because the vein walls are being sucked together by the vacuum from the tube. It comes with two rubber wings enabling the needle to move with ease. Drawing blood is only responsibility for hospital nurses, but a very important one, so knowing the proper procedure is up to you to master. Butterfly needles explained a butterfly needle, also known as a scalp vein set or a winged infusion set, is a device specialized for venipuncture.
If you are drawing blood from a cat, you may choose to use a butterfly catheter when. For short draws, see guide to bottle selection chart to determine proper distribution of blood. Butterfly needles, 21g or less syringes blood collection tubes the vacuum tubes are designed to draw a predetermined volume of blood. Also called a winged infusion set or scalp vein set, a butterfly needle consists of a very thin hypodermic needle, two flexible wings, a flexible transparent tubing, and a connector. In lab settings, syringe needles and syringes have a variety of applications, including. How to draw blood drawing blood clinical nursing skills for rns. Collecting a blood sample using a butterfly needle syringe 60 drawing blood using a lancet for microdraw or infant heel stick 62 measured bleeding time 63 arterial puncture 65 glossary 69 resources 96 appendix a. When this happens, you usually get a small splatter of blood in the tube and then nothing flows despite any readjustments. While it would work with a very large needle and some people, with other people the blood would likely clot the needle before you had the blood you needed.
It is used to access a superficial vein for phlebotomy or iv injections. In this tutorial i will show you how to draw a monarch butterfly step by step, right from scratch. Describe collection procedures when using a butterfly or syringe and the proper way to safely dispense blood into tubes following a syringe collection. Needles are available in 20, 21, and 22 gauge with 1 or 1. Using a sterile 20ml syringe, aspirate 20 ml of blood. Too vigorous drawing with syringe too forcibly putting blood into tube via syringe the combination use of an iv catheter and vacutainer caused increased hemolysis compared to the use of an iv catheter and syringe in one study. This chapter covers all the steps recommended for safe phlebotomy and reiterates the accepted principles for blood drawing and blood collection 31. While medical technicians and nurses are allowed to draw blood, this procedure should only be done by a trained phlebotomist.
Devices available for drawing blood who guidelines on. Do not touch the tip of the syringe or the end of the tubing. And, in order to do so, one must learn and follow the proper steps to collecting blood from gathering the right equipment to transporting the sample to the laboratory. Venipuncture syringes are composed of a plastic syringe with an attached, beveled needle. Blood sampling can be facilitated by prewarming the animal using an infrared lamp. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Using a needle and syringe, or a butterfly needle with cannula shortened by cutting the end off, collect blood from a lateral tail vein directly into k 2 edtacoated tubes while agitating and place blood on chipped ice. Vacuum systems may also be used with a winged butterfly needle and luerlock connectors. Demonstrate the proper technique to safely transfer blood from a syringe to a vacuum collection tube. Amateur drawing blood with needle creative writing. Venous blood collection order of draw interior health.
This is a device used for accessing a superficial vein. When you draw using a syringe, you complete the process by transferring the blood to the tubes with a luerlock transfer device. If i do not, i pass out, which is pretty funny, because i can draw other peoples with absolutely no problem. We need to take some considerations before using the butterfly needle. Best practice in phlebotomy and blood collection who best. Fill tubes in the correct order as indicated on the order of draw chart. Comic paper is different than regular paper and is easier to use when drawing manga or comics. Annex c provides detailed information on all the systems available for drawing blood, and outlines the advantages and disadvantages of each device.
Blood culture collection procedure mayo medical laboratories. The advantages of using a butterfly needle to draw blood are able to obtain specimens from infants with out having to use the heel stick method. I have to do a redraw about once every three years. It is a short needle with a tiny diameter attached to a flexible, thin tube. If using a butterfly collection set, the tubing must be primed with blood. What are the advantages and disadvantages of using a. Needles used for blood drawing have long been rec, used for venous blood drawing. When drawing blood for multiple tube collections, it is important to take into consideration proper venipuncture technique and correct order of draw. Our iv training arm helps you to practice and perfect your blood draw. Unlike a straight needle, a butterfly needle is less painful and is easier continue reading. Phlebotomy butterfly technique e phlebotomy training. Questionable blood draws laboratory medicine oxford.
Phlebotomy safety for all ages healtheast care system. If youre really having trouble, you can keep the plunger pulled out a little while repositioning, so you will immediately see blood begin to flow when you hit the sweet spot. Use a 23 gauge needle with a syringe or butterfly needle. The syringe method of venipuncture is beneficial when small amounts of blood need to be drawn or when a patient has small or fragile veins, according to kathryn kalanick in her book phlebotomy technician specialist. She also writes veterinary learning books for children. In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for. A butterfly needle is also called winged infusion set or scalp vein set. I routinely draw blood with a 12 cc syringe attached to the jloop when starting ivs or attached to a butterfly when i only need blood and the pt does not have or need an iv.
In the developing world, the evacuated tube system is the preferred method of drawing blood. Jan 16, 2020 how to draw blood from hard to hit veins. Requires blood transfer, creating additional risk for needlestick injuries or blood splashing difficult to draw large or multiple. Butterflies are a wonderful drawing subjecttheir wings have a certain pattern that can be reduced to a few rules. Platelet rich plasma is a volume of plasma that has a platelet concentration well above baseline and contains at least seven growth factors. If by some miracle he can operate the syringe plunger with one hand, he needs to do it slowly, and blood will fill the syringe as. The chapter includes background information section 2. The blood culture bottles are inoculated by transferring the blood sample from the syringe to the bottles using an appropriate safety transfer device. Clots may also form when using the vacutainer or butterfly needle systems if all tubes are not mixed by gentle inversion following collection by any method of venipuncture. The vacuum tubes are designed to draw a predetermined volume of blood. Drawing blood quickly and cleanly is an important skill for doctors, nurses, lab personnel, or phlebotomists. Closed systems a hypodermic needle and syringe or a vacuumextraction tube system. Best practices in phlebotomy who guidelines on drawing. Drawing blood by molly crabapple goodreads share book.
Cherie maguire, ms research assistant ii channing division of. When my staff runs out of abg syringes, they improvise by drawing the sample with a butterfly needle. You are in the middle of drawing a blood specimen using the evacuatedtube method when. Who library cataloguinginpublication data who guidelines on drawing blood. The color of the rubber stopper is used to identify these additives antiseptic. I am very needleaverse and have always dreaded blood draws. Butterfly stick with syringe august 30, 2016 tuesday morning phlebotomy vlog crystastic jewels. You can only become efficient at taking blood samples by practicing, but you should also know all of the phlebotomy methods for extracting blood cultures. I have been a phlebotomist for the past year and a half and i love my job. The lab tech disagreed and stated it didnt matter what size the syringe was when drawing labs. Demonstrates the proper technique for drawing blood using a wingedblood collection butterfly set. Explain the advantages and disadvantages of the syringe method of drawing blood as opposed to the evacuated system. If you are in the vein just move the angle of the needle around until you get better blood flow and try and steady the needle there until you get the blood you need. While not commonly taught in nursing school, programs recommend nursing students take extra courses to hone this skill.
Use of butterfly needles to draw blood is independently. Oh yeah, and when youre done, youll have a syringe full of blood to transfer to the tubes. Rating is available when the video has been rented. Since i learned of butterfly syringes, i can truthfully say, its. The function of the butterfly needle is draw blood samples from wrist, hand and foot, its benefits really appear when the veins are too deep or when uncooperative patients keep moving or is anxious during blood drawn. A straight needle is usually used, but a butterfly needle can be attached to the syringe. Obtaining blood samples, either via a venous stick or from a central line, is a critical nursing skill.
You really shouldnt use a just a needle and syringe to draw routine peripheral venous blood especially not with a 21 21 gauge needle like the one on a butterfly. May 20, 2012 youd have to unscrew the syringe from the needle, it makes no sense. Properly perform a venipuncture using the butterfly syringe and butterfly vacuum collection equipment in accordance with the objectives listed in exercise 2. For the syringe method, the proper amount of blood is drawn into a syringe. After transferring the blood, the transfer device and syringe are disposed of in a sharps container.
Oct 31, 2018 the syringe method of venipuncture is beneficial when small amounts of blood need to be drawn or when a patient has small or fragile veins, according to kathryn kalanick in her book phlebotomy technician specialist. Outpatient laboratory or collection site if the collection is for a pretransfusion test xm. Figure 415 attaching the butterfly and tubing to the syringe. Describe unique requirements associated with drawing from special populations incl. Performing blood collections using a butterfly needle this document is applicable at sites. Several blood sampling systems are available for phlebotomy. Phlebotomy essentials 6th edition chs 7,8, 9 exam flashcards. There are several uses for the butterfly needle but the main use is for infants or children where a special 25 gauge size may be used, unfortunately it needs high skills to manage especially with children, it also can be used with adults who suffer from narrow veins as from the advantages of the needle it allows the phlebotomist to confirm that the needle. If blood doesnt flow, release the plunger, reposition, and try again. The first thing to consider when it comes to drawing blood is to ensure that proper aseptic technique is followed. Infusion set tubing is flexible and for user protection, catheter features soft, colorcoded wings with a nonslip grip.
580 168 1085 625 1063 338 398 1592 1099 1065 635 1621 1394 376 865 1517 997 656 197 196 1474 1223 409 758 98 250 631 654 1286 1191 287 902 193 1599 1362 1521 211 1428 1060 1429 1259 218 236 768 931 1148 882 843