Chapter 4 - Performing venipuncture and dermal puncture. Upon completion of this chapter, you should be able to: Describe the proper procedure to follow for patient identification, explain how to prepare a patient for blood collection, identify the correct steps to follow when a patient refuses collection, describe the process and time limits for applying a tourniquet to a patient’s arm,. | Booth, Wallace, and Fitzgerald PowerPoint ® Presentation to Accompany Phlebotomy for Health Care Personnel CHAPTER 4 Chapter 4 Performing Venipuncture and Dermal Puncture Chapter 4 Objectives Learning Outcomes Upon completion of this chapter, you should be able to: Describe the proper procedure to follow for patient identification. Explain how to prepare a patient for blood collection. Identify the correct steps to follow when a patient refuses collection. Describe the process and time limits for applying a tourniquet to a patient’s arm. Discuss factors that must be considered when selecting a site for venipuncture or dermal puncture. Chapter 4 Objectives cont’d Learning Outcomes (cont'd) Describe the venipuncture and dermal puncture site cleansing procedure. List the items required on a specimen label and explain the importance of each. State the maximum number of times that the phlebotomist should stick a patient. List the steps to follow when unable to obtain a blood . | Booth, Wallace, and Fitzgerald PowerPoint ® Presentation to Accompany Phlebotomy for Health Care Personnel CHAPTER 4 Chapter 4 Performing Venipuncture and Dermal Puncture Chapter 4 Objectives Learning Outcomes Upon completion of this chapter, you should be able to: Describe the proper procedure to follow for patient identification. Explain how to prepare a patient for blood collection. Identify the correct steps to follow when a patient refuses collection. Describe the process and time limits for applying a tourniquet to a patient’s arm. Discuss factors that must be considered when selecting a site for venipuncture or dermal puncture. Chapter 4 Objectives cont’d Learning Outcomes (cont'd) Describe the venipuncture and dermal puncture site cleansing procedure. List the items required on a specimen label and explain the importance of each. State the maximum number of times that the phlebotomist should stick a patient. List the steps to follow when unable to obtain a blood specimen. Describe how to use a butterfly or winged-tipped collection device. Explain the collection procedure for dermal puncture. Chapter 4 Step-by-Step Approach cont’d 2 Preparing for Venipuncture Smile and address the patient in a pleasant, calm tone. Behave in a professional manner. Always identify yourself. In an outpatient setting, conduct yourself in a manner that will reduce anxiety, as they may not expect you. In an inpatient setting, always knock and wait for a response before entering. If a curtain is pulled around the patient’s bed, inform the patient of your presence before entering. Greeting the Patient Chapter 4 If the patient is sleeping: Gently wake him or her and explain why you are there Try not startle the patient Be sure to talk in a soft manner Inform the patient before turning on the lights Never attempt to collect a specimen from a sleeping patient! Wake the Patient Gently Chapter 4 Step-by-Step Approach cont’d 3 Preparing for Venipuncture Patient .