how to do a pediatric blood draw
Do not focus on the procedure. Venepuncture is the method of choice for blood sampling in term neonates 62 63.
Color Tube Chart For Lab Draws Nerdy Nurse Phlebotomy Study Pediatric Nursing
Inject blood into culture bottles as described in Blood Volumes for Culture table.
. While not many people want to have their blood drawn there are a few things that parents and caregivers can do to help prepare a child for the process. Find a kid savvy phlebotomy lab. Rehearse the blood draw at home.
Some helpful strategies include deep breathing distraction with childs favorite toy or stuffed animal counting in a calm tone comfort positioning and use of Buzzy. If the IV line has been flushed the initial blood draw will be diluted. Personnel will place them in the blood culture instrument.
The nurse will wash the area with an antiseptic swab and tie a rubber cord around your childs upper arm to make the veins bulge slightly. Venipuncture uses a needle to draw blood out of the vein in your childs inner arm. The following chart outlines the guidelines for blood drawing that is practiced at Childrens Hospitals and Clinics Laboratory2.
However it requires an experienced and trained phlebotomist. For adult patients who are difficult to draw and from whom blood is available for culture a pediatric bottle may be inoculated. This 5 mL of waste can be either discarded or reinstilled into the patient.
Buzzy is a small device shaped like a bee that vibrates on a childs arm. Other tubes will be added into the Order of Draw by their additives. Venipuncture For venipuncture blood draws the nurse will ask your child to roll up his or her sleeve.
Gently rotate do not vigorously shake the bottles to mix the blood and broth. Obtain blood specimens just after IV insertion. DO NOT OVERFILL BOTTLES.
Next remove the syringe. ZAnswer questions honestly zTeach them what NOT to do. Collection and Transportation of Microbiology Specimens.
Can do to make the blood draw go more smoothly such as requesting a certain time of the day assuring no wait time or scheduling with someone familiar with ASD. A finger stick uses a small needle to prick the fingertip in order to collect a few drops of blood. Do not wave fan or blow on the area as this contaminates the area and leads to increased risk for infection.
MAXIMUM ALLOWABLE TOTAL BLOOD DRAW VOLUMES CLINICAL RESEARCH CONSIDERED MINIMAL RISK adapted from 1. ZExcessive reassurance childs distress zegeverything is going to be OK you are going to. If a trained phlebotomist is not available the physician may need to draw the specimen.
I wanted to prepare her in the best way possible without mentally freaking her out which is completely possible to do in a toddler brain. To prevent dilution withdraw 5 mL of blood from the catheter before collecting the samples. Section 71 provides information on when a capillary blood specimen from a finger-prick or a heel-prick is appropriate.
Blood draws in infants with a body weight of less than 3 kg will always be reviewed at the full board. Laboratory Personal Protective Equipment. During the Visit Share your suggestions with medical staff.
To be considered minimal risk maximal blood draws 5 TBV monthly should not occur more than three consecutive months. Fill blood culture bottles using the previously-marked fill indicator lines in 5-mL increments on the bottle. Let your child know that the needle will hurt a little bit but that the pain will not last very long.
Plan to bring toys or visual supports that you use every day to help your child remain calm and happy. The blood is placed on a small glass plate or slide so that it can be viewed under a microscope. Prepare for the needle stick.
Ensuring that your child is well hydrated before their blood draw makes it easier for technicians to find and collect your childs blood. All personnel drawing blood specimens ie by direct phlebotomy or venousarterial lines. Your childs doctor may ask you not to have your child eat for a certain amount of time before a blood draw.
Do not add more than 10 mLs of blood to a bottle. Coming up with a plan prior to blood draw can set your child up for success says Prendergast. The most important factor to consider for this process is the location.
Move the Vacutainer holder to the Anaerobic purple labelpink band on top bottle and continue as above. Collection and Transportation of Urine Specimens. Lbs 22 kg kg X 17 mLs.
Do not inject air into bottles. Therapeutic Drugs - Optimal Time to Draw Samples. No home preparation is needed unless ordered by your doctor.
Walking your child through the procedure could help them feel less stressed and more in control when it happens. The nurse will place a needle into the vein in your childs arm. 22 rows Maximum Blood Draw on Pediatric Patients.
If multiple laboratory tests are ordered prepare patients sk in and draw the blood cultures first followed by the other tubes. Microbiology Specimen Rejection Policy. Neonate infant and pediatric population.
ZComfort positioning zDistraction zFocus on the child. CLSI ORDER OF DRAW YELLOW SPS Blood Cultures LTBLUE Sodium Citrate PLAIN RED No Additive PLASTIC RED Clot Activator GOLD REDGRAY SSTGel w Clot Activator GREEN Heparin-Lithium or Sodium LAVENDER TALL PINK EDTA PURPLE EDTA GRAY Sodium Fluoride Potassium Oxalate NOTE. In this video presentation I will be discussing PKU Heel Sticks Blood Volume collection for infantsneonates and Blood Culture Procedures.
The blood from a capillary. ZTeach parents what to do. Grab the patients lower arm below site of puncture firmly to draw the skin taut and anchor the vein from rolling.
Insert the needle at a 15 to 30-degree angle into the vessel. If properly inserted blood should flash into the catheter. With pediatricians increasingly ordering blood tests as a way to manage their patients care most children will need a blood draw at some point during childhood.
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