1 00:00:13,470 --> 00:00:20,100 So we are going to do some venapuncture I have explained to my patient that we need blood samples 2 00:00:20,100 --> 00:00:24,390 why we need them and what we're testing for, so they they understand the procedure. 3 00:00:24,390 --> 00:00:27,450 And they've also consented for me to take the blood. 4 00:00:27,450 --> 00:00:32,370 As you can see, I've already got my PPE on, which is gloves and apron, which is needed 5 00:00:32,370 --> 00:00:34,590 because it's bodily fluids that we're dealing with. 6 00:00:34,590 --> 00:00:40,650 And prior to popping these on, I decontaminated my hands by washing with soap 7 00:00:40,650 --> 00:00:43,120 and water for 20 seconds. 8 00:00:43,120 --> 00:00:49,120 So at the bedside by the patient or wherever you choose to take the blood sample. 9 00:00:49,120 --> 00:00:55,460 I've brought along with me my tourniquet, my disposable tourniquet. 10 00:00:55,460 --> 00:01:01,730 My blood bottles, my needle, that's going to allow me to take the blood, an alcohol swab. 11 00:01:01,730 --> 00:01:07,940 A clean piece of gauze, a waterproof plaster and my sharps bin. 12 00:01:07,940 --> 00:01:14,060 OK, so we just have a look at the arm, assess where we might find a vein. 13 00:01:14,060 --> 00:01:15,920 Now on this model is quite obvious. 14 00:01:15,920 --> 00:01:21,980 Where there's a vein, however, you may have to feel under the skin and sort of palpate a 15 00:01:21,980 --> 00:01:24,110 vein that you can feel OK. 16 00:01:24,110 --> 00:01:28,060 So take a note of that if you can't see it. 17 00:01:28,060 --> 00:01:31,840 At that point, we've put the tourniquet on just above the area where we're going to take 18 00:01:31,840 --> 00:01:35,180 the blood from don't tighten too tight. 19 00:01:35,200 --> 00:01:38,690 It's all about slowing the blood down, not cutting it off. 20 00:01:38,690 --> 00:01:44,200 OK, make sure with a patient that it's comfortable and it's not too tight. 21 00:01:44,200 --> 00:01:51,130 At this point, if your local policy states about swapping with alcohol gel, alcohol gel, 22 00:01:51,130 --> 00:01:58,110 that alcohol swab. Then this is where you do it, but it is down to local policy. 23 00:01:58,110 --> 00:02:02,130 So please do be aware of that if you use the alcohol swab. 24 00:02:02,160 --> 00:02:06,930 You need to leave it for 15 to 30 seconds to dry. 25 00:02:06,930 --> 00:02:14,400 So I'm going to quickly skim over that and move on to getting my needle. 26 00:02:14,400 --> 00:02:19,500 There are different forms and different devices of needles, so it's whatever's 27 00:02:19,500 --> 00:02:25,140 available in your clinical practice or if you have a choice related to the need of your 28 00:02:25,140 --> 00:02:31,240 patient. So this is just a standardized needle. 29 00:02:31,240 --> 00:02:35,950 So I'd say to my patient, sharp scratch at this point, just to allow say to them, that's 30 00:02:35,950 --> 00:02:40,480 happening and I've got my blood bottles here, so I'm now going to just hold them in 31 00:02:40,480 --> 00:02:49,540 place, allow them to fill because each blood bottle is vacuum has vacuum on it. 32 00:02:49,540 --> 00:02:57,030 So it will prefill to the amount that's required. 33 00:02:57,030 --> 00:03:02,460 And so because this is sort of fake blood, it's very watery, so it does feel quite 34 00:03:02,460 --> 00:03:08,370 quickly actually. So, um, we just have to be so we've done that. 35 00:03:08,370 --> 00:03:11,880 Ok, so we put those to one side now. 36 00:03:11,880 --> 00:03:17,700 We release the tourniquet at this point and we grab our clean bit of gauze. 37 00:03:17,710 --> 00:03:20,940 I'm just going to place it over where it's going to be. 38 00:03:20,940 --> 00:03:26,220 The puncture wound site, remove the needle and when the needles removed place pressure on the 39 00:03:26,220 --> 00:03:33,120 area. At this point, if the patient can help, ask them to apply pressure on the gauze 40 00:03:33,120 --> 00:03:40,320 and don't allow them to bend their arm because it can cause bleeding and bruising so 41 00:03:40,320 --> 00:03:45,690 under the skin. So just get them to keep their arm, relaxed and apply the pressure. 42 00:03:45,690 --> 00:03:54,720 If they can do that for you, you then can get the waterproof plaster that's required. 43 00:03:54,720 --> 00:04:04,320 And pop it into place and we're just going to go over the puncture site as a sealant we're 44 00:04:04,320 --> 00:04:08,160 going to ask the patient to try and keep it in place for about 24 hours before they 45 00:04:08,160 --> 00:04:13,800 remove it, just to allow the skin to sort of heal over and form a natural seal to that 46 00:04:13,800 --> 00:04:17,030 puncture wound that we've put in there arm. 47 00:04:17,030 --> 00:04:24,300 Ok, at this point, I would take my PPE off. 48 00:04:24,300 --> 00:04:30,150 Sanitize my hands and then I would take my blood bottles, make sure that they're labeled 49 00:04:30,150 --> 00:04:35,100 correctly or have the correct stickers on, depending on your clinical area as to how 50 00:04:35,100 --> 00:04:38,122 they wish you to label the blood bottles. 51 00:04:38,122 --> 00:04:43,990 And I've put them in the correct blood bag. 52 00:04:43,990 --> 00:04:48,830 And with the correct form and everything's filled in and we've checked dates 53 00:04:48,830 --> 00:04:52,550 and things like that, and that's that.