Make sure the needle fully penetrates the upper most wall of the vein. (Partial penetration may allow blood to leak into the soft tissue surrounding the vein by way of the needle bevel)
However, blood volumes increased with the lancet penetration and depth. Lengths vary by manufacturer (from 0.85 mm for neonates up to 2.2 mm). In a finger-prick, the depth should not go beyond 2.4 mm, so a 2.2 mm lancet is the longest length typically used.
Once you think you're in a vein, pull the plunger back to see if blood comes into the syringe. If so, and the blood is dark red and slow moving, you know that you've hit a vein.
To prevent a hematoma:
Make sure the needle fully penetrates the upper most wall of the vein. (Partial penetration may allow blood to leak into the soft tissue surrounding the vein by way of the needle bevel)
If you see blood in the syringe, you've hit a blood vessel. If this happens, pull the needle out of the skin without injecting the medicine. Discard the needle and syringe safely, such as in a special container for needles. Then prepare a new syringe with a new dose of medicine.
The lancet must make a sufficiently deep puncture to ensure an adequate flow of blood. A penetration depth of 1.85 to 2.25 mm is recommended for adults, depending on the thickness of the skin. For children aged less than 8 years, the penetration depth should not exceed 1.5 mm. Selection of puncture site.
It's important to remember, despite the temptation to squeeze directly at the site you have pricked, that you need to avoid pressing near the test site when forming a blood drop. This could cause interstitial fluid — the fluid surrounding your cells — to leak into your blood sample and affect your test result.
Select 0.5 to 1.5 for softer-than-average skin, 2 to 3.5 for average skin, and 4 to 5.5 for harder-than-average or calloused skin. Removing the Lancet.
With the hand that is not holding the syringe, pinch an inch (2.5 centimeters) of skin and fatty tissue (not the muscle) between your fingers. Quickly insert the needle all the way into the pinched skin at a 90-degree angle (45-degree angle if there is not much fatty tissue).
For example, insertion of a 27- or 28-gauge needle (Figure 1b) had an approximately 50% chance of being reported as painful, which was significantly greater than insertion of a 31-gauge needle (Figure 1c), which had a 39% chance of causing pain.
Among the various types of occupational exposures to blood-borne pathogens, accidental needlestick injuries constitute the single greatest risk to health-care workers. 1. This problem is especially perilous for phlebotomists.
Job Outlook
Employment of phlebotomists is projected to grow 8 percent from 2023 to 2033, faster than the average for all occupations.
The thumb (1) is to be avoided because it has a pulse. The index finger (2) tends to be more calloused, which would make a collection of the specimen more difficult. This area is also more sensitive for the patient.
A fasting blood sugar level less than 100 mg/dL (5.6 mmol/L) is normal. A fasting blood sugar level from 100 to 125 mg/dL (5.6 to 6.9 mmol/L) is considered prediabetes. If it's 126 mg/dL (7 mmol/L) or higher on two separate tests, you have diabetes.
The wound is large or deep, even if the bleeding is not severe. The wound is more than a quarter inch (0.64 centimeter) deep, on the face, or reaching the bone.
Burns, scars and sclerosed areas should be avoided. Mastectomy – avoid drawing the specimen from the side on which a radical mastectomy was performed due to lymphostasis. Double mastectomy requires physician notification for appropriate phlebotomy collection.
Why blood is taken from the ring finger? 🧐 🩸The wound on this toe heals faster because it moves less. 🩸The skin on the ring finger is thinner, as it is “inoperative”. Therefore, piercing it is easier and less painful.
Signs of a Wrong Intramuscular Injection
Bruising. Swelling. Potential infection. Nerve ending damage.
If you see blood at the injection site after the needle is removed, you likely nicked a small blood vessel at or below the skin surface, and blood is following the needle track out to the surface.
Air bubbles are harmless but can lower the dose you should be receiving, so to get the correct dose, large bubbles should be removed. To remove air bubbles: Gently tap the syringe until the bubbles float to the top of the syringe barrel. Gently push the plunger up, forcing the air out of the syringe.