Table of Contents
Can phlebotomist do ABGS?
It is the Phlebotomist who must safely collect blood samples, identify them accurately, and preserve them properly until needed for testing or transfusion. Arterial blood gas puncture (commonly referred to as an ABG) involves drawing blood from an artery, typically in the wrist.
Who can draw an ABG?
Most ABG samples can be drawn by a respiratory technician or specially trained nurse. Collection from the femoral artery, however, is usually performed by a doctor. Before attempting a radial puncture, you should perform Allen’s test. (See Performing Allen’s test, page 36.)Jul 21, 2016.
How do I get a blood sample for ABG?
Uncap the ABG syringe, and hold it with two fingers of the dominant hand. The needle bevel should be facing upward. Insert the needle just under the skin at a 45º angle, aiming in the direction of the artery, while palpating the radial pulse proximal to the puncture site with the nondominant hand (see the image below).
Where can a phlebotomist draw blood from?
The most appropriate site to draw blood is selected based on vessel accessibility, patient age, and health status. Usually, the antecubital area, where the elbow bends, is used to access the median cubital vein.
Can you draw blood from an artery?
Blood is usually drawn from an artery in the wrist. It may also be drawn from an artery on the inside of the elbow, groin, or other site. If blood is drawn from the wrist, the health care provider will usually first check the pulse.
Can nurses get ABGs?
Most commonly, unless the patient has an arterial line, the ABG is taken from the wrist, groin or forearm. Depending on the hospital’s policy, ABGs can be taken either by doctors or nurse.
What are some of the indications for conducting ABG testing?
Indications Respiratory failure – in acute and chronic states. Any severe illness which may lead to a metabolic acidosis – for example: Cardiac failure. Liver failure. Renal failure. Ventilated patients. Sleep studies. Severely unwell patients from any cause – affects prognosis.
Do you draw blood from vein or artery?
Veins are favored over arteries because they have thinner walls, and thus they are easier to pierce. There is also lower blood pressure in veins so that bleeding can be stopped more quickly and easily than with arterial puncture.
What is the most critical error a phlebotomist make?
Some of the most common equipment-related mistakes include leaving the tourniquet on the patient for too long, not sterilizing the equipment properly, and not using the correct needle gauge.
What are the arteries and veins in the arm a phlebotomist should know?
The antecubital area of the arm is usually the first choice for routine venipuncture. This area contains the three vessels primarily used by the phlebotomist to obtain venous blood specimens: the median cubital, the cephalic and the basilic veins.
Is ABG test painful?
Arterial punctures for arterial blood gases (ABGs) analysis are described as the most painful laboratory procedure and are performed without the benefit of pain management.
Which type of phlebotomy involves collecting blood from veins?
Venipuncture is the process of collecting or “draw- ing” blood from a vein and the most common way to collect blood specimens for laboratory testing.
What vein is best to draw blood from?
The median cubital vein, also known as the antecubital vein, is the most common vein for phlebotomy. Located in the antecubital fossa, the median cubital vein is a well anchored, stable vein that rarely rolls during venipuncture.
How do you feel after a phlebotomy?
What To Expect After Treatment. Some people feel tired or dizzy after phlebotomy. You might get relief from these symptoms by resting for the next 24 hours and drinking plenty of fluids. You may want to have a family member or friend take you home after the procedure.
What happens if you draw blood from an artery instead of a vein?
Arterial injection occurs when the individual hits an artery, not a vein. Hitting an artery can be painful and dangerous. Arterial blood travels away from the heart so whatever is injected goes straight to body limbs and extremities. Injection particles get stuck in blood capillaries and cut off circulation.
Can an LPN draw ABG?
Most commonly, unless the patient has an arterial line, the ABG is taken from the wrist, groin or forearm. Depending on the hospital’s policy, ABGs can be taken either by doctors or nurse.
What does a venous blood gas tell you?
Arterial blood gases (ABGs) are commonly used for estimating the acid-base status, oxygenation and carbon dioxide concentration of unwell patients. However, arterial blood can be difficult to obtain due to weak pulses or patient movement.
What does a blood gas test show?
An arterial blood gases (ABG) test measures the acidity (pH) and the levels of oxygen and carbon dioxide in the blood from an artery. This test is used to find out how well your lungs are able to move oxygen into the blood and remove carbon dioxide from the blood.
Why would an ABG be ordered?
An arterial blood gases (ABG) test is done to: Check for severe breathing problems and lung diseases, such as asthma, cystic fibrosis, or chronic obstructive pulmonary disease (COPD). See how well treatment for lung diseases is working. Find out if you need extra oxygen or help with breathing (mechanical ventilation).
How is phlebotomy performed?
Phlebotomy is when someone uses a needle to take blood from a vein, usually in your arm. Also called a blood draw or venipuncture, it’s an important tool for diagnosing many medical conditions. Usually the blood is sent to a laboratory for testing.
What can go wrong with phlebotomy?
Unsafe phlebotomy can cause adverse effects for patients; such effects are rare, but range from pain or bruising at the site of puncture, to fainting, nerve damage and haematoma.
What is the artery of choice for ABG collection?
The sampling site of choice is the radial artery, unless tests of collateral circulation indicate otherwise. Samples also may be obtained from the brachial and femoral arteries.
What is the order of draw?
The “Order of Draw” is designed to eliminate the possibility of cross contamination that may result in erroneous results. It is based on CLSI Procedures for Collection of Diagnostic Blood Specimens by Venipuncture; Approved Standard Sixth Edition, October 2007.
