Introduction to Phlebotomy 1 Origin of Phlebotomy Bloodletting with Leeches Bloodletting using Lancet Bloodletting in Modern Age In the modern age, bloodletting for medical reasons or for medical investigation, is known as Phlebotomy. Phlebotomy is performed by trained professionals. They primarily use needles for bloodletting. Bloodletting in Modern Age What Is Phlebotomy • Phlebotomy is the process of making an incision in a vein with a needle. • In Greek language: • ‘Phlebo-’ means ‘a blood vessel’ • ‘-tomy’ means ‘making an incision or a small prick’ • The procedure of inserting a needle in a vein is known as venipuncture. 2 Drag and Drop Drag and drop the answers to the given questions and click Submit. 1. What is meant by Phlebotomy? 2. In Greek language, a blood vessel is called: 3. In Greek language, -tomy means 4. If you prick a vein with needle, you are performing Making an incision in a vein with a needle A small prick or making an incision Venipuncture bloodletting Phlebo- Submit Who Is a Phlebotomist Select the images to identify the task done by a phlebotomist and click Submit. Labelling blood samples Refrigerating blood samples Drawing blood samples from patients Preparing blood samples for transportation Disposing needles Communicating with patients Submit Phlebotomist A phlebotomist is an individual who is trained and skilled in obtaining blood samples for clinical testing. Primary Role Assisting Doctors Click on the tabs to know what a Phlebotomist does. 3 Primary Role of a Phlebotomist Primary Role The primary role of a phlebotomist is to obtain blood samples in test tubes and inside the circles marked on the card (in the case of blood collection from infants). Phlebotomist – Assisting Doctors Phlebotomist could also assist doctors in collecting fluids and secretions like: • • • • • • Breast cyst aspiration Breast secretion (nipple discharge) Bronchial brushings Bronchial washings Effusions Endometrial washings • • • • • • Esophageal brushings Esophageal washings Fine needle aspirations Gastric brushings Gastric washings Lymph nodes (Touch prep) • • • • • • Peritoneal fluid Pericardial fluid Sputum Pleural fluid Urine Water from Rivers/Ponds/Tap Responsibilities while Collecting Specimen The responsibilities of a phlebotomist while collecting specimen include: Identification of patient Identification of specimen and single prick specimen collection Filling Test Request Form (TRF), billing and providing date for report collection Transportation of specimen as per the recommended temperature Communication using non-medical terms 4 Where do Phlebotomists Work? Identify and select the places where a Phlebotomist works and click Submit. Hospital Laboratory Nursing Home Community Health Center Bank Home Blood Donation Center Submit Work Cycle of a Diagnostic Laboratory Pre-Analytic Phase Analytic Phase • Specimen Collection • Sample Distribution • Specimen Transport & Registration • Sample Testing Post-Analytic Phase • Result Validation Click on each phase to know more. TAT Process of a Laboratory Click on the tab TAT process of a laboratory to know more. TAT Process of a Laboratory Turn Around Time (TAT) in a Laboratory 5 Why Phlebotomist Role Is Crucial Occur Pre-analytic phase Errors Occur While collecting specimen 70% Errors Networking Walk Ins Errors occurs during: Errors occurs during: •Sample collection •Transportation •Registration •Dispatch to departments Registration Sample collection Dispatch to departments Walk Ins Networking Click on the buttons to know more on the kind of errors occurring in pre-analytic phase. To avoid errors a phlebotomist should diligently follow work instructions and maintain the required records. A phlebotomist’s plays a crucial role in minimizing errors occurring in the preanalytic phase. Necessary Skills for a Phlebotomist Click images to know more about other necessary skills needed in a phlebotomist. Awareness of organizations’ policies and procedures Reading and writing skills Communication skills and decision-making skills Ability to maintain confidentiality Problem-solving, analytical and critical thinking skills Handling emergencies during Phlebotomy Further Reading For more information on this topic, visit the following links:. https://en.wikipedia.org/wiki/Phlebotomy http://www.ncbi.nlm.nih.gov/books/NBK138665/ http://www.surgeryencyclopedia.com/Pa-St/Phlebotomy.html http://www.uams.edu/clinlab/venipuncture.htm 6
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