Newborn Care: Taking a Venous Blood Sample



taking a famous blood sample sick babies often needs several lab tests if more than a milliliter of blood is needed blood should be taken from a vein this video will show you how to draw blood three different ways within needle with a syringe and needle and with a butterfly first let the caregiver know about the procedure then wrap the baby snuggly now gather your supplies cotton balls either a needle 21 to 23 gauge a butterfly 23 to 35 gauge or a syringe and needle add a labeled blood tube pour antiseptic on the cotton and remember your gloves before you start wash your hands the easiest way to draw blood on a baby is to use a sterile needle start by finding a good vein in the baby's hand then put on gloves make a circle with your fingers around the baby's hand clean the skin from the center moving outward do this three times let the skin dry stretch the skin and hold it firmly then taking a shallow approach insert the needle through the skin the opening in the needle faces up barely move the needle just until you see blood coming hold the tube under the needle and gently squeeze the baby's hand to bring the blood here's another example of how to squeeze the baby's hand this method cannot be used for blood cultures as it uses an open tube and so is not sterile when you have the amount of need remove the needle and cover the site with a cotton ball then safely dispose of a needle here withdraw blood using a sterile needle and syringe find a good vein then tie the tourniquet so you can easily release it put on your gloves then clean the skin well three times and let it dry stretch the skin and hold it firmly now insert the needle through the skin the flashback of blood shows that you're in the vein pull back very slightly on the syringe and then continue to hold let the syringe slowly fill be patient pulling back to forcefully you collapse the baby's tiny veins and you will not get blood draw up the amount of blood you need release the tourniquet remove the needle and cover the site with a cotton ball fill the labeled tube and safely dispose of the needle the third way uses a sterile butterfly device this is more costly but like the needle can be easy to maneuver find a good vein then tie the tourniquet so you can easily release it carefully clean the skin and let it dry hold the skin firmly and insert the needle move the needle slightly until you see a flash of blood in the tube to show that you're in the vein uncapped the end of the device to draw the blood into the tubing it then drips into the tube in the second example a syringe is attached to the tubing pulling up slightly on the syringe draws the blood into the tubing be aware if it feels too slowly it can plot let it feel the syringe until you have the amount of blood you need release the tourniquet remove the needle and cover the site with a cotton ball then safely dispose of the butterfly device remember before you start inform the caregiver gather all your supplies and wrap the baby snugly take a shallow approach with the needle be patient with the baby's tiny veins a slight pull on a syringe brings the blood

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