Blood Sampling from a Central Venous Access Catheter CVC скачать в хорошем качестве

Blood Sampling from a Central Venous Access Catheter CVC

-Introduction: This video demonstrates how to safely obtain blood samples using a central venous access catheter, offering a pain-free alternative to venipunctures. While providing easy access, this method has risks, such as catheter-related bloodstream infections and potential occlusions. It's crucial to balance the convenience of blood sampling with these risks while following sterile no-touch techniques and infection control measures. -Equipment Needed: Prefilled 10-mL syringes with preservative-free normal saline Antiseptic pads (70% isopropyl alcohol or alcohol-based chlorhexidine) Appropriately sized syringes or needleless blood collection tube holder Blood collection tubes Gloves Labels Laboratory biohazard transport bag Puncture-resistant sharps disposal container Optional: blood transfer unit, disinfectant-containing end cap, protective equipment, sterile cap Preparation: Perform hand hygiene and check all equipment for expiration or defects. Label required items and set up all materials for easy access during the procedure. -Procedure: Verify the practitioner’s order and gather necessary equipment. Perform hand hygiene and confirm the patient's identity using two identifiers. Provide privacy and explain the procedure to the patient to ease any anxieties. Raise the bed to a comfortable height and ensure all IV lines are correctly connected. Temporarily stop any infusions and use the largest lumen if the catheter is multilumen. Perform a vigorous scrub of the needleless connector with an antiseptic pad and let it dry. Attach a prefilled saline syringe, unclamp the catheter, and check for blood return. Flush with saline solution, then obtain a discard sample to clear the catheter. Collect the required blood samples, adhering to the proper order of draw. Once samples are collected, flush the catheter again, ensuring patency. Label blood samples in the patient’s presence and send them to the lab. If no continuous infusion is prescribed, lock the catheter per faculty guidelines. Complete the procedure by performing hand hygiene and documenting all actions and findings. Special Considerations: Utilize the push-pull method to conserve blood if needed. Monitor hemoglobin and hematocrit levels to detect any anemia. Proactively manage any signs of air embolism by repositioning the patient and notifying a practitioner. -Complications: Be aware of potential complications, including occlusion, air embolism, and catheter-related infections, and respond promptly to signs like sudden dyspnea or chest pain. -Documentation: Ensure thorough documentation of the procedure, including the time, catheter lumen used, any immediate patient responses, and educational information provided to the patient and family. Thank you for watching! Please subscribe for more educational content. #CVC #CentralVenousCatheter #CentralLine #BloodSampling #BloodDraw #Venipuncture #Nursing #Nurses #Medical #Healthcare #Health #Hospital #PatientCare #Nursingschool #MedicalAssistant #MedicalProfessional #Medicine #NurseLife #NursesOfInstagram #HealthcareWorkers #MedicalEducation #StudentNurse #CriticalCare #EmergencyMedicine #InfectionControl #SterileTechnique #HealthcareTips #MedicalTips #Youtube #NursingVideos #MedicalVideos #Education #Learning #NursingKnowledge #BloodCulture #LabProcedures #PatientTeaching #MedicalProcedures #IVTherapy