This is a very common thing, especially if youre working as a nurse, nurses aid, a doctor or even a vet. How to use the butterfly needle step by step comparer plus. Theres nothing better about it except a visual of hitting a vein. This endeavour aims to minimise the pain and psychological fear associated with blood tests. It consists, from front to rear, of a hypodermic needle. Under certain circumstances, a syringe may be used, often with a butterfly needle, which is a plastic catheter attached to a short needle. Lab practitioners can get a small butterfly needle into the vein and it will begin to very slowly release blood then in seconds it will just stop and blow. Questionable blood draws laboratory medicine oxford. Venipuncture a venipuncture is when a phlebotomist accesses a vein to draw blood. This discard tube, preferably a nonadditive tube, serves to draw out the dead space of the tubing of the butterfly needle. Venipuncture syringes are composed of a plastic syringe with an attached, beveled needle. A person drawing blood may choose a butterfly needle when drawing blood for the following purposes. Large butterfly wing size permits improved positioning during use.
Pinch the flexible wings together and place the bevel in an upward position. Blood collection needles 14 bd winged blood collection sets with safety lock 5 exel winged blood collection set 3 bd eclipse vacutainer needles 2 multisample needles 2 blood transfer devices 2 blood collection tubes 42 blood safety lancets 9 blood tube needle holders 4 insulated courier transport 11 phlebotomy carts 1. Devices available for drawing blood who guidelines on. Greiner bio one 1 hakko products 1 integra lifesciences corp 1 see more. Bd winged blood collection set safety lock needle 23g 50bx.
If this does not happen then the needle has either not punctured the vein or the needle went through the. Requires blood transfer, creating additional risk for needle stick injuries or blood splashing difficult to draw large or multiple. Can be used for blood drawing in paediatric population for patient with small or difficult veins, blood drawing can be easier than an evacuated tube system if heparinized, can be used for arterial blood drawing. Phlebotomy butterfly technique e phlebotomy training. Especially not with a 21 21 gauge needle like the one on a butterfly. Also the smaller needle is less painful in the hand veins. Using a needle and syringe, or a butterfly needle with cannula shortened by cutting the end off, collect blood from a lateral tail vein directly into k 2 edtacoated tubes while agitating and place blood on chipped ice. Both the syringe and needle are available in varying sizes. Following venipuncture, a yellow transparent shield is moved over the exposed needle and locked into protective position, creating a barrier between the healthcare professional and the used needle. Blood collection needles products medline industries, inc. Butterfly needles are usually used to draw blood from the wrist, hand, or foot because the needle is short and not connected directly to the collection tube. Watch the video and see what it takes to find the vein, insert the needle.
Carefully rotate the needle so as to be sure that the bevel is up. Sep 05, 20 drawing a blood sample from a patient is the main job for a phlebotomy technician. What makes a nurse decide to use a butterfly needle or a. But in the hospital im seeing often times people use use the same needle to restick if they missed the vein. In the developing world, the evacuated tube system is the. Bd vacutainer eclipse blood collection needle from is a safetyengineered multisample blood collection needle that offers a simple, effective way to collect blood while reducing the possibility of needlestick injuries. This article talks about butterfly needle, a kind of needle that can assure you a pain free blood test. What is a butterfly needle for drawing blood size, guage. Best practices in phlebotomy who guidelines on drawing. If she used the vacutainer system with an adaptertube holder and straight needle or a winged infusion set aka butterfly needle, she would not be able to push the blood into the tubes as both systems allow the blood. Even if the patient tells me they want one because they think its better.
Hemolysis is most commonly due to the red blood cells rupturing due to a traumatic draw, such as pulling too hard on the plunger of the syringe, drawing blood through a needle that is too small, or blood. Butterflies tied to lower hemolysis rates medpage today. When using a butterfly needle for collection and no blood cultures are being required, a discard tube should be the first draw. If you need to learn how to use a butterfly needle to draw blood phlebotomy then youve come to the right place. Be aware that if the butterfly is used with vacuum collection tubes the vacuum in the tubes will cause small veins to collapse. Painfree blood test with butterfly needles technology. A butterfly needle is a device used to draw blood from a vein or deliver intravenous iv therapy to a vein. Insert the needle at a 15 to 30degree angle into the vessel.
Annex c provides detailed information on all the systems available for drawing blood. A special adapter is necessary to attach the tubing to the holder of the vacuum collection system. Performing a venipuncture using a butterfly needle center for phlebotomy education. Phlebotomy safety for all ages healtheast care system. If you are up against the wall of the vein or a valve these techniques will start the blood flow again. The function of the butterfly needle is draw blood samples from wrist, hand and foot, its benefits really appear when the veins are too deep or when uncooperative patients keep moving or is. Requires blood transfer, creating additional risk for needle stick injuries or blood splashing difficult to draw. Best veins for iv insertion, drawing blood venipuncture tips in nursing, phlebotomy duration. The butterfly offers advantages over a simple straight needle. Mar 02, 2017 hemolysis is most commonly due to the red blood cells rupturing due to a traumatic draw, such as pulling too hard on the plunger of the syringe, drawing blood through a needle that is too small, or blood being forcefully pulled into a tube. The vacuum tubes are designed to draw a predetermined volume of blood.
Suction is created to draw blood out of the vein by pulling back gently, slowly and steadily on the syringe plunger. A butterfly needle is used to draw blood samples from the body wrist, hand, and foot. Grab the patients lower arm below site of puncture firmly to draw the skin taut and anchor the vein from rolling. It is the right needle to use in patients with shallow veins or those who move a lot or anxious when a blood is drawn. Vacutainer and needle or butterfly, alcohol, cotton balls or pads, tourniquet, blood. Performing blood collections using a butterfly needle rpacss00012 effective date. Drawing blood quickly and cleanly is an important skill for doctors, nurses, lab personnel, or phlebotomists. Venipuncture winged infusion set the butterfly infusion set consists of a needle with plastic wings for gripping and plastic tubing. Since butterfly needles are often less painful than straight needles, you may encounter patients who specifically ask you to use a butterfly needle. Bloodsampling systems who guidelines on drawing blood. Tubes with different additives are used for collecting blood. How to perform a phlebotomy with a butterfly needle. For the routine draws, im not sure why its not used.
Many venipunctures are routine, but you may occasionally encounter some difficult. A common phlebotomist question is whether to use a straight needle or a butterfly needle to increase efficiency and reduce pain during blood collection. Also called a winged infusion set or scalp vein set, a butterfly needle consists of a very thin. Patients are usually nervous if theyve never had it done before, or sometimes they have a phobia of needles or doctors offices.
Needles are available in 20, 21, and 22 gauge with 1 or 1. I have been drawing blood as a phlebotomist for over 15 years before becoming a nurse. If youre on warfarin blood thinner, theyll use a butterfly needle to check your inr because of bleeding problems. This chapter covers all the steps recommended for safe phlebotomy and reiterates the accepted principles for blood drawing and blood collection 31. I am 47, in great shape, and the only thing i deal with is low thyroid which i take armour for. Butterfly needles are an essential tool that is utilized every day in the medical field. Drawing blood from a hand vein using a holder needle assembly is very awkward.
You really shouldnt use a just a needle and syringe to draw routine peripheral venous blood and especially not to give iv meds. This would take a while probably, but that might be one indication for actually switching the butterfly. I read that a butterfly needle hurts less than a regular one. All sites purpose this procedure provides instructions on how to collect a blood sample using a butterfly needle as well as when a blood collection requiring a butterfly needle should be considered.
Ramifications of this discovery will affect not only sbcl, but the sbcl phlebotomist found reusing needles. Anyone else seeing this too, and how important is it to actually switch needles every time. The length of the needle is 2 inch, which limits its use to surface veins. This chapter covers background information section 6. Performing a venipuncture using a butterfly needle youtube. Even though they tend to cost more than the standard needle would, they should always be accessible for those who require medical care. This video will show you what you need to know to get it done. In healthcare, this procedure is performed by medical laboratory scientists, medical practitioners, some emts, paramedics, phlebotomists, dialysis technicians, and other nursing staff. Use of butterfly needles to draw blood is independently. Step by step procedure for how a phlebotomist draws blood. Oct 31, 2018 venipuncture syringes are composed of a plastic syringe with an attached, beveled needle. A patient has the right to refuse a blood collection.
So in class they always teach you to switch needles with every attempt at sticking the patient. A winged infusion setalso known as butterfly or scalp vein setis a device specialized for venipuncture. The chapter includes background information section 2. It is important for the phlebotomist to follow a stepbystep procedure to ensure consistency and to make the. Jan 16, 2020 how to draw blood from hard to hit veins. He sat down in the blood draw chair and started playing with the armrest.
The information given here supplements that given in chapters 2 and 3. Put on a new pair of gloves for each new patient to avoid infection. Well, if you want to draw someones blood also known as phlebotomy this video will show you how to do it. You really shouldnt use a just a needle and syringe to draw routine peripheral venous blood especially not with a 21 21 gauge needle like the one on a butterfly. Performing blood collections using a butterfly needle this document is applicable at sites. If this does not happen then the needle has either not punctured the vein or the needle. How to draw blood with a butterfly needle drawing blood.
Bd winged blood collection set safety lock needle 23g 50. Jun 08, 2015 the stick youve all been waiting forme using a butterfly smile i woke up and this video was still being processed ugh sorry. Watch the video and see what it takes to find the vein, insert the needle and get. Question about blood draws with butterfly needle student. Blood sampling can be facilitated by prewarming the animal using an infrared lamp. Rug kitchen 1pc creative blood bath mat bathroom water slippery toilet carpet floor mats terrorist bloody grey fruit footprint feet black sink wedding kitchen halloween bedroom room draw. Jul 01, 20 this feature is not available right now. Dec 04, 2010 if you get a flash of blood, but then no blood return into the specimen container, try backing out with the needle just a bit, andor slightly increasing the angle of the needle without advancing it.
Obtained by turning the blood collection tube upside down and gently pressing it down to release a drop of blood onto a glass slide. It might have to do with hemolysis of the blood in the syringe. A larger needle, such as a 21g, is best used for drawing blood as the needle is a little thicker and allows more blood to be collected quicker. The function of the butterfly needle is to draw blood samples from wrist, hand and foot, its benefits really appear when the veins are too deep or when uncooperative patients keep moving or is anxious during blood drawn, another feature of the butterfly needle. No clot activator or additive tube should be drawn before coagulation. People who have shallow veins, or people who become anxious and tend to move around sometimes have better luck with butterfly needles. I am a phlebotomist, which are the ones who usually draw blood from patients, and i could tell you most of the time people pick their needles based off of the vein size of the patient. When the needle enters the vein, venous blood pressure generally forces a small amount of blood into the sets transparent tubing providing a visual sign, called the flash or flashback, that lets the practitioner know that the needle is actually inside of a vein. Method used when it is necessary to draw a blood sample from a vein on the back of a patients hand.
If properly inserted blood should flash into the catheter. I was always told by lab techs and other nurses that drawing blood from a 25 gauge butterfly needle can hemolyze the blood. Bd vacutainer safetylok blood collection sets from have been designed to shield healthcare workers from exposed needles. I used to be squeamish about getting my blood drawn until i had a few incidents like you had. In medicine, venipuncture or venepuncture is the process of obtaining intravenous access for the purpose of intravenous therapy or for blood sampling of venous blood. Paediatric and neonatal blood sampling who guidelines on. How to draw blood with a butterfly needle wonderhowto. Printed copies are uncontrolled unless signed by an authorized lab personnel below. These needles are used for drawing blood or giving medications through a vein. Assemble collection materials at the patients bedsidechair side. And beaudin watched for the orange butterfly needle. Each venipuncture needle features a colorcoded hub to assure accurate and convenient gauge size identification. Youll want to do it right to ensure safety and comfort to your patient.
He told romero that school was going well, and his favorite subject is math. During her 22month employment at sbcl, this phlebotomist apparently reused butterfly needles on difficult to draw patients. The system most appropriate for the procedure should be chosen. Even though they tend to cost more than the standard needle. Performing blood collections using a butterfly needle. The 22 g butterfly needle tip was inserted into one of the lateral tail veins approximately 23 cm from the tip of the tail at an angle of approximately 20, and blood was collected in the vacuum. Demonstrates the proper technique for drawing blood using a winged blood collection butterfly set. The speed at which a tube fills using the green needle is leagues faster than the black needle, both which are faster than both butterfly needles. How to perform a phlebotomy with a butterfly needle wonderhowto. Users of these guidelines should read chapters 2 and 3 before reading the information given below. Continue reading step by step procedure for how a phlebotomist.
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