Venous Blood Sampling

General · General · 10–20 min

Venipuncture for standard laboratory investigations.

Indications

  • Any lab investigation

Contraindications

  • Overlying infection
  • AV fistula arm
  • Post-mastectomy limb (relative)

Equipment

  • Tourniquet
  • Vacutainer holder + needle 21 G
  • Order of draw tubes
  • Gauze

Positioning

  • As appropriate for the procedure and patient comfort.

Consent

  • Explain indication, benefits, alternatives
  • Explain risks & complications
  • Obtain written/verbal consent as per SOP
  • Document consent

Universal precautions

  • Hand hygiene
  • PPE — gloves, mask, eye protection
  • Aseptic technique
  • Sharps safety
  • Verify patient identity & site

Step-by-step (0/7)

Tap to complete

1. Confirm patient identity

Two identifiers.

2. Apply tourniquet

3. Select vein

4. Clean & insert

5. Order of draw

6. Release tourniquet before removing needle

7. Label at bedside

Immediate complications

  • Hematoma
  • Nerve injury
  • Arterial puncture

Delayed complications

  • Infection

Recognition

  • Bright pulsatile blood

Initial management

  • Pressure 5 min

Prevention

  • Correct site
  • Release tourniquet timely

Post-procedure observation

  • Vitals q15min × 1h then hourly

Monitoring

  • Site inspection
  • Symptom review

Documentation

  • Procedure note
  • Consent
  • Findings

Patient instructions

  • Report pain, bleeding, fever, worsening symptoms

Drugs used in this procedure

Educational bedside guide. Perform only under supervision until competent. Follow local SOPs and consent policy.

WardRound

WardRound

Clinical Decisions in Seconds