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Venipuncture: Butterfly Method
Venipuncture: Butterfly Method Mohamed Ibrahim 26,959 Views • 2 years ago

What is Venipuncture? While venipuncture can refer to a variety of procedures, including the insertion of IV tubes into a vein for the direct application of medicine to the blood stream, in phlebotomy venipuncture refers primarily to using a needle to create a blood evacuation point. As a phlebotomist, you must be prepared to perform venipuncture procedures on adults, children, and even infants while maintaining a supportive demeanor and procedural accuracy. Using a variety of blood extraction tools, you must be prepared to respond to numerous complications in order to minimize the risk to the patient while still drawing a clean sample. In its entirety, venipuncture includes every step in a blood draw procedure—from patient identification to puncturing the vein to labeling the sample. Patient information, needle placement, and emotional environment all play a part in the collection of a blood sample, and it's the fine details that can mean the difference between a definite result and a false positive. After placing the tourniquet and finding the vein, it's time for the phlebotomist to make the complex choice on what procedure will best suit the specific situation. Keeping this in mind, it should be noted that the following information is not an instructional guide on how to perform these phlebotomy procedures. Rather, the information below is intended to serve as an educational resource to inform you of the equipment and procedures you will use. Venipuncture Technqiues Venipuncture with an Evacuated or Vacuum Tube: This is the standard procedure for venipuncture testing. Using a needle and sheath system, this procedure allows multiple sample tubes to be filled through a single puncture. This procedure is ideal for reducing trauma to patients. After drawing the blood, the phlebotomist must make sure the test stopper is correctly coded and doesn't contact exposed blood between samples. Venipuncture with a Butterfly Needle : This is a specialized procedure that utilizes a flexible, butterfly needle adaptor. A butterfly needle has two plastic wings (one on either side of the needle) and is connected to a flexible tube, which is then attached to a reservoir for the blood. Due to the small gauge of the needle and the flexibility of the tube, this procedure is used most often in pediatric care, where the patients tend to have smaller veins and are more likely to move around during the procedure. After being inserted into a vein at a shallow angle, the butterfly needle is held in place by the wings, which allow the phlebotomist to grasp the needle very close to the skin. Phlebotomists should be careful to watch for blood clots in the flexible tubing. Venipuncture with a Syringe: This technique is typically only used when there is a supply shortage, or when a technician thinks it is the appropriate method. It uses the classic needle, tube, and plunger system, operating in a similar manner to the vacuum tube but requiring multiple punctures for multiple samples. Additionally, after the blood is drawn it must be transferred to the appropriate vacuum tube for testing purposes. If you choose to use this method, remember to check for a sterile seal, and use a safety device when transferring the sample. Fingerstick (or Fingerprick): This procedure uses a medical lance to make a small incision in the upper capillaries of a patient's finger in order to collect a tiny blood sample. It is typically used to test glucose and insulin levels. When performing a Fingerstick, the phlebotomist should remember to lance the third or fourth finger on the non-dominant arm. Never lance the tip or the center of the finger pad; instead, lance perpendicular to the fingerprint lines. Heelstick (or Heelprick): Similar to the Fingerstick procedure, this process is used on infants under six months of age. A medical lance is used to create a small incision on the side of an infant's heel in order to collect small amounts of blood for screening. As with a Fingerstick, the incision should be made perpendicular to the heel lines, and it should be made far enough to the left or right side of the heel to avoid patient agitation. Before performing a Heelstick, the infant's heel should be warmed to about 42 degrees Celsius in order to stimulate capillary blood and gas flow. Therapeutic Phlebotomy: This involves the actual letting of blood in order to relieve chemical and pressure imbalances within the blood stream. Making use of a butterfly needle, this therapy provides a slow removal of up to one pint of blood. Though the blood removed is not used for blood transfusions, the procedure and concerns are the same as with routine blood donation. As with any phlebotomy procedure, one should pay close attention to the patient in order to prevent a blood overdraw. Bleeding Time: A simple diagnostic test that is used to determine abnormalities in blood clotting and platelet production. A shallow laceration is made, followed by sterile swabbing of the wound every 30 seconds until the bleeding stops. Average bleed times range between one and nine minutes. As a phlebotomist, you should familiarize yourself with the application and cross-application of these procedures in order to recognize when a procedure is necessary, and what the risks are for each.

He Had KNEE PAIN With Every Squat!
He Had KNEE PAIN With Every Squat! Scott 80 Views • 2 years ago

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Epiglottitis
Epiglottitis Mohamed Ibrahim 18,423 Views • 2 years ago

Endoscopic picture of turban epiglottis in patient of epiglottitis

 LIVE VIDEO:  IMMEDIATE ANATOMIC CERAMIC IMPLANT IN 3 MINUTES!
LIVE VIDEO: IMMEDIATE ANATOMIC CERAMIC IMPLANT IN 3 MINUTES! implant 15,487 Views • 2 years ago

LIVE VIDEO: IMMEDIATE ANATOMIC CERAMIC IMPLANT IN 3 MINUTES! dentistry

myringotomy & glue ear
myringotomy & glue ear samer kareem 1,615 Views • 2 years ago

A myringotomy is a procedure in which your doctor creates a small hole in the eardrum so fluids such as water, blood, or pus can drain out. In many cases, your doctor will put in a tube so it won't get backed up again. The tube, which will usually fall out on its own in about six to 18 months, lets air flow through and keeps the middle ear dry. Tubes also: Reduce pain Improve hearing Cut down on the number of infections your child may have

Laparoscopic Release of Celia Artery Compression Syndrome
Laparoscopic Release of Celia Artery Compression Syndrome Mohamed 911 Views • 2 years ago

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Conjunctival Nevus Excision
Conjunctival Nevus Excision samer kareem 3,210 Views • 2 years ago

Laser used in EVLT
Laser used in EVLT aamato 6,150 Views • 2 years ago

How laser works in EVLT See more here: http://www.vasculab.com.br Laser em varizes

Male Urogenital Examination
Male Urogenital Examination Scott George 59,590 Views • 2 years ago

Basic well-male examination of the genitals and digital rectal exam.

EAR INFECTION With DRAINAGE
EAR INFECTION With DRAINAGE samer kareem 11,157 Views • 2 years ago

The is a time lapse video animation of a complicated ear infection with a ruptured eardrum causing drainage with eventual healing. The video also shows why a period of hearing loss and clogged/muffled ear sensation may occur.

Infant CPR
Infant CPR paul Martin 2,713 Views • 2 years ago

Infant CPR Learn more at http://www.ProTrainings.com

What we do for massive lymphedema ?
What we do for massive lymphedema ? samer kareem 1,783 Views • 2 years ago

The lymphatic system is a network of specialized vessels (lymph vessels) throughout the body whose purpose is to collect excess lymph fluid with proteins, lipids, and waste products from the tissues. This fluid is then carried to the lymph nodes, which filter waste products and contain infection-fighting cells called lymphocytes. The excess fluid in the lymph vessels is eventually returned to the bloodstream. When the lymph vessels are blocked or unable to carry lymph fluid away from the tissues, localized swelling (lymphedema) is the result.

Surgical abortion - end
Surgical abortion - end Paul Jensen 35,657 Views • 2 years ago

The products of a surgical abortion.

Is Your Vertigo BPPV or Autoimmune?
Is Your Vertigo BPPV or Autoimmune? samer kareem 4,596 Views • 2 years ago

Is your vertigo or dizziness BPPV or autoimmune?

Recognition Of Pathogens By The Innate Immune System
Recognition Of Pathogens By The Innate Immune System samer kareem 1,650 Views • 2 years ago

Slipped Capital Femoral Epiphysis (SCFE)
Slipped Capital Femoral Epiphysis (SCFE) samer kareem 5,213 Views • 2 years ago

There is a strong association with obesity. In children younger than 10 years, it is associated with metabolic endocrine disorders {hypothyroidism, panhypopituitarism, hypogonadism, renal osteodystrophy, growth hormone abnormalities). SCFE is considered chronic if it has been present more than 3 weeks and acute if it has been present for 3 weeks or less. It is called "stable" if the patient can bear weight and "unstable" if the patient cannot ambulate. Unstable SCFE is associated with more complications, including avascular necrosis of the femoral head (AVN). SCFE is diagnosed by x-ray of the pelvis and bilateral hips. The underlying cause is a widened epiphyseal growth plate, due to abnormal cartilage maturation and endochondral ossification. The treatment is surgical, requiring immediate internal fixation with a single screw. Delay in treatment {> 24 hours) leads to increased AVN, SCFE progression from stable to unstable, and high risk of future degenerative arthritis. Prophylactic contralateral fixation of the unaffected hip is not routinely done in the U.S., except in patients with endocrine abnormalities.

Tibial Bone Transport Over an Intramedullary Nail !
Tibial Bone Transport Over an Intramedullary Nail ! samer kareem 1,212 Views • 2 years ago

Childbirth Preparation
Childbirth Preparation Medical_Admin 10,178 Views • 2 years ago

In this video, Jenna talks about Braxton Hicks contractions and preparing for labor.

How To Survive In A Sinking Car
How To Survive In A Sinking Car samer kareem 1,723 Views • 2 years ago

How To Survive In A Sinking Car

HOW BABY GROWS IN THE WOMB DURING PREGNANCY
HOW BABY GROWS IN THE WOMB DURING PREGNANCY samer kareem 2,649 Views • 2 years ago

HOW BABY GROWS IN THE WOMB DURING PREGNANCY

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