Skill Practice #2: Straight Needle Blood Draw

[@anngallagher7495]

I was a phlebotomy for 45 years...you go more by feel than sight.

[@catricemathews534]

I think I explained that to patients at least 3 times a week. I've been a Phlebotomist for 32yrs. I feel for the vein, with gloves on and then I look away at the same time. Patients will look so afraid sometimes because they thought I wasn't paying attention to where I was going lol! Now I'm the Phlebotomist that they're requesting.🤗

[@rynovandermerwe7041]

Just funny that you called yourself "a phlebotomy" for 45 years 😂

[@asta6252]

45 years of phlebotomy nice.. you should call yourself a phelobotomist.

[@PrettyPriincess]

Wow that’s crazyy I’m going to my externship next week😣 and I’m a little nervous so I came here LOL

[@PRubin-rh4sr]

​@@PrettyPriincessYou're going to miss a lot of veins. That's normal, comfort the patient and be nice. Learn and more experience will HELP. Dont lose hope. I wish someone said these to me when I was starting out.

[@lilmermaid801]

I have had my blood drawn so many times in my life and they almost always start redirecting or fishing for my vein. Last year I had a doctor that was drawing my blood and he had hit something that sent what felt like an electrical shock through my arm. When I asked them about it they just said it’s normal and nothing to worry about. My arm was hurting for almost a month after that experience. I hope more people watch videos like these and learn proper care for patients. Thank you.

[@PhlebotomySolutions]

Thank you for watching and I hope you arm heals completely.

[@a.i3110]

@@PhlebotomySolutions i need help. I am in Germany. And the Dr's refuse to give me an infusion. Where can I find HELP?

[@PhlebotomySolutions]

@@a.i3110 I’m sorry but we have no connection outside the U.S.

[@t.siringi9681]

Ouch!

[@aimeefernback7495]

He likely collapsed your vein. That is NOT normal.

[@jeanniebriggs5826]

I really liked how you are very thorough in your demonstrations! It is very informative & helpful! Thank You!

[@PhlebotomySolutions]

Thank you for the comment.

[@a.i3110]

@@PhlebotomySolutions please help me

[@yvonnedujan1680]

Great demonstration

[@KiwikimNZ]

Great video. I learnt so much from this thank you. 25 years of nursing I have been privileged enough to always have phlebotomy techs to draws bloods for me, but there has been many times where they have not been available and another IV certified RN has had to do bloods for me. We study phlebotomy at nursing school but hospitals are very strict here and you have to do certification once qualified, which I have done years ago but never had to do any bloods, then I never did the refresher, so my certification expired. Since starting a new job at a correctional facility, it will be up to me to do my own and this video has been a great refresher, learnt more here than in my certification course. Thank you ❤

[@PhlebotomySolutions]

Thank you for watching. I’m glad it helped. 🙏

[@JohnnyFukerfaster]

​@@PhlebotomySolutions😂

[@SilentEagle2029]

Just started my phlebotomy course last week. Hoping to be an MA this time next year to get some clinical experience before applying to med school. Your videos have been helping me immensely! Thank you for all you do kind sir!

[@PhlebotomySolutions]

SilentEagle2029 You are very welcome and good luck on your MA journey.

[@PlaysPlaystation]

i'm in the same boat friend, hopefully medical school is in both our futures.

[@paultaylor905]

I hope it worked out for you guys!

[@shalynping]

I hope you are following your dreams still. Wishing you happiness health and a wealthy life❤️

[@melanie9542-v4n]

you can do it!!!! :)

[@nursemamabear]

So informative! I think I learned more from you in these 20 minutes than I did in my 2 year ADN program related to blood draws 😄

[@PhlebotomySolutions]

Thank you for watching and your kind comment.

[@NurseDena419]

Girl me too. I'm about to send to my group text message. This is good

[@Ade419]

I’m entering term 3 of my nursing program. I’ve never poked anyone, this is very informative, and helpful. Thank you ☺️

[@ErnestEdahMedlar]

This is good 👍

[@ibryan7118]

I'm on week 6 of my phleb class (about to start clinicals soon) and my mouth just dropped when I heard you say the piece about redirecting (making sure not to do it). It makes perfect sense as you explained it. Our instructor has been saying otherwise in the classroom. It's always "redirect, redirect, redirect" and prior to seeing your video, I didn't know any different. So glad to have come across your video and I look forward to seeing the others! Thank you for not only showing the how, but explaining the why.

[@PhlebotomySolutions]

Thank you for the comment. I’m glad my videos are helping you.

[@natb5602]

We were trained to pull the needle back as far as possible without fully withdrawing it before redirecting… but it’s an incredibly delicate maneuver. If you just put the needle in and start fishing around you’ll tear the vein or other tissue. I have no idea why your instructors would encourage redirecting. Should always be a last resort.

[@deana.amlott]

yes i’ve been being trained to redirect and i never feel good about it.. i’d rather just start over

[@TejRecordz]

Update

[@Anonymousmiranda12]

This was the perfect educational video. This helped me realize one mistake I just made today! I have watched so many videos trying to find the answer and you’re the only one who 100% answered what I was questioning!! Perfect teaching!

[@PhlebotomySolutions]

Thank you. 🙏

[@brittaneekelly8108]

When I did my medical assistant externship I had an RN observing to make sure I was doing blood draws correctly. There was a patient with very deep veins and I wasn’t confident in trying a second time to prevent the patient any extra pain. The RN took over and as she was trying to find the vein she was fishing and the patient began crying. I felt it wasn’t my place to tell her she shouldn’t be doing that but after that experience I never asked her for help again. I felt so bad that she had to go thru that. It helped me to be more confident in my skills. I’m watching this video because it’s been about a year since I drew blood and wanted brush up on my skills because I have an interview tomorrow ☺️

[@PhlebotomySolutions]

I hope the video helped. Thank you for watching.

[@PRubin-rh4sr]

Hey, fishing isnt all bad. You sometimes cant help but fish, whether the vein rolled or you straight up missed.

[@thrasherzs326]

Looking at this video when I’m trying to be a nurse is very very helpful. Makes me want to get an arm just to practice. Very thorough and accurate, thank you so much for this!

[@PhlebotomySolutions]

Thank you for watching. I’m glad you enjoyed the video. 🙏

[@erzas556]

This is a full course here! So good review for us who are done with the course and still looking for a Job. Thank you

[@JSolisHD]

I've just come home after being admitted after a couple of days with abdominal pain, caused by appedicitis. I've gotten an larascopic appendectomy to remove it.. My nurses were awesome. Not a single wrong hit nor fishing. They drew blood from my Left arm on the Cephalic vein.. It was great watching this video. very informative. Cheers from Copenhagen, Denmark.

[@PhlebotomySolutions]

Thank you for watching.

[@carle5538]

Beautifully explained. A lot of people do not know how to draw blood the way you do. I do hope they watch your videos to help them. Whenever I had to bring my grandmom for blood work they always had a hard time because her veins would collapse or coil. They would end up fishing which like you said would cause more harm than good if they did not know how to do it. Sometimes they would even try three times. It ended up being torture for her. Even some nurses cannot do a proper blood draw. They are probably recent grads. Some doctors also are not very good at this because it takes a lot of practice. Your videos are excellent and hit at the major important points of this important technique.

[@PhlebotomySolutions]

Thank you!

[@imissu1854]

This was in my recommendations even tho I have no clue in medical topics, still I understood every step! You’re very good at explaining and teaching Sir

[@PhlebotomySolutions]

Thank you. And I appreciate your time watching. 🙏

[@김선희-r3q4l]

안녕 하세요 ㅋㅋ ㅋ ㅋㅋ ㅋㅋㅋ

[@Iamcrysiej]

Wow! I have been getting blood draws for over 25 years and the amount of times I have had people do fishing, taping , and all the not recommended procedures is alarming. Thank you for your thorough and helpful tutorial.

[@PhlebotomySolutions]

@@Iamcrysiej Thank you for watching.

[@shalynping]

I'm a nail tech currently and ive had rocky mountain spotted tick fever for four years so I've had my fair share of blood being taken, sometimes 9 vials a month. I'm currently rmsf free and I'm looking for a change in career to phlebotomy because of how great the people were to me and how they helped me throughout passing out, seizing, vomiting, ect (ik it's alot). I love this video, everything is explained beautifully thank you. Wish you happiness and health.

[@PhlebotomySolutions]

Thank you for watching.

[@michellemclaughlin-Fit-at-50]

I’m currently at a Community College 9 month program so I can get the ASCP certification and you are by far better ... you go through step by step and point out the do’s and don’t when performing that I do not get an I paid 4k for this program ... Thank you for sharing as I am a follower .

[@PhlebotomySolutions]

Thank you for the comment and support. I’m sorry you paid so much and you are not getting the best teaching for your money. I’m glad my videos are helping you.

[@TejRecordz]

Update????

[@itsgabbieagain]

Not me thinking this was a real arm 😂

[@XtremeSportX247]

Omg me too.... dam I swore it was a man 👨

[@angelacollins]

I thought it was someone with track marks 🤦‍♀️

[@shadyfranco8881]

Oh my gosh, I thought it was a real arm!! I was getting kinda upset thinking he's leaving the tourniquet on way to long. 😂

[@jaylagabriellewells]

Same!

[@3Xenite]

Same I thought I was sware I thought that was a human

[@Aleena8700]

Why cant all veins be this prominent and easy to find lol! Ugh.

[@PhlebotomySolutions]

Only on a plastic arm lol

[@Aleena8700]

@@PhlebotomySolutions right lol! 🤦‍♀️

[@jamielee_1]

Right! I have done 6 venipunctures in my class and only hit the vein once. It's not as easy as it looks. Lol.

[@LivingwithHydrocephalus]

Agreed! I am a hard stick!

[@Aleena8700]

@@jamielee_1 omg right! It's hard! Lol. Good luck in class! I'm doing mlt and phlebotomy is were I'm at now. Its tough!

[@happygolucky5855]

Im changing career, aged care to pathology collecting and im so excited Ive been binging your videos

[@PhlebotomySolutions]

Best of luck in your new career. Thank you for watching.

[@TheAlhara]

How old are you

[@happygolucky5855]

@@TheAlhara 26

[@TheAlhara]

@@happygolucky5855 well i am 39 am piss of from nursing

[@alexiswhite6926]

I’m half way through my phlebotomy program. Finished butterfly and we are now doing straight needle. Soon, we will be doing actual patients at a site.

[@amallul2521]

I like how you thoughtfully explain I can’t wait to start this journey of phlebotomist tech fall of 2024👩‍⚕️

[@PhlebotomySolutions]

Thank you. I hope you enjoy your class.

[@DianaIvery]

It's a lot as well when u get certified😂

[@TejRecordz]

Update???

[@crazycatlady312]

Things that were never taught in nursing school. Thanks 👍🏿 with all the short staffing I figured I better brush up on my skills in case we have to start doing our own blood draws

[@PhlebotomySolutions]

That you for watching. I’m glad my videos can help.

[@cyhawk16]

I'm an Lpn that's IV certified. I'm not very good at blood draws, I don't have enough practice and some of the folks have spider veins. Any recommendations? I work in long term care so blood draws are not an everyday thing.

[@PhlebotomySolutions]

@@cyhawk16 Watch our other video on locating difficult veins.

[@Anna-rc1px]

Passed my skills final with the help of your videos. Thank you so much ✨ Just took my written final .

[@PhlebotomySolutions]

Great to hear! I’m glad I can help.

[@zero_fkss8775]

I just recently considered becoming a CPT instead of EMT and I absolutely love your videos. Very informative and helpful. With that being said, I've noticed Phlebotomists fishing when drawing from my daughter's arm (she's an epileptic). It infuriates me knowing they're not supposed to do this because of the risks and damage it can cause. So now I'll be paying so much more attention and may very well correct them if they do this.

[@PhlebotomySolutions]

Thank you for the comment and for watch my videos. It’s great to hear that you are learning from them. Keep an eye on the blood draws with your daughter.

[@courtney9291]

Depending on the facility policies, you can redirect your needle which is not the same as fishing. Redirecting is where they pull the needle out just far enough where the bevel is almost out and you reinsert into the right location where the vein is. Fishing is when they don’t do that and they just turn the needle. Know the difference!

[@hannahnicholas6638]

@@courtney9291 thank you. I've been taught by Dr lab technicians and health personal. Fishing and redirecting are two different things

[@joana6037]

become emt its hard to get a job as a phlebotomist

[@zero_fkss8775]

@@joana6037 really? May I ask what state you're in? I'm in Springfield, MO and there's been several Phlebotomy positions posted on job sites. I'm also a routine plasma donor and they keep asking me to apply and learn from them while doing my CPT studies. I still want to become an EMT and eventually a Paramedic (training through the Army though).

[@SunnyMyLove123]

You were so professional and informative. Your lesson allowed me to learn without feeling sick from phobia. The steadying of your hand and finger posture was explained well. I look forward to watching more of your content! Thank you for sharing.

[@PhlebotomySolutions]

Thank you for the comment.

[@Anna-rc1px]

I have 2 weeks left in my phlebotomy program & your videos have been tremendously helpful in helping me hone my skills . Thank you so much 🙂

[@PhlebotomySolutions]

You are very welcome. I’m glad the videos are helping you.

[@airbender9593]

Just poke and draw blood. You don’t need any program. This video just explain your entire phlebotomy program in 13 mins.

[@PhlebotomySolutions]

@@airbender9593 Not if your trying to pass a National exam.

[@tdhatcher25]

​@Airbender it's definitely cause for training for sure

[@erikargap3285]

Hello. I’m also in the 3rd to last week of my phlebotomy class. This video provided a great refresher going over the whole process! Just what I needed to buildup my confidence 👍

[@erikajohnson6781]

Exactly. Of all veins were this prominent then no one would ever miss!!

[@Nicole-io5wt]

thank you for caring about us! muchly apperciated!

[@PhlebotomySolutions]

Thank you for watching!

[@DavisFam513]

I'm getting ready to start my classes for phlebotomy I'm so excited and cannot get enough I'm 31 with 3 boys and now that my youngest is about to be 8 I'm going to do the Saturday classes so I still don't miss out my eldest is 13 then 12 but my husband gets off early on Saturdays so I finally think God has blessed me with this timing I'm just beyond happy and hopeful prayers please ❤

[@TejRecordz]

Update

[@DavisFam513]

I start March 23rd and I will be done April 20th!!!!!!

[@DavisFam513]

What should I expect on my first day of class?

[@KiwikimNZ]

Best of luck hope you enjoy yoyr course. Well done

[@DavisFam513]

Thank you. I'm nervous just because the first day but it's always been a dream of mine so I'm finally doing it my youngest out of three boys is now 7 so mama can start back right where I left off.... It's just a blessing the way everything happens in people's lives.

[@kimberlynmiddleton4587]

Back in the day they made us practice on each other. More realistic than the fake arm and I got over any fear of needles real quick.

[@PhlebotomySolutions]

The plastic arm is for technique purposes. After they master the plastic arm they draw on each other and volunteers.

[@malikasabrina2952]

They allow us to practice on each other but we use the plastic arm first.

[@nancykuo1762]

Thank you very much for sharing this video. I’ve improved a lot of how to use needle more safe before and after the collection as well as the post care instructions. I’ve been taught to palpate the vein without the gloves on, but I agree with gloves on before touching the skin to avoid unknown infectious of the clients.

[@PhlebotomySolutions]

Thank you for watching and your comments. I’m glad our videos helped.

[@nancykuo1762]

@@PhlebotomySolutions Yes, appreciated your supportive videos! The way of the demonstration in these videos is easy to understand how to maintain the proper collection and post care👍 I hope I can improve my skill on locating the correct vein from various difficult conditions.

[@bluetonic100]

I find this video as a nice starting for clinical phlebotomist. As per working in hospitals which I have for the passed 13 years, we do have to “fish” as you put it but there are certain ways to do it properly. Also I find it very weird how you only feel the vein then just go by memory. Seems like it would cause a lot of missed pokes. We are a teaching hospital and your dominate hand doesn’t not feel for a vein, it’s your non dominant index or middle finger we train as our feeling finger. We find out veins and then proceed to poke but we always re-feel the vein. You clean your site your poking and then with the same alcohol swab you clean off your fingers used to feel. So if your not deep enough or two deep you can feel how far to go back etc. Once you have cleaned your site and your finger you do not touch anything with that said finger cause now it’s clean. Also when your pinning your vein depending on the person(s) pinning that low would not be beneficial. While poking elderly people their veins can be very stringy and I’ve pinned them from an inch below the site I’ve poked and they still have moved. Good to show the basic but this is very clinical and doesn’t always apply to real life. In an emergency case when your dealing with a code blue or a car accident your not going to re-poke a patient holding up treatment when you can safely pull your needle back and change angle to get into the vein your on the side of.

[@PhlebotomySolutions]

I agree with your assessment but for legal purposes we can’t indorse practices that go against the standard of care or governing agencies. Those practices have lead to severe injuries and lawsuits.

[@herreaper09]

I'm about to start classes these videos help so much . Thank u

[@PhlebotomySolutions]

@@herreaper09 Thank you for watching.

[@stacekane4065]

Thank you for your thorough explanation and demonstration of drawing blood. I found this very helpful.

[@PhlebotomySolutions]

I’m glad it helped. Thank you for watching.

[@monicatillah3400]

Representing BSMT 3E what's up mga katusok PS: Thank you for the video, very informational!

[@amydrescher3646]

The videos are very helpful. Do you have any helpful tips drawing labs from a Geriatric patients.

[@babysisdolls3336]

i had not drawn blood since 2017 ..i watched 2 of his videos and i got it on the second try.

[@PhlebotomySolutions]

Thank you for watching. I’m glad to read they helped you.

[@babysisdolls3336]

@@PhlebotomySolutions thank you so much!

[@NoelBD34]

Thank you sir! I really appreciate the effort of showing us the best way of drawing blood! God bless!

[@PhlebotomySolutions]

Thank you for watching.

[@kindaintrovert208]

I work in a animal clinic and a coworker told me its easier to feel the vein if you have smaller cloves. So I always use a size or two smaller gloves

[@PhlebotomySolutions]

Yes, smaller gloves sometimes help to feel the vein.

[@johanna8043]

Thank thank thank you. This video saved me on my first draw day. Amazing video 👏

[@PhlebotomySolutions]

Thank you for watching. 🙏

[@VickiLynn54]

Excellent phlebotomy instructions very plain and understandable to most any human

[@PhlebotomySolutions]

Thank you for watching.

[@neishasanchez3559]

I am new nurse student and this is very clear explanation , thank you.

[@PhlebotomySolutions]

Thank you for watching. 🙏

[@melaniepaul4235]

This is excellent and so thorough! Thank you. Love you lecture

[@PhlebotomySolutions]

Thank you for watching and the comment.

[@demarquisedwards2055]

I'm a phlebotomist and The videos helps out alot because it hard sometimes finding a vain if they are so deep and or if they have small vain

[@PhlebotomySolutions]

Great to hear! Thank you!

[@PrettyPriincess]

This actually is very helpful. Although I went to school, I kinda forgot (just a little lol) but this rlly helps to refresh you’re memory! lol thanks ❤ 🙏

[@PhlebotomySolutions]

You are welcome. Thank you for watching.

[@tacarasworld9038]

The fishing part Boston medical does that alot. Now i know because im in class for phlebotomy thank you so much

[@ewadziatkowska1059]

Your accent is exellent,understand everything , greetings from Poland

[@PhlebotomySolutions]

Thank you watching and the support.

[@luciousalpaca6481]

Considering doing a phlebotomy course after i complete my CNA.

[@PhlebotomySolutions]

@@luciousalpaca6481 That would be great. You will have more opportunities in the job world.

[@asianboy2177]

does the test tube already has substance in it before placing it to the vacutainer? For example, does the blue tube cap already has coagulants in it before placing it in the vacutainer and then draw blood?

[@PhlebotomySolutions]

Great question. Yes, the majority of tubes already contain additives. You can read the label on each tube to check.

[@siquellathomas3770]

I appreciate this teaching . Great instructions. I am thinking of studying phyblotomy

[@PhlebotomySolutions]

Thank you for watching. You can study phlebotomy on my channel. I cover all the subjects.

[@siquellathomas3770]

Ok thank I will take that in consideration 🙏

[@quinnkerry-rockov4]

Great video!! You are a great instructor and explain things very well. Also, this video was like ASMR to me.

[@PhlebotomySolutions]

Thank you! I really appreciate your support and for watching. 🙏

[@thediscosisters9388]

This is amazing. Thank you for teaching me how to. I’m getting a silicone Arm and a IV kit. Your amazing

[@PhlebotomySolutions]

Thanks for the comment and for watching. I’m glad the video helps.

[@SunnyMyLove123]

Never considered getting that kit for proper practice. Great idea!

[@Neeraj-hw6ou]

Very nice information.....I tried my best with patients and feel him comfertable with us

[@PhlebotomySolutions]

Thank you.

[@elijahrohovit2224]

Is of bad that I've had nurses "fish" around in my arm and it caused MASSIVE bruising.

[@PhlebotomySolutions]

Elijah Rohovit Yes, it’s bad. It’s a violation of the standard of care act. Those needles are like micro scalpel that cut under the skin. They can cut a artery or cut a nerve. Very dangerous.

[@elijahrohovit2224]

@@PhlebotomySolutions Thank you for letting me know this. It was very useful.

[@kelcee8406]

Me too

[@jaceskingdom2337]

I have also! I am double jointed in my elbows and my veins 'roll' and I was dehydrated which made it harder but my mother is a Rad Tech and requested another nurse after she blew through one of my veins after fishing. smh

[@screamingmimi90]

@@jaceskingdom2337 hello. You don’t know me, but I feel the need to tell you that “double jointed” people can *sometimes* have Ehlers-Danlos Syndrome. It is a genetic condition and it is very rare. My daughter’s elbows bend backward. So do her knees, thumbs, fingers, etc. It is a defect in the production of collagen, and therefore can affect the whole body. My daughter is a very difficult draw, and I’m a medical lab tech, so we have had many discussions about it. Please check out the Ehlers-Danlos Society for more information. Some varieties of it can be dangerous. At the very least EDS can cause widespread pain with no apparent source. Best of luck to you. www.mayoclinic.org/diseases-conditions/ehlers-danlos-syndrome/symptoms-causes/syc-20362125

[@breannamartinez6556]

Thank you soo much for this video you helped me when I was practicing in-front of my instructor. The last time I practiced this processed I didn’t do to well but this time I did much better again thank you❤️❤️❤️❤️

[@PhlebotomySolutions]

I’m glad to hear you did better with our videos helping you. Thank you for watching.

[@juliedugre662]

If i think i don’t have enough blood in the tube, can i reinsert a tube to put more blood in it or it won’t flow ?

[@jlmcgrot]

The tubes are vacuum sealed and should stop when the correct amount of blood is drawn. Don't pull the tube early, and this shouldn't be an issue.

[@juliedugre662]

jlmcgrot : thanks for anwsering me !

[@thintceasar]

You can actually. Whenever I draw blood for INR I always check if I have enough. You may insert it back to fully fill it. If you exhaust the vacuum that means you reached the maximum amount.

[@juliedugre662]

Thint Ceasar : Thanks ! 👍🏼

[@HarrietLizzie]

Question from a non-medical student (just watching these videos out of curiosity), why does the blood only flow out of the needle once you’ve attached the tube?

[@prncesskay98]

The tubes have a vacuum! They stop filling when they’re full, too.

[@abkayla1T]

Also the needle has rubber on the end so when u put the tube in, it pushes back the rubber and the vacuum of tube allows filling

[@chaincommander5980]

SIMPLY EXCELLENT!! Nicely done sir! Please leave a link were to purchase the half arm manikin. ty.

[@PhlebotomySolutions]

Thank you for watching. You can purchase the arm at Amazon.

[@mmaciel7317]

I really like the tone of voice you use. It’s soothing. Your videos are so helpful, I wish I had taken your class. I passed my exam, however I’m having difficulty finding a job. Do you have any recommendations? Some labs won’t hire without experience. Thanks!

[@PhlebotomySolutions]

Thank you for the comment. One way to get noticed is to look for volunteer work at medical offices or hospitals.

[@joaquinpalmajose5654]

I 7y and 747

[@qaffan17]

I had the same issue and had to go through temp agencies to get my newest job at a hospital but before now I couldn’t find one for 2 years 😑

[@bella_jfk]

This video is Gold! What would be the Best Anticoagulant to mix with blood which makes it last the longest and not cloag and dry? Also can these kinda od tubes be opened wuite easily?

[@dgut1976]

I currently work as a phleb in the lab at my local hospital and the caps on the tubes can popped off without any struggle. The analyzers require that the caps be removed so the sampler can dip in and grab the serum and run the ordered tests. If a Ferretin test is ordered, the serum has to be poured our pipetted into another tube and sent out to the reference lab to be run.

[@livvydays8545]

16 minute mark I needed tips on how to stabilize when changing out tubes. Thanks.

[@PhlebotomySolutions]

You are welcome.

[@valerieneal4259]

Very helpful video. Where did you get that artificial arm from?

[@PhlebotomySolutions]

Thank you. It was purchased at Amazon.

[@jessicatesch4924]

Great video! I want to know where your arm is. I teach MA students and would love an arm like this to practice vs a part of an arm.

[@PhlebotomySolutions]

Thank you. Look under the description for ordering an arm.

[@abhaymehta1761]

Can this needle be use second time on a patient ? Simply Asking as i felt that it was a used needle which was used for my blood collection The blood collection person even said that the needle cannot be reused as the old blood sticks in the needle due to which new blood cannot enter the tube for collection. Can you just verify what he said is correct?

[@PhlebotomySolutions]

@@abhaymehta1761 A needle can never be refused on a patient once it is out of the patient. The reason is not what the person told you. It’s a standard practice and rule that once the needle is out of the arm it must be locked and thrown away on the sharps, period.

[@Patricia-e7c]

Not with the new needles. That said, they used to clean, sterilize, and autoclave needles and reuse them on patients. New ones could not be reused because the plastic would either disintegrate or melt.

[@PhlebotomySolutions]

@@Patricia-e7c Needles should never be reused. The bevel would have blood residue in the needle that cannot be removed no matter how much you clean it. This was the reason that CLSI stepped in to many states, including California to regulate phlebotomy. Certain labs in California were caught reusing needles after trying to clean them. Never should you reuse needles after they’ve been removed from the site.

[@Patricia-e7c]

@@PhlebotomySolutions I learned to draw blood in 1966. At that time they did not have disposable needles. All needles were cleaned, sterilized, autoclave and reused.

[@PhlebotomySolutions]

@@Patricia-e7c Well, that explains it. That is a lot of possible diseases, and viruses being spread around.

[@qaffan17]

Phlebotomist here thank you for such an informative video 💖

[@PhlebotomySolutions]

Thank you for the comment and support.

[@cyndidurrell7963]

I wish I had known about these videos when I took phlebotomy! - Maybe I could have been successful. You're teaching everything I needed to know!

[@PhlebotomySolutions]

Then you for watching. I wish you had them during class too.

[@EDW-task8]

So when a vet nurse presses your arm and keeps the turn on till your about down.....might cause clots or future issues? Esspeically if done over and over again and made to look like im the one being finicky and passing out.........thanks the few nurses at san diego AHF! How many times to really mess me up or get the medical board up on there?

[@luvenfuentes3194]

When I have my blood drawn,the phlebotomist always find my veins difficult,they called me a hard stick,so it always on the back of my hand,the model above which is a mannequin has beautiful veins,which in reality is about 75% are hard to stick

[@Notinuseicey]

i searched up how to draw blood and this not what i meant 😂

[@Iamdianelouise]

Watching from Vegas. Great video

[@PhlebotomySolutions]

@@Iamdianelouise Thank you for watching.

[@coptarors9635]

Why when I puncture superficial vein where it’s the most prominent, the needle goes in just a tiny bit but blood already starts leaking out and splatter all around, later the selected vein is then collapse and left the patient with huge bruise, what is the cause? Should I select more deeper vein?

[@PhlebotomySolutions]

The vein pressure from the tourniquet might be too tight. Try loosening the tourniquet.

[@selfmadeamarodloverkaterka3185]

What can be the reasons why patients gets a bruises? (I mean more then one and the common ones)

[@PhlebotomySolutions]

There could be many factors involved. One could be that the patient wasn’t told to not lift anything heavy for at least an hour on the punctured site and they did which caused the bruise. Another could be that the phlebotomist placed the torniquete to close to the site which caused a bruise or even the vein to colapse. Lastly, the patient bent their elbow after the draw thinking it would help stop the bleeding but caused the blood to leak out under the skin and cause a bruise. Again, many factors can be the cause of a bruise on the patient.

[@MuhammadAslam-f1v]

Well explained I mean this video is enough for us really really appreciate you 🎉🎉🎉

[@PhlebotomySolutions]

Thank you! Please consider becoming a member. We need the help to make more content.

[@babyXelle]

I had someone draw my blood once that did fishing as you mentioned here and I ended up with a giant bruise and I actually passed out from the pain

[@maciejjaroszewski]

I was always fascinated about healthcare but never could done anything because since I was little I have blood, needle, surgery phobia. I have fainted few time when my blood was draw. Even visit in dentist makes me sick, dizzy, light head, sweating. Few weeks I have started exposure therapy to overcome my phobia. I'm wondering if you know someone who had the same problem as me and know that person works with blood, etc. Love your channel

[@PhlebotomySolutions]

I think once you get into it and practice, it will pass. It’s a mental thing.

[@zzzog2163]

I think I want to go into phlebotomy just so I can know if they're doing it right/wrong. I've had so many bad experiences where they're fishing around for the vein, and one time (I think it was her first time or maybe she was purposely doing it wrong) but she had poked the needle in perpendicular to my arm instead of parallel and was rotated 90° counter clockwise in my left arm and was also at about a 45-60° angle in relation to the slope of my arm(instead of 15-30)and she kept wiggling it around because she couldn't get any blood flow all the other times the needle had been aligned to be parallel with the vein pointing from my wrist towards my elbow, I didn't say anything because I wanted her to just get it over with, I was getting an std test and I think it was her way of trying to punish me, when I'm literally doing the good thing of stopping the transmission of diseases by getting regularly tested and treated and knowing my status. Most recently I had a procedure under twilight anesthesia and I'm pretty sure the person had done something wrong, because it was getting all splotchy and stuff and I guess the saline wasn't on and it had made a bloodclot in the back of my hand, and when they flushed the line it was EXTREMELY painful and I could feel the clot moving up into my wrist and forearm and then they did another flush and it burned probably because of the extreme volume that was being pushed through all at once but it felt like the clot had gotten stuck in my wrist so it wasn't as bad. They gave me some propofol and it burnt quite a bit but was nothing compared to the saline flush and feeling a shooting/jabbing feeling spike up my arm. Also when the iv was taped into place it was parallel with the vein but elevated so it was pulling the skin with the vien upwards and creating like a parabolic downwards curve(idk if that's normal but usually I've had the butterfly ones in and it lays next to the skin and isn't elevated) afterwards I had a massive bruise all around the iv site and also had a lump in the vein at the insertion site and slightly downstream right before the wrist(which I felt it move up past the wrist about an inch or 2 into the forearm but it seems to have gotten stuck right before the wrist) and the vein used to get big and bulbous when it vasodialated with the other veins in my hands but now inbetween the bumps it's extremely skinny when all the other veins dialate, it would also give like a pulling sensation when I move my hand towards my forearm(which is similar to when it hurt to pull my foot towards my shin when I had DVT).

[@kringy1074]

After reading this, I think you have a difficult veins. Veins can be prominent but some veins just collapsed or too thin or movable. That's why it's hard to puncture those kinda veins. And it's common that you have bruised after the venipuncture tho not all. Just apply pressure for 2 mins on the site after the extraction to avoid bruising

[@kringy1074]

Just had a hiv pos patient also. His veins were prominent but fragile so it sometimes collapsed while taking the blood

[@kringy1074]

And I think for me it's better to try to fish first because possibility is you can hit the vein afterward than extracting twice or thrice. Sometimes fishing aint that painful if done properly. But you should ask the patient if it's already painful, then you should take out the needle already. Just my opinion. So when it's hurtful for you, you should notify the phlebotomist

[@kringy1074]

Sheena Beena you dont fish? So if you cant get it right away in the first shot you go for another one?

[@echonetterville7634]

This video is vindication for everytime i asked some one not to try to scrape about inside my arm...

[@PhlebotomySolutions]

Thank you for watching. I’m glad it helped.

[@noormoha242]

Thanks, Sir your videos are so helpful and you are amazing at teaching

[@PhlebotomySolutions]

Thank you very much for the comment. I appreciate your support and thank you for watching.

[@n8tivebarbie657]

By far this is my favorite needle to use in my phlebotomy class.

[@NorseForse]

Straight needle was my favorite to use too! (Former phlebotomist- "medically retired" now.) I always felt I had better "control" with them and they were easier to maneuver. Using a butterfly adds another element to the draw that you need to be mindful of during a draw! (Those damn wings! Lol) When I went to school and first became employed as a phleb (2000s) most draws were done using a straight needle. Butterfly needles were the exception, not the rule, and not used frequently except in children and of course those patients who insisted on a butterfly. (They thought it was smaller & less painful... even though the needle gauge size was exactly the same! I think they're just less intimidating ;) Many employers also didn't want phlebs using the butterflies too often because they were more expensive than straight needles. Now days, it seems a butterfly is the primary needle used for most draws; I have frequent blood draws and my roommate-a cancer patient-has a bazillion draws every month. I rarely see a straight needle anymore. I don't know if employers finally gave in to the popular demand for butterflies or the cost got cheaper-or both-but like I said, I rarely see a good old straight needle being used anymore.🤷‍♀️ No matter how long it's been since I've been out of the field, I STILL secretly check out the veins of people in my field of view! 🤣Good luck to you!👊

[@sp1r1tsage]

In the hospital I work at, we are actually not allowed to use coban (which was odd to me because I used coban ALL THE TIME at the outpatient lab I worked at), but they say its because overtime, the coban will 'dry' and tighten around the arm and could cause a makeshift tourniquet, since most of the time a patient isn't going to remember to take the bandage off (they are inpatient.), so we are only allowed to use blue microtape, which is thankfully SO much better than paper tape, but still. I found that discovery pretty baffling.

[@PhlebotomySolutions]

In patient micro tape makes sense because they will forget or are under medication. But my video is mainly for outpatient coban use.

[@VioletParan]

I really appreciate how you are doing Awesome!

[@PhlebotomySolutions]

Thank you for watching. 🙏

[@faizah6433]

Thanks for clarifying and replying ASAP I appreciate it. We use most of your videos for phlebotomy class.

[@PhlebotomySolutions]

Thank you. I’m glad they are helping with your class.

[@adelam.472]

Thank you! This is so helpful and very informative!

[@PhlebotomySolutions]

Thank you for watching.

[@River_wylde]

I wonder if i got one of these and practiced if itd help get over the fear of blood draws bc i full on jerk and pass out seizure like when getting blood drawn

[@Patricia-e7c]

If you pass out or have seizures due to blood draws, I would not think that having a fake arm to practice on would allow you to get over this. Theres no reason to be embarrassed by this! Tell your phlebotomist when you first walk in.

[@carlosmartirjr.300]

18:12 I never like to put my 2 by 2 over the needle, okay. I keep it on the side. The reason being is again seriously. If I put my hand over the needle and just place it here when I come out if the patient should jerk or I get bumped, where is the needle? It’s lined up right here in front of my hand and finger and if this needle can go right through the gauze and stick me with a contaminated needle with blood on it. So I don’t wanna do that. So once I’m in, do not bring your hand over. It is dangerous. I'v seen people get stuff that way. I come on the side right here next to the arm. I bring my needle out and as I move away I cover and place my 2 fingers over the site. Immediately capping my needle. Once I cap it, then I dispose it my needle.

[@kaaa3485]

Thank you so much for the video!!! it was so helpful. Can you do a video on when do use a syringe instead of butterfly or evacuated tube? would you also, do a video on how to find difficult stick? Thank you so much!!!

[@PhlebotomySolutions]

Thank you food watching. We have videos on those subjects you listed. Please check our video list.

[@MaxClyde]

Thanks for the details and your thoughts on how you operate in real-life to optimise the process, including where to place equipment and how to hold stuff so as to not obstruct the flash of blood. One question I have is about the tubes and the vacuum that helps pull the blood - is it best to keep the tube in place inside the plastic hub, ready to be fully popped into the plastic hub/vacutainer holder, or does that affect the vacuum in a way that renders it useless and that you should instead just keep the tube totally away and only pop it in once you're inside the vein? Actually, now that I think of it, should you be able to see the first flash of blood even if the tube isn't fully inserted, or not inserted at all?

[@PhlebotomySolutions]

Some phlebotomist like to put the tube in the holder before puncturing the vein. Once they are in the vein then they will push the tube in to obtain the blood. That is more of a personal preference and does not affect the vacuum of the tube as long as you don’t push it in before puncturing the vein.

[@nayellyr70]

Just a regular mom here but I’m glad I watched the whole video I seen too many times where nurses had fish my kids arms, I know next time

[@mujjuman]

i struggle with both blood draws and IV placement

[@Whenstarsfade]

Excellent advice to keep the gauze out of the line of fire. 👏

[@PhlebotomySolutions]

Thank you!

[@soulfamilyone2242]

Why am I cringing inside like I'm actually feeling this😂😂😂😂thank you so much !!!!awesome tutorial❤❤

[@Blueberry_MuFfInN]

I’ve gotten my blood drawn like twice a week when I was little because I had low iron but still today I get it pretty often for blood tests but getting a blood drawn isn’t so bad but when you get it,try not to look at it because it makes you even more nervous and think of something else but overall I think this is a great video.:D

[@PhlebotomySolutions]

Thank you for watching.

[@DaishaHolloway]

Hello im in a phlebotomist program and I did my first draw and didn’t. Get any blood the teacher said I went in “too slow” any tips for going in fast but not hurting any one

[@PhlebotomySolutions]

It just takes a lot of practice on a plastic arm and getting your feel for putting the needle in and removing it. Practice, practice, practice.

[@Patricia-e7c]

​@@PhlebotomySolutions Pssst , I never allowed my students to use "fake" arms. It went miserably slow at first giving directions to each student, but as they got more skills it went faster. They really do need one / one guidance.

[@PhlebotomySolutions]

@@Patricia-e7c You always start by teaching proper technique on a plastic arm before letting them do a live draw. This helps prevent patient injury that can be dangerous.

[@Patricia-e7c]

@@PhlebotomySolutions What did they do before fake arms came into existence?

[@PhlebotomySolutions]

@@Patricia-e7c They used fruit.

[@airbender9593]

I did hear anything about pumping the fist in this video. After tying the tourniquet, do the patients pump their fist?

[@PhlebotomySolutions]

Great question. The patient is never to pump their fist. Please watch my video “Tips For Locating Difficult Veins” for a explanation as to why. Thank you.

[@nicollabreen3335]

Have you done a video on people who have rolling veins? I was told by a phlebotomist I have rolling veins after it took 5 sticks to finally get one vial of blood.

[@PhlebotomySolutions]

Great question. My video about the butterfly draw deals with it.

[@claireforrest6451]

No one has this 🙄. The phlebotomist clearly wasn’t very good. 9 times out of 10 it’s nothing to do with patients being “difficult “. It’s the experience and the skill of the person taking the bloods.

[@adarshpatel8238]

Hi I had 2 years of phlebotomy experience from India and now I am in the UK and I am looking for a job but I want to learn more techniques with butterfly needles and all that you are showing beacause I have experience with only syringes. So can you please guide me which course should I do?

[@PhlebotomySolutions]

Thank you for your comment and your question. Our videos are designed to teach you the skills so please watch as many as you can. Our videos are also used for our students in the classroom.

[@leezhengyangbrandon5080]

You know all of this sounds really impractical; i agree that you're doing it in a systematic order with no room for mistakes or accidents which is really good. But in a setting where equipment like this is really lacking and you're racing against time, you make do with what you have and sometimes I think being able to adapt to different situations when you're unable to have the situation as to your liking makes more sense than just following the proper procedure to get the blood draw. At the end of the day you wanna get the blood from the patient and get out of there asap so as not to cause any more discomfort than you already are.

[@ElloFantasy]

His videos are all based off of the legal standards expected. While others may not agree with how it is done, this is actual the legal way to do it. Cutting corners is dangerous and sets you up for some pretty nasty lawsuits as well. Getting in and out quickly isn't as important as doing it safely, especially when it comes to dangerous pathogens. Accidental needle sticks can also leave the phlebotomist with exposure to dangerous conditions. Take HIV for example. Being able to adapt to different situations is good, but for phlebotomists they have specific standards that they MUST legally follow. In the case of an emergency situation (from my personal experience) they went in and poked around and if they couldn't get something quickly, they went for the hand.

[@gabbyslife4965]

Omg you just helped me figure out why I don't have good hand skills to hold the needle, draw the blood, reach for tubes all at the same time. It's bc I'm right handed. They taught me in school but I forgot. Thanks for refreshing my memory

[@PhlebotomySolutions]

You are welcome. I’m glad it helped.