Venepuncture using Monovette System

[@charles7003]

Im a phlebotomist in the u.s and i've never seen a monovette system. we use BD or Greiner (I prefer Greiner ETS) also, we aren't allowed to touch the patients skin without gloves even while palpating. Lastly, I wish we had those tourniquets! that would be so much easier than the elastic ones we use and have to tie!

[@thomasagsmith123]

They can be used like the bd vaccutainer system too if you pull the plungers back and snap them off before you break the seal it creates a fresh vacuum till it’s placed on the back of the needle. Typically you’ll aspirate the first tube to be sure your in the vein

[@trinao9642]

What is the order of drawer for monovette system

[@ninaliljan235]

Hi! When you pull out the syringe, do you pull untill it clicks while still attached to the needle? I tried the monovette system for the first time today, and found that I could pull it out untill the click, but had to loosen it from the needle to get the clickout of fear of pushing the needle further in while pulling it out to click.

[@sarahhosier4800]

Hi Nina, I recommend from personal experience to let the tube fill, but not worry too much about it clicking until after you've finished the venepuncture when you snap the end off. When people are really focussed on clicking whilst the needle is still in the arm, I find they're more likely to lose the vein or accidentally pull the needle out as they're not focussing on it so much. I only recommend aspirating (using the syringe pull) for the first tube. Before you perform your venepuncture, pre-prep any tubes you need to do after the first by pulling, clicking and snapping them so they are pre-vacuumed and ready to go. I advise to always aspirate the first tube though, as it'll help you find and stay within the vein - if that makes sense? :) I was so nervous about doing the video I didn't think to demonstrate that, so will do another video shortly showing the process with more than one tube.

[@ninaliljan235]

Thank you! We've learned to use the vacuette system in school, but I've applied for a work placement abroad, so I figured I'd feel more prepared having tried it once or twice with the monovettes before going there, just in case that's what they use. I actually did two tubes, so I did pre-vacuum the second one beforehand. In Norway the vacuette is the most widely distributed, but I think I might actually prepare the monovette, once I get used to it!

[@sarahhosier4800]

Ooo good luck! Where are you going? The Vacutainer system (as it's known here in the UK) is the most widely used system generally. The Monovette (sometimes also known as S-Monovette) doesn't tend to be used as frequently. Both are fine though, it's just a case of getting used to them really, as you'll already know anyway! If you don't already then please feel free to join my FB page facebook.com/sarahhosierphlebo as I'm always open for phlebotomy chat and happy to offer advice etc if you ever need it!

[@ninaliljan235]

Cool, thanks! I'm actually going to the UK :)

[@chaoticgoddess8259]

I saw the official NHS video showing how to do this but the Nurse Consultant pulled the plunger out beforehand to create a vacuum then snapped it off and then took the blood. Its interesting to see the difference here .

[@sarahhosier4800]

Hi Andrew, you absolutely could pre-vacuum the tubes, infact I recommend you do so with all but the first. It's generally accepted that the first tube you should aspirate manually, after you've taken the first tube all others can be pre-vacuumed. :)

[@thomasagsmith123]

@@sarahhosier4800that’s exactly what I do so I’m sure I’m in the centre of the vein first😂 usually release the tourniquet when the last tube is half full

[@kicikici5]

[@kellyruddy6064]

What is it?

[@sarahhosier4800]

It's a blood collection system. There are basically three main types of blood collection system. 1/. Needle and Syringe (old fashioned way basically). 2/. Vacutainer system (sometimes called Vacuette depending on where you live). 3/. Monovette system (sometimes called S-Monovette - it's a hybrid between the needle and syringe and the vacutainer system basically). The Monovette consists of two component pieces - a needle and the tube/syringe. It's a bit fiddly if you're not used to using it, but it's perfectly usable. I, personally, prefer the vacutainer system as it's safest, but I guess you have to use whatever your employer tells you too!

[@juanroblessantisteban3795]

min 4:30 the man is died xd