Okay, this time we're going to talk about the winged blood collection set, or it's also
commonly called the butterfly.
There's different name brands out.
We have different styles, different packaging.
So, you want to make sure that you choose the right one to suit your patient.
With this patient, I'm going to choose to go with the twenty-three gauge needle.
There's also the twenty-one gauge needle, if you have larger veins that could support
it.
But, with this one, like I said, I'll go with the twenty-one gauge needle.
I've already asked the patient for consent.
He's given me consent.
I've gathered all my supplies.
Have my gloves, have my biohazard bag, clean tourniquet.
I'll need a holder for my winged collection set.
Have my alcohol pads, have my gauze, and I have my tape.
One of the things you want to go ahead and do is, of course, pull off a piece of tape,
put an edge on the corner.
Alright, then you can go ahead and begin to look and palpate or palpate.
You want to apply your tourniquet about two to four inches where you plan to draw.
You want to make it snug.
Be sure not to let it roll in the back.
See, it's still flush in the back.
Alright, and what you want to do with a...when you're doing a hand draw with a butterfly,
sometimes you need to kind of bend their hand a little bit.
And, as you can see, it makes the veins more prominent.
If, at this point, as you have the patient's hand bent a little bit, and it's still not
much, you can take an alcohol pad to help bring these veins out.
Now, keep in mind, this does not count as cleansing your patient.
It just simply makes the veins a little bit more accessible.
And, as you can see, the veins are popping right out right now.
With this patient, I'm going to right through here.
Okay, and at that time, we'll release our patient from the tourniquet because, as a
new phlebotomist, we cannot meet our sixty second goal.
I'll go ahead and assemble my needle.
And, we'll make sure your package is in date.
If it's out of date, there's a good chance your needle would no longer be sterile.
So, tear this one open.
Now, every different manufacturer has different ways.
This tube...this brand right here has a piece of tape holding the tubes together.
You just simply tear it apart.
It stretches out.
Throw this in the regular trash.
And, as a phlebotomist, you need to be aware, when you're drawing your tubes, if you use
a winged collection set there is 0.5 milliliters blood left in the tubing.
So, take that into factor if you're doing a calculated draw.
Also, I want to check and make sure that my Luer adapter is tightly twisted into the tubing.
Make sure that everything's good on my needle.
Remove the sheath from the multi-sample end.
And, attach my holder and twist tightly, okay.
Now, at this time, go ahead and cleanse our patient with our gloves on.
Okay, I have my gloves.
I'm going to go to my center point of where I plan to insert my needle.
Start in a circle, moving inside out, pushing the dirt away.
We want to do this in about a two inch pattern, okay.
And, your used alcohol pads can go in the regular trash, okay.
I have my tubes ready.
This time, the doctor's ordered just one serum tube.
Make sure it's good in date.
This tube is good until December 2013.
And, it's currently June...excuse me, July.
So, we have about six or so months left.
Five months left, excuse me.
I;m going to go ahead and reapply my tourniquet.
When we reapply our tourniquet, this will be the very last thing we do because, obviously,
we just have sixty seconds, okay.
And go ahead and grasp a hold of your patient's hand a little bit.
And, you remove the sheath from the end.
You'll want to put the texture ends of the butterfly in between your fingers.
And, with the butterfly, you only need to go ten to fifteen degrees angle of inserting
your needle.
Alright, and warn your patients a little bit ahead of time that this may sting just a little
bit more.
And, on the count of three, we're going to stick our patient.
And, in all actuality, you''ll probably want to say "One, Two" insert, "and Three".
That way, your patient's not anticipating any pain.
Alright, here we go: one, two, and insert.
Okay, and with the butterfly, or the winged collection set, one of the good things about
this is you'll see a flash of blood when you've hit the vein.
Sometimes, you need to readjust your needle.
Alright, there's my blood flash.
If the camera can focus in here, you see a little flash of blood in the tubing.
And, normally, I would hold the needle with my dominant hand.
But, for the sake of the camera, I'll do this a little bit backwards.
Alright, so I have my tube inserted.
And, we'll go ahead and fill up our tubes.
When using a winged collection set, or a butterfly needle, the blood flow will be a little bit
smaller, or slower, because the needle is smaller.
So, be patient.
It's always important to fill our tubes completely.
Alright, and we'll go ahead and say that our tube is full.
Release the tourniquet.
Disengage our tube.
Grab our gauze.
Fold over once.
Fold over twice.
Pull our needle out, using the tabs, and cover.
You want to hold pressure just for a couple of seconds.
While you're doing that, you can go ahead and activate your safety feature.
Sometimes, you need..you can do this with one thumb.
And, on this one, you pull the plastic sheath over the needle and pull the wings back and
it locks in place.
Ask your patient to hold the dressing just for a second.
And, immediately take this to the biohazard box.
We never set used needles down.
Grab your piece of tape.
And, go ahead, alright you can remove your finger, and bandage the patient.
Invert your tube three to four times, making sure you're mixing the chemicals with the
blood.
And, you'll go ahead and put the patient's name on here, today's date and time, and your
initials.
And then, at that time, you'll go ahead and place in your lab bag with the biohazard symbol
and transport this to the lab.