General Laboratory: Blood Gas: Sample Collection and Proper Handling: Arterial Puncture

Instructional video about how to collect a blood gas sample from the radial artery using a syringe. 

Blood gas sample collection and proper handling. This is an instructional video about how to collect a blood gas sample from the radial artery using a syringe. Follow your local hospital procedures to prepare the patient. An collection site for obtaining the blood sample. These are the collection sites, radial brachial and femoral sites. Blood gas analysis is performed to test vitals in critically ill patients. Blood gas analysis gives information on gases. And may also include electrolytes, metabolites, total hemoglobin, Co oximetry, and neonatal bilirubin. Please ensure you have all the materials you need to draw a patient sample. This includes a syringe, typically with a safety needle, a filter cap, and alcohol. Wipe, gauze and bandage. The syringe used for blood. Gas analysis should include dry electrolyte balanced lithium heparin as the preferred anticoagulant in a concentration of approximately 23. International units per milliliter before performing the arterial draw confirm the patient's identity check for adequate circulation by performing a modified Allens test. If possible, locate the radial artery. Clean the site. Do not use a skin cleaning wipe that contains quartenary ammonium substance, such as benzalkonium as it may affect the electrolyte parameters reported, particularly sodium. Let it dry. Preset the syringe plunger to the desired sample volume. Using your index and middle fingers, identify the path of the artery. Hold the syringe like a pencil with a bevel visible. Flex the wrist slightly if need be by resting the lower arm on the edge of a bed or using a small rolled up gauze or towel under the wrist. Puncture the skin at a 45 degree angle, making sure the needle follows the path of the artery. Stop insertion when you see the blood flash or flow of blood in the syringe. Hold the syringe in place until the desired blood volume is collected. Withdraw the needle and apply pressure to the puncture site with gauze until blood flow at the puncture site has stopped. Close the safety needle with one hand and discard the needle as per the hospital's procedure. Place the filter cap on the syringe luer tip and hold the syringe vertically and gently tap the syringe so that air bubbles are forced to the top. Expel any air bubbles into the filter cap. Mix the sample thoroughly by rotating your wrist back and forth for a minimum of 20 seconds. This helps to dissolve the heparin, an minimize clot formation in the syringe. Label the syringe with the patient ID and immediately transport the sample to a Siemens healthineers blood gas system. Follow a two step mixing process first by rotating your wrist back and forth and then rolling the syringe between your hands about 10 times. Remove the cap from the syringe and expel the first few drops of blood into a gauze pad. Present the sample to the analyzer and start analysis. Recognize that a sample containing blood clots should not be used on the blood gas analyzer because it can affect not only the accuracy of the patient results, but also negatively impacts the operation of the blood gas analyzer. The patient's blood gas results will be ready within 60 seconds. Remove the syringe from the analyzer and reattach the filter cap. If you need to repeat the test D bubble and remix the sample prior to analysis. According to the CSI guidelines, blood gas testing should be completed within 10 minutes and not longer than 30 minutes after drawing the sample. Dispose of the syringe according to the hospital guidelines. Proper sample handling, mixing and time to analysis helps to ensure accurate patient results.

filter cap,wrist back,collection site,patient id,radial artery,gauze pad,analysis helps,puncture site,blood sample,roll syringe,blood,site,patient,sample,artery,gauze,test,total hemoglobin,neonatal bilirubin,apply pressure,air bubbles,hereinafter collectively,proper handling,safety needle,operator manual,remove needle,needle,remove,benzalkonium,expel

Place filter cap Syringe and hold vertically 10 Blood Gas Safety needle Remove needle Total hemoglobin Tap gently to 60 s Filter cap Expel air bubbles remove air bubbles Hunton Cleo Reed Roll syringe Dispose syringe Gases Alcohol wipe Sample Collection CO-oximetry SIEMENS For the proper use of the software, please always us the Operator Manual or Instructions for Use (hereinafter collectively "Operator Manual) MOIST TOWELETTE Follow your local hospital procedures Proper sample handling, mixing Follow your loc h Follow you oca' 05 50 issued by Siemens Healtineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Gauze test WARNING: Clots can affect the Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software s!sßpuv pome —45 15- Blood Gas Analysis and hardware available at the time of the training. MOIST MOI pH No quaternary to prepare the patient and collection site and time to analysis helps to ensure to prepare the at: •n to prepare le pat nt arc' site Hd Bandage accuracy of the test results and TOWELETTE TO TO ETTE ETTE 15- The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Healthineers Expel blood into 2.0 50 ammonium substances 3.0 2.0 20 and Proper Handling the fluidics of the instrument. SIEMENS Benzalkonium Chloride Cleansing To Patient ID for obtaining the blood sample. for obtaining the c for obtain g I sm accurate patient results. -45 Note: Some functions in this material are optional and might not be part of your system. 25 35 Electrolytes LATEX FREE gauze pad Neonatal bilirubin such as benzalkonium Certain products, product related claims or functionalities (hereinafter collectively "Functionality") many not (yet) be commercially available premoi stened prernoiste. @ Siemens Healthcare Diagnostics Inc., 2020 50 25 SIEMENS - 3.0 I Il Cleansing To Cleansing Toweletter in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Single Use Only Identify artery path Rradhial Please contact your local Siemens Healthineers sales representative for the most current information. Patient ID Mix sample in epoc, RAPIDLab, RAPIDPoint and all associated marks are trademarks of Siemens Healthcare Diagnostics Inc., Remove needle seconds 60 seconds The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. SIEMENS or its affiliates. Syringe Arterial Blood Draw syringe Electrbolytes Remove SIEMENS • Offenders will be liable for damages. I'll seconds figure 8 motion Healthineers and apply pressure All names, data of patients, parameters and configurations dependent designations are fictional and examples only. Product availability may vary from country to country and is subject to varying regulatory requirements. Roll syringe Present the syringe Present the syringe 60 seconds Please contact your local representative for availability. Expel air bubbles Close needle on All rights, including rights created by patent grant or registration of a utility model or design are reserved. soot between hands to the analyzer [email protected] Siemens Healthcare GmbH 2020 30 minutes 10 minutes into filter cap table top