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Terms in this set (478)

1. Identify the patient.
2. Reassure the patient that the minimum amount of blood required for testing will be drawn.
3. Assemble the necessary equipment appropriate to the patient's physical characteristics.
4. Wash hands and put on gloves.
5. Position the patient with the arm extended to form a straight-line form shoulder to wrist.
6. Do not attempt a venipuncture more than twice. Notify your supervisor or patient's physician if
unsuccessful.
7. Select the appropriate vein for venipuncture.
8. Apply the tourniquet 3-4 inches above the collection site.
Never leave the tourniquet on for over 1 minute.
If a tourniquet is used for preliminary vein selection, release it and reapply after two minutes.

9. Clean the puncture site by making a smooth circular pass over the site with the 70% alcohol pad,
moving in an outward spiral from the zone of penetration. Allow the skin to dry before proceeding.
Do not touch the puncture site after cleaning.

10. Perform the venipuncture
A. Attach the appropriate needle to the hub by removing the plastic cap over the small end of the
needle and inserting into the hub, twisting it tight.
B. Remove plastic cap over needle and hold bevel up.
C. Pull the skin tight with your thumb or index finger just below the puncture site.
D. Holding the needle in line with the vein, use a quick, small thrust to penetrate the skin and
enter the vein in one smooth motion.
E. Holding the hub securely, insert the first vacutainer tube following proper order of draw into
the large end of the hub penetrating the stopper. Blood should flow into the evacuated tube.
F. After blood starts to flow, release the tourniquet and ask the patient to open his or her hand.
G. When blood flow stops, remove the tube by holding the hub securely and pulling the tube off
the needle. If multiple tubes are needed, the proper order of draw to avoid cross
contamination and erroneous results
Schedule I

Schedule I drugs, substances, or chemicals are defined as drugs with no currently accepted medical use and a high potential for abuse. Schedule I drugs are the most dangerous drugs of all the drug schedules with potentially severe psychological or physical dependence. Some examples of Schedule I drugs are:

heroin, lysergic acid diethylamide (LSD), marijuana (cannabis), 3,4-methylenedioxymethamphetamine (ecstasy), methaqualone, and peyote

Schedule II

Schedule II drugs, substances, or chemicals are defined as drugs with a high potential for abuse, with use potentially leading to severe psychological or physical dependence. These drugs are also considered dangerous. Some examples of Schedule II drugs are:

Combination products with less than 15 milligrams of hydrocodone per dosage unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin

Schedule III

Schedule III drugs, substances, or chemicals are defined as drugs with a moderate to low potential for physical and psychological dependence. Schedule III drugs abuse potential is less than Schedule I and Schedule II drugs but more than Schedule IV. Some examples of Schedule III drugs are:

Products containing less than 90 milligrams of codeine per dosage unit (Tylenol with codeine), ketamine, anabolic steroids, testosterone

Schedule IV

Schedule IV drugs, substances, or chemicals are defined as drugs with a low potential for abuse and low risk of dependence. Some examples of Schedule IV drugs are:

Xanax, Soma, Darvon, Darvocet, Valium, Ativan, Talwin, Ambien, Tramadol

Schedule V

Schedule V drugs, substances, or chemicals are defined as drugs with lower potential for abuse than Schedule IV and consist of preparations containing limited quantities of certain narcotics. Schedule V drugs are generally used for antidiarrheal, antitussive, and analgesic purposes. Some examples of Schedule V drugs are: