Question

Elizabeth Johnson, a healthy but obese woman, age 36, arrives to have her blood drawn. Discuss what possible methods you will use to draw Elizabeth’s blood. Why did you select the procedure? What are the benefits and draw backs of the procedure you selected? What will you do if you are unsuccessful in obtaining her blood specimen?

Answer 1

Ans) Most healthcare professionals suggest that cephalic veins are usually better when drawing blood from an obese.

- Once the patient is safely positioned, a tourniquet will likely be needed. Standard tourniquets may not work on the extremely obese. They may not effectively constrict enough, and they can cause discomfort for the patient. In those cases, blood pressure cuffs can be a great alternative. They can provide adequate constriction, and won’t harm the patient.

- If a tourniquet alone doesn’t work, use a warm compress on the area of the vein. Apply it for 10-20 minutes. The heat can help to draw blood to the area and make a vein more visible. You may also encourage your patient to dress warmly the day of their draw, if possible. That can cut down on the time a warm compress is needed.

- If obtaining a blood specimen becomes unsuccessful then I would ask if they want to come another day if not I can get another phlebotomist it they still refuse then I'll get them this sign a right to refuse treatment form.