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Venipuncture

Methods

Venipuncture is the process of inserting a needle into a vein to extract blood


or to initiate an intravenous line for drug administration and is frequently used
to test blood for a range of medical reasons and illnesses.

Syringe System Evacuated Tube System Butterfly Method


(ETS)
When a patient has small or Difficult to do on infants, Used for small or fragile
fragile veins children, and obese patients veins that are difficult to
draw
Involves hollow-bore needle Closed system in which
attached to a syringe into blood flows through a Most appropriate for
the lumen of a large vein to needle inserted into a vein & patients who have difficult
obtain a specimen then directly into a collection veins to access, such as
tube cancer patients, the elderly
Beneficial when small and children
amounts of blood need to be Large amount of blood can
drawn be collected Winged needle inserted at
about 5°angle then threaded
Requires the health Allows numerous tubes to be into vein
practitioner to exert collected with a single
aspiration pressure against venipuncture Used to access superficial
the plunger vein, drawing blood, IV
Additional and repeated injection
With backflow tests can be done
Provides better control when
Pressure and speed at which Fastest method of collecting making puncture
blood is drawn can be sample using various
controlled anticoagulant Less pressure exerted on
vein from evacuated tube
Can change needle gauge Suitable for tests requiring
for smaller veins closed system method of Combines benefits of syringe
venipuncture and vacuum methods
Can be maneuvered
Prevents exposure to air or Less painful
outside contaminants

Has safety feature

Reduced risk of hemolysis

References
Ezekiel Emarr S. Cortez

ABC Training Center. (2019). Abctrainingcenter.net. https://abctrainingcenter.net/butterfly-needles-explained-use/‌


Billings-Berg, S.M. (2019). Phlebotomy basics. Nursingcenter.com. https://www.nursingcenter.com/cearticle?an=00152258-201607000-
00008&Journal_ID=417221&Issue_ID=3564188
Cargill, M. (2019). Evacuated Tube System (vac-tubes or ETS). (2022). Bulbapp.com; bulb. https://www.bulbapp.com/u/evacuated-tube-system-
vac-tubes-or-ets‌

Elsevier. (2021). Elsevier – Clinical Skills Blood Specimen Collection: Venipuncture Syringe Method (Home Health Care). Elsevier.health.
https://elsevier.health/en-US/preview/blood-speciment-venipuncture-syringe
Nall, R. (2018, August 29). The Butterfly Needle: What to Expect. Healthline; Healthline Media. https://www.healthline.com/health/butterfly-
needle#uses‌
Otto, E. (2010, August 13). Venipuncture Methods. Healthfully; Healthfully. https://healthfully.com/venipuncture-methods-4561985.html
Scott, J. (2012). Using Butterfly Needles for Blood Draws and IVs. Verywell Health. https://www.verywellhealth.com/butterfly-needles-for-blood-
draws-and-simple-ivs-430065

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