36415 Collection of venous blood by venipuncture

Name of the Procedure:

Collection of Venous Blood by Venipuncture
Common Name(s): Blood Draw, Phlebotomy

Summary

A blood draw involves using a needle to collect venous blood from a patient's vein. It is a common procedure performed to obtain samples for various medical tests.

Purpose

This procedure is used to diagnose and monitor many conditions. The goals are to provide information on general health status, diagnose diseases, monitor treatment efficacy, and assess organ function.

Indications

• Symptoms such as fatigue, infections, bruising, or unexplained weight loss
• Chronic conditions like diabetes, kidney disease, or liver disease
• Routine health check-ups
• Pre-surgical assessments
• Monitoring levels of medications or substance abuse

Preparation

• Patients may be instructed to fast for 8-12 hours if the test requires it.
• Drink plenty of water to ensure veins are more pronounced.
• Consult with a doctor about continuing medications.

Procedure Description

1. The patient will be seated or lying down with their arm extended.
2. The healthcare provider will apply antiseptic to the puncture site.
3. A tourniquet is placed above the site to engorge the vein.
4. A sterile needle is inserted into the vein to draw blood into one or more tubes.
5. Once enough blood is collected, the needle is removed.
6. Pressure is applied to stop any bleeding, and a bandage is placed over the puncture site.

Tools: Needle, collection tubes, antiseptic, tourniquet, bandage.
Anesthesia: Not typically required, but numbing creams are available if needed.

Duration

The procedure usually takes about 5-10 minutes.

Setting

It is commonly performed in a hospital, outpatient clinic, or dedicated laboratory.

Personnel

Trained phlebotomists, nurses, or lab technicians typically perform the procedure.

Risks and Complications

• Mild discomfort or pain at the puncture site
• Bruising or hematoma
• Infection (rare)
• Fainting or dizziness

Benefits

• Quick and minimally invasive way to gather critical health data
• Helps in early diagnosis and treatment of various conditions
• Results typically available within a few days

Recovery

• Keep the bandage on for at least a few hours.
• Avoid heavy lifting with the punctured arm for a day.
• Stay hydrated and take it easy if feeling lightheaded.

Alternatives

• Fingerstick blood test: less invasive but limited to measuring certain types of blood parameters.
• Stool, urine, or saliva tests for specific diagnostics.
• Imaging studies for structural evaluations.

Patient Experience

Patients might feel a quick pinch during needle insertion and minor discomfort. Mild bruising or soreness can be managed with over-the-counter pain relievers and rest. Proper hydration and relaxation can enhance comfort and minimize side effects.