PHLEBOTOMY LECTURE Leeching:
HISTORY OF PHLEBOTOMY: Process:
Stone Age: crude tools used to cut vessels and - Place a drop of milk on blood on
drain blood from body. patients skin.
Egypt (1400BC): tomb painting shows leech Introduce HINIDO MEDICINALIS to the site that
applied to patient for bloodletting. injects.
Hippocrates (4460-377BC): Health depended - Local Vasodilator
on balance of the body. Thought disease was - Local anesthetic
due. To excess bile black/yellow, blood, phlegm. - Hirudin an Anticoagulant
- Allow the leech to engorge and fall
Middle Ages :
off.
- Barbers, surgeons performed
Present Age:
bloodletting and leeching
- Barber pole (red and white) - Used in microsurgical replantation
represented blood of patient.
Goals :
- Bleeding bowl used to collect blood
from patient. - Obtain blood for diagnosis purposes
and monitor treatment to establish
17th and 19th century: Phlebotomy became a
dosage to maintain dosage as
major therapy.
therapeutic level, avoid toxicity,
- Lancets and Firearms – used to cut blood thinner, seizure meds, mood
veins and arteries. stabilizers
- Cupping and leeching were used. - Remove blood for transfusions at a
- Both barbers and surgeons donor center.
specializing in this bloody practice. - Remove blood for therapeutic
By end of 19th century, Phlebotomy purposes: Therapeutic phlebotomy
was declared quackery. (Polycythemia over production of
RBC, hemochramtosis) (Excess iron
Art of Cupping:
deposits into tissues)
Process:
Methods:
1. Application of heated sunction device,
- Venipuncture : Blood collection via
the cup
needle inserted in a vein.
2. Incision with a fleam (lancet)
- Capillary Puncture: blood collection
- Single or double : Edged blade
via skin puncture.
- Multiple fleams: attached and folded
for case of carrying ROLE AND SKILLS OF PHLEBOTOMIST
- Blades wiped clean with a rag,
Phlebotomist:
therefore disease was spread from
something that was suppose to help. - Anyone trained in blood collection
- Many healthcare team members
are trained in phlebotomy.
, Skills/Knowledge needed: Qualities of Professionalism
- Good manual dexterity - Prifessional
- Special communication skills - Self-confidence
- Good organizational skills - Integrity
- Through in knowledge of lab - Compassion
specimens’ requirements - Self-motivation
- Training in phlebotomy skills and - Dependability
standards of practice. - Ethical behavior
Credentials: Patient’s Rights:
Certification: Two document published to strengthen
consumer confidence
- Certificate: document granted by
agency - The patient Bill or Rights in
- Voluntary or maybe required by medicine and Medicaid
facility - American Hospital Association the
- Requires specific training and patient care relationship
passing an exam.
Confidentiality:
Licensure:
- Patient information must be keep
- License: official document or permit private/confidential.
granted by state - Ethical standards and laws enforce
- Required by law confidentiality.
- Requires specific education, - Health insurance portability and
experience and passing Accountability ACL(HIPAA)
Safeguards confidentiality
Patient client interaction:
and protected health
Customer Relations: information (PHI)
Established national
- Phlebotomist may be the only standards for electronic
contact the patients has with lab exchange of PHI
- Patient may judge hospital based on States that patient must be
encounter with the phlebotomist. informed of rights.
- Goals: Put patient at ease and Disclosure of PHI requires
establish positive relationship. written authorization.
Diversity: Communication Skills:
Understanding patient’s health related Communication
- Beliefs and values - The means by which information is
- Needs based on environment exchanged or transmitted
- Customs and traditions
- Attitude toward seeking help from Components
healthcare providers
- Verbal
HISTORY OF PHLEBOTOMY: Process:
Stone Age: crude tools used to cut vessels and - Place a drop of milk on blood on
drain blood from body. patients skin.
Egypt (1400BC): tomb painting shows leech Introduce HINIDO MEDICINALIS to the site that
applied to patient for bloodletting. injects.
Hippocrates (4460-377BC): Health depended - Local Vasodilator
on balance of the body. Thought disease was - Local anesthetic
due. To excess bile black/yellow, blood, phlegm. - Hirudin an Anticoagulant
- Allow the leech to engorge and fall
Middle Ages :
off.
- Barbers, surgeons performed
Present Age:
bloodletting and leeching
- Barber pole (red and white) - Used in microsurgical replantation
represented blood of patient.
Goals :
- Bleeding bowl used to collect blood
from patient. - Obtain blood for diagnosis purposes
and monitor treatment to establish
17th and 19th century: Phlebotomy became a
dosage to maintain dosage as
major therapy.
therapeutic level, avoid toxicity,
- Lancets and Firearms – used to cut blood thinner, seizure meds, mood
veins and arteries. stabilizers
- Cupping and leeching were used. - Remove blood for transfusions at a
- Both barbers and surgeons donor center.
specializing in this bloody practice. - Remove blood for therapeutic
By end of 19th century, Phlebotomy purposes: Therapeutic phlebotomy
was declared quackery. (Polycythemia over production of
RBC, hemochramtosis) (Excess iron
Art of Cupping:
deposits into tissues)
Process:
Methods:
1. Application of heated sunction device,
- Venipuncture : Blood collection via
the cup
needle inserted in a vein.
2. Incision with a fleam (lancet)
- Capillary Puncture: blood collection
- Single or double : Edged blade
via skin puncture.
- Multiple fleams: attached and folded
for case of carrying ROLE AND SKILLS OF PHLEBOTOMIST
- Blades wiped clean with a rag,
Phlebotomist:
therefore disease was spread from
something that was suppose to help. - Anyone trained in blood collection
- Many healthcare team members
are trained in phlebotomy.
, Skills/Knowledge needed: Qualities of Professionalism
- Good manual dexterity - Prifessional
- Special communication skills - Self-confidence
- Good organizational skills - Integrity
- Through in knowledge of lab - Compassion
specimens’ requirements - Self-motivation
- Training in phlebotomy skills and - Dependability
standards of practice. - Ethical behavior
Credentials: Patient’s Rights:
Certification: Two document published to strengthen
consumer confidence
- Certificate: document granted by
agency - The patient Bill or Rights in
- Voluntary or maybe required by medicine and Medicaid
facility - American Hospital Association the
- Requires specific training and patient care relationship
passing an exam.
Confidentiality:
Licensure:
- Patient information must be keep
- License: official document or permit private/confidential.
granted by state - Ethical standards and laws enforce
- Required by law confidentiality.
- Requires specific education, - Health insurance portability and
experience and passing Accountability ACL(HIPAA)
Safeguards confidentiality
Patient client interaction:
and protected health
Customer Relations: information (PHI)
Established national
- Phlebotomist may be the only standards for electronic
contact the patients has with lab exchange of PHI
- Patient may judge hospital based on States that patient must be
encounter with the phlebotomist. informed of rights.
- Goals: Put patient at ease and Disclosure of PHI requires
establish positive relationship. written authorization.
Diversity: Communication Skills:
Understanding patient’s health related Communication
- Beliefs and values - The means by which information is
- Needs based on environment exchanged or transmitted
- Customs and traditions
- Attitude toward seeking help from Components
healthcare providers
- Verbal
