Pediatric blood draws.
As a nurse, you're gonna need to know
how to draw blood from a pediatric patient
and make this a less traumatic
experience for everyone.
And this involves trying to
incorporate a cheerful environment,
now this is hard because kids are sick and
they're scared but you can do your best.
There are certain special phlebotomy
chairs, sometimes they look like a fire engine,
and sometimes this can help
decrease pediatric anxiety.
Another good option is a procedure room.
And this is where you'll actually take the baby
out of their hospital room into a procedure room
and this is a good place to
do painful or scary procedures
so that the child can actually sleep
and rest in their own hospital room.
You're gonna want to use
kid-friendly equipment and supplies.
You're gonna try to provide physical and visual
distractions and sometimes the parents can help
but usually this is the staff's job.
At the end you want to offer a reward.
When you draw blood from a pediatric patient,
you need to remember that they have va small body
so they have a small blood volume.
You need to determine a safe amount of
blood that can be drawn from your patient.
To help assist with the pediatric blood draw,
you can use a heel warmer or a warm blanket
to help the surface level
In a patient weighing less than 20 pounds,
you're gonna obtain blood via a heel stick.
In patients greater then 20 pounds,
you can do a heel stick or an arm draw.
In patients less than 1 year old, you're
not going to be performing a finger stick.
And remember, let gravity be your friend, you can
always put the extremity that you;re gonna be drawing
in a lower position to help
increase the blood flow.
A metabolic screening.
This is required by many US states on newborns and it's going
to screen for metabolic disorders and genetic disorders.
Blood is colected via a heel stick
and is added on to a filter paper card.
If a patient is diagnosed with one of these metabolic
conditions, they can approach early intervention treatment.