00:01
Pediatric blood draws.
00:03
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.
00:09
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.
00:16
There are certain special phlebotomy
chairs, sometimes they look like a fire engine,
and sometimes this can help
decrease pediatric anxiety.
00:24
Another good option is a procedure room.
00:27
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.
00:39
You're gonna want to use
kid-friendly equipment and supplies.
00:42
You're gonna try to provide physical and visual
distractions and sometimes the parents can help
but usually this is the staff's job.
00:50
At the end you want to offer a reward.
00:54
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.
01:00
You need to determine a safe amount of
blood that can be drawn from your patient.
01:04
To help assist with the pediatric blood draw,
you can use a heel warmer or a warm blanket
to help the surface level
capillaries vasodilate.
01:12
In a patient weighing less than 20 pounds,
you're gonna obtain blood via a heel stick.
01:17
In patients greater then 20 pounds,
you can do a heel stick or an arm draw.
01:22
In patients less than 1 year old, you're
not going to be performing a finger stick.
01:26
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.
01:35
A metabolic screening.
01:36
This is required by many US states on newborns and it's going
to screen for metabolic disorders and genetic disorders.
01:43
Blood is colected via a heel stick
and is added on to a filter paper card.
01:48
If a patient is diagnosed with one of these metabolic
conditions, they can approach early intervention treatment.