How To Take Blood Like A Pro - Venepuncture Explained - Clinical Skills - Dr Gill
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- čas přidán 14. 06. 2024
- How To Take Blood From Veins - Venepuncture Explained - Clinical Skills - Dr Gill
Venepuncture, taking blood, is something every nurse, doctor and health care assistance needs to not only be comfortable with but also proficient in, as it will be a core role in the first few years post-graduation
Taking blood is often a request that is made of senior medical students on the ward, as venepuncture is such a clinically common task
Give this, venepuncture often forms a core clinical skills OSCE station, whereby the taking blood from the veins is examined on a prosthetic arm.
This video gives a step by step approach on how to take blood, keeping you, and the patient safe.
- ALWAYS ENSURE THAT YOU ARE PRACTICING WITHIN YOUR COMPETENCIES AND FOLLOW THE GUIDANCE OF YOUR INSTITUTION REGARDING CLINICAL SKILLS, AS THERE MAY BE DIFFERENCES FROM THIS VIDEO
Some people may find an ASMR effect from portions of these videos
Trigger warning, this video features simulated Venepuncture.
#DrGill #Venepuncture #ClinicalSkills
You can now consult via video or in person with Dr Gill at Dr Finlay’s Private Practice - www.drfinlays.co.uk/services/...
Gods, didn't think you'd go as far as to cut a a person's arm just to teach us, Doc. That's real commitment
It’s ok, it’s Derek’s arm - he was happy to help
@@DrJamesGill considerate of him to lend a hand
@@96MasterOfPuppets96 you're actually hilarious
I hear he asked his class to raise their hand if they'd like to volunteer. Then he just, took it. 🤷😅
@@DrJamesGill Knock, Knock.
Who's there?
Not Derek.
The Title Should be called: “ASMR Blood Test Exam in Arm | Unboxing | Needles | Soft Noises”
“Stabby stabby thing” 😂😂😂
What?!?
@@DrJamesGill hahaha
@@DrJamesGill seriously though …. I’m going to learn at the first chance I have
This is my favorite now 😂
Technical terminology at its finest. 😁
Thank you Dr. Gill! I can't even begin to think how helpful this will be for medical students!
I always feel this awkward shiver down my spine when I see the needle going in and coming out of the arm. When "it" is dead I have no problem also watching an autopsy is no problem. But when "it" is alive and conscious I just have this "no, no!" feeling in my body :D
Eu amei esse vídeo, além de ser muito didático também é muito relaxante. Já assisti várias vezes
Used to be terrified of needles and draws, always got so nervous I’d nearly pass out. After joining a drug study and having a great phlebotomist I can finally say I’m much more at ease getting bloodwork now. So much so that I’m now on a self administered injection drug :p thanks for all you do!
That’s a a huge improvement, I’m so glad to hear that. Often we can be really frightening if things we’re not familiar with, the more we know the easier things are 😊
@@DrJamesGill definitely! I've learned I operate best if I lie down as opposed to sitting up but I have to say that having a great nurse did wonders for alleviating my phobia. I'm sure your educational abilities have produced plenty of similarly skilled nurses and doctors, thank you!
@@ultimomos5918 I have anxiety problems for a decade, I don't think it's always about a fobia. If I take a few anxiety pills I can control myself enough to let them take my blood. But still I'd prefer to do it myself if I knew how😊Like psychologically it's much easier for me to cut myself to give them my blood, but to let a stranger to use a needle is a problem.
I literally love this channel
Not only your channel is one of my favorite unintentional ASMR, also you educate me with very interesting procedures, we don’t know when an emergency could happen, so I find this very useful! Thanks Dr. 🤍🤝
Glad you found it useful 😊
love your voice so soothing
I've used ETS only twice in my career so far, thanks Dr. Gill for this refresher vid. Much appreciated. And thanks for the asmr vibes as well, as always.
Thanks for nice application sir.
You are a good teacher Dr Gill
Video is really informative. I'm a medical secretary in a GP surgery and applied for the new GP Assistant role. I think this is the most nervous aspect of the role for me.
loved the new look doc 💯
I love his voice !
Huh, never knew that that the different blood tubes held different chemicals and that they needed to be done in a specific order. Intriguing!
Yes. Also the very FIRST bottle, if needed HAS to be the blood culture bottle, and we’d want to ensure that those bottles were alcohol wiped BEFORE we use them, as want to minimise potential contamination
So soft spoken
Very good. 👍👍👍
I have never known a Dr to perform venipuncture. It is usually deferred to me, the nurse, or phlebotomist. It's all good - I love venipuncture and starting IV's. On a different subject - you are cuter with longer hair! :)
I actually really enjoy taking blood abs cannulating.
It’s being able to DO something immediately for the patient; rather than just ticking boxes and requesting tests
oh, really? in Germany from my experience, nurses barely ever do it. It's the doctors or soon to be doctors doing it
@@reyskywalker3125 in the US doctors rarely do it. They often seem super busy and in demand. They have labs of dedicated phlebotomists for blood testing
In Finland doctors only do arterial puncture. Nurses do the rest
I love that you got blood inside the arm to make it more realistic. I love it
The gravity draw works really well
I feel so real now
Looking good
When I went to get my blood draw for my first pregnancy I needed 11 vials (the standard panels, plus a CMV study I was participating in). I was still rather nervous about needles, but I knew I would just look away and it would be over soon. They asked me if it was ok if the training phlebotomist helped and I agreed. After 15 mins of nervous deep-breathing (an eternity), I whimper asked how many vials were left and the trainee cheerily responded "we're just finishing up the second vial!" and then I went full instincts and growled at her to get the real nurse to come help and the experienced woman finished the last 9 vials in about 2 minutes.
Wow I literally just got back home from having a blood test, didn't faint this time! Less go!
Well done, my fiancé suffers with this too. Hope you get good results!
@@DrJamesGill you have a fiancé?!… I can hear many women crying right now
@@enaviltek he just got engaged last week, did you not get the "memo"? And she said "yes"!!!
Aside from picking worms from wounds, this is one of my favorite parts of being a nurse.
As needlephobe I've had so many of these throughout my 38 years of life and it's taken me 5 years to be able to get one quietly and not run/and or curse out the phlebotomist. EMLA gel is the best thing known to man in this setting
I’m a little like that at the dentist
@@DrJamesGill Agreed it's kind of a double whammy on my part, I wouldn't even let my cousin who's a senior phlebotomist touch me and had to be knocked out for the dentist
Nice pull focuses early on. Given quite a few bloods recently for upcoming surgeries and I'm happy to report all of the medical personnel performing the procedure always did it exactly as you demonstrated, and I had minimal to no bruising each time and basically no pain at all. Impressive how deft a touch comes with practice. What's the method generally used for gauging when they're in to the vein, is it a difference in feel or is it simply a learn-by-rote with regards to depth?
There is flash back after the needle, before you even need to think about the bottle
Thank you so much doctor. It was very useful for me👍
👍
Excellent presentation
Thanks a lot
woooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooowwwwwwwwwwwwwwwwwwwwwww im jumping with joy its been so many months when i requested this video, and you actually fulfilled my request
All the support for the best medical channel on youtube
We’re getting round to everything - slowly - there are only so many recording hours though
I'm a newly qualified nurse and I have venepuncture training this morning. Thanks for a great video
Best of luck! Come back and tell us how it went
@DrJamesGill I was a bit nervous initially but all went well. A few more attempts and I think I should be ok. Thanks again
@gloriakivuva8228 glad it when well
It’s good practice not to push down the gauze on the puncture site whiles the needle is still in the vein. Just put the gauze over the site and apply pressure immediately after taking out the needle. Good teaching though.👍🏾
Very true. Don’t want to move the needle
So useful I won’t go to a pathology lab to get my blood test done
The terrible moment where my appreciation and support for Dr Gill has to battle with my utter hatred and disgust for veins :S
I usually watch on my phone, but today I'm on my desktop, full screen. Looks great, Dr. Gill. Ready to learn
Thanks you for a great demonstration...
why do different hospital use different procedures or techniques?
Often it’s due to equipment, and the costs of contracts.
Thank you for the video, if possible could you go over the colour tops meaning, and how to keep the sample nice for the lab - do any need to be super urgent/ kept cool/ unagitated/ warm?
I think we can look into that 😊
Could you please do a video on the order of draw and what each bottle has/does? That would help tie everything together!
That should be a straight forward one. I’ll put it on the list 😊
Oh I want that arm to practice onnn
Y his voice so calm
When I go for a lab draw I always let them know the following:
1) My veins are small, deep & like to roll away.
2) Previous draws have had to use numerous different sites. Basically anywhere on the arms/hands below the elbow is fair game.
3) A heart-felt "Good luck to ya!"
Sometimes they get it on the 1st try, other times I've ended up stuck 5 times between the 2 techs who tried. Once, I had to wait for them to bring in an ultrasound cart to scan my arm. I've even been told to come back the next day so the veteran tech could do the stick.
ERs are not the only place that needs those handheld red light/IR vein scanners. All labs should have them on hand as well.
The vein finders are wonderful. I have a rule “two stabs then scan”
Trying to minimise pt discomfort is key
the stabby stabby thing.... love it! lol
Honestly, I felt that trying to be light hearted with patients can help a lot. Even if it just focused them on me going “what did you say??”
They are not thinking as much about what we are doing. Also I find it instills confidence
Is that blood splatter on the blinds behind Dr. Gill??
Feel free to fact check me, but be mindful of the direction of the bevel of the needle.
Some months back, a newer phlebotomist had to get a senior to readjust my needle because of flow issues. The readjustment helped the flow and also relieved some pins and needles feelings I felt down to my used hand.
That’s a good point. Hence why commenting about bevel direction here.
Thank you for highlight how it can have an effect in the the real world 😊
The "blood" splatter on the blinds and wall, and a severed arm on the table 😱😱😱
I see no problems 😜
You said you’d only take for a short while, you how hard it is to bring in all the shopping with arm Gil?
Ok, so, I have this done at least once a year for diabetes check-up (I’ve been in a ‘genetically impaired’ pre-diabetes stage for several years now). But the thing is, I have deep lying so-called ‘rolling veins’, which basically means the nurses who have to ‘jab’ me sometimes get nervous and everything. And well 9 out of 10 times they end up in my hand instead of one of my arms. Which is a lot less comfortable. But is there anything I can do from my end to improve the chance of them finding a suitable vein in my arm?
From this video, I gather the easiest solution would be to cut off your arm and replace it with an easy to use prosthetic arm with some easy to palpate tubes/veins inserted haha. Sorry, couldn't resist. As I'm nowhere near a health professional, no actual advice but hopefully someone will come up with something :)
I give blood all the time, super weird to see the doctor's perspective of it rather than just me waiting for the pinch while I look away.
Hopefully gives you an idea what is going through our heads
It gets much worse in our heads if we miss the vein.
I try to use a rule of “two missed and calls friend” but that isnt always possible.
Twice in recent years, when I had blood drawn I had a very sharp pain shooting down all the way to my little finger. What could cause this? Could it be that the phlebotomist nicked a nerve? They were quite surprised and it seems it does not happen often. The first time, the pain was so strong I pulled my arm and the needle came out. It wasn't a good experience to say the least and I usually I don't have problems with blood draws, I've even given blood.
Could have nicked a nerve. It’s hard to “see” where nerves are and it’s obvious it’s not something any phlebotomist wants to happen. It will go away. Sorry it’s happened to you.
I have successfully worked stabby stabby into everyday conversations for the last few days! #success! Lol
We used to have to get words into class reports we did a med school 😊
Ok i clicked the video, but i have to be honest, simple blood drawing for some reason is THE biggest problem i have when it comes to medical stuff. I just get slightly nauseous. When they draw my blood at the clinic, i feel faint half the time. It's been that way all my life and trust me, i wish i could get over it, but i haven't yet. :) anyway, thanks for the video!
I'm using this video to get over my fear of blood tests; not sure if it's working yet!
Do you need them often?
@@DrJamesGill No, but I had a rather distressing experience as a child where I needed quite a few in the space of a week in hospital.
Still get squeamish around the sight of blood and needles. I'm to have a blood test soon because I have some unexplainable stomach pain and bloating.
Oh dear. Childhood experiences are worse, as we are so young, but hopefully as an adult, it improves 😊
Doctor please subtitles from Portuguese Brazil🙏🙏🙏🙏🙏
I think the subtitles come from YT automatically
What techniques would you recommend to try to prevent fainting? I get more worried about fainting from injections/blood samples then the actual injection itself etc.
I've had dozens, possibly hundreds, of blood draws due to a blood disorder. What helped me the most was facing my fears, "exposure therapy". After I stared at the needle going into my skin a couple times, as well as the entire process, I became okay with it. I have stopped fainting and no longer need to lie down for the tests. My mind no longer associates the needle with fear, since nothing bad is actually happening. As well, staying hydrated, well fed, stable blood sugar, and breathing calmly is a must.
@@milkywaydragon Excellent advice. Breathing is key. Smell the roses, blow out the candles.
Lying down can help a lot.
Also helps the patient to relax
In paeds we put pictures on the ceiling to given them things to focus on 😊
I have fainted a lot and now found that lying down for some time(even after the blood is drawn) and drinking water helps a lot..also do not go on empty stomach if possible
I always wondered how to do it myself 😆
Can’t really do it to yourself due to the direct the veins run
What watch is that?
Garmin sports watch
People always had such an impossible time drawing blood from my inner elbow that usually (since I was little) they need to use the back of my hand... when i had to spend some time in hospital, they had to put my IV in that way too 😅
I’m sure this is an excellent video as usual, but I’m not sure I can make it through this one. My one irrational fear is having a needle stuck anywhere in me that isn’t my upper arm area. I even had my wisdom teeth removed under just local anesthesia just to avoid the IV.
Any recommendations for overcoming needle phobia?
Gradual desensitization. It could help to slowly work through videos like this, or I recall Jim ASMR creating one too.
though I needed several blood draws and just jumped right into it. lost most of my aversion (I fainted in health class when the teacher went in depth about strokes)
I'm more concerned about trusting a person you don't know to break your own skin with a sharp metal and take the insides, like if it suppose to be okay😄 I know it's done for good but I feel like dying
Dr Gill, I am so terrified of having blood drawn. I'm not scared of needles, it's just the feeling of the blood coming out. I always pass out. I feel so bad for people that require regular blood tests.
Honestly that can be a thing we focus on, getting to patient to do mental exercises as frequently that sort of concern can be a self fulfilling prophecy, which thankfully we can help with - although it takes time
Hi Dr James. Are medical students taught this early on in their study?
Year 1-2 ish
It’s often used as “currency” in the hospital.
A student does the blood jobs for a junior doctor, and the time the dr saves is then given back to the student as ward teaching
@@DrJamesGill for a second there it sounded like it was headed in a slight vampire direction with the actual blood being used as currency 😅
Tattoos and all, so realistic.
👍👍👍
👍
this is the only video where i will pass out not because of asmr, but because of needles and blood
You rapidly get used to these things when at medics school - although I still know at least one doctor who gets woozy with blood!
My daughter is pregnant. The last time she had blood taken it took 16 attempts by four different nurses and a senior midwife. That broke my wife’s record of 14 attempts 😂
OMG that's like a horror dream for some
I know it isn't about this....but I love the blood splatter on the blinds. A good reminder that everyone makes mistakes.😂
Hi doctor, it is very hard for the nurses to get my blood, because my veins don't show up, I dont have problems with the needles, don't have fear or fainting, but there is any tip for me as a patient that can make the process easier? There was a time that the nurse had to do 10 attempts before getting the vein... that is my record, usually it is three times...
Often best approach is ensure you’ve drunk plenty, and also wearing something warm, esp over your arms before you go in 😊
Dr Gill I've got a legitimate question. My blood type is O neg so I want to become a blood donor but I get nauseous every time I do blood tests. I get a little nauseous even looking at you tap into a fake arm. Maybe I'm subconsciously afraid of the procedure(?) Any way I can get past it so I can become a blood donor without it being a nightmare?
Sometimes it’s just trying.
Distraction helps a LOT
If you focus on the thing, it is always worse.
Not one person will mind if you try to give blood and then decide you can’t go through. Keep trying, you may succeed, but if you don’t, it’s not a problem.
We are grateful for your effort regardless
@@DrJamesGill That just might do the trick! Thanks a lot doc!!
Dr. Gill,
Question: You mention putting on non sterile gloves. Why non sterile? Shouldn't everything pertaining to blood be sterile? 🤔
Nonsterile gloves are fine here as you are cleaning the field with alcohol, and then using a sterile needle to puncture the skin. Nothing should touch the skin after the school wipe
If you were going to touch the patient DURING the procedure, or to perform a more open procedure, such as a chest drain, then yes.
Oh ok. Thanks for the reply.
And thanks to Derek for lending a hand in this presentation.
Ok...I'll grab my hat and jacket.
are you from the United States?
I’m a UK medic
Anyone else disappointed he didn't say I'm Dr Gill can you confirm your name and dob please
😂😂
Another great video you should have a deal with calm to record their audiobook
In Korea, nurses never wear gloves when drawing blood, nor do they wash their hands between different patients. No alcohol swabs. Is that really bad or not much of a big deal?
Yes, personal safety and infection control are very much a big deal.
It’s frankly getting more important as antibiotic resistance becomes more of an issue
Huh, I didn't realize the UK pronunciation of "tourniquet" was more French than the American one. That does make more sense though.
We’re a mongrel language in the uk, we’ve got bits from most of the European tongues
"Stabby stabby thing" is that a technical term, doc?
Very much so 😜
How do you keep so thin? Do you eat?
What’s the artificial blood made from?
Water, corn syrup and food dye commonly
I would fall asleep if he talked to me you should do asmr sir ❤❤❤😊😊
I only see one phlebotomy technician - my blood doesn't want to leave me so I'm considered awkward
Shame, but I bet you have a good relationship with them
Nawh I'd have let you jab my arm a bunch for a video :) needles have never really bothered me. Came in handy when I got quite sick and had to get a lot of blood tests. Shame I'm on the other side of the world.
Hang on, where does the suction of the blood to get in the bottle come from?
The bottles are vacuum sealed. So will pull the blood into them
@@DrJamesGill So because it’s Vacuumed sealed, it will suck?
Never been a big fan of needles ever since my dad decided to try and discipline me as a child by chasing me around the house with a syringe, saying “If you don’t behave, I’m going to give you this.” 😂😂 safe to say I’ve had plenty of blood tests as an adult since then, including my yearly one for diabetes. Only earlier this year was the first time I ever had the courage to actually watch the nurse take my blood. Every other time I had to look away with a cringed look on my face 😂😂
7:48 is when he does it
This is great for the procedure, but those dummy arms are so easy to do venepuncture or cannulation on that you could be successful blindfold!
How about really unwell patients, or obese patients with no palpable veins, and you've no ultrasound or vein light to help you find?
You got a video on being successful with the most difficult patients?
Unfortunately not as that tends be the case that those patients are needing medical care and can’t give consent to filming, and we can’t really film, as we’re working on their care
@@DrJamesGill any hints, tips, guidance on veins you can't find then? Thanks for you quick reply.
Being in the U.S. it always throws me off when I see the aprons. I would think, "why is the cafeteria employee coming into my room with needles? Where's my apple sauce?" 😅
Once you’ve had to leave the ward, go and get showered and change your clothes you are more than happy to wear the aprons from then on 😊 🩸
Imagine having your blood taken and you see the blood stains on the wall and blinds
I'd be a little concerned 😅
Ngl, I reckon I can take a blood test confidently lmaoooo
do not leave the tourniquet on longer than a min both before puncturing and during or you will falsely raise potassium levels as well as cause hemoconcentration of the specimen, do not pump your fist for the exact same reason.
Where’s Abby Tut?
That's her arm, the rest of her is in the fridge for future episodes
😲
Me who doesn’t like needles : I shouldn’t watch this, but watches it anyways😂😂😂
My veins aren't difficult, my mind is. So try to figure that one out while taking my blood🙂 pkhhhh
Tornakay 🤪
…. Is that blood on the blinds?
🤔
The Dr palpated the vein with his thumb that is a definite no no .. remove the needle then place the cotton dental roll or swab so not to jab yourself and the doc did not push down on the safety catch to lock the used needle .. using his thumb or a hard surface which ever easiest!!
Love❤❤ you from pakistan your doing great job with Abby Tucked and make more videos(Asmr) with Abby plz plz
Your voice can help me sleep😴😴 and reduce stress😲😲 of all day
Its abby tutt
The blood on the blinds is very misleading....
🤣
He just really loves Halloween, ok? Some of us start decorating rather early. 🤣
We all just gonna ignore the "blood" splatter on the friggin drapes huh? That's how it's gonna be?
I think it’s best for all Of us 😊
Start with spelling "venipuncture" correctly.
I don’t want to be THAT person but you should never grip the barrel with a finger inside of it. You risk picking yourself. Also, you didn’t sheath the needle with the safety. Risk of picking yourself. I’ve never seen the technique of picking with dominant hand then switching to non dominant to hold. That’s a big risk in moving the needle in the arm 😣
I wouldn’t normally swap hands, and made a point about that at the start of the video, unfortunately I’d placed the camera in the wrong location, leading to that misstep.
You are quite right to highlight it as well though
Haven't had a needle since 2016. Watching the needle come out... might have made me cringe 😅
*me can't understand a single thing
: nice
Let me just say
I would be your worst patient ever
Watching this made my arm numb
Thanks Dr vampire 🧛♂️
I'm a blood owner not a donor
Ps please don't send hate comments
I'm sorry if this was bad 😔
There is a huge difference between donating - which is for others, as opposed to having blood taken
We’re all different and sometimes just getting the check up for yourself is hard enough
We’d never make someone feel bad about not being able to give blood
Even for ourselves things can be difficult. I have to really control my head to go in the MRI scanner
I always worry “what happens if I panic and need to loo” but I’m getting better that controlling that anxiety 😊
@@DrJamesGill
Sorry I knew the difference
Just trying to say don't like them 😰💉😰💉😰💉😰💉
I still be your worst patient
Just going is scary for me
Very hard 😔
I Sorry
Are you a fast runner
Or
How about nice game of hide n seek
Thanks for the nice comments
Ps Sorry for calling you a vampire wasn't very nice