Final answer:
The recommended venipuncture technique for elderly patients with fragile veins includes using a small gauge needle, gentle application of a tourniquet or blood pressure cuff, careful needle insertion, and gentle handling of the blood collection to prevent damage to delicate veins.
Step-by-step explanation:
When performing a venipuncture on an elderly patient with fragile, superficial veins, it is crucial to use a gentle approach. The following technique can enhance success and reduce patient discomfort:
- Use a smaller gauge needle, such as a 23-gauge butterfly needle, which can minimize damage to delicate veins.
- Apply a light tourniquet or blood pressure cuff, but do not over-tighten, which can cause veins to collapse.
- Anchor the vein by holding the skin taut with your non-dominant hand.
- Insert the needle at a shallow angle to prevent passing through the vein.
- Once the blood is flowing into the collection device, make sure to fill the tubes without shaking, to prevent hemolysis.
- Upon removal of the needle, apply gentle pressure with gauze to help prevent bruising.
Venipuncture in elderly patients requires a combination of skill, precision, and a patient-centered approach. Training and certification in phlebotomy ensure professionals can adapt to unique patient conditions, such as fragile veins often found in elderly patients.