Taking blood from older patients
Adapting technique for fragile veins, thin skin and patients taking anticoagulants.
Skin and veins
With age, skin becomes thinner and bruises more easily, and veins can be fragile and mobile. Apply the tourniquet gently; overtightening can cause skin damage and bruising before the needle goes in.
Choosing a site
Veins may be scarred from previous tests or treatment. Avoid veins that feel hard or cord-like. Forearm and hand veins are alternatives when the antecubital fossa is not suitable.
Anticoagulants
Patients taking anticoagulant or antiplatelet medicines bleed for longer. Apply firm pressure for longer than usual and check bleeding has stopped before dressing the site.
Consent and comfort
Allow extra time, speak clearly, and explain each step. Where a patient may lack capacity to consent, follow the relevant mental capacity law and your employer’s policy.
General information only. It is not accredited CPD and does not replace your training, your employer's procedures or the receiving laboratory's requirements.
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