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Phase 2a Clinical skills > Venepuncture > Flashcards

Flashcards in Venepuncture Deck (16)
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1

What do you do first?

Wash your hands

2

3 I's

Introduce yourself, identify patient, informed consent

3

5 contraindications of venepuncture

AV fistula
Lymphodema
Previous mastectomy
Broken, bruised or infected skin (cellulitis)
IV infusion in that limb

4

As well as contraindications, what should you check?

Allergies

5

4 risks of venepuncture

Bleeding
Bruising
Pain
Infection

6

What equipment would you gather?

Gloves and apron
Sharps bin and kidney dish/other receptacle
Tourniquet, wipes, gauze and tape x2
Blood specimen bottles/ tubes, butterfly and vacutainer

7

5 steps of identifying the vein

1) Wash hands again
2) Position arm comfortably (on a pillow?)
3) Inspect for vein
4) Apply tourniquet
5) Palpate vein

8

3 steps of preparing the vein

1) Wash hands yet again and don gloves
2) Clean area for 30 seconds
3) Allow area to dry for 30 seconds

9

The vein is ready, what do you do before the needle goes in?
(4 steps)

1) Attach vacutainer to needle
2) Unsheath needle
3) Anchor vein DISTALLY to area of injection
4) "sharp scratch"

10

steps of inserting the needle

1) Insert needle (bevel up) at an angle of 30 degrees or less
2) Push until flashback is seen
3) Push in another 1-2mm
4) Tape down the butterfly

11

Blood cultures, which one do you fill first?

aerobic before anaerobic

12

U and E's and FBC, which one do you fill first?

U and E's before FBC

13

Got enough blood, what next?
(6 steps)

1) Release the tourniquet!!!
2) Remove tape from butterfly
3) Prepare gauze over site of puncture
4) Remove needle (disposing in sharps bin)
5) Ask patient to hold the gauze
6) Tape down gauze

14

To complete the procedure you would?
(6 steps)

1) Thank the patient and check they are ok
2) Wash hands
3) Label bottles
4) Put in correct bags for correct labs
5) Dispose of everything safely
6) Record correctly in the notes

15

In the notes you would say..?
(6 things)

Patient details
Date and time done
Details of which blood tests had been sent off
Any complications that occured
Your name
Your role

16

What colour is a FBC tube?

Purple