Venepuncture Module 2

Question 1

What are a list of variables that can affect the blood sample even when an analytical procedure is preformed correctly and precisely?

Answer 1

Age, gender, hydration, stress, activity, bed rest, time of the day, diet, smoking, drug treatment.

Question 2

For the competent patient- what must the staff member do before treatment?

Answer 2

Ask the patient to state their full name and DOB

Confirm their care/treatment where applicable

Check these details are correct with relevant information

Check NHI on bracelet against other written records.

Question 3

How do we identify a child patient when they are unconscious/incompetent?

Answer 3

Identification is confirmed by the parent of guardian

Question 4

How do we identify a adult patient when they are unconscious/incompetent?

Answer 4

Initial identification is to be confirmed by a family member or person known to the patient, then ongoing identification by reference of identity bracelet

Question 5

How do we identify a patient whom is unable to be formally identified?

Answer 5

A pre-allocated/temporary identification number must be used for the duration of that stay in hospital

Question 6

What are the 5 patient assessment questions we ask prior to venepuncture?

Answer 6

1. Does the patient have a history of lymphoedema, mastectomy, previous
   access device, insertion problems, current or previous fracture?
2. Is there surgical, radiology or chemotherapy intervention near the access
   point?
3. What is the patients’ allergy status? (local anaesthetic, skin antiseptic, or
   dressings)
4. Does the patient have good or poor venous access?(poor vein visibility,
   bruising or thrombosis of the veins)
5. Which arm is the patient’s preference?

Question 7

What are vasovagal reactions?

Answer 7

This happens when your body’s normal ability to control blood pressure doesn’t work like it should, causing you to pass out.

Question 8

True or False: Patients with a positive history of vasovagal reactions are 75% more likely to have a similar reaction during further venepuncture procedures and are exacerbated by anxiety and pain?

Answer 8

True

Question 9

What must the practitioner explain and discuss with a patient pre venepuncture to adby with the code of rights (2009)?

Answer 9

• The need for venepuncture Tests to be performed
  – Probable duration
  – How the patient may feel
  – Possible related complications (infection, haematoma, arterial puncture and nerve damage)
  – A competent response to any questions or concerns
  – Consideration of family/Whanau wishes

Question 10

True of False: A sticker to identify two patients with the same or similar name must be placed in the clinical notes and on the information board

Answer 10

True