Flashcards in Venipuncture Quiz Deck (29)
What agency’s guidelines must you follow for venipuncture?
What 4 things are required of you before you can be considered competent in the skills of venipuncture and contrast admin.?
Cognitive knowledge, proficiency in psychomotor skills, positive affective values, validation in clinical settings
What 4 things are important to explain to your patient to about the procedure/injection?
Explain the steps in the procedure, expected duration, any limitations or restrictions associated with its performance, and correct misconceptions they have heard
What things must you assess/document about your patient before administering contrast?
Patient history; allergies to food, medications, environmental agents, or other substances; patients current medications; previous surgery that might affect site selection; BUN and creatine
What will you do to verify patient identity?
checking wrist band and asking their name
What are normal side effects of contrast?
taste of metal
warm feeling all over
Mild reactions of contrast are?
sensation of warmth, a metallic taste or sneezing
Moderate reactions of contrast are?
manifest as nausea, vomiting, or itching
Severe reactions of contrast are?
anaphylactic reaction can cause a respiratory or cardiac crisis
What are the 3 parts of the syringe?
tip, barrel, plunger
What are the 3 parts of the needle?
hub, cannular shaft, bevel
Why is it important to document past surgeries?
They may affect site selection (mastectomy= compromised lymph nodes)
How will you determine syringe size?
Depends on volume of material to be injected, select one size larger than volume desired
How many times can you use a needle?
Define gauge. What is bigger and what is smaller number wise?
Refers to the diameter if the needle bore. Gauge increasing as the diameter of the bore decreases
Which needle is most commonly used in radiology dept.?
butterfly sets or angiocatheters
How many times do you verify that you are using the correct medication?
During preparation and again before administration
What type of needle is recommended for long term use?
What type of vessel should you never stick? How will you know that it is not a vein?
Artery because you will feel a pulse
How do you cleanse the skin (prep) for injection?
Clip hair in the area and cleanse with an antiseptic for thirty seconds
Where do you place the tourniquet?
6-8 in above intended site
At what angle do you position the needle to the skin prior to stick?
After entering the vein your needle angle should be?
Do you position the bevel up or down prior to stick?
What is infiltration?
another complication associated with the administration of contrast media or medications
When and why does infiltration usually occur?
When the medication or contrast material enters the soft tissue instead of the vein. Occurs due to needle displacement
What are signs of infiltration?
swelling, redness, burning, and pain
What is a port? (I discussed this in class)
Small adapter with an access that is attached to an IV catheter when mire than one injection is anticipated