Clinical Skills Flashcards
1
Q
3 I’s
A
Introduce yourself
Identify Patient
Informed Consent
2
Q
potential complications of venepuncture
A
pain
bleeding
swelling/haematoma
infection
3
Q
contraindications for taking blood
A
broken skin arterio-venous fistula local infection hard/cord like veins on palpation lymph node removal or chemo on that side
4
Q
which direction do you rinse your hands
A
fingers to elbows
5
Q
what to do when introducing self
A
say hello not hi say own name say why youre there ask patients details and how they would like to be addressed describe procedure
6
Q
what are the things that will influence sats values/taking sats
A
large meal hot bath hot/cold drink smoked done exercise ANY IN LAST 30 MINS?? take any blood pressure medication wear hearing aid
7
Q
contraindications for sats taking
A
fistulas arm/axillae/breast operations pain swelling weakness in arm
8
Q
what info do arterial blood gasses provide
A
oxygenation levels adequacy of lung ventilation acid base status metabolites present = glucose and lactate electrolyte levels
9
Q
which artery should be used for ABG
A
radial
alternate = femoral or brachial in antecubital fossa
10
Q
what are the complications of ABG
A
pain bruising/haematoma failure to obtain arterial sample infection ischaemia/damage to radial artery resulting in compromised blood supply to hand
11
Q
what do you need to document following an ABG
A
result of modified Allens test site used result of blood gas analysis FiO2 at time sample was obtained any complications
