Skills Flashcards
1
Q
What is venepuncture?
A
This is the act of drawing or removing blood from the circulatory system through a puncture to the vein in order to obtain a sample for analysis
2
Q
What is peripheral cannulation?
A
A device that is inserted into a peripheral vein for therapeutic purposes. E.g administration of medications, fluids or blood products.
3
Q
What are the practice precautions of venepuncture?
A
- Planning ahead – this is the most important part of carrying out any procedure, and is usually done at the start of a phlebotomy session;
- using an appropriate location – the phlebotomist should work in a quiet, clean, well-lit area, whether working with outpatients or inpatients
- use aseptic non touch technique
- distraction
- previous use and condition of veins
- clinical holding techniques
- Topical anaesthesia/ analgesia
- needle phobia
- ## broken skin conditions
4
Q
What are the practice precautions for cannulation?
A
- use standard aseptic non touch technique
- previous use and condition of veins
- gain consent
- clinical holding techniques
- patient preference
5
Q
What are the risks that should be considered when deciding whether a catheter is required?
A
- Risk of catheter associated urinary infection tract infection which is caused by bacteria colonisation
- CAUTI leading to sepsis
- body image issues with patient
- risk of trauma
- Haematuria from trauma or infection
- issues regarding sexual function
- Dependence
- Encrustation causing blockage or kidney stones
- Bladder irritation or allergy
- bypassing
6
Q
Catheters should be removed as soon to avoid complications. HOUDINI should be checked. What does this stand for?
A
Haematuria Obstruction or retention Urology surgery Damaged skin Input and output, fluid monitoring Nursing care Immobility due to physical constraint
7
Q
What are the trust protocols and policies to reduce the risk of Catheter complications?
A
- catheter passport
- catheter card
- inpatient care plan
- NO CAUTI
- essential standards
