Venupuncture

Question 1

Introduction

Answer 1

Gather equipment in clean tray
Cleans hands
Introduce yourself
Check patient ID, DOB
Confirm procedure 
Explain procedure, gain consent

Question 2

What are the contraindications for venupuncture

Answer 2

AV fistula
Lymphoedema
Mastectomy
Thrombosis
IV infusion in progress

Question 3

Describe the steps needed before venupucture

-arm

Answer 3

Don gloves
Expose patients arm, find a suitable vessel
Apply torniquet 4-5 fingers above planned site
Palpate for springy vein
Clean with swab, let it dry

Question 4

Describe the steps needed before venupuncture

-needle

Answer 4

Attaches needle to vacutainer barrel, unsheathe needle

Anchor vein with non dominant hand

Question 5

Describe the process during needle insertion

Answer 5

Warn patient of insertion
Insert needle at 30 degrees or less with bevel facing upwards
Advance needle after flashback is seen
Lower and anchor needle to patient’s skin

Fill bottles in correct order
Release torniquet
Gently invert bottles to mix with reagent

Question 6

Describe the steps after needle removal

Answer 6

Withdraw needle, apply gentle pressure to puncture site with gauze/cotton wool
Dispose of needle ASAP
Apply dressing
Discard equipment

Question 7

Describe the admin needed after blood drawn

Answer 7

Wash hands
Complete patient details on each sample
Send samples to lab in plastic leak proof bag with completed lab request form

Question 8

Order of draw

Function

Answer 8

Light blue - coag, INR, Ddimer
Gold - biochemistry, serum
Purple - whole blood (FBC, blood film, ESR, HbA1c)
Pink - G&S or M
Grey - glucose, lactate