Presentation on theme: "Venepuncture Training. Aim of The Session To ensure staff will have the knowledge and skills to perform venepuncture safely and effectively."— Presentation transcript:
Aim of The Session To ensure staff will have the knowledge and skills to perform venepuncture safely and effectively
Learning Objectives Outline current legislation, local policies and procedures relevant to venepuncture practice Distinguish between when to perform venepuncture and when it should not be performed Describe the relevant anatomy and physiology of the arm and name the common veins used for venepuncture. Demonstrate the correct procedure for obtaining venous blood samples
Venepuncture Competency Requires You to Understand your Role & Responsibilities Knowledge of Procedure and all related Policies Trained to Undertake Venepuncture Assessed prior to undertaking Venepuncture Record your competency and keep Updated
Legal Framework Duty of Care responsibility to deliver high quality safe care to required standard Accountability being responsible for acts or omissions
Policies And Guidelines Venepuncture Health And Safety Infection Prevention Control Consent Record Keeping Risk Assessment Incident Reporting Underpinning Policies and Guidelines
Venepuncture Introduction of a needle into a vein in order to obtain a blood sample
Reasons For Undertaking Venepuncture >Investigative purposes >To detect a disease or illness >Monitoring clinical conditions or medications
ANATOMY & PHYSIOLOGY OF BLOOD AND BLOOD VESSELS DIFFERENT APPROACHES BLOOD COLLECTION SYSTEMS UNIVERSAL PRECAUTIONS RIGHT EQUIPMENT CONTRAINDICATIONS POTENTIAL PROBLEMS WHEN TO SEEK ASSISTANCE REPORT INCIDENTS PROCEDURE Venepuncture Knowledge
Blood - Three Main Functions 1.Transports oxygen, waste products and nutrients 2. Regulates body temperature 3. Protects against blood loss through clotting mechanisms
ARTERIES To The Heart Oxygenated Blood Thicker Wall Muscular VEINS From The Heart Deoxygenated Blood Thinner Wall Less Muscular Blood Vessels
Veins commonly used Median Cubital Accessory Cephalic Basilic Easily Accessible Less Painful.
Number of Attempts
Median Nerve Shooting Pain in arm > Abnormal sensation (Dysethesia) Special Precautions
Alternative Sites used in LCH but only after training !
Systems in Use in LCH VACUTAINER MONOVETTE
Infection Control Attend Mandatory Training 2 yearly Follow LCH Trust Policy Decontamination Clinical Area Decontamination of Hands Use of PPE Disposal of Waste
Waste Disposal Attend Health and Safety Training 3 yearly Follow LCH Trust Policy. Safe Use and Disposal of Sharps
GOOD Soft Bouncy Refills when depressed Visible Characteristics of Veins POOR Firm Roll easily Feel Cord Like CAUTION HERE if it PULSATES, feels ELASTIC (ARTERY)
X X Sites to Avoid Scars from burns and surgery Arm on side of a Mastectomy Haematoma/ Bruising IV / Transfusion arm Oedema Site of previous venepuncture attempts ( RCN 2003)
Blood Form not Completed in full Patient is Unwell Child under ?? Patient cannot consent to procedure 3 attempts have been made X X When Not Perform if ……………
Gloves Tourniquet – (disposable or decontaminate between use) Needles butterflies /adapters Blood Collection system Alcohol hand gel/rub Receivers Sharps box Adhesive Spot Plasters Low Linting gauze Equipment
RLBUHT – Handout 1 AINTREE – Handout 2 Order of Draw Specific Test Testosterone take sample before noon. Carbamazepine, Phenobarbitone and Phenytoin ranges are for pre dose samples Lithium range is for 12 hours post dose Digoxin at least 6 hours post dose.
Hematoma formed Vein collapsed Bevel near or in vein wall Needle passed through vein Trouble Shooting - No blood flow
Trouble shooting - Small veins Costly Safety device Used when vacuum in evacuated system may be too much for fragile veins
Bright Red Blood. Arterial Puncture Remove needle Tube fills fast quickly, apply pressure IR1 Uncontrolled Bleeding Anticoagulant therapyApply Pressure at puncture site HaematomaTrauma to vein or late Apply pressure release of tourniquet PainNeedle hits nerveSTOP PROCEDURE seek advice form senior colleague IR1 Adverse EventsPossible Causes First Aid
Nausea, GiddinessNeedle phobiaDon’t Panic, Stop Sweating, PallorAnxiety, Stressprocedure. Sit or lie Rapid Pulse, suddenHeat, Pain, Hungerdown if possible, raise loss of consciousnessMedical Conditionslegs, loosen clothing, call for assistance, monitor airway until patient recovers, give water, reassure, contact relative to accompany home. IR1 FAINTING
Specific Individual Needs Alternative or Additional Communication Needs Adjustment to Appointments Alternative types of appointments Different Practitioners Disabled access Best Interest Assessment Other Contact Equality and Diversity Team either via the internet or Tel: 0151 295 3041
YOURequest Form is completed Collect equipment Infection Control Procedures ENVIRONMENTClean, Well lit Appropriate PATIENTConsent and Agree to procedure Positive Patient Identification No Contraindications Before You Begin - Prepare and Protect
Step by Step Guide to Venepuncture Over To You
Venepuncture is a common Procedure Undertaken by a Range of Healthcare Staff Duty of Care to provide High Quality Safe Care Practical skill requires updating and assessing regularly Work within Policy and Guidelines Summary Learning
Laboratory Test Results are only as good as the specimen and the specimen is only as good as the method by which it is collected, handled and processed.
Competency Assessment Practice, Practice, Practice