Page 84 - CLINICAL PRACTICE II

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UNIT 3
PROCEDURE CHECKLIST 46
Nursing interventions for Client with Infections and Inflammations:
Obtaining blood specimen

NO. PROCEDURE REMARKS

1. Review physician’s order for type of blood specimen.

2. Identify and inform the patient

3. Obtained informed consent
Prepare necessary equipment to obtain blood sample for
analysis and label specimen bottles accordingly (name, RN,
4. type of specimen, date)
Perform hand hygiene and don non-sterile gloves and other
5. necessary PPE

Position the patient to permit easy access to the selected
6. venipuncture site

Identify an appropriate venipuncture site.
7. (Note for any limb restrictions)

Apply the tourniquet 3 – 4 inches/ 7.5-10cm proximal to the
8.
insertion site using a quick- release knot
Using aseptic no touch technique, prepare the skin site for
9. percutaneous venipuncture

Scrub site with 70% alcohol using a circular motion from
10. puncture site outward.

Anchor vein by holding skin taut 1-2 inches below puncture
11. site

12. Explain patient not to move

13. Insert needle bevel up into vein at 15 – 30-degree angle

Observe for a ‘flash’ of blood once needle properly enters
14.
vein
Allow the blood to flow till the amount that needed in the
15. syringe

Release the tourniquet before the needle is removed from the
16. vein to reduce the risk of developing a hematoma at the
puncture site

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