How will the skin react if the patient is allergic to the antiseptic or plaster?

Itching , redness swelling and discomfort

What should a phlebotomist do if a patient complaint of excessive pain?

1)Remove the tourniquet and needle/ discontinue the procedure. 2)wait to see if the pain goes away. 3) Report the incident. 4) Apply ice pack to reduce the pain.

Describe the 4 symptoms that would indicate that the patient is about to faint.

1) Paleness 2) Sweating (Skin is cold and clammy) 3) hyperventilation. 4) Patient complaining of dizziness, light-headedness, Nausea, thirst.

Explain what to do if the patient has prolonged bleeding from the puncture site after removing the needle.

Raise the arm. Maintain pressure on site until bleeding stops. If bleeding does not stop after 5 minutes, call for help.

Describe the steps to follow if you notice the formation of a haematoma during the venepuncture procedure

Discontinue venepuncture immediately. Put pressure on site for 2 minutes. If a large bruise- use ice pack

List 6 possible causes of haematoma formation

Inadequate pressure to site following the removal of needle. Bending the arm while applying pressure to the venepuncture site. Inadvertent puncture of an artery. Not releasing the tourniquet when the needle is removed.

The procedure to follow when a patient feels nauseous is:

Do not continue with the blood draw, Offer the patient an emesis basin, Make the patient comfortable, Encourage the patient to breath slowly and deeply

Petechiae may be a result of

Capillary wall defects, or be due to platelet abnormalities, can indicate that the venepuncture site may bleed excessively

List complications in venepuncture due to poor venepuncture procedure

Extreme pain due to nerve injury, Inadvertent arterial puncture, Infection due to inadequate cleaning/contamination of site, Iatrogenic anaemia due to drawing too much blood, Reflux of additive in blood stream, Vein damage due to excess probing

Explain procedure if pt start to faint

•Release tourniq •Discard needle •Apply pressure •Lower head •Deep breath •Prevent pt injury •Talk2pt •Loosen tight clothes–permission •Cold cloth 2 head & back of neck •Call for help •Pt lie bed,legs up •Stay with pt until fine •report, D/C

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Adverse reactions

Question	Answer
How will the skin react if the patient is allergic to the antiseptic or plaster?	Itching , redness swelling and discomfort
Name a possible cause for excessive pain	Needle has touched a nerve
What should a phlebotomist do if a patient complaint of excessive pain?	1)Remove the tourniquet and needle/ discontinue the procedure. 2)wait to see if the pain goes away. 3) Report the incident. 4) Apply ice pack to reduce the pain.
Describe the 4 symptoms that would indicate that the patient is about to faint.	1) Paleness 2) Sweating (Skin is cold and clammy) 3) hyperventilation. 4) Patient complaining of dizziness, light-headedness, Nausea, thirst.
Explain what to do if the patient has prolonged bleeding from the puncture site after removing the needle.	Raise the arm. Maintain pressure on site until bleeding stops. If bleeding does not stop after 5 minutes, call for help.
Describe the steps to follow if you notice the formation of a haematoma during the venepuncture procedure	Discontinue venepuncture immediately. Put pressure on site for 2 minutes. If a large bruise- use ice pack
List 6 possible causes of haematoma formation	Inadequate pressure to site following the removal of needle. Bending the arm while applying pressure to the venepuncture site. Inadvertent puncture of an artery. Not releasing the tourniquet when the needle is removed.
The procedure to follow when a patient feels nauseous is:	Do not continue with the blood draw, Offer the patient an emesis basin, Make the patient comfortable, Encourage the patient to breath slowly and deeply
Tiny red spots that appear on a patient’s arm when a tourniquet is applied is called:	Petechiae
Petechiae may be a result of	Capillary wall defects, or be due to platelet abnormalities, can indicate that the venepuncture site may bleed excessively
List complications in venepuncture due to poor venepuncture procedure	Extreme pain due to nerve injury, Inadvertent arterial puncture, Infection due to inadequate cleaning/contamination of site, Iatrogenic anaemia due to drawing too much blood, Reflux of additive in blood stream, Vein damage due to excess probing
Explain procedure if pt start to faint	•Release tourniq •Discard needle •Apply pressure •Lower head •Deep breath •Prevent pt injury •Talk2pt •Loosen tight clothes–permission •Cold cloth 2 head & back of neck •Call for help •Pt lie bed,legs up •Stay with pt until fine •report, D/C

Created by: cisca

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