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OSCE Checklist Venepuncture

The document provides a checklist for performing venepuncture: It involves 18 steps to prepare, choose and access the vein, including confirming patient details, gaining consent, cleaning the site, inserting the needle at a 30 degree angle, and attaching collection tubes. Once collected, it describes 6 steps to complete the procedure, such as applying pressure and dressing, inverting and labeling samples, and documenting and sending to the lab for analysis.

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anju rachel jose
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612 views2 pages

OSCE Checklist Venepuncture

The document provides a checklist for performing venepuncture: It involves 18 steps to prepare, choose and access the vein, including confirming patient details, gaining consent, cleaning the site, inserting the needle at a 30 degree angle, and attaching collection tubes. Once collected, it describes 6 steps to complete the procedure, such as applying pressure and dressing, inverting and labeling samples, and documenting and sending to the lab for analysis.

Uploaded by

anju rachel jose
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OSCE Checklist: Venepuncture

Introduction
1 Gather equipment

2 Wash your hands using alcohol gel. If your hands are visibly soiled, wash them with soap and
water. Don PPE if appropriate.
3 Introduce yourself to the patient including your name and role

4 Confirm the patient's name and date of birth

5 Briefly explain what the procedure will involve using patient-friendly language

6 Gain consent to proceed with venepuncture

7 Check if the patient has any allergies

8 Adequately expose the patient's arms for the procedure

9 Position the patient so that they are sitting comfortably

10 Ask the patient if they have any pain before continuing with the clinical procedure

Preparation
11 Choose an arm you to perform venepuncture on and place a pillow under it

Choosing a vein
12 Inspect the patient’s arm for an appropriate venepuncture site

13 Apply the tourniquet approximately 4-5 finger-widths above the planned venepuncture site

14 Palpate the vein you have identified to assess if it is suitable

15 Once you have identified a suitable vein you may need to temporarily release the tourniquet

16 Wash your hands again

17 Don gloves

18 Clean the site with an alcohol swab for 30 seconds and then allow to dry completely for 30
seconds

Insertion of the needle


19 Re-apply the tourniquet if removed previously and attach the needle to the barrel

20 Unsheathe the needle

21 Anchor the vein from below with your non-dominant hand by gently pulling on the skin distal
to the insertion site
22 Warn the patient that they will experience a sharp scratch

23 Insert the needle through the skin at a 30-degree angle or less, with the bevel facing
upwards
24 Advance the needle a further 1-2 mm into the vein after flashback is noted to ensure you are
within the lumen
25 Lower and anchor the needle to the patient’s skin using the wings of the butterfly needle
26 Attach each blood bottle, in the correct order of draw, to the barrel and allow them to fill to
the appropriate level
27 Release the tourniquet

28 Withdraw the needle and then apply gentle pressure to the site with some gauze or cotton
wool
29 Ask the patient to hold the gauze or cotton wool in place whilst you dispose of the needle
into a sharps container
30 Apply a dressing to the patient’s arm

31 Invert each of the blood bottles the suggested number of times based on its colour

32 Discard the used equipment into the appropriate clinical waste bin

To complete the procedure…


33 Explain to the patient that the procedure is now complete and that they should seek review
if the venepuncture site becomes painful or inflamed
34 Thank the patient for their time

35 Document the patient’s details on the blood sample bottles at the bedside (either pre-
printed labels or handwritten)
36 Dispose of PPE appropriately and wash your hands

37 Send the blood samples to the lab for analysis in an appropriate plastic leak-proof bag with
the completed laboratory request form

Read the full guide at Download our


geekymedics.com GEEKY MEDICS clinical skills app

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