Identify the patient and verify the need for therapeutic phlebotomy
2
Provide patient with detail explanation of the procedure
3
Get consent from the patient for the procedure
4
Prepare the patient for the phlebotomy procedure
5
Collect the necessary supplies for the procedure
6
Wash hands and put on personal protective equipment
7
Tie tourniquet around the arm and select a phlebotomy site
8
Cleanse the phlebotomy site
9
Assemble the equipment and prepare the needle
10
Insert the needle into the vein and start collecting blood
11
Monitor the patient during the procedure for any adverse reactions
12
Once the required volume of blood is collected, carefully remove the needle
13
Apply pressure to the site and bandage it
14
Dispose off the used needle and other waste in biohazard container
15
Check the patient post procedure
16
Document the procedure details and vital signs before and after the procedure
17
Approval: Nurse - Review the procedure and patient's reaction
18
Report the procedure and any adverse reaction to the treating physician
Identify the patient and verify the need for therapeutic phlebotomy
This task involves identifying the patient who requires therapeutic phlebotomy and verifying the need for the procedure. The identification process ensures that the right patient is undergoing the procedure, while verifying the need ensures that therapeutic phlebotomy is the appropriate treatment. The desired result is accurate patient identification and confirmation of the necessity for the procedure. You may face challenges like incorrect patient information or uncertainty about the need for therapeutic phlebotomy. To overcome these challenges, cross-check patient details with medical records and consult with healthcare professionals. Required resources include medical records and access to consultation with healthcare professionals.
1
Iron Overload
2
Polycythemia Vera
3
Hemochromatosis
4
Porphyria Cutanea Tarda
5
Sickle Cell Disease
Provide patient with detail explanation of the procedure
In this task, you will explain the therapeutic phlebotomy procedure to the patient in detail. The explanation should cover the purpose of the procedure, the steps involved, potential discomfort, and any risks or side effects. The goal is to inform the patient and ensure their understanding and consent. Use simple and clear language, and encourage the patient to ask questions. You may encounter challenges in addressing the patient's concerns or fears. To overcome these challenges, provide factual information, address misconceptions, and offer reassurance. No form fields are required for this task.
Get consent from the patient for the procedure
Obtaining consent from the patient is crucial before performing therapeutic phlebotomy. This task involves explaining the risks, benefits, and alternatives of the procedure to the patient, and obtaining their consent. The desired result is an informed and voluntary consent from the patient. Challenges may include patient hesitation or refusal to provide consent. To address these challenges, provide additional information, address concerns, and involve a healthcare professional if necessary. No form fields are required for this task.
Prepare the patient for the phlebotomy procedure
Before conducting therapeutic phlebotomy, it is important to prepare the patient physically and mentally. This task involves ensuring the patient's comfort, obtaining relevant medical history, and explaining any pre-procedure instructions. The desired result is a prepared patient who is physically and mentally ready for the procedure. Challenges may include patient discomfort or anxiety. To address these challenges, provide supportive measures, offer distractions, and reassure the patient. No form fields are required for this task.
Collect the necessary supplies for the procedure
To perform therapeutic phlebotomy, you need to gather all the necessary supplies. This task involves identifying and gathering the specific supplies required for the procedure. The desired result is a complete set of supplies ready for the phlebotomy procedure. Challenges may include supply shortages or incorrect supply selection. To overcome these challenges, ensure proper inventory management, double-check supplies against a checklist, and consult with healthcare professionals. No form fields are required for this task.
Wash hands and put on personal protective equipment
Before conducting therapeutic phlebotomy, it is crucial to maintain proper hygiene and protect yourself. This task involves washing your hands thoroughly and putting on personal protective equipment (PPE) like gloves, mask, and gown. The desired result is clean hands and proper PPE to minimize the risk of infection. Challenges may include inadequate PPE availability or difficulty in hand hygiene compliance. To address these challenges, ensure an adequate supply of PPE, follow proper handwashing techniques, and seek guidance from infection control experts. No form fields are required for this task.
Tie tourniquet around the arm and select a phlebotomy site
In this task, you will tie a tourniquet around the patient's arm to locate a suitable vein for phlebotomy. The tourniquet creates venous congestion, making the veins more visible and accessible. The desired result is a securely tied tourniquet and the selection of an appropriate phlebotomy site. Challenges may include difficulty in locating suitable veins or discomfort caused by the tourniquet. To overcome these challenges, use appropriate techniques to locate veins and ensure patient comfort during the process.
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Cephalic vein
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Basilic vein
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Median cubital vein
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Dorsal hand veins
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Antecubital veins
Cleanse the phlebotomy site
Before inserting the needle, it is important to cleanse the phlebotomy site to reduce the risk of infection. This task involves preparing the site by properly cleansing it with an antiseptic solution. The desired result is a clean and disinfected phlebotomy site. Challenges may include patient discomfort or sensitivity to the antiseptic solution. To address these challenges, use a gentle antiseptic solution and provide reassurance to the patient.
Assemble the equipment and prepare the needle
To proceed with therapeutic phlebotomy, you need to assemble the required equipment and prepare the needle. This task involves gathering the necessary equipment, such as the blood collection tubes, syringes, and needle, and preparing the needle for insertion. The desired result is a fully assembled set of equipment and a prepared needle for the phlebotomy procedure. Challenges may include missing or incorrect equipment. To overcome these challenges, ensure proper inventory management and cross-check the equipment against a checklist.
Insert the needle into the vein and start collecting blood
This task involves skillfully inserting the needle into the selected vein and initiating the blood collection process. The desired result is a successful insertion of the needle and the start of blood collection. Challenges may include difficulty in locating the vein or patient discomfort during the needle insertion. To address these challenges, use proper techniques for vein selection and insertion, and provide support and reassurance to the patient.
Monitor the patient during the procedure for any adverse reactions
During therapeutic phlebotomy, it is essential to monitor the patient for any adverse reactions or complications. This task involves closely observing the patient for signs of discomfort, dizziness, or other adverse reactions during the procedure. The desired result is a monitored patient without any significant adverse reactions. Challenges may include patient anxiety or unanticipated reactions. To address these challenges, maintain open communication with the patient, provide reassurance, and be prepared to respond to any adverse reactions.
Once the required volume of blood is collected, carefully remove the needle
After collecting the required volume of blood, it is important to remove the needle carefully to minimize any discomfort or potential harm to the patient. This task involves safely withdrawing the needle from the patient's vein. The desired result is a safe and painless removal of the needle. Challenges may include accidental needlestick injuries or patient discomfort during the removal. To overcome these challenges, use proper needle removal techniques and ensure a calm and supportive environment for the patient.
Apply pressure to the site and bandage it
Following the removal of the needle, it is essential to apply pressure to the phlebotomy site to prevent bleeding and then bandage it to protect the area. This task involves applying pressure with sterile gauze or cotton to induce hemostasis and then securely bandaging the site. The desired result is a well-controlled and properly bandaged phlebotomy site. Challenges may include excessive bleeding or difficulties in securing the bandage. To address these challenges, use appropriate pressure techniques and select an appropriate bandaging method.
Dispose off the used needle and other waste in biohazard container
Proper disposal of used needles and other waste is essential to prevent any accidental injuries or transmission of infections. This task involves disposing of the used needle and any other waste generated during the phlebotomy procedure in a designated biohazard container. The desired result is the safe and appropriate disposal of all biohazardous materials. Challenges may include inadequate biohazard containers or confusion about disposal protocols. To overcome these challenges, ensure the availability of appropriate disposal containers and follow established disposal guidelines.
Check the patient post procedure
After completing therapeutic phlebotomy, it is important to assess the patient's condition and provide any necessary post-procedure care. This task involves checking the patient for any immediate complications or discomfort and addressing them accordingly. The desired result is a checked and comfortable patient post procedure. Challenges may include patient discomfort or unexpected post-procedure complications. To address these challenges, provide appropriate post-procedure care, document any complications, and seek further medical assistance if necessary.
Document the procedure details and vital signs before and after the procedure
Accurate documentation of the therapeutic phlebotomy procedure is crucial for maintaining comprehensive patient records and facilitating further healthcare decisions. This task involves recording the procedure details, such as the date, time, procedure type, and documenting the patient's vital signs before and after the procedure. The desired result is a complete and accurate set of documented information. Challenges may include incomplete or inaccurate documentation. To overcome these challenges, follow established documentation protocols and double-check the recorded information for accuracy.
Approval: Nurse - Review the procedure and patient's reaction
Report the procedure and any adverse reaction to the treating physician
Reporting therapeutic phlebotomy and any associated adverse reactions or complications to the treating physician is necessary for proper healthcare management and follow-up. This task involves notifying the treating physician or healthcare provider about the performed procedure and reporting any adverse reactions or complications encountered. The desired result is accurate and timely reporting for further medical evaluation or intervention. Challenges may include communication barriers or uncertainty about reporting protocols. To address these challenges, establish clear communication channels with the treating physician and follow established reporting guidelines.
