Clinicals: Which Step When?

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Across
  1. 3. Immediately activates needle safety device while applying pressure to site.
  2. 4. Introduces self as AIM Medical.
  3. 5. Asks patient to clench fist again.
  4. 7. Removes last tube from holder.
  5. 9. Properly palpate and choose appropriate vein to be used for venipuncture.
  6. 10. Select equipment, tubes, and needle assembly based on chosen vein.
  7. 11. Removes needle, then places gauze over puncture site.
  8. 15. Properly anchors vein using aseptic technique and without repalpating intended puncture site.
  9. 17. Fill evacuated tube(s) with the correct volume.
  10. 18. Doffs gloves, performs proper hand hygiene.
  11. 20. Stabilizes holder while pushing evacuated tube onto needle in holder.
  12. 22. Stabilizes tube holder during tube change.
  13. 23. Performs proper hand hygiene.
  14. 25. Tubes with additives are inverted.
  15. 26. Inverts tubes several times.
  16. 28. Dons gloves.
  17. 30. Inserts needle swiftly, bevel up, in the same direction of the vein and at the correct angle.
Down
  1. 1. Discards needle in sharps container carefully and correctly.
  2. 2. Releases tourniquet at the appropriate time and less than one minute.
  3. 3. Properly cleanses site using appropriate technique.
  4. 6. Properly grasps holder between thumb and fingers in drawing hand.
  5. 7. All of these steps must be performed within allotted time of ten to _____ minutes.
  6. 8. Uncaps needle and briefly inspects for defects.
  7. 12. Asks patient to apply pressure to puncture site.
  8. 13. Asks about blood drawing history and explains prodecure if necessary.
  9. 14. Labels tubes correctly.
  10. 16. Properly identifies patient with at least two identifiers.
  11. 19. Reapplies tourniquet properly.
  12. 21. Thanks patient; if patient is outpatient, allows patient to leave; if inpatient, raises bed rails.
  13. 22. Inspects puncture site to make sure bleeding has stopped, apply bandage as neccesary.
  14. 23. Fill tubes in the correct order.
  15. 24. Applies tourniquet properly above the site 3-4 inches.
  16. 25. Discards used materials in appropriate receptacle (sharps, biohazard, or regular trash) And observes patient for any complications (syncope, bleeding, seizure).
  17. 27. Asks patient to clench fist.
  18. 29. Re-release tourniquet at the appropriate time.