ARTERIAL PUNCTURE GPS 380

Exhibits professional behaviour 1. 2. 3. 4. 5. 1. 2. 3. 4. 5. 6. 7. 8. 9. Professional appearance (attire, behaviour, overall conduct) Identifies correct patient Introduces self to the patient Explains the procedure to the patient Obtains informed consent from patient Performs Allens test* Forces blood from hand (ask patient to make a tight fist or elevate hand above level of heart) Occludes arterial blood flow to hand (occludes both ulnar and radial artery) Releases ulnar artery Interprets Allens test (safe to perform puncture if palmar blush appears after less than 6 seconds) Washes hands Dons gloves Opens needle and syringe aseptically (opens packet by separating the paper from the plastic to prevent contamination)* Cleans rubber stopper of 1000 U heparin vial with alcohol swab 10. Withdraws 1-2 ml heparin 11. Expels all heparin solution from syringe 12. Replaces needle aseptically (opens packet by separating the paper from the plastic to prevent contamination)* Performs arterial puncture 13. Cleans site with sterile alcohol swab (use dry cotton wool swab on the manikin) 14. Prevents contaminating needle* 15. Locates puncture site (medial to styloid process of radius/ lateral to flexor carpi radialis tendon/ 2-3cm proximal to ventral surface of wrist crease) 16. Penetrates skin at 45 60 angle 17. Ensures needle stability (maintain 45 60 angle) 18. Obtains 1-2 ml blood and remove needle 19. Applies direct pressure AFTER removing needle for 5 minutes 20. Checks for haemostasis and applies adhesive tape over puncture site 21. Recaps needle without holding cap* Protects blood sample 22. Expresses air bubbles 23. Rolls syringe gently (prevent blood from clotting) 24. Covers with ice if transported to laboratory or if time before analysis exceeds 15 minutes Records 25. Hospital identification number 26. Administered FiO2 27. Patients temperature

Performs Allens test

Heparinises syringe