Drawing blood

Drawing Blood

1. Check identity of the patient
2. Check the medical prescription and the type of blood draw
3. Apply the tourniquet on the patients arm
4. Check for the veins
5. Clean puncture area
6. Use needle to puncture vein
7. Remove needle
8. Apply labels to tubes
9. Apply a cotton bud and plaster
10. Send blood to laboratory

What's your name ?

What's your birthday ?

Can tou spell your name ?

Have you eaten anthing this morning ?

How are you feeling ?

Are you prone to dizziness ?

Are you afraid of needles ?

Close your eys ans take a deep breath

Don't worry. It's not the first time I have drawn blood.

Do you prefer one arm in particular ?

Do you want me to tell you when I put in the needle ?

Does it hurt ? Is it too tight ?

It will feel just a little prick

Can you make a fist ?

Can you put your arm on the table ?

You will receive them in a few day in the mail.

You can ask your GP

See you later

Have a good day.

Blood pressure:

Check the heart rate

Blood pressure cuff, wrap around the patient arm

Inflation pump

Twisted all the way to the right, closed off

Calibrated of the air pressure

Check the heart rate with the stethoscope

Stethoscope palm facing forward.

Check pulse inside of the elbow,

Keep it snug  not super tight

Squeeze in order to pump the air

Up to 200, and slowly let the air out

First thumb is the systolic pressure, when the heart has contracted, the highest pressure and the last thumb, is the diastolic pressure, that's when the heartis relaxed and is refilled with blood

120 around that area

Gain consent

Ensure the cuff size is appropriate

Palpate the radial pulse

Palpate the brachial artery

• Hello Miss I'm a nurse student in my second year and my name is. I'm going to check your blood pressure. What's your name?

• My name is.
• How are you feeling?
• I'm fine
• Can I take your blood pressure? Are you fine with it?
• It's okay, you can do it.
• Okay, I going to take your heart rate first. I will need to put my finger around your wrist in order to do it. Then I will wrap the blood pressure cuff around your arm. Then I will squeeze the inflation pump, there will be air in the cuff. It's going to be a little bit tight around your upper arm.
• Okay.
• I put stethoscope under the arm cuff, then I will need the listen to the “thumb” through my stethoscope in order to measure your blood pressure. In order to do that, I need to be in a quiet environment.
• I understand. Why do you need to listen to the “thumb”
• I will need to listen to the first thumb. It is the systolic pressure, when the heart has contracted, and it's the highest pressure. Then I will search for the last thumb, it is the diastolic pressure, that's when the heart is relaxed and is refilled with blood
• Ah okay...
• Do you prefer one arm in particular?
• I prefer my left arm, if it's possible
• Okay, I understand. I need to ensure that the cuff size is appropriate. I will need you to put your arm on the table, and relax it as much as possible.  Then I will proceed.
• Okay, then I will keep quiet.

• Your heart rate is 60 beats per minutes and your systolic pressure is 120 milimeter mercury and the diastolic pressure is 70 milimeter mercury . It's normal.
• It's reassuring.
• Then see you later.
• Yes see you later.

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