Question

Scenario 2 Your patient complains of serious pain when you insert the needle into the vein. Explain the steps on how you would improve the patient's comfort? Your patient asks you how long you have been drawing blood and whether you are "good"? How do you respond? Justify your response.

Answer 1

Ans) Steps to Improve the patient's comfort during phlebotomy:

- Prepare the patients psychologically and physically.
- For the phlebotomy site using the most distal location and move up as necessary.
- Recommendation for Nurses:
-Training program should established and conducted on regular basis for newly appointed nurses are already in contact with the patients. The training would related to theoretical and practical aspects of phlebotomy. Practical
part carried out under supervision using three dimensional simulation models and to practice on patients later.
-Refresh courses, conferences established for nurses to provide them with the recent advances in phlebotomy.
- Recommendation for Administration:
- A team specially trained in the area of phlebotomy being responsible for the training program.
- Nursing procedure manual should be available on the patients' wards.
- Regular supervision of the nurses being responsible for intravenous infusion on the wards.
-Recommendation for Future Researches:
- As infection and hematomas were the most common local complications of the phlebotomy, proper management needs to investigate.
- Determine the effect of the nursing intervention on the prevention of occurrence of the phlebotomy local complications among patients with chemotherapy and/or whom undergoing anticoagulant drugs.