TAKING A BLOOD SAMPLE

I.

Preparation : The tray contains: Syiring with required size Cotton buds and sterile gauze in place Pedestal : waterproof and base fabric Torniquet Bethadin solutio Alcohol 70% Plaster & scissors Gloves kidney tray prepared syringes tub empty bottle and the cover Etiquette / label Personal protective equipment: suits and masks

II.

Pre Interaction Phase : 1. Verify the order 2. prepare into nurse 3. Prepare tools

4. Prepare the environment: Maintain client privacy in the form of closed doors and windows III. orientation phase: 1. Give therapeutic regards 2. Clarification the time contract of taking blood sample 3. Explain the purpose and procedure 4. Give the client the opportunity to ask 5. Prepare tools in the near clients IV. Work phase : 1. Nurses wash their hands 2. Wear the suits and masks 3. Set a comfortable position for client 4. Exempt from the client sleeve shirt or shirt 5. Determine where the stabbing / vein to be selected 6. Attach pedestal under the puncture area / vein to be selected 7. Use gloves 8. Tighten the tourniquet 10-12 cm above the puncture area 9. Palpation and make sure to be punctured vein, can encourage clients to clenched palm and opened several times 10. Proper disinfection pricking with disinfectant and cotton buds that has been available to order: alcohol-bethadin-alcohol 11. Put a stick of cotton that has been used on curved prepared

12. Hold the syringe with the bevel facing upward, at an angle of 30 in the direction of the vein to be punctured, then skewer slowly but surely 13. Doing aspirations: if there is not blood in the syringe means not puncture the vein 14. If there is blood in the syringe, the puncture is on the vein, release the tourniquet 15. Aspiration of blood with pulling the syringe, as much as needed 16. Pull out the spike from the vein, tap the tip of spike with sterile cotton buds 17. Put the syringe and spike in a prepared kidney tray 18. Cover the puncture with a sterile gauze given bethadin, fixation with plaster or hepavix 19. Remove gloves 20. Tidy up client 21. Clean up the tools 22. Remove the suits and masks 23. Nurses wash their hands V. Termination phase : 1. Evaluate client response 2. Summarize the results of activities 3. Giving a message 4. Inform The next contract (time, place, topic / activity) VI. Document : 1. The clients name

2. Date of blood sampling 3. Type of the blood tests that will be done (Ex: hb, Hct, etc.) 4. The volume of blood taken VII. Attitude : 1. Thoroughness 2. Empathy 3. Care 4. Patient 5. Polite

CONVERSATION

Kartika is a scarlet fever patient. she was hospitalized for 3 days. The docktor gave instruction to check her Hb (hemoglobin) rate averyday. Nurse marko will meet her to taking her blood sample. N = nurse P = patient I. Pre Interaction Phase :

N : its time to take kartikas blood sample, she is in 9th room of anggrek ward. I have to preparing the tools and her data. Hemmh I ready to do it After preparingthe tools nurse Marko go to kartikas room. II. orientation phase:

in the kartikas room...Nurse marko knock the door.. N : knock knock..excuseme.. P : yah,please come in N : good morning kartika, how are you today? P: 1. 2. 3. 4. 5. IV. Give therapeutic regards Clarification the time contract of taking blood sample Explain the purpose and procedure Give the client the opportunity to ask Prepare tools in the near clients Work phase :

1. 2. 3. 4. 5. 6. 7. 8. 9.

Nurses wash their hands Wear the suits and masks Set a comfortable position for client Exempt from the client sleeve shirt or shirt Determine where the stabbing / vein to be selected Attach pedestal under the puncture area / vein to be selected Use gloves Tighten the tourniquet 10-12 cm above the puncture area Palpation and make sure to be punctured vein, can encourage clients to clenched palm

and opened several times 10. Proper disinfection pricking with disinfectant and cotton buds that has been available

to order: alcohol-bethadin-alcohol 11. 12. Put a stick of cotton that has been used on curved prepared Hold the syringe with the bevel facing upward, at an angle of 30 in the direction of

the vein to be punctured, then skewer slowly but surely 13. 14. 15. 16. 17. 18. Doing aspirations: if there is not blood in the syringe means not puncture the vein If there is blood in the syringe, the puncture is on the vein, release the tourniquet Aspiration of blood with pulling the syringe, as much as needed Pull out the spike from the vein, tap the tip of spike with sterile cotton buds Put the syringe and spike in a prepared kidney tray Cover the puncture with a sterile gauze given bethadin, fixation with plaster or

hepavix 19. Remove gloves

20. 21. 22. 23. V. 1. 2. 3. 4. VI. 1. 2. 3. 4.

Tidy up client Clean up the tools Remove the suits and masks Nurses wash their hands Termination phase : Evaluate client response Summarize the results of activities Giving a message Inform The next contract (time, place, topic / activity) Document : The clients name Date of blood sampling Type of the blood tests that will be done (Ex: hb, Hct, etc.) The volume of blood taken