NVQ evidence

1

KE3

Discuss why a doctor may refer a patient for Venepuncture

2

Describe how infection is spread

3

KE1

How may its spread be limited?

4

KE4

Why is it important to clean Venepuncture sites effectively, how and when should this be carried out?

5

KE5

In relation to Venepuncture, what is hazardous and non-hazardous waste? How would you dispose of each?

6

KE6

Why is correct labelling important and what are the possible consequences of muddling samples?

7

KE2

Describe the legal and organisational requirements regarding health and safety and infection control when working with blood (e.g. COSHH, DoH guidelines and local policies

8

KE7

Which types of sample have particular storage and transfer requirements (e.g. temperature dependant tests) and what are the requirements?

9

Why is it important to get positive confirmation of individuals identity and consent before starting the procedure?

10

KE8

Describe effective ways of getting positive identification.

11

KE10

Describe the contra-indications and changes in behaviour and condition, which indicate that the procedure should be stopped, and advice sought. (e.g. allergies, skin problems, incorrect presentation such as non – fasting.)

12

KE12

What sites may you choose for Venepuncture and why.

13

KE13

What factors would you consider when choosing the best site to use (including the individuals own preference)

14

KE14

What factors can affect the quality of the sample (e.g. prolonged use of a tourniquet)

15

KE15

Describe how you would prepare individuals for Venepuncture; include how their personal preferences may effect their preparation.

16

KE16

Describe the steps you would take to detect suitable veins

17

KE17

Describe the possible concerns individuals may have in relation to Venepuncture and blood sampling.

18

KE18

What is likely to cause discomfort to individuals during and after the collection of blood samples? Describe how such discomforts can minimised. E.g. applying correct pressure to tourniquet and puncture site to avoid bruising)

19

KE19

What remedial action can be taken if there are problems in obtaining blood?

20

KE20

Why are anticoagulants added to blood samples and why is it important to collect the right volume of blood when it is to be mixed with anti-coagulant?

21

Describe the dressings needed for the different types of puncture sites.

22

Describe how you would apply dressings.

23

KE21

What advice would you give individuals on caring for the site? (Ke21)

24

KE23

How would you recognise the common adverse reactions which individuals may have (e.g. fainting, bruising) What action would you take if they occurred.

25

Describe how you would recognise an arterial puncture

26

KE24

What action would you take if the above occurs.

27

KE25

What equipment and materials are needed for venous sampling, and how would you check and prepare them (including protective clothing for the worker and/or the individual.

28

How would you maintain confidentiality whilst transporting blood samples (i.e. from patients home to the surgery)

29

How would you deal with any spillages of blood?

30

Describe the procedure you would follow if you sustain a needlestick injury