Accidental Arterial Stick Steps

Study for Area

Step 1

Verbalized indications of accidental arterial stick- rapidly forming hematoma, bright red blood pulsing into the collection tube

Step 2

Released the tourniquet

Step 3

Removed the needle, activated the safety device, and discarded the needle in the sharps container

Step 4

Applied pressure to the puncture site for minimum of 5 minutes, or until the bleeding stopped
Judge reports, “bleeding has stopped.”

Step 5

When the bleeding stopped, applied a taut gauze dressing

Step 6

Instructed patient to keep arm relatively still for short period of time

Step 7

Informed charge nurse (judge) of the occurrence

Step 8

Verbalized checked with laboratory supervisor (judge) to determine if blood is usable
Judge states, “bloodwork is acceptable.”

Step 9

Labeled the tube with patient name and date of birth, and “arterial blood”

Step 10

Removed and disposed of gloves, and washed hands or used alcohol-based handrub for hand hygiene

Step 11

Documented incident on HOSA chart

Step 12

Used appropriate verbal and nonverbal communication with patient and other personnel

Step 13

Practiced standard precautions throughout skill