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    OSCE Checklist ABG Sampling

    Uploaded by

    Candy crush
    This document provides a checklist for performing an arterial blood gas (ABG) sampling procedure: 1. Gather equipment, introduce yourself to the patient, explain the procedure, and gain consent. 2. Perform a modified Allen's test and prepare the equipment and patient by exposing the wrist and positioning comfortably. 3. Identify the radial artery, clean the puncture site, administer local anesthetic, and insert the needle at a 30-45 degree angle to draw the blood sample. 4. Apply pressure to the puncture site, dispose of equipment properly, thank the patient, and send the sample for analysis.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    OSCE Checklist ABG Sampling

    Uploaded by

    Candy crush
    196 views2 pages
    This document provides a checklist for performing an arterial blood gas (ABG) sampling procedure: 1. Gather equipment, introduce yourself to the patient, explain the procedure, and gain consent. 2. Perform a modified Allen's test and prepare the equipment and patient by exposing the wrist and positioning comfortably. 3. Identify the radial artery, clean the puncture site, administer local anesthetic, and insert the needle at a 30-45 degree angle to draw the blood sample. 4. Apply pressure to the puncture site, dispose of equipment properly, thank the patient, and send the sample for analysis.

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    This document provides a checklist for performing an arterial blood gas (ABG) sampling procedure: 1. Gather equipment, introduce yourself to the patient, explain the procedure, and gain consent. 2. Perform a modified Allen's test and prepare the equipment and patient by exposing the wrist and positioning comfortably. 3. Identify the radial artery, clean the puncture site, administer local anesthetic, and insert the needle at a 30-45 degree angle to draw the blood sample. 4. Apply pressure to the puncture site, dispose of equipment properly, thank the patient, and send the sample for analysis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    196 views2 pages

    OSCE Checklist ABG Sampling

    Uploaded by

    Candy crush
    This document provides a checklist for performing an arterial blood gas (ABG) sampling procedure: 1. Gather equipment, introduce yourself to the patient, explain the procedure, and gain consent. 2. Perform a modified Allen's test and prepare the equipment and patient by exposing the wrist and positioning comfortably. 3. Identify the radial artery, clean the puncture site, administer local anesthetic, and insert the needle at a 30-45 degree angle to draw the blood sample. 4. Apply pressure to the puncture site, dispose of equipment properly, thank the patient, and send the sample for analysis.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    OSCE Checklist: ABG Sampling

    Introduction
    1 Gather equipment

    2 Wash your hands and don PPE if appropriate

    3 Introduce yourself to the patient including your name and role

    4 Con rm the patient's name and date of birth

    5 Brie y explain what the procedure will involve using patient-friendly language

    6 Check for any contraindications to ABG sampling

    7 Check if the patient has an allergy to local anaesthetic (e.g. lidocaine)

    8 Gain consent to proceed with ABG sampling

    9 Adequately expose the patient’s wrist

    10 Position the patient so that they are sitting comfortably, ideally with their wrist supported by
    a pillow
    11 Check if the patient has any pain before proceeding with ABG sampling

    Modi ed Allen’s test


    12 Ask the patient to clench their st

    13 Apply pressure over the radial and ulnar artery to occlude both vessels

    14 Ask the patient to open their hand, which should now appear blanched

    15 Remove the pressure from the ulnar artery whilst maintaining pressure over the radial artery

    16 Time how quickly colour returns to the hand

    Preparation
    17 Note the patient’s current body temperature

    18 If the patient is currently receiving oxygen therapy, note the oxygen delivery device and ow
    rate
    19 Remove all equipment from its packaging so that it is easily accessible during the procedure

    20 Attach the needle, with its protective cover intact, to the pre-heparinised ABG syringe

    21 Position the patient's hand preferably on a pillow for comfort with the wrist extended by
    approximately 20-30°

    Procedure
    22 Palpate the radial artery over the wrist of the patient's non-dominant hand to identify an ideal
    puncture site
    23 Once you have identi ed your planned puncture site, clean it with an alcohol wipe for 30
    seconds and allow to dry before proceeding
    24 Wash your hands again

    25 Don a pair of gloves and an apron


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    26 Administer local anaesthetic and leave for a minimum of 60 seconds before performing
    arterial sampling
    27 Remove the protective cover from the ABG needle and then ush through the heparin from
    the syringe
    28 Hold the patient's wrist extended by approximately 20-30°

    29 Palpate the radial artery with your non-dominant hand's index nger around 1cm proximal to
    the planned puncture site
    30 Warn the patient you are going to insert the needle

    31 Holding the ABG syringe like a dart, insert the needle through the skin at the insertion site at
    an angle of 30-45°
    32 Continue to advance the needle slowly until you feel a sudden reduction in resistance and
    see a rush of blood back into the ABG syringe
    33 Allow the ABG syringe to self- ll

    34 Once the required amount of blood has been collected remove the needle and apply
    immediate rm pressure over the puncture site with some gauze or cotton wool
    35 Engage the needle safety device

    36 Remove the ABG needle from the syringe and discard immediately into a sharps bin

    37 Carefully expel any air from the sample if present, place a cap onto the ABG syringe and
    invert it gently
    38 Attach a sticker containing the patient's details to the ABG sample

    39 Continue to apply rm pressure to the puncture site for 3-5 minutes to reduce the risk of
    haematoma formation

    To complete the procedure…


    40 Explain to the patient that the procedure is now complete

    41 Thank the patient for their time

    42 Dispose of your PPE and equipment into an appropriate clinical waste bin

    43 Wash your hands

    44 Take the ABG sample to be analysed as soon as possible after being taken

    45 Document the ABG results in the patient's notes

    Read the full guide at Download our


    geekymedics.com GEEKY MEDICS clinical skills app
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