IV. Arterial Blood Gas
Placement of an arterial line is indicated for continuous monitoring of arterial pressure and direct arterial blood sampling.
View the Video and Review the PDF description for the procedure using the Resource links on the Right Sidebar
Checklist
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Arterial Puncture |
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Not Competent |
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Procedure: |
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1. Wash hands or use sanitizing gel |
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2. Identify patient (name and d.o.b.) and explain procedure to patient |
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3. Perform Allen Test to check vascular integrity of hand |
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4. Gather/check equipment: |
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5. Put on gloves |
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6. Position patient using sandbag or rolled towel to dorsiflex the wrist. |
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7. Cleanse overlying skin of distal wrist with alcohol swab |
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8. Palpate radial artery with non-dominant hand |
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9. (Student should describe but not perform) Anesthetize overlying skin |
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10. Insert syringe into radial artery at 30-45 degree angle, bevel side up |
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11. Watch for pulsing flash of blood in syringe, reposition needle if needed |
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12. Collect sample specimen in syringe, then remove syringe. |
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13. Apply direct pressure to puncture site. |
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14. Apply band-aid to patient's wrist |
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15. Expel air bubble from syringe. |
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16. Cap the syringe/needle, using needle-stick safety precautions |
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17. Once capped, roll the syringe gently to mix blood with heparin. |
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18. Place specimen syringe into delivery container with ice |
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19. Arrange for specimen to be delivered to laboratory promptly |
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20. Wash hands before leaving the room |
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Pass |
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Remediation Required |
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Student Name (please print) __________________________________ |
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Student Signature _________________________________________ |
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Evaluator Signature_________________________________________ |
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