ATS Pulmonary Function Laboratory Manual

ATS Pulmonary Function Laboratory Management & Procedure Manual | 3rd Edition

Appendix 2.2 Competency Assessment Form Percutaneous Collection of Arterial Blood

Employee Name:

Title:

Annual

Initial Satisfactory Identi ed Learning Need

Date:

Not Applicable

Theory and General Information 1. Lists at least three concerns or contraindications to performing an arterial puncture. 2. Lists at least three hazards of an arterial puncture.

Equipment Preparation 1. Obtains physician's order. 2. Confirm that there has been no O 2 state (resting quietly for 10 minutes).

concentration change for at least 10 minutes, and patient is in a steady

3.

Assembles supplies required for arterial puncture.

Implementation 1. Introduces self, identifies patient (two unique identifiers), explains procedure, and asks/ verifies if patient is taking anticoagulation medication. 2. Verifies O 2 flow rate and/or concentration. 3. Selects site for puncture and performs Allen test (if applicable). 4. Uses appropriate barrier protection. 5. Cleanses area with institutionally approved cleansing agent. 6. Properly administers local anesthetic (if applicable). 7. Properly positions patient’s arm and obtains sample. 8. Properly removes needle, and applies firm pressure for 5 minutes. 9. Properly removes air and seals syringe. 10. Properly disposes of needle in sharps container. 11. Properly labels syringe and stores on ice (if appropriate), completes arterial blood gas (ABG) form, and transports to lab. 12. Properly disposes of barrier protection and washes hands. 13. Properly documents in patient’s chart. Comments: Reviewer: Date of Assessment:

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