Lesson 3 – Patient preparation

Welcome to lesson 3 where we will be focusing on the more practical aspect of blood taking, this theme will continue for a few more lessons before we go back into the usual boring compliance work.

The goal of this lesson is for you to understand how to prepare each patient for the procedure you are about to perform on them, the ultimate outcome should be the patients comfort.

So when the patient has settled down you want to:

Explain the procedure: Begin by introducing yourself to the patient and explaining the purpose of the blood taking. Describe the procedure in simple terms, outlining the steps involved, such as the insertion of a needle into a vein to collect a blood sample. Emphasise that the procedure is generally safe and relatively quick.

Ensure the patient is comfortable: Assess the patient’s comfort level and address any concerns or fears they may have. Provide a calm and reassuring environment, maintaining a friendly and empathetic approach. Encourage the patient to communicate their preferences, such as their preferred arm for blood collection or any previous difficulties experienced during blood taking. Ensure the patient is in a comfortable position, whether seated or lying down, and offer pillows or blankets if needed.

Respect privacy and confidentiality: Respect the patient’s privacy by ensuring that the procedure is conducted in a private area, away from unnecessary onlookers. Draw curtains, close doors, or take other appropriate measures to maintain confidentiality. This helps create a sense of trust and ensures that the patient feels comfortable discussing any personal medical information.

Ensure you have received consent: Before proceeding with the blood taking, obtain the patient’s informed consent. Explain the purpose of the blood collection, the intended use of the sample, and any associated risks or discomfort that may arise. Provide an opportunity for the patient to ask questions and clarify any concerns they may have. Only proceed with the procedure once the patient has given their consent willingly and understands the implications.

Assess the arm for needle insertion: Assess the patient’s arms to identify suitable veins for blood collection. Choose the arm with the most accessible and visible veins, unless there are contraindications such as surgical sites, injuries, or lymphedema. Communicate the chosen site to the patient and explain the reason behind the selection.

Prepare Tourniquet application: Prior to inserting the needle, explain that a tourniquet will be applied around the upper arm to temporarily restrict venous blood flow and make the veins more prominent. Reassure the patient that the tourniquet will only be applied for a short duration. Inform them about the sensation of tightness they may experience during this time.

By carefully addressing these considerations, you will be able to create a positive rapport with patients, alleviate anxiety, and ensure their comfort, privacy, and informed consent throughout the blood taking process. This patient-centred approach contributes to a smoother procedure and a more positive patient experience.