NHA Certified Phlebotomy Technician (CPT)Patient PreparationHard
A phlebotomy technician is performing a venipuncture on a patient. During the draw, the patient begins to complain of sharp, shooting pain radiating down their arm. What is the MOST appropriate immediate action?
- AImmediately withdraw the needle.
- BReassure the patient and continue the draw quickly.
- CAdjust the needle position slightly.
- DAsk the patient to relax their arm.
Show answer & explanationAnswer & explanation
Correct answer: A. Immediately withdraw the needle.
Sharp, shooting pain radiating down the arm during venipuncture indicates potential nerve involvement or damage. The immediate and most appropriate action is to withdraw the needle completely to prevent further injury.
Why the other options are wrong
- B. Continuing the draw with nerve pain risks permanent nerve damage and is medically negligent.
- C. Adjusting the needle may worsen the nerve injury if the needle is already in contact with a nerve.
- D. Asking the patient to relax their arm does not address the cause of the nerve pain and is not a safe immediate response.
Nerve Puncture Response
If a patient experiences sharp, radiating pain during venipuncture, it indicates possible nerve involvement. The immediate and critical action is to withdraw the needle to prevent permanent nerve damage.
- Sharp, radiating pain suggests nerve involvement.
- Immediate needle withdrawal is required.
- Document the incident thoroughly.
- Report to a supervisor or physician.
Memory trick: Sharp nerve pain? Get that needle out, fast!