NHA Certified Phlebotomy Technician (CPT)Safety and ComplianceHard
A phlebotomy technician is performing a venipuncture. The patient suddenly complains of sharp, radiating pain down their arm and numbness in their fingers. Which of the following is the most appropriate immediate action?
- AWithdraw the needle immediately.
- BContinue the draw, as this is a common patient reaction.
- CApply a cold pack to the site and continue the procedure.
- DReassure the patient and attempt to redirect the needle slightly.
Show answer & explanationAnswer & explanation
Correct answer: A. Withdraw the needle immediately.
Sharp, radiating pain and numbness are classic signs of nerve impingement or injury during venipuncture. Continuing the procedure or redirecting the needle could cause further, potentially permanent, nerve damage. The immediate and most appropriate action is to withdraw the needle.
Why the other options are wrong
- B. Sharp, radiating pain and numbness are not common reactions and indicate a serious issue.
- C. Applying a cold pack is not the immediate action for nerve injury and continuing is unsafe.
- D. Redirecting the needle could worsen nerve damage; reassurance is secondary to safety.
Nerve Impingement Protocol
The immediate steps to take if a patient experiences symptoms of nerve injury during venipuncture, such as sharp, radiating pain, tingling, or numbness.
- Withdraw needle immediately.
- Apply pressure to the site.
- Report incident to supervisor.
- Document thoroughly.
Memory trick: When complications arise, 'STOP' and 'ASSESS'.