NHA Certified Phlebotomy Technician (CPT)Safety and ComplianceMedium
A phlebotomy technician is performing venipuncture. After inserting the needle, the patient complains of a sharp, radiating pain down their arm. The technician should immediately:
- AAdjust the needle position slightly to alleviate the pain.
- BAsk the patient to tolerate the pain for a few more seconds.
- CContinue the draw, as this is a common patient sensation.
- DWithdraw the needle completely.
Show answer & explanationAnswer & explanation
Correct answer: D. Withdraw the needle completely.
Sharp, radiating pain during venipuncture often indicates nerve involvement. Immediate withdrawal of the needle is crucial to prevent further nerve damage.
Why the other options are wrong
- A. This is incorrect; adjusting the needle while it's impinging on a nerve can worsen the damage.
- B. This is unethical and unsafe; patient comfort and safety take precedence over completing the draw.
- C. This is incorrect and could lead to serious nerve damage.
Nerve Impingement During Venipuncture
Accidental contact or damage to a nerve during blood collection, characterized by sharp, radiating pain, tingling, or electric shock sensation.
- Requires immediate needle removal.
- Can lead to temporary or permanent nerve damage.
- Proper site selection and technique minimize risk.
Memory trick: When 'P'ain 'R'adiates, 'P'ull 'R'ight 'O'ut.