NHA Certified Phlebotomy Technician (CPT)Safety and ComplianceHard
A phlebotomy technician is performing a venipuncture. After inserting the needle, the patient complains of a sudden, sharp, radiating pain down their arm. The technician should immediately:
- AAsk the patient to tolerate the pain for a few more seconds.
- BSlightly reposition the needle to find the vein.
- CWithdraw the needle completely and apply pressure.
- DContinue the draw, as this is a common patient reaction.
Show answer & explanationAnswer & explanation
Correct answer: C. Withdraw the needle completely and apply pressure.
Sudden, sharp, radiating pain indicates possible nerve impingement. Continuing the procedure or repositioning the needle risks permanent nerve damage. The needle must be removed immediately to prevent further injury.
Why the other options are wrong
- A. Asking a patient to tolerate nerve pain is unethical and dangerous, potentially leading to permanent damage.
- B. Repositioning the needle when nerve impingement is suspected can worsen the injury.
- D. This pain is not common and indicates a serious issue (nerve damage) requiring immediate cessation.
Nerve Impingement During Venipuncture
A complication where the venipuncture needle makes contact with or damages a nerve, causing sharp, radiating pain and potentially long-term neurological issues.
- Symptoms include sudden, sharp, electric-like, or radiating pain.
- Immediate needle withdrawal is mandatory.
- Proper site selection and technique minimize risk.
Memory trick: Sharp Pain? Stop the Drain!