NHA Certified Phlebotomy Technician (CPT)Collection RoutineHard
A phlebotomy technician is performing a venipuncture on a patient. The patient suddenly complains of sharp, radiating pain down their arm. Which of the following actions should the technician take?
- AContinue the draw, as this is a common patient sensation.
- BAsk the patient to clench and unclench their fist.
- CReposition the needle slightly to alleviate the pain.
- DImmediately remove the needle.
Show answer & explanationAnswer & explanation
Correct answer: D. Immediately remove the needle.
Sharp, radiating pain indicates possible nerve impingement. Continuing the draw or repositioning the needle could cause further nerve damage. The immediate action is to remove the needle to prevent permanent injury.
Why the other options are wrong
- A. Sharp, radiating pain is not a common sensation and indicates a serious issue.
- B. Clenching the fist can help locate a vein but is irrelevant and potentially harmful if nerve damage is suspected.
- C. Repositioning could worsen nerve damage if the needle is already in contact with a nerve.
Nerve Impingement During Venipuncture
Nerve impingement occurs when the needle makes contact with or penetrates a nerve during venipuncture, causing sharp, radiating pain.
- Symptoms include sudden, sharp, shooting, or electrical pain.
- Pain often radiates down the arm or hand.
- Immediate needle removal is required to prevent permanent nerve damage.
Memory trick: Sharp pain? Don't delay, pull the needle away!