Sunday, July 24, 2005
b3 vewnepuncture
Skills Training Pack
VENEPUNCTURE
Practice Development
June 2004
DEVELOPING PRACTICE
EDUCATION
Name:
Designation:
Area of Work:
Venepuncture
PDD/Reviewed June04
Review: June06
1
SKILLS TRAINING PACK
CONTENTS
Page No.
• Aim 2
• Definition 2
• Standard 2
• Self-Directed Learning Method 3
• Training Summary Sheet 4
• Responsibilities of an Assessor 5
• Child Health Directorate Criteria 6
• Learning Outcomes 7
• Theory Assessment 8
• Supervised Practice 15
• Reading List 16
• Evaluation 17
The concept of the Self Directed Learning Packs has resulted from funding from the
Cornwall and South Devon Education Purchasing Consortium and the subsequent joint
project work of the Consortium Project Team, consisting of a representative from Royal
Cornwall Hospitals NHS Trust, Plymouth Hospital NHS Trust and South Devon Healthcare
NHS Trust.
The Core Competency Skills Modules were developed as part of the Critical Care Project at
RCHT (2000 – 2001) in response to the Department of Health’s modernisation programme to
develop consistent and comprehensive critical care services throughout the NHS
(Comprehensive Critical Care, A Review of Adult Critical Care Services, DoH 2000).
All rights reserved. Should you need to copy, record, store in a retrieval system or transmit
electronically or otherwise, permission must be sought from the Practice Development
Department, Royal Cornwall Hospitals Trust, Royal Cornwall Hospital.
Venepuncture
PDD/Reviewed June04
Review: June06
2
AIM
To educate and train Health Care Professionals/Designated Support Workers to perform the
skill / competency safely and competently, in accordance with Trust procedures, with
underpinning theoretical knowledge to ensure evidence based practice.
DEFINITION
The insertion of a needle into a vein in order to obtain a blood specimen/s
STANDARD
• The skill is performed in accordance with RCHT policies, procedures, guidelines and
protocols.
• Staff have access to RCHT policies, procedures, guidelines and protocols available in all
clinical areas and the document library.
• Relevant policies, procedures guidelines and protocols are listed for each skill in the
specific skills training pack.
• There is validated education and training in place to enable staff to attain competency in
the skill.
• There is written evidence of attained competence.
Venepuncture
PDD/Reviewed June04
Review: June06
3
SELF DIRECTED LEARNING METHOD
This training pack is for use by Health Care Professionals/Designated Support Workers for
initial training, continual updating and self assessment.
• It is designed for you to direct your own learning to achieve the competence level
and Trust standard required for this skill.
• The flexibility of self directed learning will allow you to utilise your time for
study to obtain both theoretical knowledge and practical skills.
• You will be able to work at your own pace and decide for yourself when you are
ready for assessment. You will then be able to initiate your own updating to
maintain your competence of this skill.
• You must successfully complete the theory preparations and assessments before
your practical training, where indicated, followed by supervised practice.
• You must successfully complete the theory assessment and undertake a period of
supervised practice, where indicated, before undertaking this skill unsupervised.
It is expected that you direct yourself to gain competence in the theoretical assessment using
your Trust's resources. These may include:
Practice Development Resource Room.
Practice Development Website
Library
Pharmacy
Document Library
Clinical Practice Educators
Clinical Experts
Risk and Safety Department
Pathology Department
It is essential that you make full use of your Supervisor/Assessor to help with both the
learning and assessment stages of this skill.
Venepuncture
PDD/Reviewed June04
Review: June06
4
TRAINING SUMMARY SHEET
Training Entry Criteria
• Health Care Professionals/Designated Support Workers, with line manager’s approval.
• Health Care Professionals who show a clear understanding of their Governing Body's
directives regarding the procedure.
Criteria for Supervisors and Assessors
• Practice Educator.
• Competent Health Care Professional who has been assessed as having reached the
Trust's Standard for venepuncture.
• A competent Health Care Professional who performs venepuncture a minimum of twice
a week.
• The supervisor will supervise practice on a one to one basis.
• A supervisor is not necessarily required to be an assessor.
Policies, Procedures and Standards Associated with Venepuncture
• Trust Procedure for Venepuncture.
• Trust Risk and Safety Policy.
• Trust Infection Control Policy.
• Trust Standard for Venepuncture.
• Trust Standard for Records and Record Keeping.
• Health Care Professionals' Governing Body's directives on best practice.
• Trust Disposal of Waste Policy.
Teaching resources
• Equipment required for venepuncture as per Trust procedure.
• Model arms available.
Training Content/Presentation/Timetable
• Theoretical knowledge will be obtained and demonstrated using a self directed study
method.
• Practical training will take place in the clinical and/or study areas. Models will be used
followed by supervised practice
• Training sessions should be completed in one hour.
Venepuncture
PDD/Reviewed June04
Review: June06
5
Assessments
• It is advised that training should be completed within a period of one month.
• Each Health Care Professional will take responsibility for their own level of competence and
exercise their professional clinical judgement before undertaking this procedure unsupervised.
• Each Health Care Professional will be responsible for maintaining their knowledge base on
venepuncture by analysing the latest research and recommended changes in practice.
• Designated Support Workers will seek guidance from appropriate clinical supervisor regarding
their own competence and current research.
• Self directed theoretical study.
• Self assessment must be continuous once the individual is competent.
• The period of supervised practice to be negotiated on an individual basis, until the learner is
confident to undertake a practical assessment, where indicated, and ultimately perform the
procedure unsupervised.
Responsibilities of an Assessor
• Act always in such a manner as to promote and safeguard the interests and well-being of
patients and clients.
• Assist professional colleagues in the context of your own knowledge, expertise and sphere of
responsibility, to develop their professional competence.
• Must honestly acknowledge any limit of personal knowledge and skill and take steps to remedy
any relevant deficits.
• Recognise and honour the personal accountability borne for all aspects of professional practice.
• Enhance trust and confidence within a health care team and promote collaborative work
between other health care professionals.
• To assist health care professionals in their role as clinical assessors it is expected that all
experienced clinically competent health care professionals complete the theoretical self directed
learning section of the skills training packages.
• By completing the theoretical training the clinically competent health care professional will
maintain their knowledge base and ensure that they are equipped to assess other health care
workers.
• The Practice Educators will evaluate the assessors completed theoretical section. By monitoring
the assessor in this fashion the Practice Educators will be able to promote a high standard of
subsequent assessments.
• Health care professionals who decline to complete the theoretical section of the training
package may not have sufficient expertise or knowledge required to complete the theoretical
section and thus would not make suitable assessors.
• Health care professionals who do not follow this process may compromise trainees.
Venepuncture
PDD/Reviewed June04
Review: June06
6
CHILD HEALTH DIRECTORATE CRITERIA
To comply with the recommendations in the "Clothier Report"(1994), the following advice
should be adhered to when caring for children under the age of sixteen.
Children are cared for in areas other than the Child Health Directorate. When this occurs
the skills contained in these packs should only be performed by Registered Sick Children
nurses, experienced doctors or experienced paediatric therapists.
Personnel wishing to train in these skills who are Registered Sick Children nurse trained,
experienced doctors or experienced paediatric therapists, must seek the approval of the
Senior Nurse for the Child Health Directorate, Consultant Paediatrician or Therapies
Manager.
For personnel working in Accident and Emergency, Intensive Therapy Unit and in
theatres, approval must be sought from the appropriate Line Manager and Consultant.
Venepuncture
PDD/Reviewed June04
Review: June06
7
LEARNING OUTCOMES
At the conclusion of the theory assessment and supervised practice for venepuncture training
you will be able to:
• Demonstrate knowledge of national, local and professional policies, procedures and
standards in relation to venepuncture.
• Demonstrate knowledge of your governing body's directives if applicable, pertaining to
responsibilities and accountability regarding clinical skills.
• Demonstrate the correct procedure for patient identification and obtaining informed
consent.
• Demonstrate knowledge of the normal anatomy of the arm, having a clear
understanding of the location of nerves, arteries and veins.
• Explain the rationale behind correct vein choice and the concept of vein preservation.
• Prepare and use the equipment required.
• Demonstrate the principles of the correct venepuncture technique following the Trust's
procedure and standard.
• Demonstrate the ability to assess and identify practical problems associated with
venepuncture and state how to deal with these.
• Demonstrate knowledge of psychological problems patients may have in preparation
for and when venepuncture is performed.
• Demonstrate knowledge of how to identify the resources available for up-to-date
information and practical advice.
• Demonstrate knowledge of the rationale behind self assessment and a clear
understanding of how to use the Trust's assessment tool.
(Refer to descriptors for this skill in the Practice Development Prospectus / Website –
these can be downloaded for use).
Venepuncture
PDD/Reviewed June04
Review: June06
8
THEORY ASSESSMENT 1
Policies, procedures and standards
a) In accordance with the Health and Safety Policy what is your duty when caring for
patients?
b) How does the 'Control of Substances Hazardous to Health' legislation impact upon
venepuncture?
c) What is the Trust's Standard for venepuncture?
d) Where is the Trust's venepuncture procedure located?
e) Why is it important to have a Trust ratified procedure for clinical skills?
f) What is the Trust's Standard on record keeping by Health Care Professionals and how
are the principles applied in relation to the sample request forms and labelling the
specimens?
Venepuncture
PDD/Reviewed June04
Review: June06
9
THEORY ASSESSMENT 2
a) How will you assess your continual competence to perform this skill and maintain best
practice?
b) What resources are available to you in your Trust to facilitate theoretical knowledge and
practical skills?
Venepuncture
PDD/Reviewed June04
Review: June06
10
THEORY ASSESSMENT 3
Infection Control
a) Explain the importance of maintaining asepsis during the venepuncture procedure.
b) Explain why it is important to adhere to the 'Universal Precautions' policy during
venepuncture procedure and the patient's after care.
c) What is the single most important process in preventing nosocomial infections?
d) What should you do if you sustain a needlestick injury?
Venepuncture
PDD/Reviewed June04
Review: June06
11
THEORY ASSESSMENT 4
Knowledge required for venepuncture
a) How can you ensure the patient gives valid consent?
b) What should you do to ensure that the patient is correctly identified?
c) How do you clinically differentiate between a vein and an artery:
d) How would you describe veins which are:
i) Tortuous
ii) Thin walled
iii) Thrombosed
iv) Inflamed
Venepuncture
PDD/Reviewed June04
Review: June06
12
e) Explain which vein should ideally be used for venepuncture and the accompanying
rationale.
f) Where should you apply the tourniquet in relation to the proposed venepuncture site?
g) What is the rationale for palpating the radial pulse after applying the tourniquet?
h) Where would you find the information about which sample tubes to use and the order in
which to draw them?
i) List at least 3 situations / conditions when it may be inappropriate to take a blood sample:
(i)
(ii)
(iii)
Venepuncture
PDD/Reviewed June04
Review: June06
13
THEORY ASSESSMENT 5
The Risks
a) What are the three possible problems associated with venepuncture?
i)
ii)
iii)
b) What are the three possible causes?
i)
ii)
iii)
c) What are the three possible solutions?
i)
ii)
iii)
Venepuncture
PDD/Reviewed June04
Review: June06
14
d) Give three examples of blood borne viruses to which you may be at risk if you are
exposed to infected blood.
i)
ii)
iii)
e) Define 'needle phobia'
f) Explain how needle phobia may complicate the therapy/investigations which need to be
carried out on the patient.
Completed satisfactorily: Yes No
Signed: (Assessor)
Date:
Comments:
Venepuncture
PDD/Reviewed June04
Review: June06
15
SUPERVISED PRACTICE
SELF DIRECTED LEARNING PACK
You must successfully complete the theory assessments before attempting any practical
learning of this skill.
You must successfully complete the theory and supervised practice before undertaking this
skill unsupervised.
Supervisor:
Date Supervised Practice Completed:
Signature:
Comments:
Learners Signature:
Comments:
Venepuncture
PDD/Reviewed June04
Review: June06
16
READING LIST
Clothier Report (1994) Independent Enquiry Relative to Deaths and Injuries on the Childrens
Ward at Grantham & Kesteven General Hospital. London HMSO
Royal Cornwall Hospitals NHS Trust's Health and Safety Policy
Royal Cornwall Hospitals NHS Trust's Control of Substances Hazardous to Health
Royal Cornwall Hospitals NHS Trust's Infection Control Policy
Royal Cornwall Hospitals NHS Trust's Disposal of Waste Policy
The Royal Marsden Manual of Clinical Nursing Procedures (6th Edition)
Black. F. (1997) Venepuncture. Nursing Standard, Vol 11, No 41, pp 49-55
McConnell. A A. Mackay. G M. (1996) Venepuncture – the medicolegal hazards.
Postgraduate Medical Journal, No 72, pp 23-24
Stevenson. B. (1997) Venepuncture. Community Nurse, October, pp 21-22
Nursing Times Practice (2000) Tourniquets pose infection risk. Nursing Times, Vol 96, No 2.
Venepuncture
PDD/Reviewed June04
Review: June06
17
EVALUATION OF TRAINING PACK
Title of training package: …………………………………………………………………..
Duration of training: …………………………………………………………………………..
Final assessment date: …………………………………………………………………..
Successful assessment: Yes No
Please complete the following evaluations:
Very user friendly
5
4
3
2
1
Very difficult to use
Instructions were clear
5
4
3
2
1
Instructions were
unclear
Information was easily
resourced
5
4
3
2
1
Information was
difficult to resource
Knowledge about skill has
increased
5
4
3
2
1
Knowledge has not
increased
Able to reflect on your
training and its benefits
5
4
3
2
1
Difficult to reflect on
your training and its
benefits.
Please detach this page and return to:
Practice Development Department, Royal Cornwall Hospital.
VENEPUNCTURE
Practice Development
June 2004
DEVELOPING PRACTICE
EDUCATION
Name:
Designation:
Area of Work:
Venepuncture
PDD/Reviewed June04
Review: June06
1
SKILLS TRAINING PACK
CONTENTS
Page No.
• Aim 2
• Definition 2
• Standard 2
• Self-Directed Learning Method 3
• Training Summary Sheet 4
• Responsibilities of an Assessor 5
• Child Health Directorate Criteria 6
• Learning Outcomes 7
• Theory Assessment 8
• Supervised Practice 15
• Reading List 16
• Evaluation 17
The concept of the Self Directed Learning Packs has resulted from funding from the
Cornwall and South Devon Education Purchasing Consortium and the subsequent joint
project work of the Consortium Project Team, consisting of a representative from Royal
Cornwall Hospitals NHS Trust, Plymouth Hospital NHS Trust and South Devon Healthcare
NHS Trust.
The Core Competency Skills Modules were developed as part of the Critical Care Project at
RCHT (2000 – 2001) in response to the Department of Health’s modernisation programme to
develop consistent and comprehensive critical care services throughout the NHS
(Comprehensive Critical Care, A Review of Adult Critical Care Services, DoH 2000).
All rights reserved. Should you need to copy, record, store in a retrieval system or transmit
electronically or otherwise, permission must be sought from the Practice Development
Department, Royal Cornwall Hospitals Trust, Royal Cornwall Hospital.
Venepuncture
PDD/Reviewed June04
Review: June06
2
AIM
To educate and train Health Care Professionals/Designated Support Workers to perform the
skill / competency safely and competently, in accordance with Trust procedures, with
underpinning theoretical knowledge to ensure evidence based practice.
DEFINITION
The insertion of a needle into a vein in order to obtain a blood specimen/s
STANDARD
• The skill is performed in accordance with RCHT policies, procedures, guidelines and
protocols.
• Staff have access to RCHT policies, procedures, guidelines and protocols available in all
clinical areas and the document library.
• Relevant policies, procedures guidelines and protocols are listed for each skill in the
specific skills training pack.
• There is validated education and training in place to enable staff to attain competency in
the skill.
• There is written evidence of attained competence.
Venepuncture
PDD/Reviewed June04
Review: June06
3
SELF DIRECTED LEARNING METHOD
This training pack is for use by Health Care Professionals/Designated Support Workers for
initial training, continual updating and self assessment.
• It is designed for you to direct your own learning to achieve the competence level
and Trust standard required for this skill.
• The flexibility of self directed learning will allow you to utilise your time for
study to obtain both theoretical knowledge and practical skills.
• You will be able to work at your own pace and decide for yourself when you are
ready for assessment. You will then be able to initiate your own updating to
maintain your competence of this skill.
• You must successfully complete the theory preparations and assessments before
your practical training, where indicated, followed by supervised practice.
• You must successfully complete the theory assessment and undertake a period of
supervised practice, where indicated, before undertaking this skill unsupervised.
It is expected that you direct yourself to gain competence in the theoretical assessment using
your Trust's resources. These may include:
Practice Development Resource Room.
Practice Development Website
Library
Pharmacy
Document Library
Clinical Practice Educators
Clinical Experts
Risk and Safety Department
Pathology Department
It is essential that you make full use of your Supervisor/Assessor to help with both the
learning and assessment stages of this skill.
Venepuncture
PDD/Reviewed June04
Review: June06
4
TRAINING SUMMARY SHEET
Training Entry Criteria
• Health Care Professionals/Designated Support Workers, with line manager’s approval.
• Health Care Professionals who show a clear understanding of their Governing Body's
directives regarding the procedure.
Criteria for Supervisors and Assessors
• Practice Educator.
• Competent Health Care Professional who has been assessed as having reached the
Trust's Standard for venepuncture.
• A competent Health Care Professional who performs venepuncture a minimum of twice
a week.
• The supervisor will supervise practice on a one to one basis.
• A supervisor is not necessarily required to be an assessor.
Policies, Procedures and Standards Associated with Venepuncture
• Trust Procedure for Venepuncture.
• Trust Risk and Safety Policy.
• Trust Infection Control Policy.
• Trust Standard for Venepuncture.
• Trust Standard for Records and Record Keeping.
• Health Care Professionals' Governing Body's directives on best practice.
• Trust Disposal of Waste Policy.
Teaching resources
• Equipment required for venepuncture as per Trust procedure.
• Model arms available.
Training Content/Presentation/Timetable
• Theoretical knowledge will be obtained and demonstrated using a self directed study
method.
• Practical training will take place in the clinical and/or study areas. Models will be used
followed by supervised practice
• Training sessions should be completed in one hour.
Venepuncture
PDD/Reviewed June04
Review: June06
5
Assessments
• It is advised that training should be completed within a period of one month.
• Each Health Care Professional will take responsibility for their own level of competence and
exercise their professional clinical judgement before undertaking this procedure unsupervised.
• Each Health Care Professional will be responsible for maintaining their knowledge base on
venepuncture by analysing the latest research and recommended changes in practice.
• Designated Support Workers will seek guidance from appropriate clinical supervisor regarding
their own competence and current research.
• Self directed theoretical study.
• Self assessment must be continuous once the individual is competent.
• The period of supervised practice to be negotiated on an individual basis, until the learner is
confident to undertake a practical assessment, where indicated, and ultimately perform the
procedure unsupervised.
Responsibilities of an Assessor
• Act always in such a manner as to promote and safeguard the interests and well-being of
patients and clients.
• Assist professional colleagues in the context of your own knowledge, expertise and sphere of
responsibility, to develop their professional competence.
• Must honestly acknowledge any limit of personal knowledge and skill and take steps to remedy
any relevant deficits.
• Recognise and honour the personal accountability borne for all aspects of professional practice.
• Enhance trust and confidence within a health care team and promote collaborative work
between other health care professionals.
• To assist health care professionals in their role as clinical assessors it is expected that all
experienced clinically competent health care professionals complete the theoretical self directed
learning section of the skills training packages.
• By completing the theoretical training the clinically competent health care professional will
maintain their knowledge base and ensure that they are equipped to assess other health care
workers.
• The Practice Educators will evaluate the assessors completed theoretical section. By monitoring
the assessor in this fashion the Practice Educators will be able to promote a high standard of
subsequent assessments.
• Health care professionals who decline to complete the theoretical section of the training
package may not have sufficient expertise or knowledge required to complete the theoretical
section and thus would not make suitable assessors.
• Health care professionals who do not follow this process may compromise trainees.
Venepuncture
PDD/Reviewed June04
Review: June06
6
CHILD HEALTH DIRECTORATE CRITERIA
To comply with the recommendations in the "Clothier Report"(1994), the following advice
should be adhered to when caring for children under the age of sixteen.
Children are cared for in areas other than the Child Health Directorate. When this occurs
the skills contained in these packs should only be performed by Registered Sick Children
nurses, experienced doctors or experienced paediatric therapists.
Personnel wishing to train in these skills who are Registered Sick Children nurse trained,
experienced doctors or experienced paediatric therapists, must seek the approval of the
Senior Nurse for the Child Health Directorate, Consultant Paediatrician or Therapies
Manager.
For personnel working in Accident and Emergency, Intensive Therapy Unit and in
theatres, approval must be sought from the appropriate Line Manager and Consultant.
Venepuncture
PDD/Reviewed June04
Review: June06
7
LEARNING OUTCOMES
At the conclusion of the theory assessment and supervised practice for venepuncture training
you will be able to:
• Demonstrate knowledge of national, local and professional policies, procedures and
standards in relation to venepuncture.
• Demonstrate knowledge of your governing body's directives if applicable, pertaining to
responsibilities and accountability regarding clinical skills.
• Demonstrate the correct procedure for patient identification and obtaining informed
consent.
• Demonstrate knowledge of the normal anatomy of the arm, having a clear
understanding of the location of nerves, arteries and veins.
• Explain the rationale behind correct vein choice and the concept of vein preservation.
• Prepare and use the equipment required.
• Demonstrate the principles of the correct venepuncture technique following the Trust's
procedure and standard.
• Demonstrate the ability to assess and identify practical problems associated with
venepuncture and state how to deal with these.
• Demonstrate knowledge of psychological problems patients may have in preparation
for and when venepuncture is performed.
• Demonstrate knowledge of how to identify the resources available for up-to-date
information and practical advice.
• Demonstrate knowledge of the rationale behind self assessment and a clear
understanding of how to use the Trust's assessment tool.
(Refer to descriptors for this skill in the Practice Development Prospectus / Website –
these can be downloaded for use).
Venepuncture
PDD/Reviewed June04
Review: June06
8
THEORY ASSESSMENT 1
Policies, procedures and standards
a) In accordance with the Health and Safety Policy what is your duty when caring for
patients?
b) How does the 'Control of Substances Hazardous to Health' legislation impact upon
venepuncture?
c) What is the Trust's Standard for venepuncture?
d) Where is the Trust's venepuncture procedure located?
e) Why is it important to have a Trust ratified procedure for clinical skills?
f) What is the Trust's Standard on record keeping by Health Care Professionals and how
are the principles applied in relation to the sample request forms and labelling the
specimens?
Venepuncture
PDD/Reviewed June04
Review: June06
9
THEORY ASSESSMENT 2
a) How will you assess your continual competence to perform this skill and maintain best
practice?
b) What resources are available to you in your Trust to facilitate theoretical knowledge and
practical skills?
Venepuncture
PDD/Reviewed June04
Review: June06
10
THEORY ASSESSMENT 3
Infection Control
a) Explain the importance of maintaining asepsis during the venepuncture procedure.
b) Explain why it is important to adhere to the 'Universal Precautions' policy during
venepuncture procedure and the patient's after care.
c) What is the single most important process in preventing nosocomial infections?
d) What should you do if you sustain a needlestick injury?
Venepuncture
PDD/Reviewed June04
Review: June06
11
THEORY ASSESSMENT 4
Knowledge required for venepuncture
a) How can you ensure the patient gives valid consent?
b) What should you do to ensure that the patient is correctly identified?
c) How do you clinically differentiate between a vein and an artery:
d) How would you describe veins which are:
i) Tortuous
ii) Thin walled
iii) Thrombosed
iv) Inflamed
Venepuncture
PDD/Reviewed June04
Review: June06
12
e) Explain which vein should ideally be used for venepuncture and the accompanying
rationale.
f) Where should you apply the tourniquet in relation to the proposed venepuncture site?
g) What is the rationale for palpating the radial pulse after applying the tourniquet?
h) Where would you find the information about which sample tubes to use and the order in
which to draw them?
i) List at least 3 situations / conditions when it may be inappropriate to take a blood sample:
(i)
(ii)
(iii)
Venepuncture
PDD/Reviewed June04
Review: June06
13
THEORY ASSESSMENT 5
The Risks
a) What are the three possible problems associated with venepuncture?
i)
ii)
iii)
b) What are the three possible causes?
i)
ii)
iii)
c) What are the three possible solutions?
i)
ii)
iii)
Venepuncture
PDD/Reviewed June04
Review: June06
14
d) Give three examples of blood borne viruses to which you may be at risk if you are
exposed to infected blood.
i)
ii)
iii)
e) Define 'needle phobia'
f) Explain how needle phobia may complicate the therapy/investigations which need to be
carried out on the patient.
Completed satisfactorily: Yes No
Signed: (Assessor)
Date:
Comments:
Venepuncture
PDD/Reviewed June04
Review: June06
15
SUPERVISED PRACTICE
SELF DIRECTED LEARNING PACK
You must successfully complete the theory assessments before attempting any practical
learning of this skill.
You must successfully complete the theory and supervised practice before undertaking this
skill unsupervised.
Supervisor:
Date Supervised Practice Completed:
Signature:
Comments:
Learners Signature:
Comments:
Venepuncture
PDD/Reviewed June04
Review: June06
16
READING LIST
Clothier Report (1994) Independent Enquiry Relative to Deaths and Injuries on the Childrens
Ward at Grantham & Kesteven General Hospital. London HMSO
Royal Cornwall Hospitals NHS Trust's Health and Safety Policy
Royal Cornwall Hospitals NHS Trust's Control of Substances Hazardous to Health
Royal Cornwall Hospitals NHS Trust's Infection Control Policy
Royal Cornwall Hospitals NHS Trust's Disposal of Waste Policy
The Royal Marsden Manual of Clinical Nursing Procedures (6th Edition)
Black. F. (1997) Venepuncture. Nursing Standard, Vol 11, No 41, pp 49-55
McConnell. A A. Mackay. G M. (1996) Venepuncture – the medicolegal hazards.
Postgraduate Medical Journal, No 72, pp 23-24
Stevenson. B. (1997) Venepuncture. Community Nurse, October, pp 21-22
Nursing Times Practice (2000) Tourniquets pose infection risk. Nursing Times, Vol 96, No 2.
Venepuncture
PDD/Reviewed June04
Review: June06
17
EVALUATION OF TRAINING PACK
Title of training package: …………………………………………………………………..
Duration of training: …………………………………………………………………………..
Final assessment date: …………………………………………………………………..
Successful assessment: Yes No
Please complete the following evaluations:
Very user friendly
5
4
3
2
1
Very difficult to use
Instructions were clear
5
4
3
2
1
Instructions were
unclear
Information was easily
resourced
5
4
3
2
1
Information was
difficult to resource
Knowledge about skill has
increased
5
4
3
2
1
Knowledge has not
increased
Able to reflect on your
training and its benefits
5
4
3
2
1
Difficult to reflect on
your training and its
benefits.
Please detach this page and return to:
Practice Development Department, Royal Cornwall Hospital.
# posted by alanpjack @ 6:49 PM 
