Maricopa Community Colleges  NCE173   19886-19972 
Official Course Description: MCCCD Approval: 05/13/86
NCE173 19886-19972 L+L 1 Credit(s) 1 Period(s)
LPN - Venipuncture
Development of clinical skills for venipuncture. Emphasis on review of anatomy and physiology of vasculature of the arm, medical asepsis, nursing process and procedure. Prerequisites: Current practical nurse license in Arizona; equivalent of one (1) year's work experience/practice within last five (5) years; referral and/or recommendation by current employer (health care agency/facility) and current liability insurance.
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MCCCD Official Course Competencies:
 
NCE173   19886-19972 LPN - Venipuncture
1. Describe the vasculature of the arm. (I)
2. Utilize principles of medical asepsis when performing venipuncture. (II)
3. Utilize the nursing process when providing care for the patient undergoing venipuncture. (III)
4. Instruct patient in advance of venipuncture procedure regarding collection of specific specimen. (III)
5. Perform venipuncture with accuracy and handle, specimen according to specified instructions of the clinical laboratory. (III)
6. Utilize knowledge of normal/abnormal value to document and relate significant findings to the nurse and/or physician. (III)
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MCCCD Official Course Outline:
 
NCE173   19886-19972 LPN - Venipuncture
    I. Anatomy and Physiology of the Vasculature of the Arm
      II. Medical Asepsis Principles for Venipuncture
        III. Nursing Process in Relationship to Venipuncture
            A. Assessment and identification of the following:
              1. Acceptable needle gauges for venipuncture (straight needles only)
              2. Vacutainers
              3. Acceptable syringe sizes and needle gauges
              4. Appropriate venipuncture sites on the arm
            B. Planning
              1. Identification of correct test tubes for such blood work as:
                a. CBC
                b. Hgb, Hct
                c. Cholesterol, triglycerides
                d. Electrolytes
                e. Lee-White clotting time
                f. Prothrombin time
                g. Drug levels for:
              1. Theophylline
              2. Digoxin
              3. Lithium
              4. Multiple antibiotics
                h. Serology
                i. SMA 12-25
                j. Hepatitis screen
              2. Relate the normal values for frequently ordered blood work
            C. Implementation
              1. Placement of the tourniquet
              2. Blood drawal by use of a vacutainer
              3. Blood drawal by use of a syringe needle
              4. Removal of the tourniquet
              5. Use of techniques to assist clotting at the puncture site
              6. Assessment that bleeding has stopped at the puncture site
              7. Labeling and sending blood sample with lab requisition to laboratory
              8. Charting of procedure performed in the patient's record
            D. Evaluation
              1. Normal/abnormal values
              2. Significance of findings in relation to possible pathology
              3. Need to notify the physician of the values
              4. Placing of laboratory results in the patient's record
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