Apprenticeship Learning Log

Date of Learning: 03/05/2024

Time: 13:30 to 16:30

Title of learning activity: Care Delivery 2: Session 2: Venepuncture

Diary of Learning activity

(itemise learning activity and reflect on the main points of learning from each. You should identify for each entry the relevant KSB)

Reflection on Learning Activity (include model of reflection e.g. Driscoll or Gibbs):

Learning outcomes:

1. Identify the indications, contraindications and risks of venepuncture
2. Recall the anatomy and physiology of the peripheral vasculature
3. Identify veins appropriate for venepuncture
4. Obtain a blood sample using a vacutainer system from a manikin

What

In this session, we discussed the practices of venepuncture and phlebotomy, emphasising on important principles such as legal and professional accountability, the anatomy and physiology of veins, infection control, and risk management. I learned about the importance of vein selection, procedural preparation, and post procedure care to ensure the patient safety and avoid complications such as haematoma, nerve damage, or infection. The discussion also focussed on the need of obtaining consent, understanding patient history, and using proper equipment and techniques to perform phlebotomy safely.

So what?

This session highlighted significant of combining the technical skills with professional accountability in clinical practice. I gained knowledge the importance of using proper equipment, techniques, preparation of the site, vein selection while maintaining infection control and accurately documenting the procedure ensures legal and professional responsibility including post-procedure care to ensure patient safety and preventing problems like infection, haematoma or nerve injury. This session made me more conscious of the risk involved and the careful attention required in each step of the process and the importance of getting consent including understanding the patient’s medical history and preferences.

Now what?

In the future, I will concentrate on enhancing my venepuncture skills by learning to locate the ideal veins for phlebotomy based on patient’s specific criteria and by practicing probing techniques. I will make sure to follow to the recommended infection control procedures that include cleaning the area and refraining from palpating the skin again after is cleansed.  Additionally, I will improve my awareness of possible complications such as infection, haematoma and nerve damage. I will continue to reflect on my practice, making sure that I follow the legal and professional standards, obtain valid consent, and keep a record of all aspects of the procedure to provide safe and accountable care.

KBS addressed:

Knowledge:

K1, K4, K6, K7, K9, K14, K18, K24, K30

Skills:

S1, S2,  S4, S5, S6, S32, S33,

Behaviours:

B1, B2, B3