Final answer:
Prior to removing a patient's venous needle, the nurse should verbally confirm with the team the procedural details and ensure the correct labeling of specimens. A safety "time out" should be taken to review recovery and care concerns, and protective protocols should be followed in case of contact with contamination.
Step-by-step explanation:
Once rinseback is completed, it is important to ensure that certain precautions and procedural steps are taken before the removal of a patient's venous needle. This involves a safety checklist similar to those used by professionals in high-stakes environments such as aviation, a practice borrowed by Dr. Pronovost for medical procedures. Before the needle is removed:
- The nurse should review the procedure items aloud with the team, confirming the procedure's name as recorded, completion of needle, sponge, and instrument counts, and correct labeling of any specimens with the patient's name.
- A time out should be observed by the entire team to review key concerns for the patient's post-procedure recovery and care.
- Protective clothing and equipment protocols, such as face protection and cut-resistant gloves, should be followed, especially if there has been contact with contaminated specimens or equipment.
These steps are critical for ensuring both the safety of the patient and the adherence to procedural protocols, mitigating risks of complications.