How to deal with failed puncture by a nurse
In medical care, venipuncture is one of the most common procedures performed by nurses. However, puncture failure often occurs due to factors such as individual differences in patients, inexperience of nurses, or equipment problems. Internet hot search data in the past 10 days show that discussions about nurses' puncture failures mainly focus on aspects such as processing procedures, patient communication, and professional psychological adjustment. This article will combine the hot discussions on the entire network to conduct a structured analysis of the treatment methods after puncture failure.
1. Immediate treatment steps after puncture failure
| step | Specific operations | Things to note |
|---|---|---|
| 1. Stop the operation immediately | Quickly pull out the needle and press on the puncture point | Avoid trial and error |
| 2. Assess the patient’s condition | Check local swelling and pain | Record medication history of adverse reactions |
| 3. Change the puncture site | Select the contralateral limb or other vein | Avoid joints and scars |
| 4. Disinfection treatment | Re-disinfect puncture area | Strict aseptic operation |
| 5. Ask for help | Seek support from a senior nurse or intravenous therapy team | Especially for difficult veins |
2. Analysis of key points in patient communication
According to the voting data of the Weibo topic #should a nurse apologize if she fails to give an injection? (number of participants: 128,000):
| communication method | Support ratio | Specific practices |
|---|---|---|
| Take the initiative to apologize | 67% | "Sorry for causing you pain, we will replace it with someone else." |
| Professional explanation | 28% | "Your veins are relatively thin, we need special treatment" |
| remain silent | 5% | Direct replacement of operators |
Zhihu’s hot post “The Golden 3 Minutes of Communication After Failed Puncture” emphasizes:empathic communicationIt can reduce the risk of disputes by 80%. It is recommended to use expressions such as "I see you frowning, does it hurt? We will adjust the plan immediately."
3. Standardized processing procedures
Refer to the "Venipuncture Operation SOP (2023 Edition)" released by Dingxiangyuan:
| link | Standard requirements | quality control point |
|---|---|---|
| first failure | Change operator | No more than 2 attempts |
| special patients | Use ultrasound guidance | Diabetes, children, etc. |
| Recording requirements | Detailed documentation of vascular conditions | Including diameter, elasticity, etc. |
| Follow-up | 24 hours observation | Pay attention to complications |
4. Nurses’ psychological development strategies
In the topic #NurseDaily# on Douyin, 235,000 videos show:
| psychological problems | Occurrence ratio | Coping methods |
|---|---|---|
| self doubt | 42% | Operation review log |
| anxiety | 35% | breathing relaxation training |
| Afraid of being complained | twenty three% | Simulated scenario training |
Psychology expert @ Medical Heart Xiangyang suggests: EstablishThree-level psychological support system(Mutual assistance from colleagues - guidance from head nurses - professional consultation) can reduce professional frustration by 56%.
5. Technology improvement plan
According to JD Health data, sales of puncture practice equipment have increased by 210% in recent weeks. Recommendations:
| Training method | effectiveness | cost |
|---|---|---|
| virtual reality training | Increase success rate by 38% | high |
| Silicone model practice | Increase success rate by 22% | middle |
| Mutual aid practical training | Increase success rate by 15% | Low |
Finally, it needs to be emphasized that standardized treatment after puncture failure not only ensures patient safety, but is also an important opportunity for nurses to grow professionally. Through structured response plans, sincere communication and continuous technical improvement, adverse events can be turned into opportunities to improve medical quality.
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