Today our topic of discussion is General Instruction of Bone Marrow Biopsy and Aspiration
General Instruction of Bone Marrow Biopsy and Aspiration
General Instructions
- The procedure should be done under very strict aseptic technique, since the infection can be introduced into the bone cavity through the puncture site
- The penetration of the needle beyond the bone cavity is prevented by a guard attached.
Preliminary Assessment
- Check
- The doctors order for any specific instructions.
- General condition and diagnosis of the patient .
- Self-care ability of the patient
- Mental status to follow instructions
- Availability of articles in the unit
- Location and type of insertion.
Preparation of the Patient and Environment
- Explain the sequence procedure to the patient
- Provide privacy
- A thorough preparation of skin to prevent infection introduced in to the bone cavity
- Place the patient in a correct position according to the site used
- Sedation may be given to the patient
- Arrange the articles at the bedside or in the treatment room
- Check the vital signs of the patient and record it in the nurse’s record sheet
- The nurse should remain with the patient to reassure him and to observe him during the procedure.
Equipment
- A Sterile tray containing
- Sponge holding forceps-1
- Dissecting forceps-2.
- The complications should be watched for injury to associate organs
- The vital signs should be checked throughout the procedure and reassure the patient
- The nurse should remain with the patient throughout the procedure and observe for signs of complications
- Smear is made on 3-4 slides.
- Specimens are sent to the
- laboratory without delay
- Marrow puncture needle with obturator-1
- Aspiration syringe-1
- Syringe for local anesthesia-1, needle-2 (Figs. 28.13A
- and B) Small bowls-2, to take cleaning solutions
- Cotton swabs, gauze pieces, cotton pads, etc. in containers
- Dressing towels or slit to create a sterile field
- BP handle with blade-1, to make a small incision on the skin
- Slides to make smears.
- An unsterile tray containing:
- Mackintosh and towel
- Lignocaine 2%
- Adhesive tape and scissors
- Kidney tray and paper bag
- Spirit, Iodine, tincture benzoin, etc.
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