Assessment Task 4 - Role Play Scenario

This article presents four role play scenarios related to clinical risks, adverse reactions, and first aid responses in venepuncture and blood tests. The scenarios cover potential risks and complications, adverse reactions, and first aid responses. The article also includes references to relevant books and journals.

ASSESSMENT TASK 4 -
ROLE PLAY SCENARIO

TABLE OF CONTENTS
Scenario 1........................................................................................................................................3
Scenario 2........................................................................................................................................4
Scenario 3........................................................................................................................................5
Scenario 4........................................................................................................................................5
REFERENCES................................................................................................................................7

Scenario 1
Clinical risks
Mark: how are you? and how I can help you?
Peter: I am fine!
Mark: Which type of clinical risks you faced when you went for getting the blood tests done?
Peter: I think that there were many clinical risks which I faced when I was 28 years old as I was
suffering from Type 1 diabetes. The blood test was done and even I also checked the insulin
level in my body.
Mark: What other things have you noticed about the physical risks which you faced?
Peter: I believe that according to the test reports, appropriate treatment should be given at that
time because if anything happens to me then it can cause physical risks. In my case, the clinical
risks which I faced were fainting, seizures, falls and grazes along with the need of diabetic
emergency.
Mark: What were the adverse reactions which impacted negatively to your physical or mental
health?
Peter: There can be unexpected or dangerous reaction to the drugs. This can be evaluated from
my scenario that there are various adverse reactions such as feeling dizzy and light headed,
paleness in my face along with altered conscious state in me. I want to add one more thing that
there can also be adverse reactions such as fainting and falling to the ground (Lindenmaier and
et.al., 2018). This also resulted in the seizures.
Mark: Can you elaborate this which can help us in practically imagining the situation?
Peter: Yes sure, you can understand this by taking the example of mine that if the person falls
due to unconsciousness like me then he can also have sustained a graze to his left knee. These
complications require first aid otherwise can lead to issues for long term. Seizures are basically
uncontrolled electrical disturbance in the brain which occurs suddenly due to interruption in the
normal connections between never cells in the brain. The main reason behind this is the low or
high sugar of mine.
3

Mark: Can you tell me some of the complications which you faced due to the type 1 diabetes and
also due to the situation you faced?
Peter: I evaluated that complications of type 1 diabetes are many including damage to heart and
blood vessel, nerve, kidney, eye, foot, skin and mouth, pregnancy etc. According to the scenario
of mine, the complications when I was leaving after having the blood test include the nerve
damage due to which seizures can be produced. This can also cause numbness and pain. This can
also lead to damage in feet and legs due to which I fell to the ground (DiMeglio, Evans-Molina
and Oram, 2018).
Also, I want to continue that this also led to graze to the left knee. The healthcare settings where
the blood test was done must provide appropriate treatments at that time to me. First aid in my
case can be for the falls and grazes due to which my knee was affected. Diabetic emergency
needs to be considered and treated accordingly.
Mark: What is the first aid response which can be given to you?
Peter: First aid is necessary because my reports did not come and there was a need for the urgent
treatment for falls, grazes and seizures because if not treated at appropriate time can lead to life-
long injuries and damage. The tight clothing of mine must be loosened around the neck for
aiding the breathing (Hanberger and et.al., 2021). The person in the pathology collection clinic
must stay with me and also talk to me calmly I believe.
Scenario 2
Kelvin: hello!
Steven: hey...!
Kelvin: So, how I can help you?
Steven: I am facing many issues.....
Kelvin: What potential clinical risks can be assessed and recognised?
Steven: This can be evident from the scenario of mine that I have difficult veins from both the
arms and I was 36 years old. The doctors do not feel many complications in left cubical fossa but
also they found basilica vein deep in the same.
Kelvin: Do you think that organisation protocols were followed while inserting the needle?
4

Steven: By following the organisation protocols, the needle was inserted to reach the vein. But
still, there can be many risks in my case such as vein damage or blood vessels damage etc. The
abnormal symptoms were seen such as purple discoloration on the skin and also as the needle
was taken out the red blood spurts out. This clearly shown that something bad happened while
inserting the needle in my veins.
Kelvin: Can you further describe some of the complications which you think you faced?
Steven: The complications in my case can be many as if there is a damage of capillaries, then
this can also lead to bruises. This is basically occurred at the site where the needle is inserted due
to breaking of small blood vessels and capillaries and bleeding occurs under the skin which
further leads to skin discolouration of Steven.
Kelvin: How do you think the response to the adverse reactions must be?
Steven: The practitioners at the SCEI pathology collection clinic must respond immediately to
the discolouration of skin and red blood spurting. They must use the cold pack for making the
patients like me feel comfort and also they must ensure that they use the cold pack for more than
10 minutes in every 3 hours accordingly (Sonoda and et.al., 2020). They also need to ensure that
warmth is used such as heating pas after 48 hours so that the pain can be relieved and also it can
promote healing.
Kelvin: What do you think the first aid can be given to you at that time when you faced the
problem?
Steven: I think that First Aid needs to be provided in the cases where discolouration occurs
because small amount of bleeding is considered to be normal but in case of discolouration of skin
and that also in purple colour needs to be addressed by the doctors in the pathology collection
clinic where I was tested. Firm pressure needs to be applied at the site where the needle is
inserted and removed (Abitbol and Palmert, 2021). The bandage also needs to be kept after the
drawing of blood for a few hours.
Scenario 3
John: hello, Sir how are you?
5

Emily: I am fine and what about you?
John: Fine, What do you think potential risks can be when the veins are not visible clearly and
other methods are used to make them appear?
Emily: There are many risks associated with the process of filling glove with hit water for
making the veins accessible and superficial. This is normal that when the patient like me do not
eat or drink properly before getting the tests, then this becomes harder to find the veins (Hunt
and et.al., 2020). This is also evident that the body needs to be warm for increasing the blood
flow, dilating veins so that they can be easier to find.
John: What are the adverse reactions and complications which you faced because of alternate
method for the veins to appear?
Emily: There can be adverse reactions of this method of hydrating the body because if the glove
is not packed properly then this lead to leakage of that much hot water then this can lead to
superficial burns on the arms of the patient like me where the glove is placed (Payne and et.al.,
2019). These burns need to be immediately addressed and treated because this can have long
lasting damage over the whole body as happened to me.
John: What is the response which can be to the adverse reactions and complications faced due to
hot glove method?
Emily: I believe that the scalding of hot water causes lot of pain as well as damage to the skin.
These can be dangerous as this destroys the affected cells and tissues. The body can also go in
shock which can make these burns life threatening. The first response must be to run the cool
water instead of cold one for about 10 minutes and the loosely covering the area with non
adhesive bandage or sterile one.
John: What first aid can be provided in case of severe burns when the hot water glove is not
packed properly?
Emily: During the process of healing, the affected area needs to be protected from friction or
pressure. The counter pain relievers can also be used for reducing pain as well as inflammation.
Scenario 4
Jack: Hey!
6

Commie: hello.
Jack: I want to ask you something? can I ask?
Commie: yeah...sure!
Jack: What potential risks can be recognised when the vein is missed during venepuncture?
Commie: This can be examined from my scenario that I was 22 weeks pregnant. My
venepuncture needs to be done according to the organisational protocol, the needle was inserted
but the vein was missed (McCann and et.al., 2017). The vein was inserted deeper in order to find
the vein. But unfortunately, I was feeling much pain and not only this; I was also getting
sensation of electric shocks. I also lost sensation in thumb because of clipping my median nerve.
Jack: What are the adverse reactions and complications when at the time of venepuncture the
nerve gets missed?
Commie: The complication includes sharp shooting pain down or up the arm. The severity of the
pain also changes according to the changes in severity. The electric shock feeling can also be felt
which travels down the site of venepuncture (Jordan, 2020). The gap in the nerve can occur
which can cause no longer transmitting the signals because it is not possible for the signals to
jump through never gap.
Jack: What can be the response to the adverse reactions which are faced when the nerve gets cut?
Commie: This issue can be treated by the help of compression, applying ice and also keeping the
arm elevated. Carpel tunnel surgery can also be done on immediate basis in order to minimize
the symptoms.
Jack: Do you think first aid can prove to be better in minimising these symptoms?
Commie: First aid needs to be given. Over the counter medication is necessary for reducing
inflammation. The non inflammatory drugs can be used such as ibuprofen. Another alternative is
to wear a brace or splint (Bratina and et.al., 2018).
7

REFERENCES
Books and Journals
Abitbol, L. and Palmert, M.R., 2021. When low blood sugars cause high anxiety: Fear of
hypoglycemia among parents of youth with type 1 diabetes mellitus. Canadian Journal
of Diabetes. 45(5). pp.403-410.
Bratina, N. and et.al., 2018. Management and support of children and adolescents with type 1
diabetes in school. Pediatr Diabetes. 19(27). pp.287-301.
DiMeglio, L.A., Evans-Molina, C. and Oram, R.A., 2018. Type 1 diabetes. The Lancet.
391(10138). pp.2449-2462.
Hanberger, L. and et.al., 2021. Needle-Related Pain, Affective Reactions, Fear, and Emotional
Coping in Children and Adolescents With Type 1 Diabetes: A Cross-Sectional
Study. Pain Management Nursing.
Hunt, J.A. and et.al., 2020. Development and validation of a feline medial saphenous
venipuncture model and rubric. Journal of veterinary medical education. 47(3). pp.333-
341.
Jordan, S.E., 2020. The lacertus syndrome of the elbow in throwing athletes. Clinics in Sports
Medicine. 39(3). pp.589-596.
Lindenmaier, T.J. and et.al., 2018. The effect of an e-learning module on health sciences
students’ venipuncture skill development. Canadian Journal of Respiratory Therapy:
CJRT= Revue canadienne de la therapie respiratoire: RCTR. 54(1). p.12.
McCann, C.J. and et.al., 2017. Transplantation of enteric nervous system stem cells rescues nitric
oxide synthase deficient mouse colon. Nature communications. 8(1). pp.1-11.
Payne, S.C. and et.al., 2019. Anti-inflammatory effects of abdominal vagus nerve stimulation on
experimental intestinal inflammation. Frontiers in neuroscience. 13. p.418.
Sonoda, M. and et.al., 2020. Evaluation of Venipuncture Techniques Based on Measurements of
Haptic Sense and Finger Motion. Advanced Biomedical Engineering. 9. pp.197-201.
8