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Assist in Liver Biopsy Procedure

This document outlines the procedure and requirements for assisting in a liver biopsy. It details the necessary equipment, including biopsy needles, local anesthetic, sterile gloves and waste disposal items. It provides steps for preparing the patient, exposing the biopsy site, assisting the doctor with needle insertion and specimen collection, applying dressing and monitoring the patient. The nurse's responsibilities include reassuring the patient, obtaining consent, checking vital signs during the procedure, observing the biopsy site for complications, maintaining the patient's comfort and sending labeled specimens to the lab in a timely manner.

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joel david knda mj
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2K views2 pages

Assist in Liver Biopsy Procedure

This document outlines the procedure and requirements for assisting in a liver biopsy. It details the necessary equipment, including biopsy needles, local anesthetic, sterile gloves and waste disposal items. It provides steps for preparing the patient, exposing the biopsy site, assisting the doctor with needle insertion and specimen collection, applying dressing and monitoring the patient. The nurse's responsibilities include reassuring the patient, obtaining consent, checking vital signs during the procedure, observing the biopsy site for complications, maintaining the patient's comfort and sending labeled specimens to the lab in a timely manner.

Uploaded by

joel david knda mj
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PROCEDURE : ASSIST IN LIVER BIOPSY

PURPOSE : Confirm diagnosis of liver disease.

REQUIREMENT

1. Dressing set / liver biopsy set.


2. Liver biopsy needle.
3. Scalpel with sharp pointed blade.
4. Needle holder & suture.
5. Solution – iodine, spirit, opsite spray.
6. Lignocaine 1-2%.
7. Dressing towel.
8. Face mask.
9. Sterile gloves.
10.Sterile swab and gauze.
11.Syringe – 5ml &20ml.
12.Needle – 18G & 23G.
13.Elastoplast.
14.Scissors.
15.Specimen bottle with Nacl / formalin.
16.Lab request form.
17.Clinical waste.
18.Domestic waste.
19.Sharpbin
20.Protective sheet.

STEP

1. Verify Dr’s.
2. Greet patient and explain procedure.
3. Provide privacy.
4. Position patient in recumbent with right hand over the head.
5. Expose abdomen area.
6. Place protective sheet.
7. Wear face mask and open up set, pour solution, lay out sterile
items as required.
8. Prepare local anaesthesia.
9. Instruct patient to take deep breath and hold breath during
procedure.
10.Assist Dr in insertion of biopsy needle, aspiration and collection
of specimen.
11.Apply and secure dressing.
12.Position patient in right lateral for 1-2 hours.
13.Make patient comfortable.
14.Instruct patient on CRIB for 6 hours.
15.Label and send specimen to lab as soon as possible.
16.Clean and clear equipments.
17.Record and report result.

NURSING RESPONSIBILITIES

1. Reassure client to gain cooperation.


2. Ensure consent is obtained.
3. Emsure procedure is carried out on correct client at correct site.
4. Check vital sign for pre, intra and post procedure to detect any
complications.
5. Perform procedure in a correct manner to prevent complications.
– Pain, bleeding, haematoma, hypovolemic shock,
pneumothorax, haemothorax,subcutaneous emphysema and
infection.
1. Observe puncture site for bleeding, haematoma, swelling and
tenderness.
2. Ensure client’s comfort is maintained throughout procedure.
– Right lateral position post procedure, CRIB and pain free.
1. Send labeled specimens in appropriate container with lab request
form.
2. Record findings and report abnormalities.

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