Term
| What is the recommended location for blood collection on babies or infants? |
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Definition
| The baby or infants' Heel. |
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Term
| What should blood spills be cleaned up with? |
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Definition
| A disinfectant sach as freshly made 10% bleach. |
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Term
| What should not be done with a needle? |
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Definition
| A needle should not be bent, broken, recapped, or resheathed. |
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Term
| How should the fingerstick puncture be made? |
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Definition
| A fingerstick puncture should be made perpendicular to the ridges of the fingerprint, so the drop of blood doesn't run down the ridges. |
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Term
| What area should you avoid when doing a fingerstick? |
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Definition
| The side of the finger where there is less soft tissue, where vessels and nerves are located should be avoided. |
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Term
| What fingers are the best location for a fingerstick? |
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Definition
| The 3rd (middle) annd 4th (ring) fingers on the non-dominant hand. |
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Term
| When should the phlebotomist press down on the gauze at the venipuncture site? |
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Definition
| Once the needle is out of the arm, then press down on the gauze firmly to avoid a hematoma. |
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Term
| How should a venipuncture site be prepared? |
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Definition
| The site should be cleansed in a circular fashion with an alcohol prep; beginning at the site and working outward. Allow to dry. |
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Term
| How should the patient be posirtioned for a venipuncture? |
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Definition
| The patient should either sit in a chair or bed or lie down. |
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Term
| How do you find a vein for venipuncture? |
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Definition
-Palpitate and trace the vein path with index finger. (arteries pulsate and thrombosed veins roll and feel like cords.
-Massage the arm from wrist to elbow to force blood to the vein. |
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Term
| What are to be avoided when choosing a venipuncture site? |
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Definition
| -extensive scar site, upper extremities on mastectomy side, hematoma, site where an IV is located, drawing from IV lines, cannula, fistule, or heparin lock, and edematous extremities. |
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Term
| What must an outpatient provide, other than a verbal statement of name, as verification? |
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Definition
| Identification such as ID or drivers license. |
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Term
| What must Always be done at the patient's bedside or drawing area? |
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Definition
| The collection tube or specimen must be labelled at bedside. |
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Term
| What information is on the dr requisition form? |
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Definition
-Patient surname, first name and middle initial
-Patient ID #, DOB, and Gender
-Requesting Physicians' full name
-Source of specimen
-Date and time of collection
-Initials of Phlebotomist
-Indicating test(s) requested |
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Term
| What must accompany each sample submitted to the lab? |
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Definition
| A requisition form must accompany each lab sample. |
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Term
| Do not draw blood if what is missing? |
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Definition
| The patient's armband or bracelet. |
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Term
| What do you do if you accidently stick yourself with a contaminated needlle? |
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Definition
-Remove gloves and dispose of properly
-squeeze puncture site to promote bleeding
-wash well with soap and water
-record patient's mane and ID#
-Follow institution's guidelines regarding treatment and follow-up. |
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Term
| What are some universal precautions? |
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Definition
-Where gloves when handling blood/body fluids
-wear lab coat
-wash hands frequently
-dispose of items in appropriate containers |
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Term
| How should you protect yourself from a sick patient? |
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Definition
| Use universal precautions. |
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Term
| What are some ways to prevent hemolysis of specimen blood? |
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Definition
-Mix anticoag tubes gently 5-10 times
-Don't draw blood from a hematoma
-Avoid drawing plunger back to forcefully
-make sure site is dry
-avoid probing
-avoid prolong tourniquet application |
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Term
| What is the first thing a phlebotomist needs do when meeting a patient? |
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Definition
| They need to greet the patient and identify themselves and indicate what procedure or test will be done. |
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Term
| What tubes must be thoroughly mixed? |
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Definition
| Additive tubes must be thoroughly mixed. |
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Term
| In what order are blood collection tubes drawn? |
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Definition
1st- blood culture bottle/tube (yellow or yellow/black sriped stopper)
2nd- coagulation tube (light blue stopper)
3rd- non-additive ubes (red stopper)
4th-(last draw) -Additive tubes |
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Term
| What is needed for a routine venipuncture? |
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Definition
-evacuated collection tube
-needles, syringes
-holder/adapter
-tourniquet
-alcohol wipes
-gauze sponges, gloves
-adhesive bandages/tape
-needle disposal unit |
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Term
| What is on the label of a patient sample? |
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Definition
-Patient surname, first and MI
-Patient ID#
-Date, time, and Phlebotomist initials |
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