Phlebotomy Essentials Chapter 7 & 8

ETS

Abbreviation for the collection system typically used for routine venipuncture

ACD

Additive used for immunohematology tests such as DNA and HLA typing

Additive

Substance added to a blood collection tube

Anticoagulant

Substance that prevents blood from clotting

Antiglycolytic agent

Additive that prevents the breakdown of glucose by the cells

Antiseptics

Substances used for skin cleaning that inhibit the growth of bacteria

Bevel

Point of a needle that is cut on a slant for ease of skin entry

Butterfly needle

Winged infusion blood collection set

Clot activator

Coagulation enhancing substance such as silica

Disinfectant

Solutions used to kill microorganisms on surfaces and instruments

EDTA

Anticoagulant that preserves cell shape and structure and inhibits platelet clumping

Evacuated tube

Premeasured vacuum tube that is color coded based on its additive

Gauge

Number that is related to the diameter of the needle lumen

Glycolysis

Breakdown or metabolism of glucose by blood cells

Heparin

Anticoagulant that inhibits the formation of thrombin

Hub

End of the needle that attaches to the blood collection device

Hypodermic needle

Type of needle used when collecting blood with a syringe

Lumen

Internal space of a vessel or tube

Multisample needle

Type of needle used to collect several tubes during a single venipuncture

Order of draw

Special sequence in which tubes are filled during a multi tube draw

Potassium oxalate

Anticoagulant commonly used with an antiglycolytic agent

PST

Heparinized gel tube for separation of cells and plasma

RST

Tube containing to thrombin and gel barrier

Shaft

Long cylindrical portion of a needle

Sharps container

Special puncture resistant leakproof disposable container

Silica

Clot activator

Sodium citrate

Anticoagulant commonly used to preserve coagulation factors

Sodium flouride

Most common antiglycolytic agent

SPS

Additive used to blood culture collection

SST

Gel tube for separation of cells and serum

Thixotropic gel

Synthetic substance used to separate cells from serum of plasma

Winged infusion set

Butterfly needle

Recyclable

Sharps containers do not have to be :

A 1:10 dilution of bleach

Which of the following substances would be the best thing to use to disinfect a blood spill on a lab countertop prior to cleanup?

21 gauge

This needle is the standard needle for routine venipuncture

Gauge

Needles are color coded according to:

ETS needle and tube holder

The most common, direct, and efficient means of venipuncture is:

A 23 gauge butterfly and ETS holder

Which of the following would be the best choice of equipment for drawing a small hand vein?

Transfer device

Which of the following equipment is required when collecting blood by syringe?

Heparin

Which anticoagulant prevents coagulation by inhibiting thrombin formation?

Green top

Which of the following tubes would typically be used to collect plasma for a stat chemistry specimen?

Anticoagulant

EDTA is an:

Coagulation

A light blue topped tube is most often associated with tests in this department

Lavender top

Of the following tubes, which would be filled second from a syringe according to the CLSI recommended order of draw?

Heparin and gel

A PST contains

SPS

Of the following tubes or containers which is filled first in the ETS order of draw?

Light blue top

For which of the following tubes is a blood to additive ratio most critical?

Thixotropic gel

Which of the following additives provides a physical barrier to prevent glycolysis?

Light blue top

Which of the following tubes contains a anticoagulant that works by binding calcium?

Minimize trace element contamination

What is the purpose of a royal blue top tube?

Latex

It is not recommended that this type of glove be worn in healthcare settings:

Accession

Record in the order received

Anchor

Secure firmly, as in holding a vein in place by pulling the skin taut with the thumb

Arm/wrist band

Two other names for an identification band/bracelet

ASAP

As soon as possible

Barcode

Series of black stripes and white spaces that correspond to letters and numbers

Bedside manner

Behavior of a healthcare provider toward a patient or as perceived by a patient

Belonephobia

The persistent, irrational fear of needles

DNR/DNAR

Do not resuscitate/ do not attempt resuscitation

EMLA

A eutectic mixture of local anesthetics

Fasting

No food or drink except water for 8 to 12 hours

Hospice

Type of care for terminally ill patients

ID band/bracelet

Identification bracelet (abbrev.)

ID card

Clinic-issued patient identification document

MR number

Medical record number used for patient ID

Needle phobia

Intense fear of needles

Needle sheath

Covering or cap of a needle

NPO

Nothing by mouth

Palpate

To examine by fee or touch

Patency

State of being freely open

Patient ID

Process of verifying a patient's identity

Preop/postop

Before an operation or surgery/ after an operation or surgery

Reflux

Backflow of blood from the tube into the vein during a draw

Requisition

Form on which test orders are entered and sent to the lab

Stat

Immediately

Conflicting permission statement

Do not draw blood without the patient's consent

ID band not on the patient's arm

Check the ankle after asking the patient's permission

Needle phobic patient

Have the most skilled phlebotomist draw the specimen

Outpatient is chewing gum

Ask the patient to remove it

Patient asks for the purpose of the test

Advise the patient to ask the nurse or physician

Patient initially objects to testing

Remind the patient that the doctor needs the test results

Specimen must be fasting but patient has eaten

Consult with the nurse or physician before proceeding

Unconscious patient

Ask someone to help steady the patient's arm

You are a phlebotomist student

Make certain that the patient knows this information

You need to verify patient ID

Actively involve the patient in this procedure