Ch. 9

Proper Patient Identification

The most important step in phlebotomy and other testing procedures.

Check the patient (ID) identification band

A phlebotomist must _ when identifying a patient.

A phlebotomist must _ when an admitted patient isn't wearing an ID band.

Contact the nurses station and request that an ID band be placed on the patient.

The tourniquet is placed _ above the site of draw.

3-4

The proper way to dispose of a needle is to _

Put it into a sharps container immediately after withdrawing it from a patient (without recapping it).

A needle may be used _ times before discarding it.

1

What information must be included when labeling tubes?

Patients name, date, time of draw, phlebotomists initials.

Petechiae

Caused by a tourniquet left on too tight causing capillaries to rupture.

A phlebotomist must inspect a needle for _.

Burrs

Proper order for finishing the phlebotomy procedure.

Remove the tourniquet, remove the tube, place the gauze, remove the needle, apply pressure, discard the needle in the sharps container.

Hematoma

Blood that has seeped from a vein into the tissue.

Hemolysis

The rupturing of red blood cells.

Septicemia

Improper cleansing of a venipuncture site can cause this.

A hematoma can be prevented if _.

Pressure is applied on the vein until the bleeding stops completely.

The most important purpose of a requisition form is _.

Authorizing the procedure.

Failure to check the requisition form prior to leaving the lab may cause the phlebotomist to _.

Have inadequate equipment.

The correct procedure to identify a patient by verifying matching information from _.

The requisition form, the patients wrist ID band, the patients verbal statement of his or her name.

Patient reassurance includes _.

Briefly explaining the procedure.

Palpate

To examine by touch.

Correct palpation includes _.

Determining the depth of the vein, determining the direction of the vein, probing with the index finger.

Cephalic vein

The vein located on the thumb side of the arm.

Venipuncture Sites

Median Cubital, Cephalic, Basilic, Digital Cubital, Brachial.

Steps For Routine Venipuncture

1.)Greet and identify the patient, 2.) Explain the procedure to the patient, 3.) Assemble the equipment, 4.) Anchor the vein, 5.) Cleanse the venipuncture site, 6.) Insert the needle, 7.) Collect the blood in vacuum tubes, 8.) Remove the tourniquet, 9.) D

Equipment used in routine venipuncture

Gloves, Antiseptic cleaning solution, tourniquet, needle, needle holder, collection tubes, bandages.