phlebotomy ch 10

Prior to performing a venipuncture, why is it important to get information about whether or not the patinet as eaten recently

Laboratory test can be affected by the ingestion of food and drink.

Name one step that should not be in the handwashing procedure

Turning off the water faucet with your hands

If the patient is obese, what special equipment would be helpful in the specimen collection process

A large blood pressure cuff

When a patient has "difficult"veins what strategies if any can be used to improve the likelihood of a successful puncture

palpating the antecubital area, rotating the patients arm, and warming the cite.

How do arteries differ from veins

thicker vessel walls with pulsating feel

If arm veins cannot be used for a venipuncture, the preferred alternative veins lie in where?

dorsal side of the hand or wrist

where should the tourniquet be placed on the patient during venipuncture procedures

3 inches above the venipuncture cite

during the venipuncture the needle should be inserted at what angle to the skin

30 degrees or less

during the venipuncture procedure, what should the phlebotomist do after the needle is inserted and blood begins to flow

release the tourniqute

when the evacuated tube is used or venipuncture, what is the correct order of collection for the following tubes; blood culture tube, coagulation tube,and hematology tube?

blood culture tubes, blue , then lavender

what information is essential when labeling a patients specimen?

name, patient id number, date and time of collection, the phlebotomist initials.

what does stat mean

immediaetely

why is it important t get patient information about latex sensitivity

allergies to latex can cause skin irritation

steps in the identification process should include?

a 3 way match wit verbal, id bracelet, and requisition information

if the patient is frail and has a tendency to faint, what equipment, if any, should be helpful in the specimen collection process

recliner

if a patient t has a bruise in the antecubital area of his right arm, what alternate side should be considered

the antecubital are in the lft arm.

one reason for a hematoma formation during venipuncture procedures ?

needle is partially inserted in the vein.

when using a syringe how is the blood added to additive and non additive tubes

using a transfer device attached to the syringe, insert each tub into the device and allow it to flow freely

how many times should a phlebotomist try to perform a venipuncture on a patient if he has failed once already

once

if you see a hematoma begin to form what should you do.

Discontinue the procedure and apply pressure with the gauze

Which specimen collection tube is commonly used for hematology test

EDTA

specimen collection tube commonly used for hemostasis test

Sodium citrate

Adding too much blood in a sodium citrate tube can?

Cause shorter clotting time

When collecting a specimen using the butterfly method and PT, PTT test are the only tear ordered, what is the correct procedure

Collect a single blue top tube

Unnecessary , but excessive mixing of the specimen.

Hemolyzed specimen

TDM means

Therapeutic drug monitoring

What kind of patient number should patients have

Unique

Another word for requisitions is

Request

Hazardous is interchangeable with what when handling blood

Infectious

When cleaning your hands you should use what

An ahcohol hand based sanitizer

What kind of soap should be used when washing your hands

Antimicrobial

Activating what will prevent accidental needle sticks

Safety device

What is used for paper and plastic waste

Waste container

Out of date means

Expired