Terms
The most common reason a blood sample is rejected, this is when red blood cells breakdown with the release of hemoglobin
What is one organization that certifies a phlebotomist?
ASCP
IAPS - international academy of phlebotomy services
NCA - National Certification Agency
NHA - National Healthcare Association
AMT - American Medical Technologist
NPA - National Phlebotomy Association
What is the most common place to perform venipuncture?
What is the median cephalic in the antecubital region
What color tube is used for coagulation testing?
BLUE
What should be facing up when you perform a venipuncture
Bevel
antiseptics
What position should the patient be in if they have a history of syncope (fainting)
lying down
What do you call the blue rubbery band that you apply to help the vein bulge
trouniquet
What color tube is used for serum tests and chemistry studies
Gold or Red
This type of needle is also known as a winged infusion set and used for back of hand or pediatric patients
Butterfly assembly or butterfly needle
To draw off or remove by suction
aspiration
What are 2 potential bloodborne pathogens
HIV
Hepatitis C
Hepatitis B
How long should you let the alcohol dry? Is it true that the alcohol breaks open bacterial cells and kills them? Does it "sting" if the alcohol is still wet when you perform venipuncture?
30-60 seconds,
Yes
Yes
What color tube is used for hematology tests, like a complete blood count (CBC)
LAVENDER
A __________ is used when there is concern that the strong vacuum in a vacuum tube may collapse the vein. It must then be immediately transferred into a vacuum tube
syringe
A microbiologic procedure ordered when a provider suspects a bacterial infection is causing a fever of unknown origin
blood cultures
You should always wear gloves when performing venipuncture, name 2 other types of ppe that may be required for bodily fluids
gloves, gown, goggles, mask, faceshield
**** DAILY DOUBLE ****
Where do you apply the tourniquet (how many inches above the site)
3-4 inches above the site
Most tubes contain ___________ that effects blood collected; such as SPC, preventing blood from clotting or EDTA removes calcium to prevent blood from clotting or Silica particles to enhance clot formation
additives
Which gauge needle is the largest
16, 18, 22 or 24
16
an abnormal buildup of blood in an organ or tissue of the body, caused by a leak or cut in a blood vessel
bruise
hematoma - If this occurs, stop immediately and apply pressure for at least 3 minutes
You should put on a tourniquet loosely so that it doesn't hurt
False
Leaving the tourniquet on for greater than ___ minute can greatly increase the possibility of hemoconcentration and alter test results.
True - hemoconcentration is a condition in which the concentration of blood cells increases in porportion to the plasma
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What is the order of the draw?
1) Blood Cultures
2) Light blue top
3) Red Top
4) Green top
5) Lavender top
6) Gray top
What do you engage as soon as you take the needle out of the vein
The needle safety device