Safety & Compliance
The next step before leaving an isolation room after completing a draw and removing your gloves.
Is it to perform proper hand hygiene?
This is the most accurate way to identify a patient.
Is it ask the patient to state their full name and date of birth, then compare it to the requisition?
The tube color used for a CBC
What is Lavender?
The appropriate action before sending a CBC tube to the lab
Gently invert the tube 8-10 times
The preferred antiseptic for blood culture collection
What is Chlorhexidine?
The RACE protocol during a fire
What is Rescue, Alarm, Contain, Extinguish/Evacuate?
This is what a phlebotomist does when they are informed a patient drank coffee before a fasting glucose test.
Is it confirm with the appropriate healthcare professional whether to proceed?
The correct order of draw for venipuncture
Is it blood cultures, light blue, red/SST, green, lavender, then gray?
Is it after clotting (about 30 minutes)?
When timing first begins for a two-hour GTT
What is immediately after the patient finishes the glucose drink?
The appropriate action when a phlebotomist knows a provider ordered the incorrect test
Is it collect the specimen as ordered and notify the provider?
This is how you prepare a patient with severe tremors.
What is using a blood pressure cuff as a tourniquet and anchor the arm?
The best next step when a phlebotomy technician notices slow blood flow despite proper needle placement on a patient with a history of deep vein thrombosis and is on anticoagulant therapy.
Is it to slightly adjust the needle angle while maintaining entry because slow flow often results from a needle bevel positioned against the vein wall?
The result of centrifuging a serum tube before clotting was complete
Is it Fibrin strands remaining in the serum, potentially clogging analyzers?
Test that requires warming the site before collections
What is the capillary blood gases test?
The OSHA standard that requires employers to provide safer needle devices in departments such as the chemotherapy unit
What is the Needlestick Safety and Prevention Act?
A phlebotomy technician's response to a pale and diaphoretic patient during a draw.
What is stopping the draw and removing the tourniquet and needle?
The vein to avoid due to proximity to nerves and arteries.
What is the basilic vein?
The reason a lactic acid specimen must be drawn without a tourniquet and placed on ice
Is it because tourniquets and delays in cooling can increase lactate levels though anaerobic metabolism leading to falsely elevated results?
The tube and handlings required for a legal blood alcohol test
What is a gray tube and non-alcohol antiseptics?
The correct action when a phlebotomy technician is completing an order of draw and notices the tourniquet has been left on for over one minute.
Is it to release the tourniquet for the appropriate amount of time, reapply, then recollect the most recently completed tube without going over the one-minute limit?
The correct site of draw for a patient with left-arm AV fistula and a right-arm mastectomy.
What is a hand vein on the right arm?
The optimal collection strategy for a patient that requires a STAT troponin, lactic acid, and coagulation studies. The patient has severe edema and only one accessible vein.
What is using a butterfly set, then drawing a discard tube, collecting the light blue tube first, then lactic acid without a tourniquet, and immediately placing it on ice.
The correct response to a STAT troponin specimen with a requisition that indicates the specimen was drawn at 14:00, and the timestamp on the tube shows 15:30.
Reject the specimen due to exceeding the allowable time between collection and processing
The correct procedure for a newborn requiring PKU testing
Is it collecting heel blood on filter paper without layering each saturated circle?