Tests
What color tube is a CMP drawn in for routine testing?
SST: red, gold, tiger top, mustard
What is the most important thing to have to perform any type of procedure?
Requisition form
What are the little red dots caused by breaking of the capillaries?
Petechiae
At what age can venipuncture start?
1 year
You're performing a dermal puncture for an adult. where is the best location to perform this puncture?
side of 3rd or 4th finger on non-dominant hand
A phlebotomy tech is preparing to draw a variety of tests. Which would be drawn first: CBC, BMP, Cholesterol, or Ammonia Level
BMP or Cholesterol
If a requisition form has the patient's name and DOB, what else would be absolutely vital to the procedure?
Orders for testing: blood or nonblood
What do you do if you see a hematoma forming at the site of venipuncture?
Stop the procedure and apply pressure
How should a needle be inserted into a vein?
With the bevel up
you're performing an ammonia level, CMP, and CBC via capillary punctures.
1. what color tubes do you need?
2. put them in order
1. sst, lavender, green
2. lavender, green, sst
what tests would need to be refrigerated? what tubes would these be?
ammonia level: light green
lactic acid: gray
You're preparing your equipment for a procedure and notice that one of the tubes on the tray is expired. What do you do?
Grab a new tube and ensure that it is within date
A patient sits down for a blood draw, rolls up her sleeve, turns her head to the side, and states, " I don't want my blood drawn."
What do you do?
Ask patient for clarification, ask if you can proceed or if she has any questions
Antiseptic(s) recommended for blood cultures
chlorhexidine gluconate and povidone-iodine
a tube for a capillary blood gas should have what additive?
heparin
A phlebotomy tech is preparing to draw a blood specimen that needs to be protected from light. which test would this be?
bilirubin/vitamins/folate
You're performing venipuncture on a 25 year old who has small veins that are hard to access. what size of needle and which needle should you use?
23g butterfly
A patients start bleeding excessively during a venipuncture and starts complaining of feeling lightheaded. What do you do first?
Remove tourniquet/needle, apply pressure
80 year old patient presents with dizziness and abdomen pain. Doctor requests a troponin level, ethanol level, and CBC. What type of needle/device would be best for this patient? Why?
Syring with butterfly, bc elderly patient veins are usually more fragile.
depth of puncture:
1. premie
2. adult
0.85 mm
1.8mm-2.2mm
For what reason should a phlebotomist document the amount of blood drawn from a patient?
You have 3 labels but 4 tubes of blood drawn. what information do you need to include on a plain label in order to send the tube to lab?
Patient's DOB, name, accession number
Your initials and time/date of collection
You're drawing blood through a hematoma. Which error should you expect to see in the specimen result?
hemolysis
Doctor requests an ammonia level, blood cultures, complete blood count, and a comprehensive metabolic panel.
1. What tubes are needed?
Doctor adds in a type and screen and PT/INR.
2. What additional tubes are needed?
1. Yellow, SST, Light Green, Lavender
2. Pink and Light Blue
You need to draw a CBC and potassium on a 7 month old infant.
1. what tubes do you need?
2. the lancet should puncture to what depth?
1. EDTA and red micro-collection tube
2. 1.0 mm