Problems and Corrections
On an obese patient, what kind of tourniquet is best suitable?
Blood pressure cuff
wash your hands
What item is commonly found a phlebotomy tray?
Multi- sample needle
Which specimen should be drawn first?
Blood Culture
What angle should the phlebotomist position the needle at when using a 21-gauge straight needle?
15-30 degrees
When a patient starts to become pale and sweaty during a venipuncture, what should the phlebotomist do first?
discontinue the draw
What are the tests a phlebotomist can do at bedside?
POCT
a patient arrives with orders for CBC, PT/INR, and BMP, what is the correct order of draw?
Light Blue, Red, Lavender
The doctor orders an oral glucose gestational test. The patient finishes the drink, how long must the phlebotomist wait before drawing the specimen?
60 minutes
Obtaining consent from a patients family member when the patient is mentally competent is a violation of what?
The Patients Bill of Rights
How much should you fill a light blue tube when doing a single test?
90%
What is the most common infection that can come from a needle stick injury?
HBV
What should the phlebotomist do when he/she notices the needle is bent?
Discard the needle and obtain a new one.
What is the correct order of draw when one or more anticoagulant tubes are ordered?
light blue, red, green
Doctor ordered a coagulation, serum chemistry and hematology test. What is the order of draw?
light blue, red, lavender
An 11- month old has come in to get blood work done. what equipment should you use?
Lancet
What microorganism is commonly associated with a hospital acquired infection?
MRSA
what sterile solution should the phlebotomist use on a patient that is allergic to shellfish?
Chlorhexidine
How do you properly anchor a vein?
thumb 1-2 inches below sit and pull taunt
What are the (2) instructions the phlebotomist give the patient for a specimen collection?
- Collect 1 hour after eating a meal
- Collect a first morning specimen
If venipuncture is repeated in the same area overtime, what will occur?
Sclerosed veins
What precautions do you use for HIV patients?
standard precautions
What is likely to happen to a specimen if the phlebotomist does not invert a lavender tube 8-10 times?
microclots will begin to form
What is the best choice to use on an 84 year old patient with fragile skin to ensure skin doesn't tear?
paper tape
What complications can occur from forceful shaking of the blood in an evacuated collection tube?
hemolysis