Inpatient
How many people need to attempt a draw before VAST is called?
If a patient is going to get some lab work done today, and return a different day for the other labs, what do you do with the labs they are returning for?
Cancel the lab work and put it back into epic
What is the preferred method of drawing BCUL
Steripath
What tests do you need to broadcast to lab?
Troponin
What times are babies done at?
0400, 1000, 1600,
Intensive care units
once you are done with a patient, what should you do with flow control?
Done next your self
Chloraprep, what motion should you use, how long should you scrub and why?
Hashtag, 30 seconds. Make sure bacteria is dead.
At what time should ED1 and ED2 go to ED and what time should they take their first break?
ED2- goes to ED at 0715 and takes break after ED1 has already come back from their break
How many hours old does the baby have to be to draw their newborn screen?
24 hours
What do you do if you ran out of supplies during morning rounds?
Grab supplies from a stock room that is on your floor
how do you identify your patient the 1st and 2nd time
1st- state and spell first and last name, and DOB
2nd- repeat back first and last name, and DOB
TRUE OR FALSE
If you are not able to collect 3mls of blood for an adult, you can put the sample in a peds BCUL bottle.Name the steps of what needs to be done.
False, if you are not able to collect 3mls of blood for an adult you should NOT put it in the peds BCUL bottle. You should be either poking again or getting someone else to complete the draw.
What do you draw when you have a chest pain?
What do you draw when you have a stroke call?
Chest pain- Mint and Lav
Stroke- Blue, Mint, Lav
Name 4 reasons why a newborn screen could result in an unsatisfactory sample.
Putting blood on both sides of the screen
Layers of blood on same circle
Circles touching each other.
Circles not completed
How much time do you have to get a STAT, TCR, TIMED, ASAP?
STAT-15 minutes before and after
TCR-10 minutes before and after
TIMED- 30 minutes before and after
ASAP- Up to 2 hours after time
What do you use if someone is allergic to alcohol?
Iodine or soap and water
What could happen to the patient if you draw a contaminated set of BCUL?
Patient could be given the wrong medication and they could get Cdif.
Hospital stay is extended.
What should you do with the paperwork for a legal draw?
Make a copy before putting it in the box and sealing it.
Who is responsible for cord blood?
Recovery/RN
(we only get it if they go to mother baby without getting it done)
How many times do you have to scan in a patients room?
doing all these scans, what will this prevent?
3 Scans-1st and 2nd to the patients wrist band, 3rd scan will be on the samples
this will prevent mislabels
What are the steps you have to do if you have a patient that passed out?
Stop draw (remove tourniquet and needle)
secure patient
call out for help
place patient in recliner to recover, offer juice and crackers
fill out patient safety report
Demonstrate the proper procedure on how to collect a set of adult BCUL
successfully complete BCUL
Who is responsible for Traumas, and what tubes do you draw?
INPT
Blue, PST, Tall LAV, Short LAV, Gray, SST
DARK GREEN for fire victim
whose name is on the newborn screen
Moms full name and boy/girl