Venipuncture
True or False: You need to palpate the distal artery after placing the tourniquet.
True
What do you do if the patient cannot lay flat for their EKG?
You would document at what degree they were able to do so and complete your EKG
What size needle and angle would we do for an IM injection?
1 inch and 90 degree
What is the correct time window for a PPD to be read?
48-72 hours
What is the proper measurement's for a blood pressure cuff?
40% circumference of the upper arm and 2/3 length
What is the tourniquet policy?
<1 minute
What would you do if you got Electrical interference on your EKG?
Move all electrical devices, turn off lights, unplug the beds, check to see if patient is wearing smart watch or hearing aids, or has anything else in a pocket. Run it again.
What size need and angle for a SQ injection?
5/8 in and 45-degree angle
Can you read a PPD with gloves?
No
Where would you place the manometer?
Eye level
What degree angle should the needle be angled?
15-30 degrees
What would you do if the patient had oily skin?
Wash with soap and water, then use alcohol and 2x2 gauze pads as always
Do you aspirate on any injections?
You aspirate you IM injections except vaccines.
True or False: You need to feel the entire arm vertically and horizontally for any reactions?
True
What do we want to ask the patient about before taking vitals?
If they have had any caffeine, nicotine, if they are in any pain or exercise in the last 30 minutes.
Do you remove the tourniquet before or after your last tube is removed?
You remove the tourniquet half way through the last tube being filled.
What would you do if a patient was missing a left leg?
You would place both leads on the lower abdomen and document that you had done so.
What is the proper site for a PPD placement?
3-4 finger widths below antecubital area and one hand width above the wrist avoiding rashes, bruises, knots, etc.
What symptoms do you need to ask the patient if they might of had since receiving their PPD placement?
Flu-like symptoms, temperature above 100.4, rash, itching...
How long should you wait between obtaining the baseline and the actual blood pressure?
30 seconds
Do you need to have the patient confirm their name on the tubes when labeling them before leaving?
Yes, You want to have the patient to confirm that that samples are labeled with their name and DOB in front of them.
Where does the V2 lead need to be placed?
4 intercostal space left sternal border
Do you massage after any injections?
No
What would you do if they had a postive result?
Get the doctor
What would you do if the patient vitals are not in normal range after counting for 30 seconds?
Count for a full 60 seconds and if still running out of a normal range you would notify the provider