Tube Knowledge
Which of the following is collected first in a capillary puncture?
a. Blood cultures
b. Bilirubin collection
c. EDTA
d. Serum
b. Bilirubin collection
Which of the following is an example of Quality Assurance
a. Following hand washing policy.
b. Following order of draw.
c. Infection control policies
d. All of the above are correct
d. All of the above are correct
Which of the following errors may result in a pink/red plasma or serum
a. Tourniquet left on too long
b. Tourniquet too tight
c. Drawing blood in a 21-gauge needle
d. Drawing blood with a 25-gauge needle
d. Drawing blood with a 25-gauge needle
Where is the correct collection site for heel puncture?
a. Medial lateral of the heel
b. Lateral plantar of the heel
c. Medial plantar of the heel
d. Medial lateral plantar of the heel
d. Medial Lateral Plantar of the Heel (Make Little People Happy)
The patient's blood sample icteric, this indicates which of the following?
a. The patient has high cholesterol
b. The phlebotomist collects the blood with too small of needle
c. The patient has a high bilirubin
d. The phlebotomist left the tourniquet on too long
c. The patient has a high bilirubin
A light blue top tube should be inverted____ times after collection?
3-4
Joint Commission developed the NPSG’s, what do the NPSG’s focus on?
Identifying patients, improving communication and infection control.
Which of the following will result in serum or plasma becoming milky/cloudy?
Lipemia (Lipemic)
A patient has a small hematoma on the right hand and an IV in the left hand. Where is the best place to obtain the blood sample?
Right AC
HIV, Hepatitis C are transmitted by blood and bodily fluids, this indicates that the following are?
Blood Borne Pathogens
What kind of tube has an anticoagulant and a gel barrier?
Plasma Separator Tube (PST)
Which of the following governing agencies developed the NPSG’s?
Joint Commission
What type of antiseptic is used to clean the skin for blood culture and ETOH collections?
Iodine
A patient has an IV in the right wrist and a hematoma in the left hand. Where should the phlebotomist collect the blood sample?
Left AC
Which of the following will result in the serum or plasma becoming dark yellow? and what may it be caused by?
Icteric
Liver failure or high bilirubin
What is the ratio of anticoagulant to blood in the light blue top tube?
1 part anticoagulant to 9 parts blood
Which of the following is an example of a Quality Assurance indicator threshold?
Blood culture contamination cannot exceed 3%
A phlebotomist is drawing a patient’s blood the phlebotomist successfully fills up one red top tube the next tube fails to fill what should the phlebotomist do?
Activate another tube.
What vein is preferred for venipuncture?
Median Cubital
In your own words what are universal precautions?
Treating all patients as if they are infectious
After a tube is spun down, plasma or serum rises to the top. Formed elements sink to the bottom. What 3 items make up formed elements?
Red blood cells, white blood cells, and platelets
Tuberculosis is transmitted by which means of transmission?
Airborne
What error occurs if you leave the tourniquet on longer than the recommended time?
Hemoconcentration
List the order of draw for capillary collection
1. Special Collection (blood spot, bilirubin)
2. EDTA
3. Green / other anticoagulants
4. Serum
List 3 different tests for each of the following tubes:
•Light Blue
•Red
•Purple
•Gray
•See Order of Draw Chart for answer