Collection Site
Name the three veins in the arm from most to least favorable.
Median Cubital, Cephalic, Basilic
What is the most effective way to prevent the spread of infection?
Hand hygiene/ wash hands
What color tubes contain EDTA?
Lavender/ Pink
Where and when should a needle be discarded?
In a sharps container immediately after activating the safety.
How many unique identifiers should be used when identifying a patient and what are they?
Name (state and spell) and DOB
Where should you do a dermal puncture on an adult?
Middle or Ring finger of non dominant hand
How long should you wash your hands for?
20 sec
The Dr. orders a CBC, PT/INR, and a lipid panel. What color tubes should be used and in what order should they be drawn?
Light Blue, Gold (SST), Lavender
When should you recap a needle?
NEVER
If the the identifying information is incorrect, what step should you take?
Contact the ordering provider to correct the information.
Where should a capillary puncture be done for an infant?
Medial or lateral planter surface of the heel.
According to OSHA standards, which vaccine must employers offer at no cost?
Hepatitis B
When drawing a tube to test bilirubin, what special handling is required?
Collect in an amber color tube or wrap in foil
What should you do immediately after a needlestick injury?
Wash the area and report it
An unconscious patient is brought to the ER and blood tests are ordered. The PBT should collect the blood because he has received what kind of consent?
Implied consent
At what angle should the needle be inserted during a venipuncture?
10 or 15-30 degrees
What PPE is required for a patient who has the flu?
Gloves, mask
How do you collect blood cultures and why do we collect them this way?
Collect using blood culture bottles (Aerobic then Anaerobic) and a butterfly needle.
Aerobic- requires oxygen
Anaerobic- Does not require oxygen
A PBT receives a chemical splash on his forearm. How long should he wash the affected area?
15 min
If a patient is misidentified, what kind of error is this?
Preanalytical Error
Your patient has a left side mastectomy. Where should the phlebotomist draw blood from?
From the right arm.
What order do we don PPE?
What order do we doff PPE?
Gown, mask, goggles, gloves
Gloves, goggles, gown, mask
What is the proper skin preparation before collecting blood cultures?
70% isopropyl alcohol then chlorhexidine and allow to completely AIR DRY
What agency requires employers to protect workers from blood born pathogens?
OSHA
Performing a blood draw after a patient refused it is considered what?
Battery