A
Another name for a capillary stick is
Point of care test
Common tests that can be performed via capillary stick are
Glucose levels, blood clotting times (PT/INR), and hemoglobin A1c
TRUE or FALSE: Bandaids should always be used on every patient after a finger capillary stick
False
TRUE or FALSE: Newborn infants may have a finger capillary stick as long as parents give consent
False
Why would you choose the non-dominant hand?
The fingers on a person’s dominant hand are more likely to be calloused, which may make puncturing more difficult and more painful
Blood culture bottles come in sets of
anaerobic and aerobic
Who regulates laboratory procedures and the order of draw
CLSI
Which fingers would you choose for a capillary stick and why
the ring and middle fingers. Pinky is too close to bone, index is too sensitive and thumb has a pulse
Where would you perform a heel stick on an infant's heel
On the outer portion of the heel. Not the bottom of the heel or at the ankle
How many times should you invert a Serum tube
5 times
Sharps containers are usually ________ and should have a clearly visible ______ symbol on the outside
RED, BIOHAZARD
Purple tops are used for
hematology tests
When should you discard PPE after coming in contact with a patient that has an infection?
Before leaving the room
The light blue top contains which additive
sodium citrate
TRUE or FALSE: Anywhere on the distal finger pads is ok to stick
False. The very tip should be avoided as a fingertip is more painful and more prone to reopen and bleed.
Why do you wipe the first drop of blood from a capillary stick
To prevent contamination from the cleaning soution
Name 3 patients who should have a capillary stick over venipuncture
Patients who are obese
Patients whose arms are burned, heavily scarred, or otherwise not accessible (due to body cast)
Patients with a history of blood clots in the veins
Patients whose veins must be used only for treatments such as chemotherapy
Patients whose veins are very fragile or damaged.
Patients whose veins are very fragile or damages
Patients who are infants
Significant blood loss from a medical test is considered
Iatrogenic anemia
What considerations must you take for an infant to be able to have a finger stick?
Over 6 months of age and at least 22 lbs
In a capillary stick on an infant which tube should you get first
Blood gasses
Name 3 patients or considerations you would not do a capillary stick on?
Cyanotic- blue or gray tinged fingernail beds: sign of poor circulation
Patients with edema or swelling of the hands: their capillary blood is likely to contain a lot of fluid
Patients whose fingers are burned, injured, scarred, bruised, or covered with rash
Should not be performed on the same side as mastectomy.
Extreme dehydration may make blood collection more difficult
What should you do if a patient goes into shock
Lay them flat on their back, Lift legs approximately 12 inches from the ground
An orange tube is used for
When a stat blood collection
In a capillary stick, which tubes contain the additive EDTA
PURPLE, LAVENDER, PINK, OR PEARL CAP
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OSHA