Chapter 1
Venipuncture Definition
Blood collection via a needle inserted into a vein.
Anatomical Position
Common Mistake During First Encounter With patient.
Not performing a 3 way ID.
What is hemolysis?
Damage to or destruction of RBCs.
Bevel ___?
Up.
Capillary Puncture Definition
Blood collection via a lancet puncture of the skin.
Your Eyes are _____ to your nose.
Lateral
Why do you allow hands to completely sanitize before putting your gloves on?
To allow the product to work.
5 Physiological Variables
Age, Altitude, Dehydration, Diet, Diurinal Variation, Drug Therapy, Exercise, Fever, Gender, Jaundice, Position, Pregnancy, Smoking, Stress, Temperature and Humidity.
Your ankle is _____ to your knee.
Distal.
Kinesics/Proxemics Definition
Study of Nonverbal communication/ use of space
3 layers of the skin
Epidermis, Dermis, Subcutaneous/hypodermis
What questions do you need to ask a patient before drawing their blood?
Verify Specific Restrictions for test and any allergies.
4 Problem Sites for Drawing Blood
Burns, Scars, Tattoos, Damaged Veins, Edema, Hematoma, Mastectomy, Obesity.
What do you need to know about drawing on a patient with an AV fistula?
Don't use this arm.
Difference between certification and licensure
certification: document granted by agency
licensure: official document or permit granted by state agency
Functions of the Integumentary System.
Pretection, regulates body temperature, eliminates waste, receives stimuli, manufactures vitamin D.
Most Common vein for venipuncture.
Median Cubital
Basal State Definition
Resting state of body early in morning after fasting 12 hours.
4 Departments for Laboratory Services
Hematology, Coagulation, Chemistry, Serology/Immunology, Urinalysis, Microbiology, blood bank, histology, cytology, cytogenetics.
4 Communication Barriers
Culture, Gender, Age, Physical/Mental Issues, Emotions, Language
This plane divides the body into upper and lower regions.
Transverse.
What information do you label tubes with?
Patients name, DOB, ID #, Date and Time, Your initials, pertinent information.
4 Patient Complication
Excessive Bleeding, Fainting, Nausea/Vomiting, Pain, Petechiae, Seizures.
Name 4 Procedural Errors/Risks
Hematoma, Iatrogenic Anemia, Inadvertent Arterial Puncture, Infection, Nerve Injury, Reflux of Anticoagulant, and Vein Damage.