Blood Draws
What is a venipuncture blood draw and who is primarily responsible for these?
A Venipuncture blood draw when someone collects blood from a vein. Laboratory is responsible for drawing these labs but it is the nurses responsibility to ensure they were done.
Why type of supplies are needed for a venipuncture blood draw?
•Tourniquet
•Alcohol Wipe
•Needle
•Lab tube
•Gauze
•Band-Aid
•Lab Label
•Sample Bag
How long are type and screens good for?
72 hours
What is the first thing you want to do when dealing with a blood transfusion reaction?
Stop the transfusion.
How much blood does a human body contain?
4.7 quarts
What is a capillary blood draw and when might a nurse use a Capillary blood draw?
A capillary blood draw is a blood draw is when a capillary puncture is conducted in the finger, heal or ear lobe to obtain small amounts of blood. Typically nurses use capillary blood draws for glucose testing other than glucose test capillary blood draws should only be used when you are not able to obtain blood via venipuncture by a trained professional
What are common supplies needed for blood glucose?
•Gloves
•Alcohol wipes
•Lancet
•Gauze
•Glucometer Strip
•Glucometer
When is it required to have two nurse verification for blood administration?
During downtime procedures. Otherwise the scanning of the barcodes counts as one of the authentications.
Infuse normal saline
What is the number one tool used for diagnostics used by physicians?
blood work
How much should you waste when you are drawing blood from a central line?
at least 10 cc
what are some supplies needed for a central line draw?
•Alcohol swab
•Flush
•10 cc syringe
•Vacutainer
•Lab Tubes
•Lab Label
•Flush
Where do you have to go to release the orders so you can start documenting on your blood administration.
PER
What are somethings you will want to be doing while waiting for CRT and the provider to come assess the patient?
Take vitals, remain with the patient
What are the four components that make up blood?
Red blood cells, white blood cells, plasma and platelets.
What order should you draw you labs?
- Blood cultures
- Blue top
- Red top
- Yellow top
- Green top
- Purple top
- Grey top
What kind of tubing should you use when hanging blood?
Blood tubing with a filter.
How fast should you run your platelets?
300 mls per hour
What are the steps you must take after you have treated a blood transfusion reaction?
What are the 4 major types of blood?
Name the steps you must take when conducting a central line blood draw?
Verify order, gather supplies, confirm patients identity, preform hand hygiene, put gloves on, select largest lumen or the lumen furthest away from the heart, disinfect the hub, attach a 10cc flush, slowly aspirate for blood return, flush line, get 10cc waste, connect vacutainer, insert blood sample tube, fill tube 2-5 mls, flush line.
What are some supplies you might need prior to getting blood from the lab?
type and screen, vitals cart, blood tubing, saline, blood product card, consent, IV pole, a good large bore IV.
How fast can you run your RBCs?
For the first 15 minutes 60-120mls /hr. After 240mls per hour.
What are some of the signs and symptoms of a blood transfusion reaction.
Chills, shaking, fever, increased HR, nausea, vomiting, chest tightness, headache, flank pain.
what are the most and least common types of blood?
O positive is the most common
AB negative is the least common