Dermal Punctures
This is the deficiency of red blood cells and/or hemoglobin in blood caused by medical interventions.
What is Iatrogenic Anemia?
Cleanse the area where you will perform the venipuncture with a friction scrub using a back-and-forth movement.
What is Antiseptic Application
A diagnostic examination of urine
What is urinalysis?
Laboratory tests that identify bacteria or other microorganisms in a blood sample.
What is a blood culture?
This is any material (fluid, cells, or cellular debris) that collects in tissues due to inflammation
What is exudate?
This is the act that establishes guidelines for some tests that may be performed in medical facilities.
What is the CLIA (Clinical Laboratory Improvement Act)?
This preanalytical mistake occurs when a phlebotomist uses the wrong tube additive for a test.
What is Incorrect anticoagulant selection
Exchanges gases and has a single cell wall thickness
What is a capillary?
This is the time from specimen collection to specimen disposal
What is Duration of the chain of custody?
The type of blood that a that a dermal puncture contains (3 answers)
What is arterial, capillary, and venous blood?
7.6 to 10.1 cm (3-4 in) above the antecubital area
What is proper tourniquet application
A normally clear liquid that surrounds the brain and spinal cord
What is cerebrospinal fluid?
The number of blood culture bottles you need per collection.
What is 2 (aerobic & anaerobic)?
This is the breakdown of red blood cells
What is hemolysis?
This act is performed when you open a new package of glucometer test strips.
What is Liquid Controls?
This common preanalytical error leads to hemolysis when excessive force is used during blood transfer.
What is forcefully pushing blood into a tube?
Brings newly oxygenated blood to the heart
What is pulmonary veins?
The transfer bag for specimens
What is a biohazard bag?
Alternate names for dermal punctures (3 answers)
What are capillary blood collections, finger sticks, and heel sticks?
The area on the anterior surface of the arm situated in front of the cubitus where the arm bends when flexing
What is the antecubital area
Mucus and other secretions from the lungs, trachea, and bronchi.
What is Sputum
You should clean the venipuncture for this long
What is 30-60 seconds?
This is the formal name of the tube system used to transport samples (and sometimes medications).
What is Pneumatic (tube system)?
Confirming written tests, Establishing procedures for patient Identification, Labeling Specimen Accurately.
What is CLIA Waived Procedures
This preanalytical error occurs when a patient eats before a fasting test.
What is patient preparation error?
This valve connects the left atrium and left ventricle
What is Bicuspid valve?
Maintains accountability for each specimen
What is the chain of custody?
Contraindications for performing a finger stick (name one)
What is a cold, cyanotic, scarred OR swollen finger?
This vein is the easiest vessel to locate for doing venipunctures on obese patients
What is the cephalic vein?
A measure of concentration
What is specific gravity?
Insert the needle into the vein at this angle
What is 15-30 degrees?
Urine samples traveling to reference labs are placed in these.
What are evacuated transport tubes?
These are tests that are low-risk to patients, and require little specimen collection.
What are CLIA waived tests?
This error occurs when a specimen is left at room temperature rather than placed on ice, leading to falsely elevated results.
What is improper specimen transport?
The left pulmonary artery is located where on an anterior-facing transversal MRI scan
What is Upper right?
Example of a specimen that follows the chain of custody procedures (name 2)
What is forensic analysis, drug testing, BAC testing, DNA analysis, rape test kits, and parentage testing?
When to perform a heel stick
What is an infant less than 12 months old?
This vein is often referred to as a “last resort” for venipunctures due to its proximity to the radial nerve and the brachial artery.
What is the basilic vein?
To expel secretions from the throat or lungs by coughing and spitting
What does it mean to expectorate?
One of the solutions used to disinfect the site is
What is the tincture of iodine, chlorhexidine gluconate, or 70% ethyl alcohol and povidone iodine combination?
A complete sample label consists of these 6 things
What is (1) Patient Name (2) ID number (3) Date (4) Time (5) Sampler's initials (6) Specimen Type
Laboratories must apply for this to get CLIA approval to waive their guidelines
What is a Certificate of Waiver (COW)?
This preanalytical error happens when the phlebotomist forgets to invert an additive tube the required number of times.
What is Clotted anticoagulated specimen?
If a patient comes in and when a EKG is taken his P wave is shown to be shortened or flat, this part of the heart is being affected
What is Right atrium?
Signatures of every handler
What is required on a chain of custody form?