Routine Venipuncture
What angle should you insert the needle?
15-30 degree angle
Which tube contains the additive EDTA?
Lavender
Dermal punctures are performed on which fingers of an adult?
Ring and middle fingers
What bacteriostatic is used to cleans the site?
Isopropyl Alcohol 70%
How should you transport a Bilirubin specimen?
Amber color tube or foil (light sensitive)
What is the routine needle size?
21 gauge
Which tube contains Heparin?
Green
Where will you perform a dermal puncture on an infant?
On the medial or lateral heel
What helps to impede the venous blood flow?
A tourniquet
Why are blood cultures ordered?
To detect the presence of microorganism in the blood
How many attempts are you allowed to stick a patient?
You are allowed 2 attempts
Which tube will you send to the coagulation department?
Light Blue
How should the puncture be made on the fleshy area of the finger?
Perpendicular to the fingerprint ridges (whorls)
What is the most common butterfly gauge?
23 guage
Which specimen should be transported chilled?
Ammonia, ABG, lactic acid (slurry ice)
Which vein runs just above the brachial artery?
Basilic vein
Which tube is last in the NHA order of draw?
Gray
The sample may be contaminated with tissue fluid if you do not _______________.
Wipe away the first drop
What venipuncture system should you use on infants and geriatric patients?
The butterfly system
How should you inquire if the patient has been fasting?
When was the last time you had something to eat or drink with in the last 8 hours?
How should bleeding be stopped at a venipuncture site?
Apply pressure at the site with a gauze.
Which tube is first in the order of draw?
Yellow
Which tubes are used for dermal punctures?
Micro-collection tubes
What additional equipment is needed when drawing blood with a syringe?
A transfer devise to transfer the blood into the evacuated tube
What should you do before collecting a cold agglutinin?
Prewarm a plain red -topped tube (37 degree C incubator for 30 minutes)
Where will you place the tourniquet on the arm?
3 - 4 inches above the antecubital fossa
Which tube is 3rd in the NHA order of draw?
Red
When are capillary punctures the preferred method?
When performing blood glucose, newborns screenings and POCT
What are the supplies needed for a routine venipuncture?
alcohol, tourniquet, needle, holder, tube, gauze, coban (tape), and gloves
What specific bottles should be draw 1st then 2nd when drawing a Blood Culture with a butterfly?
Aerobic then Anaerobic
What should you do immediately after removing the tube?
Invert the tube (you may not always see this) then withdraw the needle and apply the safet
Which tube may require a waste tube to be drawn first?
Light Blue tube (when using a butterfly)
Which tube would be first in the order of draw for a capillary puncture?
Lavender
When should you label the patient tubes?
Immediately after the draw at the patient's bed side or draw station in their presence.
What should you cleanse the site with before performing a Blood Culture Specimen?
First clean vigorously with 70% Isopropyl alcohol then vigorously 60 seconds with 2% iodine
What is a hematoma?
When blood collects under the skin
What does EDTA binds to prevent the blood from clotting?
Calcium
The lancet should never penetrate more than ___?
3.0mm
What is the hollow tube within the shaft?
Lumen
What labs are drawn to help prevent drug toxicity?
Peak and Trough