Phlebotomy Basics
How many times can you stick a patient?
Once-Only!!!
This is called Rupturing of blood cells
What is Hemolysis
Cerner labels should include what information?
1. Patient name
2. MRN
3. Demographic Information
4. Tube needed for test
5. Abbreviation of Test name
STAT labs should be delivered in when?
15 minutes
This carries deoxygenated blood.
Veins
What is the goal of the specimen collection?
Quality Specimen
**If you give poor quality speimen you will get poor quality result!!!
What are some actions that causes Hemolysis?
1. Shaking tubes.
2. Puncturing a site before alcohol has dried.
3. traumatic venipuncture.
4. Pushing blood out of a syringe into a lab tube instead of allowing the vacuum to pull it or pulling blood from vein or VAD too quickly causing “turbulent flow.
Before going into the patients room to draw blood, what should the PCT do to prepare?
1. Obtain labels
2. Check/view orders against EACH label
3. Assemble supplies
How must the specimens be labeled for the transport to the lab?
1. Use a biohazards bag
2. Use a carrier with foam lining to transport to the lab for the tube system
This carries oxygenated blood.
Arteries
When do Preanalytical variables happen?
1. Before the specimen is collected
What can you use in order to transfer blood to a syringe?
Transfer Device
What are the 2 patient identifiers to look for the Cerner label?
1. Patient Name
2. Medical Record Number
MUST match the label to the armband
How many blood culture bottles can be transported in the biohazard bag through the tub system?
No more than 2 bottles
Median Cubital Vein
What would be a limb restriction?
1. AV Fistula
2. Mastectomy
3. Edematous site
4. PICC Lines
What is the goal of start of the Blood Culture procedure?
To cleanse the site with CHG wipes to remove the bacteria /normal micro flora and the cleanse the bottle with alcohol wipes.
You can you attach the footie portion of the label to the tube. Is this a TRUE or FALSE statement?
FALSE, you may not attach the footie to the tube. The footie is used by the laboratory for further documentation for testing.
What are the kind of specimens that can not be placed into the tuse system?
Specimens that cannot be easily replaced.
Example: Cerebral, Sputum Culture, any special procure collection.
This vein makes it more difficult to stick and you can accidently nick the brachial artery or ulnar nerve.
Basilic Vein
This is the NUMBER ONE CAUSE for injury related to phlebotomy.
These areas the PCT should avoid due to an increased risk for infection.
1. Tattoos
2. Burns
3. Scars
4. Damages Veins
What are Pre-Analytical Variables that you learned in the video?
1. Failure to Check the armband to the lab label/order
2. Incorrect color tube
3. Failure to fill the tube completely (especially with additives)
4. Technique- IV on too long, IV site with infusion running, shaking the specimen
5. Patient Prep-NPO for testing (Fasting Blood Sugar)
When performing phlebotomy what are the 5 safety interventions to beware of?
1. Proper Hand hygiene
2. Standard precautions
3. Use PPE's
4. Exercise extreme caution when assembling, using and disposing of your needles.
5. DO NOT try to draw blood from someone who is angry or anxious.
Routine labs should be collected in how many minutes?
30 minutes
Application of the tourniquet should be how many inches above the intended venipuncture site?
2-4 inches