General Laboratory
Hematocrit measure (blank) in a given volume of whole blood.
Red Blood Cells (RBC's)
You go to a patient's room to draw an elderly woman. She is hard of hearing and very agitated. You explain to her that the doctor needs the tests to help her get better. The patient does not want her blood drawn and asks you to leave. What do you do?
Inform the patient she has the right to refuse and leave. Notify the doctor and the nurse.
PT is the abbreviation for?
Prothrombin Time
Fifty five percent of blood is?
Plasma
The patient has a fistula in the right forearm, which arm do you draw from?
left arm
45% of blood is?
Formed Cellular Elements
Droplet precautions are designed to do what?
Reduce the risk of droplet transmission of infectious agents
You are asked to draw an ammonia level. What color tube and what does it require?
Cyanotic means?
Bluish skin color due to lack of oxygen
The doctor orders a Vit B6, you look up the test and realize it has to be protected from light. What do you do?
Wrap in tinfoil or put in amber transport tube and bag
What additive is in the mint green top?
sodium or lithium heparin
Centers for Disease Control and Policy
You are asked to draw the following test: hematocrit, albumin, creatine what is the order of draw?
green and then lavender
What is Fibrinogen?
The protein from which fibrin is formed/generated in normal blood clotting.
You are working in an outpatient clinic. A young female in her 20's comes in and insists she needs a butterfly. You take a look at the patients arm and she has a good sized antecubital vein. What do you do?
Explain to the patient that she has good veins and does not need a butterfly. Explain to her that the needle is the same size, it just looks a little different. Let her know you will be as gentle as possible
You receive a wound culture in the lab, what department does it go to?
Microbiology
You are working midnights and you go to draw and inpatient. Outside the door is a sign that reads "NPO." The patient asks you for a snack. What do you do?
Inform the patient that they aren't allowed to have anything to eat or drink per the doctor.
You respond to a trauma alert in the ER department. The doctor orders an HIV test, CMP, Mag, PT/INR, and CBC with diff. What is the order of draw?
PT/INR (blue), HIV (gold), CMP, Mag (green), and CBC with diff (purple).
Thrombophlebitis is?
Inflammation of a vein with formation of a clot
You have a two month old patient come into the outpatient clinic needing a cbc with diff drawn. What tube do you use and how would you collect the blood?
lavender top and heel stick
What are antigens?
They are a substance that is able to produce an immune response and will react with a specific antibody. The antibodies will either inhibit or destroy the antigens
You are working in an inpatient setting. You are called to a trauma. The patient is unresponsive and doesn't have a left arm. There are IV's running through the right antecubital vein. How do you identify the patient and where do you draw from?
Ask a nurse or family member to verify date of birth and name. Draw below the IV on the right arm.
An outpatient comes to the clinic needing a copper, zinc (Heavy metals) drawn. What tubes do they go in?
Special navy blue tops, that are metal free
What is an indirect infection?
An infection transmitted through body fluids to blood
A septic patient requires blood cultures and a lactic acid. How do you prep the bottles/patient and what is the order of draw for these tests?