Orders/Equipment Selection
Required Information needed before sample is sent to the lab (3 answers)
Doctor's name, Patient's DOB, & Type of test
You are completing a dermal puncture on a 1-year-old for an annual physical. At this age a bandage should not be used because.....
They have a high risk of choking
What type of communication is this an example of?
~"Tell me what brings you in today"
Open-ended communication
If the Phlebotomist missed the vein, how should they reposition the needle?
move the needle slightly forward or back
Which tube is recommended for STAT serum testing?
Orange
Which tubes should be collect if you need a CBC, PT/INR, & BMP?
Lavender, Blue, & Red.
What is an example of a pre-analytical error made at the time of collection?
Failure to mix tubes
There are two patients in the waiting room who have the same name. How should the phlebotomist confirm the patients identification?
Ask both patients to verbally state their date of birth
What is a likely complication from getting phlebotomy procedures done in the same area?
sclerosed veins
The Phlebotomist is about to draw a specimen from a pt, but notices petechiae developing at the site of the tourniquet. What should the phlebotomist do?
continue with the procedure
Which sterile solution should be used if the Pt is allergic to shellfish?
Chlorhexidine
You are drawing a pink top tube and realize it is for glucose testing. What should you do next?
Continue to draw with a gray top
What is the best way to identify a conscious patient?
Have them verbally state their name and date of birth
What special procedure should be taken for patients on heparin therapy?
apply site pressure for a prolonged time
The phlebotomist is having a hard time finding a patient's vein, what should be done for venous distention?
Apply a warm compress for about 3-5 minutes
EDTA tube is under filled, the results most likely come back?
A falsely low blood cell count
A patient receives a course of antibiotics then returns for a follow up urinalysis. A midstream clean catch specimen is ordered. To prevent contamination, you should provide the patient with what antiseptic?
Castile soap wipes
The phlebotomist is requested to perform a lipid test but the patient had a cup of tea before arrival at 0400. What is the earliest time the phlebotomist can perform this test?
1600
A patient comes in to have her Coumadin therapy evaluated. What 3 actions should the phlebotomist take for this specific venipuncture?
collect PT/INR in a light blue tube,
apply firm and direct pressure to the venipuncture site for at least 5 min,
inform the patient about a possible hematoma formation
The doctor orders lab tests: CBC, glucose, ABO group, calcium, a PTT, and RH typing. What is the correct order of draw by tube color? (5 tubes)
Lt. Blue, gold, lavender, pink, grey
inadequate mixing of an anticoagulant tube is likely to result in?
Microclotting
How is a patient with Pseuchmonas aeruginosa, that is receiving gentamicin antibiotic for therapy, drug monitored?
Collect blood sample before drug is taken
What sample collection requires the patient to be rested?
Cortisol sample
A 14 month old patient came in to get a sample acquired from the vein, but blood stopped flowing into the tubes. What are 3 actions the phlebotomist should take to complete the draw?
sample from the dorsal hand vein, draw capillary sample from a finger, replace the tube
You are asked to collect a CBC, BUN, PT, and electrolytes. What is the correct tube order of draw?
Lt. Blue, green, lavender