Order Of Draw
What is Hematology?
Study of the blood
What does occluded mean?
Blocked
What is interstitial fluid?
Fluid located between the cellular components of tissue
What does palpate mean?
to search for a vein with a pressure-and-release touch.
These blood vessels carry oxygenated blood.
What are arteries?
What is Phlebotomy?
The process of collecting blood.
What is a CBC?
Complete Blood count
What is the first thing you need to do before you touch the patient?
Wash hands and put your gloves on.
What lab test/department does a Iron profile belong in?
Chemistry
Name the different types of cells in blood.
white blood cells (leukocyte), red blood cells (erythrocyte), platelets (thrombocyte)
When would a capillary puncture be the safest choice on an adult?
severely burned patient, cancer patient with bad veins, obese patient with difficult veins, geriatric patients with fragile veins
You need to draw three specimen tubes. Your instructor wants you to use a syringe. What size syringe will you use?
10 ml
These blood vessels carry unoxygenated blood and waste?
What are veins?
When a patient comes to the lab to have their blood drawn to see if their Coumadin dosage is correct, what tube is this blood drawn in?
What is a blue top tube?
What department does a Chem7 go to?
Chemistry
Sharps Container
The doctor orders two sets of blood cultures. How many times does the patient need stuck?
Twice
Name the four main superficial veins used in phlebotomy.
basilic, cephalic, median cubital, median
What causes hemolysis in capillary punctures?
alcohol used to clean the skin was not allowed to dry, the finger or heel was squeezed too vigorously, blood was scraped off.
collection device with wings
butterfly
During a blood draw the patient's arm starts to immediately swell, and the tube stops filling with blood. What do you think happened?
Who runs all the specimens once they reach the lab?
Medical Laboratory Technician
The doctor ordered an ammonia level, what color tube does it go in and what does it require?
Lavender on Ice
What is the chain of infection?
Means of Transmission-Portal of Entry-Susceptible Host-Source-Portal of Exit
What additive does a green top contain?
What does Blood bank do?
Determines compatibility of blood and blood products that are to be administered to patients.
If the blood is drawn too quickly from a small vein, the vein has a tendency to?
collapse
Which needle is bigger, a 16 gauge or a 23 gauge?
16 gauge
Name some drugs that are tested in the laboratory for therapeutic/toxic levels.
What is Digoxin, Phenytoin, Gentamycin, and
You are drawing a patient and notice they are getting a large hematoma. What do you do?
Gently pull the needle out and apply pressure with gauze. Ensure the patient has stopped bleeding before you leave the room.
Sodium and potassium levels drawn in this tube.
What is a green top tube?
A coworker stuck a patient with a vacutainer. She pops the tube on and gets no blood return. She pulls the needle out with the tube on it and sticks the patient again with the same needle. What do you do?
Immediately stop them and tell them it is not okay to re-stick the patient with the same needle. Also explain to her that the vacuum is now gone from the initial tube.
You have a STAT cbc with diff in OB, STAT blood cultures in the ER which comes first?
STAT cbc comes first, then cultures
Surgery brings down an amputated arm. What department does this belong in?
Pathology
Why must the first drop of blood from a capillary puncture be wiped away?
To remove the interstitial fluid
Leaving the tourniquet on a patient's arm for an extended length of time before drawing blood may cause?
Hemoconcentration
Very small blood vessels connecting very small arteries and very small veins.
What are capillaries?
You go to draw a middle aged woman and she tells you she had a mastectomy on her right side. What do you do?
Go to her left arm, you are unable to use the right arm.
The physician orders for the Medical Surgical patient to receive a blood glucose test with venous blood. The tube you would use to draw this specimen would be...
What is a gray top tube?
As a general rule, you should not stick the patient more than ___?
twice
Name order of the draw for a syringe draw.
Blood cultures, blue top, red top, green top, purple top.
There is a trauma alert in the ER. The patient is bleeding out and they need an emergency transfusion. They ask you to call the lab and let them know. What department do you call?
Blood Bank
Children ages 2 to 5 experience pain but cannot always pinpoint its source or location. At this age, reactions to pain can include what?
belief that pain is a punishment
belief in the magical disappearance of pain
resistance during painful procedures
Patients with fragile veins might not need this type of phlebotomy equipment.
What is a tourniquet?
Where do you verify resident identification in a nursing home?
Name above bed or at the doorway, and asking resident name and date of birth (make sure you know their D.O.B).
ABG's are drawn in this way.
With a heparinized syringe.
Order of blood cultures drawn, and what two sites.
What is anaerobic before aerobic, and draw from two separate arms?
How tight is too tight for a tourniquet?
When it compresses the artery, and it is not able to be palpated below the tourniquet.