Order Of Draw
What is Hematology?
Study of the blood
-lysis
destruction/disintegration
How to transport a sample for billirubin testing
Foil, dark baggie, paper bag aka light resistent packaging
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.
Dilate VS Vasoconstriction
widening VS shrinking down
Name the 3 types of cells in blood.
white blood cells (leukocyte), red blood cells (erythrocyte), platelets (thrombocyte)
Syncope
Fainting / Loss of consciousness
Small red or purple rash like dots that may appear after applying tourniquet to patient
Petechiae
These blood vessels carry unoxygenated blood and waste?
What are veins?
Perferred gauge size for donation
16/18
Syncope
fainting
Sharps Container
Artery
carries oxygenated blood
Name the 3 main superficial veins used in phlebotomy.
basilic, cephalic, 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
-itis
Disease/Inflammation
Glyc/Gluc
Sugar
The doctor ordered an ammonia level, what color tube does it go in and what does it require?
Green on Ice
Cyan
blue
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
Cannot be applied for longer than 60sec
Tourniquet
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.
oxygen carrying protein in red blood cells
Hemoglobin
In what order do you end the draw before pulling your needle?
Tourniquet, Tube, then Needle
You have a STAT cbc with diff in OB, STAT blood cultures in the ER which comes first?
STAT cbc comes first, then cultures
Sodium Hypochlorite
Bleach
Hematoma vs Thrombus
blood leaking from vessel underneath the skin/blood clot
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.
Lactic, Ethanol, GTT testing
What is a gray top tube?
As a general rule, you should not stick the patient more than ___?
twice
Name order of the draw.
Blood cultures, blue top, red/gold top, green top, purple/pink top and gray
Name Capillary Order of Draw.
Blood cultures, Purple/pink, blue-gray, red/gold/tiger
Signs of localized infection
Pain, redness, swelling, pus, drainage, Heat/Hot to the touch
Phleb-
Vein
Where do you verify a patient who has been admitted to stay overnight in the hospital?
Their wristband
thromb
clot
Define: WBC, RBC,
White blood cells / Red blood cells
Define POSTPRADIAL
AFTER a meal