Procedure Potpourri
Define PPE and name the top three you would wear while drawing blood
Personal Protective Equipment: Gloves, Gown, Mask
Which tube do you draw first?
Cultures
What are the 3 veins we prefer to draw from? (In order for best to worst)
Median Cubital, Cephalic, Basilic
What does EDTA do and yield?
EDTA acts as an anticoagulant, binding the calcium ions and interrupting the clotting of the blood sample which yields whole blood
This is the amount of times all tubes should ultimately be inverted
What is 8-10 times?
What information goes on the specimen label?
Pt name, DOB/MRN, Test Name, Collection Date and Time, Phlebotomist's Initials
Which color tube contains EDTA? (ethylenediamine tetra-acetic acid)
Lavender
What is the name of the area we draw from? (Area between forearm and bicep)
Antecubital Space
What is the most common tube for A1c checks?
LAVENDER top tube (EDTA)
When you draw blood what 3 main components are you collecting in the tube?
Plasma ~55%, Buffy Coat <1%, Erythrocytes ~45%
What are the last steps in the venipuncture procedure?
label and transport specimen, walk patient back out to the waiting room
You have the following tubes: Grey, Tiger, Green.
What is the order of draw?
Tiger, Green, Grey
What artery could you potentially hit if you puncture through the basilic vein?
Brachial Artery
What test(s) would be most likely ordered for an easy bruising patient?
CBC, Activated Partial Thromboplastin Time (APTT) Test, Prothrombin Time (PT) Test, Fibrinogen Test
What do clot activators yield?
Serum
What is the best way to communicate to a patient if you miss a vein?
Be honest and let them know that you are going to have to select another site.
Sodium and Lithium Heparin can be found in this color tube
Green and light green
Define Plasma
This is the liquid portion of blood which contains all clotting factors, as it would in the body.
What tube is used for STAT chemistry?
Green top
What do anticoagulants yield?
PLASMA or WHOLE BLOOD, depending on the additive type.
What are 3 examples of good communication during venipuncture?
These are the names of the three anticoagulant tubes, in order of draw, which do not yield whole blood
What are light blue, green and grey
Define Serum
This is the liquid portion of blood which NO LONGER contains clotting factors, as it has been allowed to clot, and the clotting proteins are contained in the clot of RBCs, platelets and other formed elements below. The remaining liquid is serum, no longer plasma, due to this process.
Which tube would you find sodium citrate in?
Light Blue
State the order of draw
Cultures, Light Blue, Red/Gold/Tiger, Green, Lavender, Grey