Routine Venipuncture
What is it called when you touch or feel a venipuncture site?
Palpate
What is the biggest blood borne transmitted disease for phlebotomists?
Hepatitis B
What is the difference between arteries and veins.
Arteries are muscular, and they pulse with the heart. They carry oxygen rich blood away from the heart. Veins are elastic, they carry deoxygentated blood back to the heart.
In a successful venipuncture, evacuated tubes fill automatically as soon as the tube stopper is pierced because...?
The premeasured vacuum in each tube decides the amount of blood.
What is the additive in the light blue tube?
Sodium citrate, Na citrate
What is done with the tubes after performing your blood draw?
They are labeled time date and initial, and sent to the lab with the test requisition.
What is the term for a healthcare acquired infection
Nosocomial infection
How many layers make up a vein?
Three (3): Tunica adventitia, Tunica Media, Tunica Intima
What type of cleaning agent is used to clean the skin in preparation for venipuncture? Give an Example.
Antiseptics are safe for use on people, Alcohol, Chloro-prep, and Iodine.
When drawing blood cultures, which tube should be draw first? Aerobic, or Anaerobic? Which Tube should be drawn if you can only obtain one blood culture?
Aerobic
Where should you draw if a patient has had a double mastectomy?
Ask the patient where to draw blood from, and confirm with the doctor. You may have to draw from a foot, or draw without a tourniquet.
What is the best way to reduce the spread of infection?
Washing hands
What is the name of the blood vessels that carry blood back from the lungs to the heart.
Pulmonary Veins
Describe how and why a properly tied tourniquet aids in venipuncture.
Make veins larger and easier to feel by restricting venous flow but allowing arterial flow.
What is the additive in the pink tube? What color tube can it replace if you were to run out?
EDTA, lavendar
What is the most critical error a phlebotomist can make?
Misidentify the patients specimen, or not identify the patient.
Which body fluid is excluded from the standard precautions requirements?
Sweat
Left Atrium
This heart chamber receives blood returning from the lungs.
Someone who has an allergy to shellfish may also be allergic to what antiseptic?
Iodine
What anticoagulant is contained in a PST tube?
Heparin
A 17 year old patient vehemently refuses to allow you to collect a blood specimen he is threatening to harm you if you come near him, what do you do?
Since he is a minor it is up to the parents if they want his blood drawn or not. try to talk him into it, and then if he still refuses then inform the doctor and the nurse in charge of him, you may have to chemically sedate him, or hold him down. Good luck!
What is the only CPR certification company accepted in hospitals anymore?
American Heart Association
The heart gets its blood supply from the:
Coronary arteries
What does a transillumination device perform?
This machine passes light through organ walls. These can be used to help find difficult or deep veins, (vein finder).
List the order of draw by color and additive.