Venipuncture
Infection Control
Cap sticks
Additives
Order Of Draw
100
Which of the following needle gauges is most commonly used for venipuncture?
21-23
100
A biohazard material is present
100
Which fingers do you preform Cap sticks on?
3rd and 4th
100
What is the additive for light blue tube?
Na+ Citrate
100
A physician orders a CBC and glucose tolerance test. Which of the following is the correct tube selection and order of draw?
Lavender, gray
200
Which of the following steps is completed first in performing venipuncture?
Identify the patient
200
Which of the following would be considered a common hospital acquired infection?
A patient who contracts MRSA from a venipuncture
200
Capillary blood specimens are most likely to be successfully collected from pt that...?
Are extremely obese
200
What is the additives in order of draw for blood cultures, CMP, and a CBC?
SPS, heparin, EDTA
200
A phlebotomist is using an evacuated tube holder and multi-sample needle to collect a CBC, PT, and BUN. The correct order of draw for this collection is...?
Light blue, green, lavender
300
While performing a venipuncture using an evacuated tube, a small amount of blood enters the tube and then stops. Which of the following conditions is most likely to have caused this?
Collapsing vein
300
The needlestick safety and prevention Act exists to protect the healthcare workers from accidental exposure to..?
Blood borne pathogens
300
Which of the following should the phlebotomist do when collecting blood via fingerstick?
Position the lancet across the fingerprint lines
300
What is the additive for Gold SST tube?
Thixotropic gel/ clot activator
300
A phlebotomist must collect type and screen, STAT electrolytes, D-dimer, and estrogen. Which of the following correctly lists the appropriate additives for these tests in the CLSI recommended order of draw?
Sodium citrate, non-additive, lithium heparin, potassium EDTA.
400
An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the phlebotomist notices scar tissue in the anti cubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action?
Draw blood from the hand using a winged infusion set.
400
What antiseptics are used to do blood culture sticks?
Iodine
Chlorhexidine
Benzychlonium
400
Which of the following is the reason for wiping off the first drop of blood from the pt finger with gauze when performing a capillary puncture?
The first drop of blood may contain traces of tissue.
400
What is the additive for gray tube color?
K+ oxolate and Na+ Flouride
400
A physician has ordered STAT hematology, chemistry, and coagulation tests on a patient. Which of the following tubes are needed for these procedures?
Light blue, Green, Lavender
500
When performing a venipuncture, sudden swelling is observed at the insertion site. Which of the following actions should the phlebotomist take?
Release the tourniquet, remove the needle, and immediately apply pressure at the site.
500
What should the phlebotomist wear in a standard/ airborne precaution?
N95 respirator, gown, gloves, face shield/goggles.
500
The pt on hemodialysis with a left AV shunt has undergone a right side mastectomy and has an order for STAT glucose. The phlebotomist is told to perform a cap draw by the physician, what cap site should be used?
Left ring finger
500
What is the additive for black tubes, and for which test?
Additive: Na+ Citrate (anticoagulant)
Test: ESR
500
When drawing blood for a comprehensive metabolic panel (CMP) and a complete blood count (CBC) why is the CMP tube collected before the CBC tube?
EDTA in the CBC tube can alter some of the test results in the CMP.