Routine Venipuncture
Safety and First Aid
Anatomy
Equipment
Order of Draw, Additives
100
What is it called when you touch or feel a venipuncture site?
Palpate
100
What is the biggest blood borne transmitted disease for phlebotomists?
Hepatitis B
100
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.
100
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.
100
What is the additive in the light blue tube?
Sodium citrate, Na citrate
200
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.
200
What is the term for a healthcare acquired infection
Nosocomial infection
200
What are the layers of a vein?
Tunica adventitia Tunica Media Tunica Intima
200
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.
200
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
300
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.
300
What is the best way to reduce the spread of infection?
Washing hands
300
What is the name of the blood vessels that carry blood back from the lungs to the heart.
Pulmonary Veins
300
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.
300
What is the additive in the pink tube? What color tube can it replace if you were to run out?
EDTA, lavendar
400
What is the most critical error a phlebotomist can make?
Misidentify the patients specimen, or not identify the patient.
400
Which body fluid is excluded from the standard precautions requirements?
Sweat
400
Left Atrium
This heart chamber receives blood returning from the lungs.
400
Someone who has an allergy to shellfish may also be allergic to what antiseptic?
Iodine
400
What anticoagulant is contained in a PST tube?
Heparin
500
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!
500
What is the only CPR certification company accepted in hospitals anymore?
American Heart Association
500
The heart gets its blood supply from the:
Coronary arteries
500
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).
500
List the order of draw by color and additive.
Sterile - Blood cultures Light blue - Na Citrate Red - Clot activator SST - Clot activator Green - Heparin PST - Heparin Lavendar - EDTA Pink - EDTA Gray - Glycolitic inhibitor
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