Phlebotomy #1
You've just finished performing a routine venipuncture. These are the first and last items of your PPE that you remove.
What are gloves and mask
Cortisol tests can only be drawn at these two times.
What are 0800 and 1200
5:47pm is this time in military time
What is 1747
The approximate volume of a unit of donor blood
What is 0.5 L
When inserting the needle bevel up, you also need to be make sure the needle is inserted at this angle.
What is 15-30 degrees
7:25am is this time in military time
What is 0725
WHile performing a routine venipuncture, you've reached the step where you anchor the vein. You're next step is to do this.
What is insert the needle bevel up
The tourniquet should be applied this far from the puncture site
What is 3-4 inches above the site
This urine specimen is recommended for a urine pregnancy tests because it is the most concentrated.
What is first morning urine.
You're asked to draw an 18 month old who is walking. This is the site you should use.
What is a dorsal hand vein or ring finger
These are the first three steps in the 25 step process of venipuncture.
What are greet pt and introduce yourself, correctly id the pt, and obtain consent
The max amount of blood allowed to be removed from infants and children within a 24 hour period. Or you get
Iatrogenic anemia
When drawing from a patient with venous thrombosis, your site of puncture should be here.
What is a dermal
You're preparing to collect blood from a patient when you notice that they have an IV. This will be your next step.
What is to check the other arm and nurse
Structures that carry blood away from the heart
What are arteries
During a routine venipuncture, your first tube has begun to fill. This is your next step
What is to remove the tourniquet
These are the only tubes that don't need inverted after drawing.
What are Red and Navy Blue (no additive)
After applying pressure to the site but before checking it and making sure the bleeding as stopped,before leave the pt. you should complete this step
What is label the tubes
The max amount of blood allowed to be removed from infants and children over a 1 month period.
What is 10% iatrogenic anemia
You're performing a routine venipunture where you are drawing a Red, SST, Lavender, and Blue tube. This tube should be drawn second.
What is the Red tube
During your 25 steps, you've removed your first tube from the adaptor. This is your next step
What is to invert the tube
Before inserting the needle but after reapplying the tourniquet, these two steps should be completed.
What are to check the needle for imperfections and anchor the vein
After removing the needle from the patient's arm, you perform these next two steps before labeling and applying the bandage
What are activate the safety device and dispose in the sharps container then apply pressure with guaze
ABGs may be required for these patients
What are Respiratory patients
Per OSHA, employers must provide immunization against this BBP to their employees free of charge
What is Hepatitis B (HBV)
These this tests can not be collected from a dermal puncture.
What are blood cultures
The anticoagulant EDTA works by binging this substance needed for blood clotting
What is lavendar
Goverment agency that is responsible for laboratory workplace safety
What is OHSA
You need to have all of the following information on a tube for it to be considered labeled correctly
What are pt's name, pt's DOB, date, time, test names, and phlebs initials
After checking the puncture site and applying the bandage, these are your three final steps.
What are dispose of used materials and supplies, remove PPE and wash hands, and deliver specimens to the lab
You've introducted yourself, ID'd the patient, and obtained consent. You'll complete this next step before preparing the patient and washing your hands
What is to verify the requested test(s) against the labels/requisition
This is the most important step in the venipuncture procedure
What is to correctly ID the patient
Using Betadine to clean your puncture site can cause these tests to have erroneous results.
What are Bilirubin
An object that is contaminated with bacteria
What is fomite
You're performing a ventipuncture on a patient in their hand with a butterfly. You're requisition states that you're collecting a H&H, INR, Albumin, and ANA. This will be the first tube you collect.
What is a discard tube (white or blue) yellow
You're drawing a patient and changing tubes according to the order of draw. You should remember this important step while the needle is in the patient's arm
What is to reframe from crossing over the patient's arm
Rubella needs to be drawn in this color tube.
What is a Red tube
You've applied the tourniquet to the patient's arm. These are your next steps before inserting the needle.
What is are palpate the vein, clean the site, reapply the tourniquet, examine the needle, and anchor the vein
Normal blood pH of blood
7.35 to 7.45
The thin membranous sac that surrounds the heart
What is the pericardium