Order and Equipment
What will happen to the patients blood results if an EDTA tube is underfilled?
a falsely low blood cell count
What resource do you use to find out information about a chemical spill?
MSDS (Medical Safety Data Sheet)
a crying child can increase what type of cell?
leukocytes
What is a likely complication from repeated phlebotomy procedures in the same area?
Sclerosed veins
What variable affects glucose strips while stored in the container?
Excessive heat and moisture
What is the ratio for the amount of blood filled in a light blue tube?
9:1 or 90% filled
3 regulatory agencies for safety in healthcare setting
OSHA, NFPA, CDC
if the phlebotomist is having trouble finding a vein, what is the next course of action?
ask a co-worker for help
A chemotherapy pt comes to have blood drawn and the phlebotomist notices that veins are thin and fragile. The choice of equipment should be?
Syringe
A phlebotomist spills a reactive agent in the lab. What should be referenced for clean up?
Material safety data sheet
Definition of Microclotting
Inadequate mixing of anticoagulant tube
Most common HAI
MRSA
a phlebotomist is struggling with finding a vein. What is the most appropriate for venous distention?
apply a warm compress for about 3-5 minutes
What tube must be filled to at least 90% for a single test?
Lt blue
triglycerides, iron, AST, ALT, are found in what tube?
red
Antiseptic if a blood alcohol test
Benzaklonium Chloride
Transmission precaution for patient diagnosed with HIV
Standard precautions
which blood collection tube parameters should be verified to help prevent pre-analytical error? (3)
-type
-expiration date
-size
After cleansing the site for a venipuncture with alcohol, it should be allowed to completely dry to avoid what?
Hemolysis
PPE removal
gloves, gown, mask
Correct order of draw if CBC, PT, and BMP are ordered
PT, BMP, CBC
Neccessary PPE for patient diagnosed with TB
gown, gloves, respirator
a 17 month old presents for a routine capillary stick to determine lead levels. The point of draw should be?
finger
How should the phlebotomist reposition the needle if he misses the vein?
Move back the needle slightly forward or back
what do you do as soon as you remove the needle?
apply safety