Colors of the Rainbow
If drawing a green, tiger top, and lavender tube, what's the order of draw?
Tiger top, green, lavender
Green or light green tubes contain what anticoagulant?
Heparin
You must increase your needle angle of approach for an obese patient.
False, keep the same
When you explain a procedure to a patient and they say "yes" to allowing you to complete the procedure this is what type of consent?
Expressed or Informed consent
A lavender, green and gray tube should be inverted how many times?
8-10
A doctor orders a test for blood sugar so you need a tube that prevents glycolysis, you use a _____ tube.
Gray
Light blue tubes contain what additive that binds calcium preventing blood from clotting.
Sodium Citrate
The angle of needle entry into a vein is
30 degrees
When a pt. extends their arm and rolls up their sleeve to allow you perform venipuncture, this is called
Implied consent
How should you place tubes in a centrifuge?
evenly across from each other, not side by side unless a full container
What color tube is used for blood banking and what's its additive?
Pink & EDTA
What tests are performed to look at a patient's blood clotting ability typically after being placed on anticoagulants? (2 tests)
PT, PTT
What are the common gauge needles used in phlebotomy for a routine venipuncture?
18-23g
If you threaten to smack a patient if they don't extend their arm, you are committing _________
Assault
Which should be filled first, anaerobic or aerobic?
aerobic
You're drawing STAT labs for a pt. What order do you use for the tubes if you are also drawing a light blue and light green tube? (3 tubes)
Light blue, Orange, Light Green
What are two common anticoagulants a patient may be prescribed.
Heparin or warfarin
What pt. population might you use a syringe for venipuncture to prevent vein collapse?
older individuals
A patient passes out at the time of a venipuncture, what should you do
take out the needle, stay with the patient, if you can recline the chair, contact your director
Heel punctures for infants should not exceed what depth?
1.0mm
1.5mm
2.0mm
2.0mm
You are drawing labs for coagulation studies and blood cultures. What colors and order do you use?
Yellow, Light Blue
What might you need to do for a patient on anticoagulants after performing a venipuncture?
Apply direct pressure on the venipuncture site for at least 5 minutes to ensure hemostasis.
The order of preference for vein selection is
Median, Cephalic, Basilic
A pt. has had a bilateral mastectomy, what should you do before performing her venipuncture?
Contact her medical provider for site recommendation.
Explain the chain of custody in the medical field
When a patient's lab specimens must be tracked as they move from person to person for legal reasons