Tubes/Lab
What is Hematology?
Study of the blood
What does occluded mean?
Blocked
What is the order of draw during capillary sticks?
EDTA, all other anticoagulants, serum tubes
What does palpate mean?
to search for a vein with a pressure-and-release touch.
These blood vessels carry oxygenated blood.
What are arteries?
What does Phlebotomy translate to in medical terminology?
Vein incision
What is a CBC?
Complete Blood count
What does POCT stand for?
Point of Care Testing
What lab department does a Iron profile belong in?
Chemistry
Name the different types of cells in blood.
white blood cells (leukocyte), red blood cells (erythrocyte), platelets (thrombocyte)
The test reference manual states that the test requires plasma from a sodium citrate tube. What tube are you collecting?
Light Blue
You need to collect 4 mLs of serum. How many mLs of blood do you need to collect?
8-10mls
These blood vessels carry unoxygenated blood and waste?
What are veins?
When a patient comes to the lab to have their blood drawn to see if their Coumadin dosage is correct, what tube is this blood drawn in?
What is a blue top tube?
What department does a Chem panel go to?
Chemistry
Sharps Container
The doctor orders two sets of blood cultures. How many times does the patient need stuck?
Twice
Name the three main superficial veins used in phlebotomy.
basilic, cephalic, median cubital
What causes hemolysis in capillary punctures?
alcohol used to clean the skin was not allowed to dry, the finger or heel was squeezed too vigorously, blood was scraped off.
What is another name for a winged infusion set?
butterfly
During a blood draw the patient's arm starts to swell, and the tube stops filling with blood. What is likely the cause?
What is a hematoma has formed.
Who is the professional that runs all culture testing in the lab?
Microbiologist
The doctor ordered an Renal panel test, what color tube does it go in?
green or SST
What is the best way to break the chain of infection?
Washing your hands
What additive does a green top contain?
Lithium/Sodium Heparin
What tube is most often used in blood banking?
Pink
If the blood is drawn too quickly from a small vein, the vein has a tendency to?
collapse
Which needle is bigger, a 16 gauge or a 23 gauge?
16 gauge
Name some drugs that are tested in the laboratory for therapeutic/toxic levels.
What is Digoxin, Phenytoin, Gentamycin, lithium, acetametaphine, etc etc
You are drawing a patient and notice they are getting a large hematoma. What do you do?
Remove the tourniquet, Gently pull the needle out and apply pressure with gauze. Ensure the patient has stopped bleeding before you leave the room.
Sodium and potassium levels drawn in this tube.
What is green top/SST tube?
You are accidentally stuck with a used needle during a venipuncture, what is the first thing you must do?
Flush the site with water
You have a STAT cbc in OB, STAT blood cultures in the ER which comes first?
STAT cbc comes first, then cultures
The doctor orders a GTT. How many times will the patient be poked?
Four times
Why must the first drop of blood from a capillary puncture be wiped away?
To remove the interstitial fluid
Leaving the tourniquet on a patient's arm for an extended length of time before drawing blood may cause?
Hemoconcentration
Very small blood vessels connecting very small arteries and very small veins.
What are capillaries?
You go to draw a middle aged woman and she tells you she had a mastectomy on her right side. What do you do?
Go to her left arm, you are unable to use the right arm.
The physician orders for the Medical Surgical patient to receive a blood glucose test with venous blood. The tube you would use to draw this specimen would be...
What is a gray top tube?
As a general rule, you should not stick the patient more than ___?
twice
Name order of the draw.
Blood cultures, blue top, red top, Gold/tiger top, green top, purple top, grey top.
There is a trauma alert in the ER. The patient is bleeding out and they need an emergency transfusion. They ask you to call the lab and let them know. What department do you call?
Blood Bank
You are collecting a blood culture with a butterfly needle. Which blood culture container will you fill first?
Aerobic
What is the most common test that you MUST draw without a tourniquet?
Lactic acid
What is the most important aspect of drawing blood cultures?
Aseptic technique
You have drawn a tan top tube for lead, where in the order of draw would that be correctly collected?
With other EDTA tubes
Order of blood cultures drawn with straight needle?.
What is anaerobic before aerobic
When drawing for blood cultures, how long do you clean the site for?
30 seconds