Order of Draw 1
20 patients are waiting for their blood to be drawn. A patient hands the phlebotomist a requisition form for a STAT blood draw. Should the patient wait until the other 20 are drawn first?
NO
After cleansing the site for venipuncture, the phlebotomist should NEVER?
Wipe the skin dry
Verbal consent is ___________ consent
Expressed for common daily procedures such as a blood draw.
As opposed to Informed consent where a competent individual is undergoing more risky procedures such as surgery and will sign their permission.
A patient refuses to have their blood drawn. They are exercising their__________________?
HIPPA rights
TJC rights
Patient Bill of Rights
CDC rights
When performing a blood draw on a burn victim, what should the phlebotomist do?
Do not draw where the burn area is.
Define vacutainer
A tube that aspirates blood for testing
What is "cross contaminated" when the order of draw is not adhered to?
Additives
Define assault as opposed to battery.
Assault is the perceived feeling that one is going to be touched.
Before contact with a patient should one wash their hands first and then put on gloves?
Yes
When performing a venipuncture in the antecubital fossa the patient suddenly complains of a sharp, shock like shooting pain. What should be done?
Remove the needle immediately
A micro-sample is usually performed on a 9-month-old by what method?
What is the maximum depth used by a lancet?
Heel Stick
2.0 mm
What tube requires 9:1 ratio of blood to anticoagulant?
Light Blue
What is Implied consent?
Patient's actions gives permission for the procedure without verbal or written consent. Ex.
putting your arm out in the ER when not capable of talking or writing.
When does a phlebotomist label the tubes.
After the draw is completed.
The nerve most often injured in venipuncture is?
Median or musculocutaneous.
What size needle can cause hemolysis?
Too small
An infant's heels cannot be used for a blood draw. Where is the next best place to draw blood from?
Medial cubital vein in the antecubital fossa with butterfly 23 g needle
If a phlebotomist unknowingly comes in contact with a patient in isolation, and then realizes the patient is in isolation during the draw what should they do?
Contact the supervisor and follow procedures
What entity monitors refrigerators in the lab?
OSHA
A phlebotomist has attempted 2 unsuccessful blood draws, what should be done next?
Ask another phlebotomist to perform the blood draw.
When should a TROUGH level be drawn?
15 minutes prior to next administration of the medication.
Heel sticks are used on infants when small amounts of blood are needed for testing. What tests would these be?
CBC, BMP, Glucose
What is the most critical mistake a phlebotomist can make? Why?
Misidentification of the patient. Can cause death.
Should needles be recapped?
No
An emergency doctor asks a phlebotomist to draw a lactic acid sample.
The lab rejected the sample, what is the most likely reason for the sample to be unuseable?
Was not drawn without stasis.