What is typically used to decontaminate our blood draw site? (Be Specific)
70% isopropyl alcohol
100
What could happen if you leave your blood in the syringe too long before the transfer?
Clotting may occur in the syringe.
100
What does QNS stand for?
Quantity Not Sufficient
100
Why do syringes pose hazards?
Their use requires an extra step to transfer specimens into correct tube.
100
When would you use a syringe?
When patient's have fragile veins that collapse easily.
200
How long should a patient be instructed to keep their bandage on?
15 minutes
200
How long should a patient rest following vigorous exercise?
15 - 30 minutes
200
Where should the tourniquet be applied?
3 - 4 inches above venipuncture site
200
What 2 methods can you use to minimize the transfer of anticoagulants from tube to tube?
1. Gently tap tube to push anticoagulants to bottom.
2. Hold tube slightly downward during collection
200
How should all specimens be treated?
as if they are hazardous and infectious
300
Name 2 alternatives to the usual antiseptic used to clean the venipuncture sites.
Chlorohexidine, povidone-iodine(Betadine)
300
How are unconscious patients identified in the ER?
temporary master identification may be provided until a positive id can be made.
300
Why do we use gauze instead of cotton for post puncture care?
the cotton fibers possibly sticking and pulling the clot off
300
Why is the order of draw so important?
To reduce the effects of additive carryover.
300
What else could serve as a requisition?
electronically generated labels
400
What is the 3 step process to identify your patient? EXPLAIN IT!!
ASK, COMPARE, VALIDATE.
Verbally ask name.
Compare it to your paperwork.
Validate it by comparing paperwork to wristband.
400
What has stress been linked too?
changes in coagulation and fibrinolytic systems
400
Why is date and time necessary for venipuncture collections?
physician needs to know exactly when collected so results can be correlated with meds or changes in conditions
400
What are patient consequences to identity errors?
incorrect treatment or therapy, may result in death
400
List 3 fasting blood test
glucose, cholesterol, triglycerides
500
List 6 reasons that specimens could be rejected.
Identity discrepancies
unlabeled specimen
QNS
Hemolysis
Wrong tube drawn
improper handling
anticoagulated tube clotted
contaminated specimens
patient not directed about diet
sample drawn at wrong time
outdated tubes
500
List in order the 5 choices for venipuncture.
Median Cubital, Cephalic Vein, Basilic Vein, Dorsal hands and wrist, Ankle and foot veins
500
What 8 pieces of information should be on the collection tube upon completing the venipuncture?
1. Pt. name
2. pt unique ID #
3. Date of collection
4. time of collection
5. ID of person collecting
6. specimen type
7. Assay/test to be performed
8. pt. location
500
List the order of draw--tubes and additives.
discard/blood cultures
light blue--sodium citrate
red--clot activator
SST--clot activator, thixotropic gel
green--lithium, ammonia, sodium heparin
mint green--above heparin, plasma separator
lavender--EDTA
pink--EDTA, special labeling
gray--sodum fluoride, potassium oxalate
500
What information is required on a requisition?
Pt. Id, gender, test, date/time collection, physician name, test status, (Stat, fasting, etc), special precautions, billing codes (ICD-10 codes)