Pre-Phlebotomy Verification & Review
Prior to phlebotomy, what must be reviewed for any instructions that may relate to the phlebotomy procedure (e.g., minimum volume, use right arm only, etc.)?
Donor Comments should be reviewed via the Comments button. The comments may be filtered for the phlebotomist by selecting PHLI (phlebotomy instructions).
What is the volume range in MLs for a minimum volume unit?
450 - 465 MLs
If a bleed time exceeds 20 minutes, what attribute must be added in addition to completing a KBC-025?
BT21
A unit is considered overweight if the volume is equal to/greater than...?
551 mLs
While working at a fixed site/non-high school mobile drive, a donor weighing 175 lbs is stuck and a DIVP is obtained. Other arm is acceptable for use.
What is the target volume for a restick on this donor?
460 mLs
Which items should be verified to match between the donor and materials prior to beginning phlebotomy?
-Donor's full name & DOB
-Unit numbers on sample tubes, blood bag (including diversion pouch), KBC-196, and ABO Wheels.
At minimum, how many times is the donor's identity and/or unit numbers verified during the phlebotomy process?
At least 4 times! (Upon receiving donor and materials, after filling sample tubes, post-phlebotomy scans, and upon entering PA.)
What attribute would be used if ONE adjustment was made on a restick?
RAJ1
A Short (non-DIVP) is any unit resulting in a volume range of?
1 - 449 mLs
If the initial stick was a DIVP and the restick also resulted in a DIVP what steps must be completed to ensure the donor's eligibility is correct?
Complete a KBC-265, add the M8W deferral code and a MSDF comment to explain the deferral.
If the MNVL Donor Comment is present for today's donation, the phlebotomist should ensure the mixer is set to...?
460 mLs
A unit is considered SLOW once it reaches...
16 minutes. (16-20 minutes is still acceptable as a usable SLOW unit).
What attribute is used if during an adjustment the bevel of the needle was exposed?
AC5 Bevel Exposed
If a diversion pouch short is collected on the donor, what TU code should be added in ABO Wheels?
DIVP
The donor weighs 118 lbs and a SNU was collected on the first phlebotomy attempt. Assuming there are no other issues, is the donor eligible for a restick?
Yes, they are eligible for a restick.
Any time the donor changes beds (preferred vein on opposite arm, etc.), what must be reperformed?
ALL verification (full name, DOB, and unit numbers)
How long must the phlebotomist scrub the venipuncture area (without lifting the sponge) with Chloraprep?
At least 30 seconds
What attribute is used if you were to get blood on your bag/unit? And would it be considered unusable?
BLOO, it is NOT useable
What draw volume should be entered into ABO Wheels for a diversion pouch short?
42 (mLs)
What is the target volume for a restick on a donor who weighs 120 lbs and the first phlebotomy attempt resulted in a SNU?
520 mLs
What should be verified on the blood bag (besides unit numbers) prior to beginning phlebotomy?
Verify that...
-the product label is correct and applied appropriately
-the blood (ABO) type is documented correctly
-the pregnancy status is documented correctly
-tags/special label designations (C-flags, etc.)
When setting up the blood bag on the electronic mixer, how much tubing should there be between the blood bag and the clamp?
at least approximately 12 inches
If the tourniquet accidently fell on the prepped site would this require an attribute to be added? If so which one?
Yes, AC11
If a SNU is obtained on the first phlebotomy attempt and a restick will not be performed, the draw wt/vol, red cell loss, and plasma loss fields should be modified to...?
1
To perform a restick, the phlebotomist should SAVE the first attempt info and then advance what to "2"?
Donation Attempt counter