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 selected PHLI (phlebotomy instructions).
What is the volume range in MLs for a minimum volume unit?
450 - 465 MLs
Blood pressure cuffs used as tourniquets may be inflated to ________________.
40 - 60 mmHg
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
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, which button must be pressed after threading the tubing through the clamp?
CLAMP
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.)
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
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 size of an area must be scrubbed in the venipuncture site prior to phlebotomy?
2.5" X 2.5"
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
How long should the phlebotomist allow the solution to air dry prior to placing sterile gauze over the intended venipuncture site?
At least 30 seconds.
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
Which items should be verified to match between the donor and materials prior to beginning phlebotomy?
-Donor's full name
-Unit numbers on sample tubes, blood bag (including diversion pouch), KBC-196, and ABO Wheels.
Red top tubes should be mixed/inverted how many times?
5
Purple and pink top tubes should be mixed/inverted how many times?
8 - 10
A Short (non-DIVP) is any unit resulting in a volume range of?
1 - 449 mLs
If the second attempt/restick results in a good unit, a unit number sticker should be placed in the "Unit Numbers that Do Not Have a Good Unit" area of the KBC-397. TRUE or FALSE?
FALSE. Only if the final attempt resulted in a technically usable (TU) unit.