Order of Draw
Place the tubes in order
Lavender, light-blue and red top tube
Light blue
Red
Lav
At what angle is a straight stick inserted?
15-30o
Why do we clean the site before inserting the needle?
To prevent infection.
What additive do SST's contain?
Clot activator and thixotropic gel barrier.
When dechyphering medical terminology, how should you do it?
Start with translating the suffix and working backwards.
Which tube should be drawn first from the following?
Red, lavender, SST, Green.
Red
What is the importance of anchoring the vein.
It stabilizes the vein and pulls it taught making it easier to correctly insert the needle into it..
After correctly anchoring the vein and completely inserting the tube and there is no flow into it, what most likely occurred, and how would you fix it?
The needle is either too deep or too shallow. Slowly insert the needle deeper, or gently retract it until flow starts.
What does EDTA stand for?
Ethylenediaminetetraacetic acid
What does subcutaneous mean?
Below the skin.
Place the following tubes in order
Light blue, Royal blue, Red, Blood Culture
Blood culture, Light blue, Red, Royal blue
If bleeding persists directly after the draw, what step should be taken?
Apply direct pressure for 5 minutes until the bleeding has stopped.
What is the most common reason for the lab rejecting a specimen?
Hemolysis from improper equipment selection, technique or vigorously mixing tubes.
What tubes contain anticoagulant additives?
Light-blue, lavender, green, gray, pink, yellow
Break down and define the word arteriosclerosis.
RW: Arteri- artery
CV: o
RW: scler- hard
S: osis- pertaining to abnormal condition
Def: abnormal condition of hardening of the arteries.
Where will the lavender tube be drawn in a draw including SST, Gray, Light blue, Lavender and Green tubes?
After the green, before the gray
When drawing from a patient, why should we avoid drawing from the side with a mastectomy?
The removal of lymph clusters will affect hemoconcentration and give different test values.
What agency establishes standards for the operation of hospitals and health-related facilities?
TH Joint Commission (TJC)
Why are heparin tubes used for STAT chemistry tests?
It does not need to clot before centrifuging, making for a faster turn around time, so the results get back to the physician faster.
What is the plural ending of vena cava?
Vena Cavae
A phlebotomist has orders to draw ETOH, BMP, ESR and NH3. What color tubes are needed and in what order will they be drawn
BMP- SST
NH3- Green
ESR- Lav
ETOH- Gray
By the book, what are the steps in drawing blood from a patient?
1. Receive and review the requisition. 2. Approach and identify the patient. 3. Explain procedure and gain consent. 4. Verify requirements and sensitivities. 5. Sanitize hands and don PPE. 6. Position patient and apply tourniquet. 7. Select vein and release tourniquet. 8. clean site. 9. Prepare equipment. 10. Reapply tourniquet and inspect needle. 11. Anchor vein and insert needle. 12. Establish blood flow and release tourniquet. 13. Fill tubes and invert. 14. Remove needle and apply pressure and activate safety device. 15. Discard needle and collection equipment. 16. Label and prep tubes. 17. Check puncture site and apply bandage. 18. Dispose used materials. 19. Thank patient, remove gloves and re-sanitize hands. 20. Transport to lab.
What federal regulations govern the operation of clinical labs?
Clinical Laboratory Improvement Amendments of 1988 (CLIA 88)
What additives are are in the following tubes?
1. Light blue, 2. red, 3. SST, 4. light green, 5. dark green, 6. lavender, 7. gray, 8. yellow (SPS), 9. yellow (ACD)
1. Sodium citrate. 2. Clot activator. 3. Clot activator and thixotropic gel. 4. Lithium heparin. 5. sodium heparin. 6. EDTA. 7. Sodium flouride and potassium oxalate. 8. Sodium polyanthenol sulfonate. 9. Acid citrate dextrose.
What do the following abbreviations stand for?
ABG, BMP, CK, DVT, EKG, FUO, HBV, K+ and STAT
Arterial BLood Gases, Basic Metbolic Panel, Creatine Kinase, Deep Vein Thrombosis, Electrocardiogram, Fever of Unknown Origin, Hepatitis B Virus, Potassium, Immediately.