Capillary
Who would be a candidate for capillary draw?
children (esp under 2)
geriatric patients -
obese patients -burns/scars on sites
What are the 2 patient identifiers
full name
DOB
Pink, Gray, Red
What is the correct order of draw?
Red, Pink, Gray
Lavender tubes contain______which is a chelating agent
K2 EDTA
Describe lipemic serum
white or milky
Why must the first drop be wiped away?
To ensure no tissue or contaminants are
present in the sample
What is the most common skin antiseptic
70% Isopropyl alcohol
Lavender, SST, Light Blue
Light blue
SST
Lavender
Blood culture bottles contain SPS which is an anticoaglant. they may also contain charcoal or resin beads.
What is the function of the charcoal/resin beads?
absorb antibiotics
Hemolysis is the most common cause for rejection
True or false
true
This commonly ordered blood test can be performed using a capillary puncture and a special device
Glucose testing
cephalic vein on the thumb side of the wrist. if you still cant feel anything check the basilic vein on the pinky side of the wrist
What is the correct order of draw
Royal Blue/red, Green, Blood Cultures
Blood Cultures
RB/Red
Green
Which of the following tubes contain gel?
SST, Lav, Green, PST
SST and PST
A sample arrives to the lab unlabelled. what should you do?
call the clinic and ask them to recall the patient
What is the maximum depth and width for a newborn heel poke?
0.65-0.85mm depth
2.4mm width
What is the proper angle of insertion for a straight needle draw?
15-30'
What is the correct order of draw
Pink, Anaerobic bottle, PST, Aerobic Bottle, Light Blue
Aerobic
anaerobic
Light blue
PST
Pink
Light Blue tubes contain CTAD.
What does CTAD stand for?
Citrate
Theophylline
Adenosine
Dipyridamole
a sample arrives to the lab leaking. it's considered an irretreivable sample (procedure is painful or there is no other sample to recollect)
how should you proceed?
go to the BSC and try to salvage as much of the sample as you can
document the sample arrived leaking and proceed with the test
What is an alternative site if the finger is not an option for puncture?
When you are nearing the end of your draw (last tube). What are the steps you must follow?
remove tube
remove needle
What is the correct order of draw
Lav, PST, Green, Light Blue, RB/Lav
Light blule
Green
PST
Lav
RB/Lav
Serum tubes contain Clot activators. What is the clot activator in an RST tube?
Thrombin
you notice your coworker is not inverting her tubes or letting them clot for the required amount of time.
what might happen to the samples?
micro clots in anticoagulated tube
hemolysis in the centrifuge