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Importance of Patient Identification
Protocols for Patient Identification
Ramifications for Inaccuracies in Collection
Importance of systems of QA and QC
QC in Phlebotomy
100
Why is it that the patient is asked to recite their name/DOB if they have an ID band that says the same thing?
This provides the phlebotomist with extra verification so they are positive they have the correct patient.
100
T/F- Before you preform venipuncture, you should ask patient if they have any allergies.
True
100
What is the worst mistake a phlebotomist can make?
Incorrectly identifying their patient
100
Why should you not leave the tourniquet on for more than 1 min?
Because it can create hemolysis
100
Where should the tourniquet be placed on the patient?
Placed 3-4 inches above site
200
Why does the patient need an ID band if they can just state their name/DOB?
This way there is legal documentation that this person is who he/she says she is. Also, patient can sometimes be unconscious or out of normal state of mind so they may not
200
What is the first thing you should do as a phlebotomist when you enter a patient’s room?
Identify yourself and purpose
200
Following several aseptic techniques (PPE) can decrease chances of…?
Spreading infection
200
Why is it important that the phlebotomist doesn’t inject the needle too far into the patient’s vein?
It can cause the patient’s vein to collapse
200
At what angle should the needle be inserted into the patient?
30˚ - 45˚ angle
300
The patient is asked to not only say their name, but also DOB because…?
Another patient in the hospital may also have the same name
300
What would you do if there wasn’t an arm band on the patient?
Check patient’s ankle for ID band. If ID band is still not found, contact nurse. Do not collect sample until identification problem is resolved.
300
What is a Hematoma?
When Blood leaks into the tissues and causes rapid swelling at site
300
Why is it important to anchor the patient’s vein?
So the patient’s vein doesn't roll, so you can successfully get a whole sample of blood.
300
How can you prevent reflux?
keep patients arm in a downward position so that the tube remains below the venipuncture site and fills from the bottom up
400
Why would a phlebotomist ask if their patient has any allergies?
This is to make sure there aren’t any chemicals or materials being used that the patient might have a reaction with.
400
What are the 3 parts of the 3-way ID?
1: Identify yourself 2: Ask patient to recite name and DOB 3:Check requisition form and arm band to verify
400
What is reflux?
When Blood flows back into the patients vein from the collection tube
400
It is very important that the phlebotomist injects the needle into their patient’s vein at just the right amount. What might happen if the needle isn't injected into the vein enough?
It will cause the blood to escape the vein, causing blood to leak creating hematoma.
400
What are a few aseptic techniques that can help reduce possibility of infection?
-Minimizing time between removing cap needle and puncture -Do not open bandages ahead of time -Do not touch the site after it has been cleaned -Use PPE
500
The biggest mistake a phlebotomist can is...?
Not correctly identifying their patient
500
How can you correctly identify an unconscious patient?
Use arm band and verify with patient’s nurse. You must also get consent from patient’s guardian/family
500
Redirection of the needle during the venipuncture can increase the risk of what type of injury?
Nerve Injury
500
If a patient is a burn victim, why is it important that you do not take blood from the infected areas? Where would you take their blood then?
-It is extremely painful for the patient to have their blood taken from burned skin, resulting with the patient moving while needle is injected causing further damage. - In order to collect the specimen, the phlebotomist must take from arm that is not affected. If both arms are affected, collect from their hand.
500
Name the order of the 3 preferred sites for venipuncture.
-Median cubital vein -Cephalic vein -Basillic vein