Stay Clean!
Whats the difference between medical and surgical asepsis?
Surgical removes all pathogens while medical removes a number of pathogens.
How big do droplets need to be to use droplet precaution?
>5 microns
When do you preform a capillary puncture?
When a vein isn't accessible, when you need a small amount of blood, when a pt is under 1 year old, etc.
Wrap in aluminum foil and keep away from light
What is the minimum amount of urine you need?
30mL
What is the #1 way to break the chain of infection?
Hand Washing
How big do droplets have to be to use airborne precautions?
<5 microns
What angle do you preform a venipuncture?
15-30 degrees
What would you do with ammonia and lactic acid?
Place on ice
What PH range is good?
4.6-8.0 (6.0 for urine)
When preforming a blood culture instead of alcohol what do you use?
CHG (Chlorhexidine Gluconate)
What is the donning order of PPE?
Hand hygiene, Gown, mask/respirators, goggles/face shield, gloves
What goes first aerobic or anaerobic?
Aerobic
What needs to be on the labels?
DOB, ID number, Specimen type/test, time/date of collection, Name, MRN
How much sputum do you need for a test?
1-2 teaspoons
What do you do if a pt is coughing and/or sneezing?
Wear a mask
What is the doffing order of PPE?
Gloves, goggles/face shield, Gown, mask/respirator, Hand hygiene
What gauge is a butterfly needle?
21-23
What would you put on the chain of custody form?
Name and ID info of the patient it came from
Name of person who obtained and processed specimen
Date, loco and signature of person attesting specimen is correct
Signature and date from every person who had possession of the specimen for any amount of time
Permanent seal to ensure integrity of sample until testing
How long do you have to fast for a glucose test?
At least 12 hours before
What is a susceptible host?
Anyone immunocompromised
What PPE do you need for a venipuncture or capillary puncture?
Just gloves
Why do we use the syringe method for delicate, fragile veins?
We can control the pressure, the vials are pressurized but if you use the syringe you can control how much pressure you use.
What's the difference between hemoconcentration and hemoslysis?
hemoconcentration- when the blood is concentrated, a tourniquet is on too long, you move the needle too much, etc.
hemolysis- destruction of blood cells, vigorous mixing of tubes, too large of the needle, transporting on the side, etc.
What is postprandial tests most commonly used to test for?
Diabetes