VENIPUNCTURE
Halfway between elbow and shoulder
Leads should be placed in what areas
Fleshy Areas, avoiding any bony prominences. Same area on each limb
What should you ask the patient before taking vitals
In the last 30 minutes, have you had any caffeine, nicotine, exercise, pain
What does O.I.C.E. stand for
Order
Integrity
Concentration
Expiration
Verify PPD reading is within what time frame
48-72 hours
When do you release the tourniquet
As last specimen tube is filling
Patient should be placed in what position
45-degree Supine Position. If patient cannot tolerate, place in most comfortable position and DOCUMENT
If unable to get an accurate reading, you will
Wait 30 seconds and try again
Replace needle cap with what method
One hand scoop method
What do you NOT do when reading a PPD test
DO NOT GLOVE
What should you do before patient leaves the room
Label specimen tubes
What would you do if patient has oily skin
Wash with soap and water, then use alcohol (ALLOW TO AIR DRY) and 2x2 gauze pads
This percentage of measurement is used to determine cuff size
40% circumference of upper arm and 2/3 length of upper arm
Where is the deltoid muscle located
2-3 fingers below the Acromion Process
What will you ask patient BEFORE reading PPD test
If they have any flu-like symptoms
What should you do if specimen tubes contain additives
Gently rotate 8-10 times
What causes a wandering baseline
Bad lead connection
How much will you inflate the cuff above the baseline systolic
30mm
What size needles are used for IM and SQ injections
What would you do if no wheel is obtained, or leakage occurred
Repeat test 2" from first injection site or try on other arm
What angle should you insert the needle
15-30 degree angle
Where are V1 and V2 placed
The 4th ICS, left and right sternal border
First, you will palpate the
Brachial Artery
What degree are IM and SQ injections given
What not to do after PPD injection
DO NOT rub or massage
DO NOT apply a band-aid