Order of Draw/Tests
List order of draw by additive
SPS, Sodium Citrate, SST, Lithium Heparin, EDTA, Sodium Fluoride/Oxalate
Can a 16 year old refuse a blood draw?
What is the most common allergy in the health care field?
Latex
Why is it better to draw a glucose level in a gray top?
Sodium fluoride prevents the deterioration of glucose.
Where in the order of draw would a royal blue be drawn?
First, before blood cultures
Which screening test measures the overall integrity of primary hemostasis?
Bleeding Time Test
Patient doesn't speak English, but family member speaks their language. the labs are STAT. what do you do?
Call an interpreter.
Name all the types of swabs and what they check for
Buccal: check
Nasal: inside nostrils
Nasopharyngeal: inside nasal cavity
Orders indicate a patient needs coagulation
studies, a potassium level, and a complete blood
count. What tubes are needed?
light blue, sst, lavender
DNA test
To which department(s) would a comprehensive metabolic panel and bilirubin test go to?
chemistry
You have entered a patient’s room and explained that you need to draw blood, and the patient repeatedly refuses. What should you do?
How many sets of blood cultures are in 1 order?
How many bottles in each set?
2 sets of 2 bottles
What is the exception to drawing stat chemistry tests in a light green top?
There are no exceptions :)
A blood gas specimen that is not iced must be transported to the laboratory within what time frame?
5-10 minutes
What cleaning solution would you use to clean the venipuncture area for a blood culture collection on a 6 month old baby?
Chlorhexidine gluconate
Patient needs blood transfusions but is Jehovah's Witness. this means what?
They cannot accept blood except if they donated it themselves.
Name 4 types of urine collections and their specifications
Random: no specifications
24 hr: collected over 24 hours, dump first void.
Mid-stream/Clean catch: clean genital area first, then only collect mid-stream urine
First Void: first urine output of the day
What color tube, and additive is used for Hct, Hgb, Sed rate?
Lavender, EDTA
Describe the differences between the glucose challenge test and glucose tolerance test?
GTT: Fasting, 1 BS check before. BS checks every hour for 3 hours
Aspirin may affect a patient’s
bleeding time
What is true in the event that Medicare rejects a reimbursement claim and an ABN was not signed by the patient?
The service will not be paid. Aka the clinic will not be paid
What urine collection technique requires a physician to collect the specimen?
Suprapubic
Name every single tube color and 1 test for each one
...... :)