Teamwork Makes the Dream Work
True or False:
I can support the team by offering help to others
True:
Always offer to help your teammates, it lightens the load, makes people feel supported and helps to establish a trusting rapport between team members.
This position is best for patients who have expressed to you that they sometimes faint during a blood draw.
What is reclined?
Elevating the patient's legs and reclining them is safest for patients who have a history of syncope (fainting) it helps prevent them from fainting and also keeps them safe if they do faint.
This test used in the diagnosis and monitoring of carbohydrate metabolism disorders including diabetes mellitus, neonatal hypoglycemia, idiopathic hypoglycemia, and pancreatic islet cell carcinoma.
What is Glucose?
This is the potentially most harmful error for a patient, it is also the most easily avoided.
What is Proper Patient Identification and Labeling?
This is the amount of time we scrub with chloraprep and the amount of time we allow the site to dry after scrubbing for blood cultures.
What is 60 seconds?
True or False:
It is important to communicate with my teammates- this means responding to phone calls, emails and using TEAMS and EPIC chat appropriately and participating in hand off and huddles
True: all of these modes of communication help everyone on the team stay informed develop a positive rapport with one another.
True or False- You should ask every patient if they have ever fainted prior to collecting their sample.
FALSE- research has shown that asking patients if they faint, actually increases the chance of the patient fainting during the collection.
Please ask every patient if they have ever had difficulty with a blood draw, and let them share their experiences, if they mention they have fainted in the past, place them in a reclining chair prior to collecting their blood.
This urine test is an important indicator of deteriorating renal function.
What is Urine Albumin test (UMALBR)
Do this gently 5-10 times for each tube collected.
What is invert tubes?
True or False
If the patient has a great vein, it is okay to pull both sets of blood cultures from the same site during the same draw.
FALSE:We collect from two different sites (separate draws)
This helps to distinguish true bloodstream infection (in which both specimens will be positive) vs. positive results from contamination (in which only one specimen will be positive.)
True or False:
I need to check my emails and respond to them once per work shift
True- reading and responding to email every shift is a Bronson expectation.
This applied to the back of the neck may help to revive the patient more quickly after fainting.
What is a cold compress?
This special test measures the amount of chloride in a person's sweat and helps diagnose cystic fibrosis.
What is Sweat Chloride Testing?
This vein is the fist choice for venipuncture
What is the median cubital vein?
This is the correct amount of blood to collect for each blood culture bottle.
WHat is 8-10 ml?
True or False
We have set break times, so even if it is busy, I can go at my set time.
False- while we try to set break times, they can be adjusted as needed to meet patient care needs.
Please go to break when instructed by the charge person or processing room schedule, Please be flexible when asked to go early or later than expected as staffing and patient care needs sometimes change quickly.
This is the first thing to do if the patient faints during the blood draw.
What is release the tourniquet and remove the needle?
This test is used in the diagnosis and treatment of alcohol intoxication and poisoning.
What is ETOH?
This is the number of minutes an SST or red top tube needs to sit prior to centrifugation.
What is 30 minutes?
This blood culture bottle is looking for bacteria that can grow in oxygen and should be filled first when collecting the blood cultures.
What is the aerobic bottle?
True or False:
My mood impacts my teammates and the patients we serve.
True:
We all need to bring our best energy into the workspace. If I am grumpy and negative that energy can make everyone else around me feel grumpy and negative also.
True or False
If a patient faints it is important to immediately go and get help.
False,
Do not leave the patient alone when they have fainted. Stay at the patient's side and call for a a coworker - using the coworkers name.
Prostate-Specific Antigen has two order codes based on the order diagnosis of the patient. This test should be ordered for routine screening when the patient has no history of prostate cancer.
What is PSAS (prostate specific antigen screening)
Note: A patient with a history of prostate cancer diagnosis would use the order code PSAM
This is how long the phlebotomist should hold pressure after blood collection prior to bandaging the draw sit.
What is until bleeding has stopped completely?
This varies for each patient- it is important for the phlebotomist to hold pressure- patients don't often hold pressure well enough to ensure the site is done bleeding prior to bandaging-- holding pressure helps minimize the risk of bruising.
This is where the blood cultures fall in the order of draw.
What is first?