Lab tests
What kind of specimen is needed to identify bacteria and appropriate treatment?
C & S (culture and sensitivity)
What bacteria is commonly found on the skin?
Staphylcoccus
What is the device of choice for an elderly patient to avoid the collapse of a vein?
Syringe or butterfly with the syringe
Which direction should the bevel be directed prior to entering the skin?
Up
Should pressure be applied before, during or after the needle is withdrawn from the site of venipuncture?
After, to avoid slicing the back of the vein which could also create a hematoma
What are common renal tests found in BMP and CMP?
BUN and Cr (creatinine)
What bacteria has evolved due to extensive use of antibiotics and is resistant to many treatments?
MRSA
What device uses a hub with a needle for specimen collection and provides opportunity to easily get several tubes?
vacutainer or vacutainer with the butterfly set
What should always be done prior to placing the dressing over the venipuncture site?
Check for hemostasis
Are needles allowed to be recapped?
No, to avoid an accidental needlestick
What tests are frequently performed to determine thyroid function?
TSH, T3, and T4
What bacteria is normally occurring in the lower intestine but can cause extreme illness when ingested?
E. coli
Is an 18g needle the size of choice for most phlebotomy requirements?
No, 20g to 23g.
What 5 items should be on the lab requisition in order to secure reimbursement from the insurance company for the test(s) and properly identify the patient?
Patient name, DOB, SS#, physician placing order, diagnosis to match tests ordered
What is it called when lab personnel fail to follow established standards, policy and procedure for phlebotomy to cause harm or injury to a patient?
Negligence
What tests in a CMP would indicate hepatic function?
AST, ALT, and bilirubin
What is the bacteria test performed by sputum to determine tuberculosis.
AFB (acid fast bacilllus)
What device is used when only capillary blood is needed for a FSBS?
lancet
What 5 things should be labeled on the tubes collected for testing?
Patient name, DOB, time and date of collection, initials of phlebotomist
What kind of facilities are required to pass a survey and meet regulations before accreditation can be given to perform lab procedures on patients?
Hospital labs, physician office labs, urgent care labs, stand alone labs
What test gives a 3 month glucose average for DM (diabetes mellitus)?
HGA1C
What is the bacteria characterized by excessive diarrhea, very distinct foul odor and highly contagious, especially following long term antibiotic therapy?
C. diff
What supplies are needed for PICC line specimen?
Syringes, transfer device, saline and heparin flushes
What questions might be asked of a patient prior to drawing your specimen?
Site preference, any allergies, taking aspirin or blood thinners or any problems donating a specimen prior to this date
Name 3 things required by lab personnel if law enforcement brings a patient with their own official blood alcohol kit?
Use only the supplies in the box for specimen collection, follow the chain-of-custody procedure to protect the integrity of the specimen, and get the patient's consent even if they are in custody of law enforcement personnel.