Dermal Punctures
These are the three alternate names for a dermal puncture
What are capillary blood collections, finger sticks, and heel sticks?
This is a clear liquid that surrounds the brain and spine.
What is Cerebrospinal fluid?
Establishes quality standards for lab testing on human specimens
What is the Clinical Laboratory Improvement Act (CLIA)?
This agency requires 2 form of pt id prior to pt care according to hospital standards
Who is The Joint Commission
The amount of time in minutes usually required for a standard blood sample to clot at room temperature.
What is 30-60 minutes?
This is the additive that is in the light blue tube
What is sodium citrate
These are errors that occur anytime before specimen analysis
What is Preanalytical Errors?
Drug-testing can be used in these settings. (Name 2 of the 3)
What is the workplace, sports-related, and neonatal?
Insert the needle into the vein with this angle
What is 15-30 degrees?
This is a localized collection of blood under the skin
What is a Hematoma / Bruise?
This is the kind of patient would you perform a heel stick on
What is an infant under 12 months old?
This type of specimen is collected using a swab from areas such as the throat, nose, or a wound to check for infection.
What is a swab culture specimen?
Tests that require minimal judgment and interpretation and present low risk to patients.
What are CLIA-waived tests?
Substance reducing number of pathogens on surface
What is antiseptic?
Slows down the chemical reactions and cellular metabolism that would otherwise change test results.
What is chilling a specimen?
This is the degree that the needle be inserted in the arm
What is 15-30 degrees
This color vacutainer tube is used for blood type screenings
What is Pink?
These are the identifications for patient’s specimen that need to be documented for chain of custody(Name 2)
What are their Name, Identity of patient, body, subject, or object where, when the specimen came from?
As blood enters the tube, the patient needs to
What is unclench their fist?
This forms if the technician does not apply sufficient pressure to the venipuncture site
What is Thrombus / Blood clot?
You don’t perform a fingerstick on this finger because it’s too sensitive or has thick calluses
What is the index finger?
This respiratory specimen is collected by having the patient cough deeply to bring up material from the lungs, not just saliva.
What is a sputum specimen?
Some facilities require the serial number of the controls, expiration date, and name or initials of the person performing the controls.
What is the glucometer quality control log?
2 vessels that facilitate entry of deoxygenated blood from circulatory system into the heart
What is superior vena cava / inferior vena cava?
This is the critical piece of data that ensures a specimen is matched to the correct individual
What is patient identification?
This is the term for swelling/fluid build up
What is edema
This is the wipe type that you use to clean the area.
What is an antiseptic wipe?
These people must signature and date every specimen
What is anybody who has touched or had possession of the specimen?
Before applying a tourniquet, you should do this to the blood culture bottle
What is remove the protective cup and cleanse the top of the collection bottle
This can be a sign of nausea, syncope, or panic attack.
What is Diaphoresis / Severe sweating?
This disease is defined as the deficiencies of red blood cells or hemoglobin because of medical interventions
What is Iatrogenic anemia
This is the most common type of urine sample collected for routine testing and is usually collected at any time of day.
What is a random urine specimen?
When using this, you must ensure the code matches the code on the meter and the code on the strips.
What is a coded glucometer?
This can include DOB, name, address, phone #, SSN and are required by joint commission
What are acceptable patient identifiers?
The type of secondary packaging used to hold specimens during transport.
What is a biohazard bag?
This is the needle used to collect blood from fragile or difficult to access veins
What is butterfly set?
You should never squeeze this type of puncture
What is a dermal puncture?
These help maintain control and accountability for specimens
What are chain of custody guidelines?
When making sure that the blood has stopped, you should conduct
What is a two-point check? (observe for 10 seconds after removing gauze)
In this condition, the patient looks cold, clammy and pale, develops rapid pulse, breaths shallowly and has a blank stare
What is Shock?
This is a hospital setting you should never place your phlebotomy supplies on
What is the overbed table?
This urine collection method requires cleaning the genital area first, then urinating a little in the toilet before catching the middle stream in a sterile cup.
What is a clean-catch (midstream) urine specimen?
This type of strip will not provide an accurate reading.
What is an expired strip?
Must label at bedside of pt before leaving to prevent confusion in hospital with others
What is specimen tube?
The required physical orientation of blood tubes during transport
What is Up-right position?
This is the term for a vein that is hard and inflexible and should not be used to collect blood
What is sclerotic vein?
You should always check for this on the tubes before specimen sampling
What are expiration dates?
Forensic tests can include what… (Name 2 of 4)
What are rape kits, crime scenes, postmortem, and toxicology?
After you remove each tube from the needle holder, you should do this
What is invert it to mix the specimen
Patient reports numbness or a tingling sensation during a venipuncture
What is Nerve Damage?