Routine Collections
How to anchor a vein
Place the thumb of your non-dominant hand approximately two inches below the intended site of insertion. Hold down firmly with a slight distal tug downwards.
Where is sputum collected?
Lungs, trachea, and bronchi
Elements of a turnaround time
ordering, specimen collection, transportation, processing, analysis, and reporting
The correct method to cleanse a puncture site
Use gauze, or antiseptic-soaked pad in a circle motion, beginning where the skin will be punctured moving out. Allow air to dry
Acceptable patient identifiers
Date of Birth
Home address
last 4 digits of social security #
Photo ID
What kind of needles should be used for ETS method venipuncture?
21-23 gauge, 1 to 1.5 inches long hollow needles with a beveled edge
Types of urine specimen collection
random, first morning urine, fasting, clean-catch midstream, catheter, suprapubic
Steps of centrifuging
Pre-centrifugation, centrifugation, post-centrifugation
Techniques to find a vein
Applying a tourniquet, warming the area, wiping it with alcohol wipe, or lowering the limb below the level of the patient's heart
Informed Consent
the patient signs a consent form after receiving full information about the procedure
The most common additives in tubes
Anticoagulants or clot activators
what areas need to be swabbed for the throat?
Both tonsils, the throat, and all areas that look infected or inflammed
Information to include on laboratory requisition form
Patients Name
Date of Birth
Type of Test
Ordering provider
ICD 10 code for DX
Phlebotomy tech's initials
Petichiae
small hemorrhagic spots that appear under the surface of the skin
3 veins most often used for venipuncture
Median cubital
Cephalic vein
Basilic vein
what angle should be used for venipuncture in the antecubital area?
15 to 30 degrees depending on the depth of the vessel
Where is buccal collected from?
Inside of the cheeck
Specimen delivery methods
Hand delivery
Pneumatic tube system
Automated carrier
PPE
Personal Protective Equipment
Implied consent
The patient's actions indicate they are giving consent for the procedure
Characteristics of an ideal vein
well anchored, feels spongy and bouncy to the touch, it is straight and easy to access with a needle
What conditions do newborn screenings detect?
Cystic fibrosis, Hypothyroidism, Phenylketonuria (PKU), Galactosemia, Biotinidase Deficiency, Sickle Cell Disease, Human Immunodeficiency Virus (HIV), toxoplasmis
How to handle thermolabile specimens
Depending on test specifications, regulate the temperature of the specimen with either a heat source or ice slurry, refrigerator, or freezer. DO NOT use ice or cold packs. Avoid fluctuating temperatures.
CPR
Cardiopulmonary Resuscitation
Expressed consent
the patient gives orally or in writing on a consent from often after being asked a verbal question