Routine Blood Collections
A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. What kind of consent is this?
Implied Consent
A phlebotomy technician is preparing to perform a venipuncture for a patient who has tuberculosis. Besides gloves, this is the PPE the technician should wear.
N95 mask
What type of antiseptic is used to clean the skin for routine venipuncture?
70% isopropyl alcohol
Name two special collections when it comes to capillary blood draws.
Blood Spot Cards and Bilirubin
A phlebotomy technician is preparing to load blood collection tubes into a centrifuge. What must they ensure before starting the centrifuge?
Make sure the centrifuge is balanced.
How do you properly identify patient?
Full name, DOB and compare to chart/requisition.
Which of the following protects patient privacy?
HIPAA
A phlebotomy tech is preparing to collect blood from a patient who has experienced syncope during previous draws. This is the position the tech should place the patient in a _______________ position.
Supine
What anticoagulant is is found in a blood culture bottle?
SPS
A critical patient comes into the emergency room. The doctor orders a CMP. The CMP can be collected in a Red, Tiger/Gold, or Green which one do you choose and why?
Green because the heparin keeps in from clotting which will cut 30 minutes off the test time
A phlebotomy tech is performing a venipuncture. The tourniquet should be placed _______ inches above the puncture site.
3-4
Which of the following inspects the laboratory every 2 years?
Joint Commision
What gauge sizes correspond to the following types of needles?
21 gauge needle
23-25 gauge needle
16-18 gauge needles
What department do we send blood cultures to?
Microbiology
Which tubes typically do not get centrifuged and why? blood.
Purple tops b/c the test requires whole blood.
The following information needs to be on the tube of blood after the blood has been drawn.
Patient first and last name, patient DOB, date and time, phlebotomist initials
Lack of consent can result in a charge of _____________
Assault and/or battery
Define Iatrogenic anemia and who does it usually affect?
Anemia caused by blood loss from blood removed for testing
Usually affects infants
Why are the blood culture and yellow top tubes collected first in the order of draw?
Because it needs to be sterile
This is a sterile, disposable sharp pointed or bladed instrument that either punctures or makes an incision in the skin to obtain capillary blood.
Lancet
What are the 3 main veins (in order of preference) in the AC area?
a. Median Cubital
b. Cephalic
c. Basilic
What are the 3 steps a phlebotomy technician should take if they experience an accidental needlestick?
Wash it, report it, follow facility protocol.
What is the difference between fasting and basal state?
No eating drinking for 8-12 hours.
No food, exercise, or stress first thing in the morning. Usually still in bed.
Name the 4 blood spot card tests we discussed in class.
PKU- Phenylketonuria,
Galactocemia,
Cystic Fibrosis, and
Hypothyroidism
How many times do you invert the following tubes:
Blood Culture Color/Yellow
Light Blue
Red
Tiger or Gold
Green
Purple
Grey
Yellow
Blood Culture Color/Yellow 8-10 times
Light Blue 3-4 times
Red 5-6 times
Tiger or Gold 5-6 times
Green 8-10 times
Purple 8-10 times
Grey 8-10 times
Yellow 8-10 times