order of draw
whats the first tube for order of draw
yellow tube - blood cutures
whats the additive in the red tube?
NO additive
how long should you keep a tourniquet on?
less than a minute
confirm first and last name and DOB
where can you draw blood?
- antecubital space
-hand
-back of wrist
- ankle of foot
what the last tube in order of draw?
lavender/purple
whats the additive in the light blue tube
sodium citrate
white blood cells and platelets
do you use gloves to palpate?
no
what vein do you draw blood from
median cubital vein
red tube because it has no additives
what other tube (apart from red) has no additive?
dark blue tube
who can preform venipuncture
-trained phlebotomist
-MA
-Nurses
-MLT
-MT
You have a patient in the ER brought in by police for DUI, what should you clean the area with prior to the blood draw?
iodine
what is venous reflux
the backflow of blood (from an evacuated tube) into the patient's vein
whats another name for the gold tube
SST/tigertop
what is the additive in the gray tube
sodium fluoride/potassium oxalate
what tests does a kidney function panel have?
-glucose
-BUN
-creatine
what angle do you insert the needle into the patient?
15 degrees
How can you tell if you're puncturing a vein or artery?
the vein has no pulse - the artery will pulse
whats the full order of draw
1. yellow
2. red
3. light blue
4. gold/SST/tigertop
5. green
6. lavendar
7. gray
8. dark blue
1. yellow - blood cultures
2. red - no additive
3. light blue - sodium citrate
4. gold/SST/tigertop - thixotropic gel
5. green - heparin
6. lavender - EDTA
7. gray - sodium fluoride/potassium oxalate
8. dark blue - heparin or no additive
what checks the function of the thyroid gland
TSH
what should you tell the patient prior to preforming venipuncture
dont tell the patient that it won't be painful, explain that it'll be uncomfortable but that you'll try to minimize pain as much as possible
vein choices in order for blood draw
1. medial cubital
2.cephalic
3. basilic