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Tube additives
Pre-Anyalytical Errors
Patient Identification
Blood Cultures
Misc.
100
EDTA
What is the additive found in a Lavender top tube?
100
Blue, Red, Green, Lavender, Gray
What is correct order of draw?
100
1. Compare each label with name and medical record number, 2. have pt state name and dob, 3.recheck name and MR on each label, 4. recheck when putting Date time and intials on each tube, 5. when signing off on collection list - check tube against list.
What is the 5 steps for the ID process in the Inpatient setting?
100
30 seconds
What is the amount of time to scrub with chlorhexidine in preperation for a blood culture?
100
Laying the foundation for students that will last forever!
What is a phlebotomy trainer?
200
Sodium Flouride
What is the additive found in a gray top tube?
200
Have nurse turn off for two minutes prior to drawing blood from distal or proximal.
What is procedure for drawing distal/proximal to an IV?
200
Ambulatory patients are asked to state Name and Date of birth and compare that information with each label.
What is patient identification procedure in the Outpatient setting.
200
Rule out false positives
What is the reason we collect 2 sets of blood cultures?
200
starting in the center and working your way out
What is coincentric circles?
300
Na. Citrate
What is the additive found in a blue top tube?
300
Drawing blood distal or proximal to an IV site without turning off IV.
What is contamination?
300
1. Find the MID and match with announcement card 2. Match the name, date of birth and medical record number to each label
What is the steps for newborn identification?
300
How long do you wait for the chlorhexidine to air dry?
What is 30 seconds?
300
+/- 10%
What is the acceptable fill volume for each tube?
400
Clot activator
What is the additive found in a red with or without gel?
400
fill tube to fill line
What is proper volume?
400
Do not collect, notify nursing!
What is a descrepancy of identification?
400
Talking
What is not to be done during blood culture prep?
400
placing blood from a syringe into a tube
What is transfer device?
500
Lithium Heparin
What is the additive found in a green with or with out gel tube?
500
In lab within 15 minutes of collection and no tourniquet
What is Lacate?
500
Interruptions Rushing Non English speaking patient Typo not following procedure asks for patient by name not looking at all labels
What is reasons a misidentification happens?
500
$8,000
What is approx cost for each false positive blood culture?
500
Protect from light
What is bilirubin?