Chapter 2
PPE
Donning and Doffing
1. Gloves 2. Mask 3. Gowns 4. Face shield 5. Goggles
Donning 1- Gown 2-Mask or respirator 3- Goggles or Face shield 4- Gloves
Doffing 1- Gloves 2- Goggles or face shield 3- Gown 4- Mask or respirator
OPIM
( additional point for examples)
Other potentially infectious material
Amniotic fluid, CSF, Vaginal secretions, saliva
Bevel
tip of the needle
Hemostasis
Process that requires a syringe sample and control rat so the vein won't collapse
3 skills phlebotomist use
1. Social/ interpersonal
2. administrative / clerical
3. Technical
3 types of antiseptics
10% household bleach (least expensive)
70% isopropyl alcohol
Iodine or Hydrogen Peroxide
Time needed for affected body part be flushed after contact with chemical
15 minutes
Kg to Lbs and Lbs to Kg
1kg =2.2046 lb
1Lb=0.454 kg
Heparin and EDTA clotting prevention
EDTA binds to calcium
Aliquoting
Chain of infection
*bonus points if examples listed
susceptible host
source
portal of exit
means of transmission
portal of entry
MSDS
Material Safety Data Sheet
Information sheets that must be kept on file and that indicate the hazards of the chemicals used in each section of the lab can also be digital file
Butterfly - another name and why use and angle
Winged Infusion Blood
Collection set used for small veins that are difficult to be drawn with other systems was access to small surface veins on hand, arm, or foot.
5 degrees
Thixotropic gel purpose
Gel material capable of forming and interface bt cells and fluid portion of blood after centrifugation
Anticubital veins
Basilic, cephalic, median
Medical Asepsis
reduces the number of organisms on hands and wrists best way to achieve this is handwashing
3. Employee input when choosing devices
4. Record keeping of any injuries
Luer adapter and why use
Hub used to attach to a butterfly set and collect evacuated tubes
Tourniquet purpose, location, time, and hemoconcentration
Tourniquet is used to facilitate vein prominence
Be placed 3-4 inches above proposed puncture
max time 1 min
Hemoconcentration occurs after leaving tourniquet on for too long and cause concentration of constituents of blood
5 items needed on tube label
DOB
Collection date
Collection time
Initials of collector
Nosocomial Infection
Health care associated hospital infection developed 48 hours or more after admission
Medical waste disposal requirements and methods
1. Product must be altered so no one can remove needles, syringes, or be injured
2. Waste must be rendered non infectious so people handling waste and environment will be not be infected or contaminated M
METHODS- Incineration, chemical treatment, autoclave
Coagulation cascade
Platelets- platelet aggregation
Factor activation
Calcium
Protrombin to thrombin
Fibrinogen to fibrin
clot
Trace Element testing color tube
3 varieties of trace element tubes
Royal blue
Can be drawn into a ruler stopper tube but has to be refined
Red- no anticoagulant
Green-sodium heparin
Lavender- EDTA
Identification Verification on Conscious outpatient and inpatient , Unconscious, Comatose patients
Conscious- ask patient full name, DOB, compare with form //ask patient full name, DOB, compare with ID bracelet
Unconscious- ask caregiver to identify patient full name and DOB
Comatose if asleep try to wake, ask cere giver for full name and DOB, and ID