Clinical Safety
Infections can occur through direct contact, through the air, through the contact of bodily fluids, and even indirectly through contact with a non-living surface that has been contaminated.
What is the term used to describe this?
Fomite
The larger the ________, the smaller the ________.
The larger the number, the smaller the needle.
If the doctor orders a PTT test what tube color would you grab?
Light blue
PT, PTT/INR
list the order of draw for syringe
1. blood cultures
2. sodium citrate (light blue)
3. sodium heparin (green) or lithium heparin (green tt)
4. K2 EDTA (lavender) or
K3 EDTA (purple)
5. Sodium fluoride (gray) or
Potassium Oxalate (gray)
6. Serum (red)
when should you label the tube?
as soon as you finish and in front of the patient
HAND HYGIENE
Hand ________ is a preventative measure, but should not replace hand __________.
Hand SANITIZER is a preventative measure, but should not replace hand WASHING.
1. patient name
2. time of draw
3. date (dd/mm/yy)
4. phlebotomist initials
If the doctor orders a CBC what color tube would you grab?
Lavender or purple
List the order of draw for vaccutiners
1. Blood cultures
2. sodium citrate (light blue)
3. serum tubes (red)
4. sodium heparin (green)
5. K2 EDTA/K3 EDTA (lavender or purple)
6. K2 EDTA (white)
7. Sodium fluoride (gray)
what is the difference between plasma and serum?
plasma contains fibrin and serum does not
What is the role of the FDA?
The FDA oversees the regulation of drugs and the claims made by pharmaceutical companies.
What is the purpose of a tourniquet?
to engorge the veins and make them easier to palpate and puncture
If the doctor orders a glucose test what tube would you grab?
Gray
Name the chambers of the heart
right atrium
left atrium
right ventricle
left ventricle
what is buffy coat?
lipids
What does CDC stand for, and what is its role?
Centers for Disease Control and Prevention
The CDC provides info on public health
The CDC is a federal agency under the department of health and human services that is responsible for monitoring occupational safety and health and providing education and standards for public health.
What can happen if a tourniquet is left on the patients arm too long?
It may result in a hemoconcentrated or hemolyzed sample.
If the doctor orders an Electrolyte, BMP, or CMP test what tube color would you grab?
Green
list the six characteristics of a vein:
1. location
2. size
3. depth
4. direction
5. condition
6. turgor
what is plasma
the water-like portion of blood that carries many vital components
What does OSHA stand for?
What is it's role?
OSHA stands for Occupational Safety and Health Administration
OSHA sets guidelines for workplace safety and employee training to reduce workplace accidents
Put the following steps of venipuncture in order:
1. remove needle apparatus from arm
2. remove last tube
3. bandage draw site
4. remove tourniquet
5. engage safety device on the needle while applying pressure to site
1. remove tourniquet
2. remove last tube
3. remove needle apparatus from arm
4. engage safety device on the needle while applying pressure to site
5. bandage draw site
If the doctor orders a crossmatch test what tube color would you grab?
what are the 5 other things a specimen label should include?
other than
patient name & DOB
time & date of draw
phleb initials
1. physician name
2. room and bed number if in-patient
3. tests required
4. date tests ordered
5. special instructions
what is hemopoiesis?
production of new RBCs