Specimen Labeling
Two steps to ensure you have identified your patient with Name and DOB
What is identifying a patient Verbally and Visually.
The patient should be seated this way prior to checking a BP (List 3)
What is back supported, feet flat and legs uncrossed.
Documenting occurs at this time for NDC, Lot#, Exp Date, VIS date.
What is ALWAYS before you prepare any medication.
Step required to not introduce bacteria in a vial.
What is swabbing vial with alcohol each time it is accessed.
Define source and laterality.
What is the type of tissue obtained and the location of the specimen (e.g. side of the body).
Reason why you ask if there is an arm restriction.
What is may cause harm.
Needle size for IM injection for women weighing > 200#'s or male > 260#'s.
What is a 1.5 inch 22-25G needle for IM injection.
Action required to prevent needle sticks after an injection.
What is activating the safety with your thumb immediately after use, to prevent a Blood Born Pathogen exposure.
Timing of labeling a specimen.
What is after the specimen is obtained and in the presence of the patient.
3 guidelines for proper cuff placement.
What is aligned with brachial artery, correct size, directly applied to skin and 1" above the bend of the elbow.
The location of the needle cap while preparing medication.
Held in your hand with the cap facing outwards - CCC method.
The only time to switch needles after preparation.
When needle is contaminated, bent or damaged.
3 reasons that the lab would toss a specimen.
What is: no label, wrong label, wrong container, spilled specimen, improper preparation and expired container
When to repeat a BP reading.
What is if BP > 140/90 - repeat after 1 minute.
Site to avoid by measuring 3 fingerbreadths below the bony prominence (acromion process).
What is the bursa, (fluid filled sac in shoulder)
Type of diagnosis that requires use of bleach and soap and water while caring for them.
What is a c-diff patient or any complaint of diarrhea?
Name 3 items to never cover up with a label.
What is name, DOB, source and laterality, original method of identification, expiration date and lot number.
3 situations that can cause an incorrect BP.
What is wrong size cuff, cuff over clothing, legs crossed, full bladder, talking.
3 situations that require a Double Check.
What is calculating a dose (from mdv or sdv), reconstituting, mixing, preparer not administering or have questions.
Reason we do not wear gloves ALL the time
What is cross contamination