5. Patient Interaction Flashcards
What do you do if there is no ID band on a patient?
Nurse must identify the patient
What are the different fasting periods?
Overnight
Set number of hours (8-12)
Only water and prescription drugs
What are timed collections?
Specimen must be collected as close to desired time as possible
What is the difference between implied and informed consent?
Implied - once the patient extends their arm
Informed - documents have been signed by the patient or relative
Patients have a right to refuse, if refused indicate on req and inform supervisor or nurse
What are the three main objectives of the phlebotomist?
Obtain informed/implied consent
Collect the best quality blood specimen for analysis
Perform the collection in a manner that patient will feel comfortable and less apprehensive
Be flexible and adaptable
What is the supine position?
Lying down
What are small red spots that may appear on a patients skin after application of tourniquet?
Petechiae
Minute amounts of blood have escaped the capillaries and site may take longer than normal to stop bleeding
What do you do if an artery is mistakenly punctured?
Immediately stop procedure
Phlebotomist must apply firm direct pressure to the site with a cotton ball for 5 minutes
Incident must be reported to supervisor
What is the most critical step in any phlebotomy procedure?
Patient identification
Always check patient name and number, information MUST match exactly
What is used in blood culture vials?
Anticoagulant SPS (sodium polyanethol sulfonate)
What is the order of draw for blood cultures?
Blood cultures collected first
Anaerobic then aerobic
