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PMLS 401 LAB > ACT. 1A: UNDERSTANDING PHLEBOTOMY > Flashcards

ACT. 1A: UNDERSTANDING PHLEBOTOMY Flashcards

1
Q

Also called as venesection

A

PHLEBOTOMY

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2
Q

phlebos means?

A

vein

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3
Q

temnein means?

A
  • to cut.
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4
Q

the act of opening a vein by using incision or puncture methods to draw blood for analysis or as part of therapeutic or diagnostic measures under the physician’s request.

A

PHLEBOTOMY

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5
Q

The practice of Phlebotomy can be traced back to the time of the _________.

A

Stone Age

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6
Q

used by men to cut vessels and drain blood from the body.

A

Crude tools

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7
Q

also practiced this as a form of “Bloodletting” as early as 1400 BC.

A

Ancient Egyptians

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8
Q

Phlebotomy became widely accepted during his time. [name and year]

A

Hippocrates (460 – 377 BC)

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9
Q

Hippocrates’ time is where health was believed to be dependent on the balance of the humors.

Earth –
Air –
Fire –
Water –

A

blood & brain, phlegm & lungs, black bile & spleen , yellow bile & gallbladder

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10
Q

To keep the balance, excess _______ is removed by bloodletting.

A

humor

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11
Q

is vital to the correct diagnosis, treatment, and monitoring of a patient’s condition.

A

Laboratory testing of blood specimens

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12
Q

constitute 70% of the objective information used by health-care providers to manage patient care and resolve patient health problems.

A

Laboratory results

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13
Q

The quality of a test result is only as good as the quality of the __________________.

A

specimen analyzed

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14
Q

can compromise the integrity of a successfully collected specimen.

A

failure to adhere to the collection procedure

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15
Q

Approximately 56% of laboratory error occurs during this phase of laboratory testing.
(a process that occurs before testing of the sample)

A

Preanalytical phase

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16
Q

Influencing factors are the responsibilities of the blood collector and it includes:

A
  • Monitoring of specimen ordering
  • Correct patient identification
  • Patient communication and safety
  • Patient preparation
  • Timing of collections
  • Phlebotomy equipment
  • Collection techniques
  • Specimen labeling
  • Specimen transportation to the laboratory
  • Specimen processing
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17
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE 1

A

Obtain and accession the test request

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18
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE2.

A

Identify the patient

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19
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE3.

A

Verify diet restrictions

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20
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE4.

A

Prepare the patient for testing

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21
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE5.

A

Assemble equipment and supplies

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22
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE6.

A

Wash hands and put on gloves

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23
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE7.

A

Reassure patient

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24
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE8.

A

Position patient

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25
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE9.

A

Apply the tourniquet.

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26
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE10.

A

Ask the patient to make a fist

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27
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE11.

A

Select the venipuncture site

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28
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE12.

A

Release the tourniquet.

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29
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE13.

A

Clean the site

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30
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE14.

A

Verify equipment and tube selection

31
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE15.

A

Reapply the tourniquet

32
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE16.

A

Pick up and position blood collection equipment

33
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE17.

A

Remove the cover and inspect the needle

34
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE18.

A

Anchor the vein

35
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE19.

A

Have the patient make a fist

36
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE20.

A

Insert the needle into the vein

37
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE21.

A

Fill the syringe barrel

38
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE22.

A

Withdraw the needle

39
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE23.

A

Engage safety device

40
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE24.

A

Dispose of sharps

41
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE25.

A

Transfer blood to evacuated tubes

42
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE26.

A

Label the tubes

43
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE27.

A

Observe special handling instructions

44
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE28.

A

Check the patient’s arm and apply bandage

45
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE29.

A

Dispose of contaminated materials

46
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE30.

A

Thank the patient

47
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE31.

A

Remove gloves and wash hands

48
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE32.

A

Check specimen collection logs (if applicable)

49
Q

PHLEBOTOMY: COMPREHENSIVE PROCEDURE33.

A

Transport the specimen to the lab

50
Q

Requisitions are the forms on which test orders are entered and sent to the lab. These include?

A

-Hand-written requisitions
-Computer-printed requisitions
-Barcode labels

51
Q

The most important step in specimen collection; Ask the patient to state name and date of birth;Check the patient’s identification bracelet (if admitted).

A

Identify the patient.

52
Q

In checking the patient’s identification bracelet it includes?

A

-Name
-Identification number:
a. Medical record number
b. Visit number

53
Q

Fasting

A

Verify diet restrictions

54
Q

-Bedside manner
-Explain the procedure
-Obtain consent

A

Prepare the patient for testing

55
Q

For seated patients, the arm should?

A
  • arm should be supported firmly
  • Arm should not be bent at the elbow
56
Q

For Supine patients: the arm should be

A

Arm extended
Not bent at elbow

57
Q

In asking the patient to make a fist, what happens to the veins?

A

-Veins become more prominent

58
Q

do not allow patient to pump (open and close) fist as this causes________________ and leads to ______________ results

A

hemoconcentration; erroneous

59
Q

What arm will generally have the most prominent veins?

A

Dominant arm

60
Q

It has a bounce or resilience

A

Veins

61
Q

Do not select vein that feels ____ and _____ or lacks ________

A

hard; cord-like; resilience

62
Q

These are hard and lack resilience

A

Tendons

63
Q

Do not draw from above an __

A

Do not draw from above an IV

64
Q

If necessary, have IV turned off for a minimum of__ minutes prior to collecting

A

2

65
Q

Remember to turn it back on, or inform the _____ staff that the phlebotomy procedure is done

A

Nurse

66
Q

Avoid____________, ____________ or ________area

A

burned; scarred; tattooed

67
Q

Edematous areas should be avoided. Edematous means?

A

Swelling caused by excess fluid in body tissues

68
Q

Avoid drawing in the area of a hematoma. If there is no alternative where will you draw?

A

Draw from below site

69
Q

Mastectomy means

A

a surgical operation to remove a breast.

70
Q

Draw from the side__________ of mastectomy whenever possible

A

opposite

71
Q

Check __________ region on both arms to find a suitable vein

A

antecubital

72
Q

Use leg, ankle, or foot veins except as a _______ and after obtaining permission from patient’s physician

A

last resort

73
Q

Lower extremity venipuncture may cause _________________

A

blood clot formation

PMLS 401 LAB (7 decks)

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