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PMTP 2 > ACT 4 - Familiarizing Phlebotomy Materials > Flashcards

ACT 4 - Familiarizing Phlebotomy Materials Flashcards

1
Q

a dedicated area of a medical laboratory or clinic equipped for performing phlebotomy procedures on patients, primarily outpatients sent by their physicians for laboratory testing

A

blood drawing station

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2
Q

inclusions for blood drawing station

A

table for supplies, special chair for patient, bed or reclining chair

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3
Q

should have adjustable armrests to achieve proper positioning of either arm

A

phlebotomy chairs

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4
Q

make blood collection equipment portable

A

equipment carrier

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5
Q

They are convenient for “stat” or emergency situations or when relatively few patients need blood work.

A

handheld carrier

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6
Q

Come in a variety of styles and sizes designed to be easily carried by the phlebotomist and to contain enough equipment for numerous blood draws

A

handheld carrier

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7
Q

Nonsterile, disposable latex, nitrile, neoprene, polyethylene, and vinyl examination gloves are acceptable for most phlebotomy procedures.

A

gloves

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8
Q

for routine decontamination of hands as a substitute for hand washing

A

hand sanitizer

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9
Q

Used to cleanse the site

A

alcohol prep pads

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10
Q

what is sometimes applied on the site to prevent microorganisms from contaminating the blood sample.

A

iodine

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11
Q

folded in fourths are used to hold pressure over the site following blood collection procedures.

A

gauze pads

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12
Q

T/F gauze pads are applied before procedure is complete

A

false, after

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13
Q

ways to secure the puncture

A

Cotton with adhesive gauze
Band aid
Special adhesive pads for phlebotomy procedures

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14
Q

used to cover a blood collection site after the bleeding has stopped

A

adhesive bandages

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15
Q

where are adhesive pads placed?

A

over puncture site

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16
Q

T/F adhesive pads can be used on babies younger than 2 years of age

A

false

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17
Q

why cant adhesive pads be used on babies younger than 2 years of age?

A

because of the danger of aspiration and suffocation

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18
Q

where Used needles, lancets, and other sharp objects must be disposed of immediately

A

specialized “sharps” container

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19
Q

used for skin puncture among infants

A

tissue warmers

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20
Q

how does tissue warmer help infants?

A

increases capillary circulation in an infant’s heel to facilitate blood collection by heel stick

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21
Q

when is the computer label/permanent marking pen usually used?

A

After drawing blood
Before leaving patient

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22
Q

constricting device applied to a patient’s arm prior to venipuncture with the aim of inflating the veins by restricting venous blood for a period of time

A

tourniquet

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23
Q

types of tourniquet

A

strap
single use latex free
rubber tubing

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24
Q

means to inspect an organ by passing light through its walls

A

transillumination

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25
Q

These devices typically shine high-intensity LED or infrared red light through the patient’s subcutaneous tissue to highlight veins.

A

Vein-locating/transillumination devices

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26
Q

How does transilluminating devices work?

A

The hemoglobin in the blood within the veins absorbs the light, causing the veins to stand out as dark lines.

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27
Q

sterile, disposable, and designed for a single use only

A

needles

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28
Q

T/F It is important to examine the packaging or seal of a needle before use.

A

True

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29
Q

If the packaging is open or the seal is broken, the needle is no longer sterile and but can still be used

A

False

30
Q

indicated by a number that is related to the diameter of the lumen

A

gauge

31
Q

T/F A needle’s diameter and gauge have an inverse (opposite) relationship.

A

True

32
Q

The higher the gauge number, the higher the actual diameter of the needle

A

False, smaller actual diameter

33
Q

T/F It is important to select the appropriate needle for the situation

A

True

34
Q

What happens when a needle is too large?

A

It can damage the vein

35
Q

What happens when a needle is too small?

A

It may hemolyze the specimen

36
Q

Needle parts:

A

Hub, shaft, bevel, lumen, needlestick, prevention device

37
Q

Double pointed needle, part of evacuated collection system

A

Multi-sample needles

38
Q

Used with a syringe to draw blood, Blood transferred to evacuated tube, typically sealed in sterile-apart packages

A

Hypodermic needles

39
Q

an indispensable tool for collecting blood from small or difficult veins

A

winged infusion set

40
Q

other term for winged infusion set

A

butterfly

41
Q

what is the use of wings for the winged infusion set?

A

Stability

42
Q

Using a needle smaller than __ gauge increases the chance of hemolyzing the specimen

A

23

43
Q

What is hemolysis?

A

Red blood cells are fragile and easily rupture.

44
Q

What factors lead to hemolysis?

A

the needle is directed to the test tube
gauge is too small

45
Q

a closed system in which the patient’s blood flows through a needle inserted into a vein and then directly into a collection tube without being exposed to the air or outside contaminants

A

evacuated tube system

46
Q

three basic components of an evacuated tube system

A

tube holder
special blood-drawing needle
various types of evacuated tubes

47
Q

a clear, plastic, disposable cylinder with a small threaded opening at one end (often also called a hub) where the needle is screwed into it and a large opening at the other end where the collection tube is placed

A

evacuated tube holder/adapter

48
Q

Premeasured vacuum, Some contain additives, Some have splash guards

A

Evacuated collection tubes

49
Q

any substance placed within a tube other than the tube stopper

A

additives

50
Q

function of additives

A

preventing clotting or preserving certain blood components.

51
Q

Evacuated tubes fill with blood automatically because there is what present in them?

A

Vacuum

52
Q

Define “short draw”

A

Underfilled tube

53
Q

Difference between solid caps and translucent caps

A

Solid caps have regular vacuum while translucent caps have reduced vacuum

54
Q

Most plastic tubes, used for clearing or discard purposes only

A

Non-additive tubes

55
Q

tops, or closures are typically made of rubber

A

stoppers

56
Q

what are color coded in tubes?

A

Tube stoppers

57
Q

What does the color of a tube stopper imply?

A

Identifies a type of additive placed in the tube by the manufacturer for a specific purpose

58
Q

Manufacturers guarantee reliability of additives and tube vacuum until an expiration date printed on the label, provided the tubes are handled properly and stored between what temperature?

A

4 and 25C

59
Q

System sometimes used for patients with small or difficult veins

A

Syringe system

60
Q

Usual appropriate syringe needles for phlebotomy procedures

A

gauges 21 to 23, in 1- or 1.5-in. lengths

61
Q

most common volumes for phlebotomy syringes

A

2, 5, and 10ml

62
Q

How is syringe volume selected?

A

size and condition of the patient’s vein and the amount of blood to be collected

63
Q

parts of a syringe

A

barrel
plunger

64
Q

Allows the safe transfer of blood into the tubes without using the syringe needle or removing the tube stopper

A

Syringe transfer device

65
Q

Where is the syringe transfer device attached to?

A

Hub of the syringe

66
Q

A transfer device must be ______ when tubes are being filled in order to prevent blood in the tube from touching the needle in the transfer device

A

Vertical

67
Q

T/F You can use both hands to shift or remove the cap.

A

False, only one hand

68
Q

T/F Fish out the cover; don’t secure with two hands

A

True

69
Q

disposable, narrow-bore plastic or plastic-clad glass capillary tubes that fill by capillary action and typically hold 50 to 75 µL of blood

A

capillary tubes

70
Q

what is used to seal the capillary tube

A

clay

71
Q

special small plastic tubes used to collect the tiny amounts of blood obtained from capillary punctures

A

microcollection tubes

PMTP 2 (3 decks)

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