Blood Collection Equipment (manual) Flashcards
primary duty is to collect blood and prepare it properly for delivery to the laboratory.
phlebotomist
Your collection equipment includes the ____ and ____ that allow you to collect a patient’s blood
needles and tubes
(butterflies also known as)
Winged infusion sets
Phlebotomists use a _____ to carry all necessary equipment.
portable tray
You are responsible for making sure that your tray is well ____, ______, and ______
stocked, clean, and organized at all times.
You should empty the tray and disinfect it with a _______ ________, or more often if necessary.
bleach solution
/ once a week
____ percent of bleach solution works well as a disinfectant
10% bleach solution
You will encounter patients in two primary settings:
inpatient and outpatient.
have been admitted to a hospital, and you usually draw their blood at the bedside.
Inpatients
ORGANIZING AND TRANSPORTING EQUIPMENT :
is sometimes used to transport large quantities of supplies when you are scheduled to collect samples from many patients, but the cart should remain in the hospital corridor to reduce the risk of spreading infection from one patient to another.
wheeled cart
ORGANIZING AND TRANSPORTING EQUIPMENT :
When using the wheeled cart, what must be only brought to the room when collecting samples?
A tray
ORGANIZING AND TRANSPORTING EQUIPMENT :
Once in the patient’s room, do not place your tray on the ______, where it could easily be overturned, or on the_____ table used for eating. Instead, place the tray on a flat, solid surface such as a nightstand.
patient’s bed/ patient’s bedside
ORGANIZING AND TRANSPORTING EQUIPMENT:
The tray must be placed on a
Flat, solid surface
usually come to you at a phlebotomy drawing station in a clinic or hospital.
Outpatients
ORGANIZING AND TRANSPORTING EQUIPMENT:
The _________ includes a special phlebotomy chair with an adjustable armrest
drawing station
ORGANIZING AND TRANSPORTING EQUIPMENT:
The ____ locks to prevent the patient from falling out in the event of fainting.
armrest
ORGANIZING AND TRANSPORTING EQUIPMENT:
A ___ may also be available for patients with a history of fainting.
bed
LOCATING VEINS:
To draw blood, you first need to
locate a vein
LOCATING VEINS:
A tourniquet prevents ________ flow out of the arm, causing the veins to bulge.
venous blood
LOCATING VEINS:
_______ tourniquets are made from synthetic rubber or nitrile.
Nonlatex
LOCATING VEINS:
_____ has the advantage of being inexpensive and therefore disposable, but, due to increased _____ sensitivity, may not be used in some facilities.
Latex
LOCATING VEINS:
CLSI
Clinical and Laboratory Standards Institute
LOCATING VEINS:
once a tourniquet has been used, it should be ______ of to reduce the risk of pathogen transmission between patients, including skin pathogens such as methicillin-resistant Staphylococcus aureus (MRSA).
disposed
LOCATING VEINS:
A ___________ may also be used as a tourniquet when veins are hard to find. It too allows you to temporarily relieve pressure and then reapply it.
blood pressure cuff
LOCATING VEINS:
The cuff is inflated to a pressure above the ______ but below the_____ reading.
diastolic/ systolic
LOCATING VEINS:
Using the ____ requires special training beyond your normal phlebotomy training and should only be done with approval of your supervisor.
cuff
CLEANING THE PUNCTURE SITE:
______ and ______ are used to reduce the risk of infection.
Antiseptics and disinfectants
CLEANING THE PUNCTURE SITE:
refers to an agent used to clean living tissue.
antiseptic
CLEANING THE PUNCTURE SITE:
refers to an agent used to clean a surface other than living tissue.
Disinfectant
CLEANING THE PUNCTURE SITE: prevents sepsis, or infection.
antiseptic
CLEANING THE PUNCTURE SITE:
are used to clean the patient’s skin before routine venipuncture collection to prevent contamination by normal skin bacteria.
Antiseptics
CLEANING THE PUNCTURE SITE:
The most commonly used antiseptic is
70% isopropyl alcohol (rubbing alcohol)
CLEANING THE PUNCTURE SITE:
is bacteriostatic, meaning that it inhibits the growth or reproduction of bacteria but does not kill them.
Isopropyl alcohol
CLEANING THE PUNCTURE SITE: For maximal effectiveness, the
antiseptic should be left in contact with the skin for __________ seconds. You should not fan or blow on the site to speed drying–this may introduce more bacteria.
30 to 60 seconds
CLEANING THE PUNCTURE SITE:
Other antiseptics are often used for ________ and ________.
blood cultures or arterial punctures
CLEANING THE PUNCTURE SITE
(Betadine)
Povidone-iodine solution
CLEANING THE PUNCTURE SITE interferes with some chemistry test results and cannot be used routinely.
iodine
CLEANING THE PUNCTURE SITE
is available and is used for blood cultures and for patients sensitive to iodine.
Chlorhexidine gluconate or benzalkonium chloride (Zephiran Chloride)
CLEANING THE PUNCTURE SITE
Chlorhexidine gluconate should not be used on infants younger than ______
2 months
PROTECTING THE PUNCTURE SITE:
After drawing blood, you need to stop the bleeding by applying _____ to the puncture site.
pressure
PROTECTING THE PUNCTURE SITE: Bleeding usually stops within several minutes, although patients on _________ medications may require 10 to 15 minutes.
aspirin or anticoagulant
PROTECTING THE PUNCTURE SITE: When bleeding stops, the gauze can be replaced with an adhesive_________.
hypoallergenic bandage
PROTECTING THE PUNCTURE SITE:
Alternatively, you can tape the gauze in place using an
adhesive bandage
PROTECTING THE PUNCTURE SITE:
Use of _______ instead of _____ is not recommended.
cotton balls/ gauze
PROTECTING THE PUNCTURE SITE:
may get trapped in the clot and, when pulled off the puncture site, they may tear the clot and restart bleeding.
Cotton fibers
PROTECTING THE PUNCTURE SITE:
For sensitive or fragile skin, ____ is a good alternative, since it sticks only to itself, not to skin. It is wrapped all the way around the arm and back onto itself.
Coban
