Blood Draw

Question 1

Trypanophobia

Answer 1

Intense fear of needles in medical setting

Question 2

Signs/symptoms of trypanophobia

Answer 2

Dizzy
Faint
N/V
Increase HR or BP

Question 3

Trypanophobia treatment

Answer 3

Pain management
Change location
Pt/family teaching
Therapy or dementalization

Question 4

Different ways to draw blood

Answer 4

Syringe
Vacu-holder
Butterfly

Question 5

Syringe main advantage

Answer 5

Nurse can control flow of blood

Question 6

Vacu-holder main advantage

Answer 6

Least amount of risk for injury

Question 7

Disadvantage of vacu-holder

Answer 7

No control of flow

Question 8

Butterfly is good for

Answer 8

Kids

Question 9

Butterfly has a history of

Answer 9

Most needle injury to provider

Question 10

Tourniquets need to be

Answer 10

Tight

Question 11

Phlebotomy is more about _______ than _________

Answer 11

Feel than sight

Question 12

Bevel must always be

Answer 12

Up

Question 13

__________ the vein before accessing

Answer 13

Anchor

Question 14

Median vein is the

Answer 14

Easiest to hit and least amount of risk

Question 15

Always use a _____________ when drawing blood from the hand

Answer 15

Butterfly

Question 16

Angle of entry should be ___________ degrees

Answer 16

5-10

Question 17

More shallow the angle =

Answer 17

Less risk of missing nerve

Question 18

Only collect blood from an arm with a continuous infusion IF

Answer 18

There are no other options

Question 19

Stop the infusion prior to collection for at least

Answer 19

1 minute

Question 20

Infusions with __________ need to be stopped for 10 minutes prior to blood collection

Answer 20

Heparin

Question 21

Blood specimens must be done

Answer 21

Before any other blood draw

Question 22

CVAD blood draw

Answer 22

Stop any infusions beforehand
Aspirate to verify blood return
Flush with 10 ml
Waste 5-10ml and discard
Collect sample
Flush with 19 ml

Question 23

Order of draw

Answer 23

Sterile
Lt blue
Red
SST
PST
Green
Lavender
Gray

Question 24

Final flush

Answer 24

19ml

Question 25

Prevent hemolysis

Answer 25

Use a larger bore needle to draw
Use larger needles for transferring blood into test tubes
Tilt blood tubes so that the blood washes down the side of the tube
Aspirate slowly when collecting from veins/catheters

Question 26

Blood cultures are a

Answer 26

Priority to minimize risk of contamination

Question 27

Never attach blood culture bottles directly onto __________________

Answer 27

Vacu-holders

Question 28

Blood cultures are about

Answer 28

5-10 mls of blood for each sample