Chapter 8 Flashcards
What do the veins do?
Return deoxygenated blood to the heart
What are venules?
Small veins that join the capillaries
What is the first layer in a blood vessel structure?
Tunica adventitia
What is the second layer in a blood vessel structure?
Tunica media
What is the third layer in a blood vessel structure?
Tunica intima
What is the lumen?
Internal, space of a blood vessel, through which blood flows
What is the Internal, space of a blood vessel, through which blood flows
Lumen
What are valves?
Thin membranous leaflets in veins that prevent back flow of blood
What is the Thin membranous leaflets in veins that prevent back flow of blood called?
Valves
What is antecubital fossa?
Site of major vein, thus the first choice for venipuncture?
What is the site of a major vein/the first choice for venipuncture?
antecubital fossa
What are the rules for the veins on hands/wrists
less preferred in adults, but first choice for infants
What is the first choice for vein selection?
median cubital vein
What is the second choice for vein selection?
cephalic vein
What is the third choice for vein selection?
hand vein
What is the LAST choice for vein selection?
basilic vein
What veins are against CLSI phlebotomy standards?
Veins on the front of the wrist
What is the first step in the venipuncture checklist?
Review and accession test request
What is the second step in the venipuncture checklist?
Sanitize hands
What is the third step in the venipuncture checklist?
Approach, identify, prepare, and gain consent from the patient
What is the fourth step in the venipuncture checklist?
Verify allergies and diet restrictions
What is the fifth step in the venipuncture checklist?
Apply gloves
What is the sixth step in the venipuncture checklist?
Position patient, apply tourniquet
What is the seventh step in the venipuncture checklist?
Select vein, release tourniquet
What is the eighth step in the venipuncture checklist?
Clean and air dry
What is the ninth step in the venipuncture checklist?
Prepare equipment
What is the tenth step in the venipuncture checklist?
Reapply tourniquet, uncap and inspect needle
What is the eleventh step in the venipuncture checklist?
Anchor vein, insert needle
What is the twelfth step in the venipuncture checklist?
Establish blood flow, fill tubes in required order of draw
What is the thirteenth step in the venipuncture checklist?
Remove tourniquet while last tubes filling, or at 1 minute
What is the fourteenth step in the venipuncture checklist?
Continue filling tubes in required order. INVERT tubes
What is the fifteenth step in the venipuncture checklist?
Place gauze, withdraw needle, activate needle safety, apply pressure
What is the sixteenth step in the venipuncture checklist?
Discard collection unit into sharps
What is the seventeenth step in the venipuncture checklist?
Label tubes. Pt confirm EACH tube (Name, DOB, time, date, and your initials)
What do you confirm with the patient?
Name, DOB, time, date, and your initials
What is the eighteenth step in the venipuncture checklist?
Observe special handling instructions.
What is the nineteenth step in the venipuncture checklist?
Check venipuncture location and apply bandage
What is the twentieth step in the venipuncture checklist?
Thank the patient
What is the twenty first step in the venipuncture checklist?
Clean up supplies and procedure area, remove gloves, sanitize hands
What is the twenty second step in the venipuncture checklist?
Transport specimens to the lab
