Lesson 5 - Collection Tubes And Equipment Flashcards

1
Q

Which collection tube has additive EDTA?
A. yellow
B. lavender
C. red/red-speckled
D. gold

A

B. Lavender

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2
Q

What does inversion mean to a phlebotomist?

A

Inversion means to gently tilt, shake, or bounce your collection tube or object.

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3
Q

Which color collection tubes require 8-10 inversions?
Hint: it’s 4 different colored tubes

A

Yellow, green, lavender, and/or gray tubes

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4
Q

Which colored collection tubes require the phlebotomist to invert them 5 times?
Hint: it’s 1 color tube
A Green
B Yellow
C Red/red-speckled
D Light blue

A

C. Red and red-speckled tubes

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5
Q

Which colored collection tube requires the phlebotomist to invert it 3-4 times?
Hint: it’s 1 color tube

A

Light blue colored collection tubes

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6
Q

What is the order of blood drawing for the colored coded collection tubes?
Hint: it’s 1-7 colored tubes

A
  1. Yellow topped tubes
  2. Light blue topped tubes
  3. Red topped tubes
  4. Gold or red-speckled topped tubes
  5. Green topped tubes
  6. Lavender topped tubes
  7. Gray topped tubes
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7
Q

The red collection tube is used to collect what?

A

Serum from the blood

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8
Q

What is the acronym to help remember the order of collection is?
Hint: YLRGGLG

A

Yesterday
Lisa
Ran
Great
Gallops
Like
Giselles

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9
Q

Why are plastic tops placed on collection tubes?

A

To prevent and minimize aerosol formation inside the tube when the needle is being removed

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10
Q

What is the materials that most collection tubes are made out of?

A

Shatterproof Glass or plastic

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11
Q

Which size needle is the biggest?
Hint: remember, the larger the size or number the smaller the needle
A. 5 G
B. 10 G
C. 15 G
D. 22 G (gauge)

A

Answer: A - 5 G

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12
Q

About how much blood can collection/evacuation tubes hold?

A

2-15 mLs (milliliters) or blood

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13
Q

What are the parts of blood used for analysis?
Hint: it’s 3 parts of the blood

A

Whole blood, serum, and plasma

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14
Q

When a phlebotomist draws a whole blood sample, what is it mixed with in its collection tube?

A

An anticoagulant to prevent clotting

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15
Q

What can whole blood be used to test for in hematology?
Hint: it’s can test for 4 things

A

Blood type, blood cells, hormone levels, and metal levels

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16
Q

What is serum? How can you get it?

A

The fluid that sits on top of the blood sample after it has separated from the blood. Can be centrifuged to separate from the plasma or it can be sat out for about 20-60 seconds

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17
Q

What can serum be used to test for in most chemistry tests?
Hint: can test for 2 things
Hint 2: on the periodic table

A

Sodium and potassium levels

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18
Q

What is prothrombin time (PT)?

A

What amount of time it takes for your blood to clot.

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19
Q

What can plasma be tested for?

A. complete blood count (CBC)
B. prothrombin time (PT)
C. STAT chemistry tests.
D. All of the above

A

D. All of the above

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20
Q

Why is order of draw important?

A

The Order of Draw prevents additives from one tube from causing an error in testing of another tube due to mixing of additives.

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21
Q

Which agency mandated the standard of the Order of Draw?

A

CLSI or the Clinical Laboratory Standards Institute

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22
Q

Red, gray, and gold tubes contain which additive that enhance the process of normal clotting?
Hint: start with an “S”

A

Silicone

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23
Q

What are the types of additives collection tubes can hold?
Hint: there are 3 additives

A
  1. Anticoagulants - prevent clotting
  2. EDTA - acid to prevent clumping of platelets
  3. Clot activators - promote blood clotting
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24
Q

What does SST stand for in blood collection tubes and what kind of additive does it contain?

A

Serum separator tubes with polymer gel

25
Q

Describe the pale yellow topped tubes
-Order of draw, what it’s used for, # of inversions, and type of tube additive if any-

A
  1. Is a sterile tube so it is Drawn 1st in order of draw
    2.Can be used for blood cultures
  2. Inverted 8-10 times
  3. Additive is an anticoagulant also known as SPS
26
Q

What are green topped tubes used to test for?
Hint: tests for 4 things

A

Ammonia, electrolytes, ABGs (arterial blood gases), STAT or routine chem tests

27
Q

What is the acronym used for the tubes colors in the Order of Draw?

A

YESTERDAY - Yellow
LISA - Light blue
RAN - Red
GREAT - Gold and red-grey speckled
GALLOPS - Green
LIKE - Lavender
GISELLES - Gray

28
Q

What are gray topped tubes used to test for?
Hint: tests for 3 things

A

Glucose levels, lactic acid, blood, and alcohol levels

29
Q

How many degrees does a phlebotomist invert the collection tubes?

A

A phlebotomist must invert all filled collection tubes a full 180 degrees as soon as possible to thoroughly mix the blood with the additives in each tube

30
Q

What antiseptics are used to cleanse the drawing site?
Hint: there are 3 types

A
  • 70% isopropyl alcohol
  • Betadine
  • chlorhexadine gluconate (chlorhex)
31
Q

Finish the sentence: “the larger the needle gauge, the ____ the diameter of the needle opening.”

A

Smaller

32
Q

Which antiseptic is used for patients receiving a blood culture but are allergic to betadine?

A

Cholrhexadine gluconate is the substitute used in place of betadine.

33
Q

Alcohol can be used to cleanse the drawing site for patients getting a blood culture test.
True or false?

A

False, blood culture tests requires betadine and/or chlorhexadine gulconate as a substitute

34
Q

Which type of additive is contained in a lavender topped tube as the anticoagulant and is inverted 8-10 times?

A

EDTA

35
Q

The phlebotomy technician receives an order to collect blood culture and glucose, which tube is drawn first?

A

Yellow for blood cultures first then gray for glucose is second

Reference: (YellowLRGGLGray)

36
Q

If the inky test ordered is coagulation studies which tube will be used for blood coagulation?

A

Light blue tubes are used for coagulation tests with the additive ____

37
Q

After the venipuncture is complete, the phlebotomist must clean the site and blow on it to dry.

True or false?

A

False, after cleansing the site with an alcohol pad it must air dry

38
Q

What are the chemicals added to evacuated tubes called?

A

Additives

39
Q

What is an agent that prevents growth of bacteria called?

A

Bacteriostatic

39
Q

What is a substance that prevents infection called?

A

An Antiseptic

40
Q

What are additives that stimulate clotting called?

A

Clot additives

41
Q

What is an agent used to clean surface other then living tissue called?

A

A disinfectant

42
Q

What is the number describing the diameter of a needle’s lumen?

A

The gauge

43
Q

What is a hollow tube within a needle called?

A

A lumen

44
Q

What are patients admitted into the hospital called?

A

Inpatients

44
Q

What would the advice be for adapting a butterfly needle to an evacuated tube?

A

Use a lure adapter

45
Q

What is a translucent plastic cylinder connecting a multi sample needle to an evacuated tube called?

A

A needle adapter

45
Q

What is the prescribed sequence in which tubes with different additives should be filled during a multitude collection called?

A

The Order of Draw

46
Q

What are patients treated at a hospital without being admitted as an inpatient called?

A

Outpatients

47
Q

What is an inert additive used to separate cells from plasma during centrifugation called?
Hint: it is also known as thixotropic gel

A

Polymer gel

48
Q

What is an inert additive used to separate cells from plasma during centrifugation
Hint: it is also known as polymer gel

A

Thixotropic gel

49
Q

What is a strip of material used to reduce circulation and increase prominence of veins called?

A

A tourniquet

50
Q

What is the mark on a needle adapted indicating how far the tube can be pushed without losing vacuum seal called?

A

The Tube Advancement Mark

51
Q

A translucent plastic connecting the needle to the evacuated tube called?
Hint: This is also known as a needle adapter

A

A tube holder

52
Q

What is a blood sample called before it is separated?

A

Whole blood

53
Q

What is a small needle and flexible tube for delicate veins called?
Hint: this is also known as a butterfly needle

A

A winged infusion set

54
Q

What types of blood draws requires Betadine/Povidone-iodine as the antiseptic cleanser for cleaning the site of injection?
Hint: there are only 3

A

Blood cultures, arterial punctures, & alcohol levels blood draws

55
Q

What is the antecubital space on your arm?

A

The crease between your forearm and bicep or where your arm bends at the elbow

56
Q

What are the three parts of a needle?

A

The hub, shaft, and lumen