Lesson 6 - Routine Venipuncture

Question 1

Define an outpatient requisition

Answer 1

A request of instructions made by the physician on behalf of the patients’ health status can be done ether manually or electronically
(Ex: printed labels for tubes)

Question 2

Define inpatient requisition

Answer 2

A request of instructions made by the physician based on the patients’ health status through electronic records as a set of labels

Question 3

What is the information found on the patient requestion for inpatients versus outpatints?

Answer 3

Inpatients: gender, race name, DOB, and hospital ID #
Outpatients: same demographics + billing information

Question 4

What is the test status?

Answer 4

The details of how or when samples should be obtained
-short turn around time: should be done soon
-stat: needs to be done now/immediately
-fasting/timed test: must be done at a certain time or within a certain timeframe

Question 5

Define requestion information

Answer 5

Information the identifies the patient, which specimens need to be collected, indicators of special handling of needed

Question 6

What are the 4 requisition steps?

Answer 6

1. Examine requisition information for confirmation of all information and patient info is correct
2. Check of duplicates of information of draws and group them together
3. Prioritize draws by status
4. Collect supplies needed for draws to perform (including your cart)

Question 7

What are the required patient ID sources?

Answer 7

-The hospital id # from patient ID band found on all inpatients
-Name & DOB

Question 8

If any patient information is incorrect or not adding up with the requistion information what do you do?

Answer 8

DO NOT DRAW and inform a nurse or physician who requested the draws

Question 9

What are the veins in the antecubital space?
Hint: there are 3

Answer 9

1. Median cubital
2. Cephalic vein
3. Basilic vein

Question 10

Which vein in the forearm is the most commonly drawn from?

Answer 10

The Median cubital vein

Question 11

How should a phlebotomist enter a patients’ room?

Answer 11

First, introduce yourself and your task
Second, ID the patient and get consent
Third, apply tourniquet to select which site to draw from and remove tourniquet
Fourth, select supplies to use and put on gloves

Question 12

How should you insert your needle?

Answer 12

Bevel up at a 15 degree angle with the dominant hand

Question 13

What should you NOT do after the needle in inserted into patients’ arm?

Answer 13

DO NOT switch hands

Question 14

After the blood draw is complete you should always label the tubes outside of the patients’ room?
True or false?

Answer 14

False, always label each tube before leaving the room

Question 15

Ho many inches should a tourniquet be placed on the arm above the puncture site?

Answer 15

3-4 inches above the puncture site

Question 16

If it is hard to feel the vein on the patients’ arm what should you do?

Answer 16

Ask the patient to make a fist or ball their hand like a stress ball

Question 17

How do you anchor a vein?

Answer 17

Using your nondominant thumb

Question 18

After the phlebotomist is finished drawing, what should the tube labels contain?

Answer 18

patients’ name, ID #, date and time of collection, phlebotomist’s initials or ID #

Question 19

When is the needle safety device activated?

Answer 19

It must be activated immediately after pulling the needle out of the patients’ arm to avoid accidental needle sticks

Question 20

What is the proper posture for drawing on a patient?

Answer 20

-sitting in a phlebotomy chair
or
-lying in a hospital bed