MCCALL (5TH ED. | CHAPTER 8: VENIPUNCTURE PROCEDURES)

Question 1

What is the process of collecting or “drawing” blood from a vein?

Answer 1

Venipuncture

Question 2

What is the most common way to collect blood specimens for lab testing?

Answer 2

Venipuncture

Question 3

What is the most frequent procedure performed by a phlebotomist?

Answer 3

Venipuncture

Question 4

What is the most important step in venipuncture?

Answer 4

Patient identification

Question 5

What are the (20) steps of venipuncture?

Answer 5

1. Review and accession test request
2. Approach, identify, and prepare patient
3. Verify diet restrictions and latex sensitivity
4. Sanitize hands
5. Position patient, apply tourniquet, and ask patient to make a fist
6. Select vein, release tourniquet, and ask patient to open fist
7. Clean and air-dry the site
8. Prepare equipment and put on gloves
9. Reapply tourniquet, uncap and inspect needle
10. Ask patient to remake a fist, anchor vein, and insert needle
11. Establish blood flow, release tourniquet, and ask patient to open fist
12. Fill, remove, and mix tubes in order of draw or fill syringe
13. Place gauze, remove needle, activate safety feature, and apply pressure
14. Discard collection unit, syringe needle, or transfer device
15. Label tubes
16. Observe special handling instructions
17. Check patient’s arm and apply bandage
18. Dispose of contaminated materials
19. Thank patient, remove gloves, and sanitize hands
20. Transport specimen to the lab

Question 6

What is the other term for preanalytical phase (before analysis)?

Answer 6

Pre-examination phase

Question 7

True or False

Some states have legalized “Direct Access Testing” (DAT), in which patients are allowed to order some of their own blood tests

Answer 7

True

Question 8

True or False

In recent guidelines, the terms preanalytical, analytical, and postanalytical are used to achieve global harmonization to align the use of terminology with that of the International Standards Organization (ISO)

Answer 8

False, the terms pre-examination, examination, and post-examination are used

Question 9

What is the form on which test orders are entered?

Answer 9

Requisition

Question 10

What are the (10) required requisition information?

Answer 10

1. Ordering physician’s name
2. Patient’s first and last names and middle initial
3. Patient’s medical record number (if inpatient)
4. Patient’s date of birth or age
5. Room number and bed (if inpatient)
6. Type of test to be performed
7. Date test is to be performed
8. Billing information and ICD-9 codes (if outpatient)
9. Test status (e.g., timed, fasting, priority)
10. Special precautions (e.g., latex sensitivity)

Question 11

True or False

Requisitions always come in computer-generated forms

Answer 11

False, requisitions come in manual and computer-generated forms

Question 12

Can verbal test requests be done? If yes, when?

Answer 12

Yes, sometimes in cases of emergencies

However, the request is usually documented on standard request forms or entered in the computer by the time the phlebotomist arrives to collect the specimen

Question 13

What are the (3) types of requisitions?

Answer 13

1. Manual requisitions
2. Computer requisitions
3. Bar-code requisitions

Question 14

(1) type of manual requisitions is a three-part form that serves as what (3) functions?

Answer 14

1. Request
2. Report
3. Billing form

Question 15

When a computer-generated label is used, the phlebotomist is typically required to do what?

Answer 15

Write the time of collection and his/her initials on the label after collecting the specimen

Question 16

What is the difference of bar codes between manual requisitions vs computer requisitions

Answer 16

Manual requisitions (normally contain copies of the bar code that can be peeled off and placed on the specimens) vs Computer requisitions (typically have the bar code printed on each label)