nha Flashcards
order of vein choice
- median cubital vein
- cephalic vein
- basilic vein
Order Of Draw
(B)lood culture, (L)ight blue, (R)ed, (G)old, (L)ight green, (D)ark green, (L)avender, (G)ray, (Y)ellow
Blood culture tube
(SPS)
bacterial studies
Light Blue tube
(sodium citrate, thrombin)
tests- PT/INR, PTT, TEG, coagulation, clotting time test
Red tube
(clot activator or no additive)
tests- chemistry blood collections, serum tests, electrolytes, hormone, testosterone
Gold tube (rapid serum tube)
(SST)
tests - BMP, CMP, TSH. FSH, LH, liver, lipid, hormone, infectious disease, vitamin, serology, pregnancy, random glucose
Light Green
(lithium heparin)
plasma separator tube
Dark Green
(heparin (anticoag,) (sodium or lithium))
tests- ABG, ammonia, troponin, ionized calcium, FSH, chromosome, sodium
Lavender
(EDTA)
tests- hematology, CBC, hemoglobin, ESR, sickle cell WBC, sedimentation
Pink
(EDTA)
tests- blood bank collections, transfusions
Gray
( sodium fluoride & potassium oxalate )
tests- glucose, (BAC) blood alcohol content, FBS, GTT, glucose if only testing for glucose
Light Yellow
(ADC, acid citrate dextrose)
tests- blood collections, DNA
Royal Blue
(EDTA)
free of element contamination
tests- trace elements, heavy metals
Urine sample must be filled to
45ml
If come into contact with chemical splash
rinse for 15 minutes
What temp, should semen specimen be kept
36-38 C
for semen specimen, patient should refrain from ejaculation for
2-7 days depending on laboratory protocol
what color is a ‘ health hazard’ signified by in the NFPA 704 marking system
Blue
the expected WBC count
4.4 - 11mm
First thing to do when a tube slows and does not completely fill with blood
Check to see if a new tube has better vacuum before removing needle
according to order of capillary draw, which tube should be used first when collecting dermal samples
a lavender tube since hematology tests are most affected by clotting
when are peak medication levels
2 hours after administration
what method should a patient be instructed to use for a urine culture and sensitivity test
clean catch midstream
what specimen should be protected from light in a brown bag
B6 specimen
what should you ship a cold specimen in
A box with ice packs and a biohazard label
if you are collecting for blood donations and the vein collapses you should
use a new bag , not combine bags
what consent is given in a medical emergency by an unconscious patient
implied consent
what identifies a specimen as long as it resides in the laboratory
Accession number
what PPE should be worn when interacting with a patient with active tuberculosis
N95
what gauge needle do you use for blood donors
18 gauge
when should you perform external liquid controls
when a new lot number or kit is opened
what 1:10 dilution do you use to clean items with blood
sodium hypochlorite
order of PPE removal
gloves, goggles, gown, mask
first step in blood collection procedure
test requisition
after collection where do you place an Arterial Blood Gas specimen?
ice bath within 30 minutes of collection
what PPE is required when dealing with cutaneous diptheria
gown
normal troponin T levels
0 - 0.2 ng/ml
fasting glucose range
70 - 110 mg/dl
laboratory requisitions should include
specimen ID code, patients ID info, full name date of birth
to prevent hemolysis
ensure alcohol on puncture site dries before sticking
ammonia specimen should be placed in
an ice water slurry
entering critical lab data is part of the
post examination phase
