Phlebotomy Flashcards
1
Q
most often accessed
A
Antecubital area
2
Q
secondary sites
A
Hand or wrist
3
Q
Use the tip of ? finger on non-dominant hand to palpate area to feel for the vein
A
index
4
Q
- Once the vein is located, _______ correctly
A
DISINFECT
5
Q
COLLECTION SITE PROBLEMS
A
- Veins that lack resiliency
- Extensive scarring
- Hematomas
- Edematous area
- Side of mastectomy
- Intravenous line
- Indwelling lines:
6
Q
- Intravenous line CONDITIONS
A
- NEVER draw above an IV
- Draw from another arm
- Draw from hand on another arm
- Draw below the IV
7
Q
- Indwelling lines are:
A
- Hickman catheters
- Heparin locks
8
Q
- Must clear line of heparin contamination by discarding first
A
5-10 cc of blood.
9
Q
- Can obtain blood: called a_______
A
line draw
10
Q
Only nurse may access these lines and it is used to administer medication
A
indwelling and intravenous lines
11
Q
- Grasp arm with your non-dominant hand
- Use thumb to pull skin (taut)
A
- Anchor the vein
12
Q
insert the needle in what manner?
A
- Smoothly and confidently, bevel up, 15–30 degree angle
13
Q
- You must______ the blood-drawing equipment on the patient’s arm to minimize chance of injury
A
ANCHOR
14
Q
In filling tubes, you must use the correct_______
A
order of draw
15
Q
BE CAREFUL NOT TO:
A
- Push needle further into vein when engaging evacuated tube
- Pull the needle out of vein when disengaging tube
- Pull the needle out of vein as you pull back on the plunger
- Pull up or press down when needle in vein
- Forget to mix additive tubes 8-10 times
16
Q
withdraw the needle in—–
A
SWIFT AND SMOOTH MOTION
17
Q
In labeling tubes, the following must be included;
A
- In sight of patient (bedside)
- Patient name
- Identification number
- Date of draw
- Time of draw (military time)
- Your initials
