Phlebotomy Flashcards
Important to be gentle and treat them with compassion, empathy and kindness
pediatric patients
Important to treat them with dignity and respect
Geatric patients (elderly)
Adult skin puncture may be used in patients who are
CLUE: “Adults do not use BEEV (babe)”
Burned patients
Extreme obesity
Extreme fragility of veins
Vein with therapeutic
Depth of puncture
a. adult
b. less than 1 year old (newborns)
a. 2-4mm
b. 2mm
site for finger puncture
third finger (middle) and forth finger (ring) of the nondominant hand
Where is finger puncture made?
center of the fingertip and perpendicular to the fingerprint lines
Skin puncture site for less than 1 year old patient
Lateral and medial of the plantar surface of the heel
What technique can increase the free flow of blood for skin puncture?
Warming using heel warmer or washcloth with 42*C for 3-5 minutes
Disposal for sharp materials
Red, puncture-resistant containers
Finger puncture
a. false increase
b. false decrease
a. WBC count
b. RBC count, hematocrit, hemoglobin and platelet count
Newborn screening specimen
Blood spot
a. skin puncture method
b. skin puncture sample
a. skin puncture
b. capillary blood
a. double pointed needle
b. single pointed needle
a. evacuated tube system (ETS)
b. venipuncture (syringe)
ETS is affected by environmental factors such as:
CLUE: “AHAS”
Ambient temperature
Humidity
Altitude
Sunlight
__________ of the evacuated is defined by the stability of the additive and vacuum retention
shelf life
Ankle and foot should be avoided with patients with
Diabetes mellitus
hypertension
Color coded needle
a. 18 gauge
b. 21 gauge
c. 22 gauge
d. 23 gauge
a. pink
b. green
c. black
d. blue
Tourniquet application above puncture site
3-4 inches (7.5-10cm)
Blood pressure cuff for tourniquet
a. standard
b. range
c. ivy’s method
a. 60mmHg
b. 40-60mmHg
c. 40mmHg
Waste disposal
a. yellow bag
b. orange bag
c. red bag
d. yellow with black band
e. green bag
f. black bag
a. yellow bag = infectious waste
b. orange bag = radioactive waste
c. red bag = sharp waste
d. yellow with black band = chemical waste
e. green bag = non-infectious wet waste (biodegradable)
f. black bag non-infectious dry waste (non-biodegradable)
Most common type of tourniquet
Strap tourniquet
Non latex
Function of antiseptic (70% isopropyl alcohol
Inhibits microbial growth
Superior technique in cleaning the venipuncture site
Back and forth friction
proper venipuncture procedure
CLUE: “PAVS”
Patient preparation
Assemble of supplies and equipment
Venipuncture
Specimen preparation
Most widely used for collecting venous blood sample
Evacuated Tube System
Packed cell volume and WBC
a. lying
b. standing
a. hemodilution= decrease PCV and WBC
b. hemoconcentration= increase PCV and WBC
How to collect blood in masectomy patient?
1st: draw blood from opposite arm
2nd: in double masectomy, draw blood from back of the hand or skin puncture; do NOT use touniquet
How to collect blood in patient with IV line?
1st: draw blood from opposite arm
2nd: in case of both arm, ask the nurse to stop the IV for 2 minutes
3rd: draw blood below the IV line (1-2 inches) and discard 5ml (2-5ml) of blood.
