Phlebotomy Flashcards
What is the time period for a newborn screening?
24-48 hours after birth
If your patient faints while getting an injection, what position would you put them in?
SUPINE
What PPE needs to be worn when drawing blood?
GLOVES
What color blood vial is used for hematology labs?
LAVENDER
What degree angle is required for a venipuncture?
15 degrees
What can you do if a patient has poor circulation during a capillary collection?
Warm the hand
What is the correct location for a blood draw on an 18-month-old?
Superficial dorsal hand veins
What is a preanalytical error that can affect test results during a venipuncture?
Adjusting the order of draw
What vein is your last resort vein?
BASILIC VEIN
Which department is responsible for reviewing coagulation tests?
Hematology
Where do you dispose of needles?
SHARP CONTAINER
When using a butterfly needle, how should it be held?
By the wings
What color tube should be used to draw for a blood glucose level?
Gray Top
After drawing blood, how long do you wait for leakage?
5-10 seconds
What is the purpose of using a clinical centrifuge?
To separate a specimen into different components
What do you need to do after a blood draw?
Initial and document the time the specimen was collected
What is the first step when collecting a specimen?
IDENTIFYING THE PATIENT
What is the order of draw for blood collection?
Green, Lavender, Gray
What can affect lab results?
Adjusting the order of draw
What test is performed to determine anemia?
ESR
What do you need to do when you are done collecting blood?
INITIAL OF THE DRAWER ON THE LABEL
What department is coagulation associated with?
HEMATOLOGY
How do you identify a patient when performing a venipuncture?
STATE/SPELL FIRST/ LAST NAME AND DATE OF BIRTH
What color blood tube is used when drawing for a blood glucose test?
RED
What is a key consideration when using a centrifuge?
Cap tubes before running and balance them
What is the method for heel sticks on patients?
Until the age of 1 year
What is the butterfly method in blood drawing?
Hold by the wings
What can be used to help with capillary blood draw?
Heat pack
What should be done after blood collection in tubes?
Invert tubes 3-4 times to prevent clotting
Where is the location for intradermal injections?
Forearm area, 2-3 finger lengths below the antecubital space
What must be drawn first if blood cultures are ordered?
Cultures
What is the needle size for subcutaneous injections?
½-⅝ inch
What is the injection angle for subcutaneous injections?
45 degrees unless obese, then 90 degrees
What is the typical route of administration for insulin?
Subcutaneous
What is the injection angle for intramuscular injections?
90 degrees
What is the injection angle for intradermal injections?
3-4 fingers below the antecubital area
What is the order of draw for blood collection?
Blood Cultures, Yellow, Light Blue, Red, Gold, Green, Lavender, Gray
What tube is used for PT-INR tests?
Light Blue tube
What tube is used for CBC-INR tests?
Light Blue tube
What tube is used for A1C levels?
Lavender tube
What does PT/INR measure?
Blood clotting factors
What should a patient do to help with blood draw?
Pump their fist 3 times
Where should a tourniquet be placed?
3-4 inches above the site
How long should a tourniquet not be left on?
No longer than 60 seconds
What additive is used in the light blue tube for PT/INR tests?
Sodium Citrate
