Phlebotomy and Cannulation

Question 1

What do you need to ask about before venepuncture?

Answer 1

Needle phobia, previous mastectomy, AV fistula

Question 2

Which bottles are drawn first?

Answer 2

Blood culture bottles
Blue (aerobic) then Red (anaerobic)
(BRistish)

Question 3

What is the colour bottle used for INR testing?

Answer 3

Light blue, sodium citrate

Question 4

What bottle is used for drug levels, LFTs, TFTs, Lipids, U&Es

Answer 4

Gold, SST

Question 5

What bottle is used for FBC, HBA1c

Answer 5

Lavender, EDTA

Question 6

What bottle is used for viral serology?

Answer 6

Red, plain

Question 7

What bottle is used for AAs, cortisol and PTH?

Answer 7

Green

Question 8

What bottle is used for group and save?

Answer 8

Pink, EDTA

Question 9

What bottle is used for glucose?

Answer 9

Grey, fluoride oxalate

Question 10

What bottle is used for trace elements?

Answer 10

Dark blue, EDTA

Question 11

Order of drawer?

Answer 11

Culture (blue then red)
Light blue
Red
Gold
Green
Lavender
Pink
Grey
Dark blue

Question 12

How do you prepare before inserting a cannula?

Answer 12

Gain consent etc
Gather equipment, wash hands, gloves, clean tray
Flush extension set and open packaging
Insert cannula

Question 13

When do you change a cannula?

Answer 13

After 72hrs unless red/painful etc

Question 14

What would mean you don’t put a cannula in someone’s arm?

Answer 14

AV fistula, mastectomy, cellulitis, stroke