Phlebotomy Book- Chapter 8 Flashcards
2 procedures for blood collection-
-Venipuncture
-capillary (dermal) puncture
Venipuncture equipment- (6)
-Evacuated tube holder or syringe
-Evacuated tubes
-Tourniquet
-Needles
-Winged infusion set
-Syringe
Capillary (dermal) puncture equipment- (3)
-Lancets
-Capillary tubes and sealant
-Microcollection tubes
Extra collection equipment used for Venipuncture & capillary (dermal) puncture- (10)
-Tray or cart.
-Gloves.
-Hand sanitizer.
-Alcohol prep pads.
-Gauze pads.
-Adhesive bandage/tape.
-Sharps container.
-Marking pen.
-Preprinted labels.
-Specimen transport bags.
Common equipment for phlebotomy tray- (4)
-Store equipment needed for most procedures.
-Keep well-stocked.
-Some include.
-Computer
Types of gloves- (2)
-sterile & nonsterile
-powder free
Glove liners are used for-
Long-term use of gloves
Hand sanitizer used when-
No visible contaminant is present
Alcohol prep pads used for-
Clean the site
Gauze pads- (2)
-Loosely woven fabric.
-Applied after procedure is complete.
Adhesive bandages- (2)
-Placed over puncture site.
-Not used on children under 2 years.
Sharps container-
For needles & other sharps
Tissue warmer- (2)
-heel warmer
-warm towel or cloth
Labeling the specimen- (4)
-After drawing blood.
-Before leaving patient.
-Use permanent marking pen.
-Specimen transport bags
Tourniquet-
Temporarily stops blood flow
Tourniquet is applied _________ above puncture site-
3 - 4 inches
Tourniquet is used to-
Locate veins more easily
2 types of tourniquets-
-tubing-type
-flat latex free band type
Parts of the needle- (4)
-Hub.
-Shaft.
-Bevel.
-Needlestick prevention device.
3 types of needles used in phlebotomy-
-multiple sample needle
-hypodermic needle
-winged infusion set (butterfly needle
Multiple sample needle- (2)
-double pointed
-part of evacuated collection system
Hypodermic needles are used with-
A syringe
Winged infusion set (butterfly needle) used with- (2)
-syringe
-evacuated tube system
Needle gauge-
Is the bore size or lumen of the needle
Winged infusion sets are used on patients with-
Small/fragile veins
Wings on a winged infusion set provide-
Stability
Syringe consists of-
barrel & plunger
2 types of syringes-
-slip tip
-lure lock
Syringes are used with- (2)
-Hypodermic needles
-butterfly needles
Transfer adapters Transfer blood from syringe to-
Evacuated tube
Process of using transfer adapters- (3)
-Hypodermic needle is removed.
-Syringe is attached to transfer device.
-Evacuated tubes are inserted in order of draw.
Evacuated tubes- (3)
-Premeasured vacuum.
-Some contain additives.
-Some have splashguards.
Serum forms when-
Blood is collected in a tube with no anticoagulant
Clot activators are added in-
Plastic tubes
Plasma results when-
blood is collected in a tube with anticoagulant added
Thixotropic separator gel separates-
cells from serum or plasma
Most lancets have-
Retractable blade
Lancet various depths- (3)
-1.5mm
-1.8mm
-2.0mm
Capillary tubes & sealants used when-
only a small amount of blood is required
Pull blood into capillary tubes using-
Capillary action
3 types of capillary tubes & sealants-
-Red-tipped
-Blue-tipped
-Black-tipped
Microcollection tubes have a larger volume than-
Capillary tubes
Microcollection tubes are available with-
Various additives (color coded)
Microcollection amber tubes help-
Protect specimens from light
Identify additives in tubes by-
Cap colors
Solid cap characteristics- (2)
-regular vacuum
-sufficient to fill the tube
Translucent cap tube-
reduced vacuum
Translucent cap tubes used to-
collect blood from children or adults with fragile veins
Routinely used tubes- (9)
-discard tube
-light blue
-red
-serum separator (yellow/tiger topped)
-green
-plasma separator (light green/green speckled)
-lavender
-pink
-gray
Specialty tubes- (5)
-yellow
-royal blue
-tan
-white
-orange
Miscellaneous tubes designed for specific test kits- (2)
-Fibrin degradation products (FDP), aka fibrin split products (FSP)
-Erythrocyte sedimentation rate kits
Colors & additives in Microcollection Tubes are generally the same as those for-
Evacuated tubes
Exceptions for Microcollection Tubes- (2)
-No citrated (light-blue) microcollection containers
-Amber color available for gold serum separator and light-green plasma separator containers
Routine order of draw- (8)
-Nonadditive (red or clear).
-Citrate (light blue).
-Serum tube (clot activator tube: red, royal blue, or orange).
-Serum separator (gold or red/black speckled).
-Plasma separator (light green or green/black speckled).
-Heparin (green, mint, green/black).
-EDTA (lavender, pink, royal blue, tan, or white).
-Sodium fluoride (gray)
Sterile order of draw- (8)
-Sterile tubes (SPS yellow or blood culture bottles).
-Citrate (light blue).
-Serum/clot activator tube (red, royal blue, or orange).
-Serum separator (gold or red/black speckled).
-Plasma separator (light green or green/black speckled).
-Heparin (green, mint, green/black).
-EDTA (lavender, pink, royal blue, tan, or white).
-Sodium fluoride (gray)
Butterfly order of draw- (10)
-Discard tube
-Sterile tubes (S P S yellow).
-Nonadditive (red or clear).
-Citrate (light blue).
-Serum tube (red, royal, orange).
-Serum separator (gold or red/black speckled).
-Plasma separator (light green or green/black speckled).
-Heparin (green, mint, green/black).
-EDTA (lavender, pink, white).
-Sodium fluoride (gray)
Dermal (capillary) puncture order of draw- (5)
-First drop of blood is not collected
-EDTA (lavender, pink).
-Heparin (green, mint).
-Sodium fluoride (gray).
-Nonadditive (red) or serum separator (gold)
Interfering substances can be introduced by- (2)
-Improper patient preparation
-Incorrect draw order
Becton Dickinson uses ____ & ____ systems-
Vacutainer & microtainer
Becton Dickinson uses color coded tops for- (2)
-adult & pediatric (solid v. translucent)
-separator gel
Greiner Bio-One uses ____ & _____ tubes-
Vacuette & MiniCollector
Greiner Bio-One tube tops are solid regardless of-
Vacuum amount
Sarstedt tubes- (3)
-S-Monovette®
-Microvette®
-Multivette®
