PMLS LAB Flashcards
Phlebotomist Role:
- Requires a _____________, ______________-, _____________ manner in all contact with patient
professional, courteous, understanding
Phlebotomist Role:
Greet the ____________ ,______________, and _____________________________ that will take place
patient, identify self, indicate the procedure
Special attention in venipuncture involving children below 2 years old
PEDIATRIC PATIENT
Challenges of Pediatric Patient
Small and underdeveloped veins, making it difficult to draw
Dealing with parents or guardians could also be challenging
What should the Phlebotomist must do when dealing with Pediatric Patients:
- The phlebotomist should approach slowly and be able to determine the level of anxiety of the patient, so they can gain the child’s trust
- The procedure should be explained clearly using the terms the child could easily understand giving emphasis on the importance of staying still during venipuncture procedure
- It is also useful to offer some form of reward for the patients cooperation
- Eutectic mixture of local anesthetics (EMLA) can be used for pain interventions. This come is cream or oral form
- Restrain patient movement during the procedure there are several ways to restrain he movement of the patient, infant wrapped in blanket, toddler are usually held in the parents lap.
How to minimize pain for Pediatric Patients
- Distract with toys
- Apply warm cloth
- Apply numbing cream
- Apply pressure
- Distract with music
- Distract with books
An elderly patient needs special attention due to conditions such as arthritis, diabetes, stroke and etc.
GERIATRIC PATIENTS
Challenges of Geriatric Patients
Comorbidities such as diabetes, arthritis, hypertension, etc.
Hearing, visual, and mental impairment
Thinner skin and smaller muscles (veins easily roll)
What should the Phlebotomist must do when dealing with Geriatric Patients:
- Identify the patient properly and confirm patient information, ask attendant or relative
- Carefully select which needle to use (butterfly needle)
- Apply tourniquet carefully to make sure the skin will not be damaged
- Make sure that the site is not previously the site from previous venipuncture
- Avoid rubbing the site vigorously during cleaning
- Prevent the vein from rolling by anchoring the vein firmly during the venipuncture
- Hold the pressure over the site and take note that bleeding could take longer to heal than regular patients
Patient who undergoes dialysis may request that the dorsum of their hands be used for venipuncture to preserve veins of the arms for hemodialysis access
DIALYSIS PATIENT
In Dialysis Patients the Phlebotomist should comply and select another site other than the arm used for the __________________________________
arteriovenous fistula (AV Fistula)
What should the Phlebotomist must do when dealing with Dialysis Patients during blood dialysis:
- Check patient identity with blood form details and gain consent
- Reduce blood flow to 100 m/s per min, and stop the re-infusion on HDF machine
- Clean arterial blood sampling port with a 2% Chlorohexidine and 70% Isopropyl Alcohol
- Leave to dry and take sample using either a sterile syringe with 21g needle or vacutainer needle
- Patients that need end-of-life care wherein most have a prognosis of 6 months or less
- Phlebotomist should work with extra care with these patients
HOSPICE PATIENT
Treat Hospice Patients ___________ and with _____________, _____________________
kindly, respect, giving them comfort and dignity
patient lymph node preservation is given a high priority
MASTECTOMY PATIENT
