Sampling body fluids Flashcards
A history of pathology based on the 5 senses
- Sight – Injury, infections, swellings, gangrene
- Touch – Fevers, chills, sensitive areas
- Hearing – Respiratory distress
- Smell – Gangrene, infection, ketones
- Taste – Diabetes mellitus
Ancient Greeks- 4 humous
17th Century
• William Harvey – Human Circulation
18th Century
• Improved knowledge of anatomy
19th Century
• Florence Nightingale and Joseph Lister
Discovery that blood values of many parameters reflected physiological state of patient
Sample pathway
- Pre-analytical
Collecting, labelling, transport
Sample pathway
- Pre-analytical
Collecting, labelling, transport
- Analytical
Diagnostic testing
- Post-analytical
Result reporting, sample storage
What are the common sites for phlebotomy?
- Median Cubital Vein
- Cephalic Vein
- Back of Hand
- Finger prick
- Heel prick
Describe phlebotomy
More than just collecting blood
- Variety of diagnostic tests and analytes measured
- Range of sample collection tubes
- Different sample collecting requirements o Sent on ice? o Protected from light?
What do you need for phlebotomy?
- Vacuum filled tubes
- Adapter
- Gloves
- Tourniquet
- Alcohol wipes
- Adhesive tape
- Gauze
- Sharps bin
Correct sampling
Incorrect sampling
Incorrect sampling
Medical biochemistry test per day (by sample type)
Sample collection:
Patient identification
- Full name and DOB
- Confirm ID
- ID bracelet
Sample collection: Request form
- Filled in correctly
- Appropriate tests requested
- Select required tubes
Sample collection:
Select site for venepuncture
- Bruising? Scar tissue?
- Clean skin
- All consumables ready?
- Need to re-bleed?
Sample collection: Label tubes
- Clinic or patient bedside
- Matching identifiers
- Collected all required samples?
- Date and time of collection