Specimen Procurement, Processing & Data Collection Flashcards

1
Q

Order of Draw

A
  • Aerobic
  • Anaerobic
  • Yellow
  • Light Blue
  • Red
  • Orange
  • Gold
  • Light Green
  • Lime
  • Green
  • Lavender
  • Pink
  • Royal Blue
  • Tan
  • White
  • Grey
  • Black
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2
Q

Additives: Aerobic

A

Culture

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3
Q

Additives: Anaerobic

A

Culture

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4
Q

Additives/Inversions: Yellow (Sterile)

A

SPS (Sodium Polyanethol Sulfonate
8x

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5
Q

Additives/Inversions: Yellow (Non-Sterile)

A

Acid Citrate Dextrose
8x

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6
Q

Additives/Inversions: Light Blue

A

Sodium Citrate:
- Discard tube first to get rid of air bubbles
- DO NOT UNDERFILL
3-4x

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7
Q

Additives/Inversions: Red

A

None
0x

Clot Activator
5x

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8
Q

Additives/Inversions: Orange

A

Thrombin
8x

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9
Q

Additives/Inversions: Gold

A

SST (Serum Separating Tube):
- Thixotropic gel
5x

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10
Q

Additives/Inversions: Light Green

A

PST (Plasma Separating Tube):
- Lithium Heparin
8x

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11
Q

Additives/Inversions: Lime

A

Barricore

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12
Q

Additives/Inversions: Dark Green

A

Sodium Heparin
8x

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13
Q

Additives/Inversions: Lavender

A

EDTA
8x

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14
Q

Additives/Inversions: Pink

A

EDTA K2:
- Spray-coated
8x

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15
Q

Additives/Inversions: Royal Blue

A

EDTA

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16
Q

Additives/Inversions: Tan

A

EDTA
8x

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17
Q

Additives/Inversions: White

A

EDTA

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18
Q

Additives/Inversions: Grey

A

Sodium Fluoride
8x

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19
Q

Additives/Inversions: Black

A

Sodium Citrate
10x

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20
Q

What is Plasma?

A

Unclotted liquid component of blood

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21
Q

What is Serum?

A

Clotted liquid component of blood

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22
Q

Collection Type: Arm

A

Antecubital Fossa:
- Median cubital (middle)
- Cephalic (outer side of arm)
- Brachial (inner side of arm)

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23
Q

Collection Type: Hand

A

Butterfly/winged infusion

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24
Q

Collection Type: Finger

A

Microtainer or Lancet
(wipe away first drop)

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25
Q

Collection Type: Heel

A
  • Prewarm
  • Never more than 2mm depth
  • Lateral heel
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26
Q

Needle Types: Green

A

21g - Used mainly for patients on blood thinners

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27
Q

Needle Types: Black

A

22g - Standard

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28
Q

Needle Types: Blue

A

23g

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29
Q

Lancet Types: Blue

A

Adult

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30
Q

Lancet Types: Pink

A

Neonate or Geriatric

31
Q

Special Considerations: Edema

A

Pressure to move fluid away from tourniquet/puncture site or select other side

32
Q

Special Considerations: Hematoma/Bruising

A

Select other side

33
Q

Special Considerations: IV Placement

A
  • Opposite arm
    or
  • IV off for 5 mins
  • Select site distal to IV
  • Select different vein
34
Q

Special Considerations: Masectomy

A

Opposite side of the body

35
Q

Special Considerations: Petechiae

A

Red spots form, from too tight/too long tourniquet

36
Q

Special Considerations: Blood Alcohol Testing

A

Use chlorhexidine, NOT alcohol based cleansers

37
Q

Special Considerations: Hemolysis

A

Affects:
- K (potassium)
- LD (lactate dehydrogenase)
- AST (liver function)
- Mg (magnesium)
- Iron
- B12
- Folate

38
Q

First Aid: Fainting

A
  • Remove tourniquet and needle
  • Cap needle asap and safely
  • Tend to patient
39
Q

First Aid: Hematoma/Extended Bleeding

A

Pressure for 5 minutes then check

40
Q

First Aid: Tourniquet

A

No longer than 1 min

41
Q

First Aid: CAB

A

C - Compressions
A - Airway
B - Breathing

42
Q

Specimen Storage: Light Sensitive

A
  • Bilirubin
  • Erythrocyte Protoporphyrin
  • Carotene
  • Vitamin A
43
Q

Specimen Storage: Warm

A
  • Cold Agglutinin
  • Cryoglobulin
44
Q

Specimen Storage: Chilled

A
  • ACTH (adrenocorticotropic hormone)
  • Acetone
  • ACE (angiotensin converting enzyme)
  • Angio
  • Aldosterone
  • Ammonia
  • Catecholamine
  • Free Fatty Acids
  • Lactate
  • Pyruvate
  • Renin Activity
  • DHEA (dehydroepiandrosterone)
  • Vitamin C
45
Q

Chain of Custody

A
  • Record every person that touches specimen
  • Ensure seal/paperwork
46
Q

Precautions: Contact

A

Infection spread by touch

47
Q

Precautions: Droplet

A

Infection spread by cough/sneeze particles

48
Q

Precautions: Airborne

A

Infection spread in the air

49
Q

Precautions: Nosocomical

A

Hospital acquired infection (HAI)

50
Q

Additives: EDTA

A
  • Maintains cell shape
  • Prevents clotting by binding with calcium
51
Q

Additives: Heparin

A

Inactivates thrombin and factor Xa

52
Q

Additives: Sodium Citrate

A
  • Mild reaction binding with calcium
  • Preserves factor V
53
Q

Additives: Sodium Fluoride

A

Preserves glucose

54
Q

Storage: Fungal Cultures

A

Stored at RT (room temp)

55
Q

Storage: Blood/CSF

A

Can be stored at 35C (body temp)

56
Q

Storage: Urine

A

Stored at 4C

57
Q

Assorted Acronyms: GTT

A

Glucose tolerance test

58
Q

Assorted Acronyms: OGTT

A

Oral glucose tolerance test

59
Q

Assorted Acronyms: LH

A

Luteinizing Hormone

60
Q

Assorted Acronyms: PSA

A

Prostate Specific Antigen

61
Q

Assorted Acronyms: QNS

A

Quantity not Sufficient

62
Q

Assorted Acronyms: ETS

A

Evacuated Tube System

63
Q

Assorted Acronyms: BT

A

Bleeding Time

64
Q

Assorted Acronyms: CBC

A

Complete Blood Count

65
Q

Assorted Acronyms: ACD

A

Acid Citrate Dextrose

66
Q

Assorted Acronyms: CK

A

Creatine Kinase

67
Q

Assorted Acronyms: TSH

A

Thyroid Stimulating Hormone

68
Q

Assorted Acronyms: PP

A

Post Prandial

69
Q

Assorted Acronyms: PLT

A

Platelets

70
Q

Assorted Acronyms: XDP

A

Serum Crosslinked Fibrin

71
Q

Assorted Acronyms: HCT

A

Hematocrit

72
Q

Assorted Acronyms: BBP

A

Blood Borne Pathogen

73
Q

Assorted Acronyms: ESR

A

Erythrocyte Sedimentation Rate