Test 2 Flashcards
What is a phlebotomist
Someone who collects blood for diagnostic testing
What is the most important part of a phlebotomist job?
To I.D. The patient
What are the 7 departments that a phlebotomist can work in?
Hematology, chemistry, blood bank, serology and immunology, coagulation, and microbiology
What are the 3 types of communication skills?
Verbal, Non-verbal, and listening
What does PPE mean?
Personal protective equipment
What is the order of the PPE
Gown, mask, gloves
How do you I.D. A patient?
Ask for their name, DOB, and SS#
What is the test order?
RBGGL (Red, blue, gold, green, and lavender)
What color tube goes to coagulation?
The blue tube
How long can a tourniquet stay on a patient?
1 minute
When does the test order change?
It’s always the same except when you draw blood cultures
What is a wave test
A test that doesn’t require schooling
What is the difference between the holder and the transfer device ?
The transfer device has a needle
What do you need in order to conduct a finger stick ?
All you need is a lancet
What are your three cleansers?
- 70 % alcohol
- clor-prep
- soap and water
What is the difference between a routine exam, a STAT exam and an ASAP order?
- routine exam: normal blood work
- A.S.A.P: as soon as possible
- STAT: priority
What are the 11 items that are necessary in order to complete a Veni-puncture?
- rec/label
- gloves
- tourniquet
- needle
- tubes
- alcohol
- gauze
- tape/ bandages
- sharp container
- biobag
What angle should the needle be at?
15 degrees
What are the areas to avoid?
- Damaged vien
- Hematoma
- Burns,scars, tattoos
- Mastectomy
- Edema
- I.V. Areas
- Cannula or fistulas
What are some technical complications?
- Failure to obtain blood
- Needle is too deep
- Bevel against the wall
- Needle to shadow
- Vein collapse
- Needle beside the vein
- Expired tube
What are some patient complications?
- Fainting
- Vomiting
- Seizures
- Allergies
- Patient refusal
What causes a Hematoma?
- Failure to remove the tourniquet
- Bending the arm after needle removal
- Inserting the needle THROUGH the vein
- Needle is too large for the vein
- Using a needle that is too small
- Failure to insert the needle far enough into the vein
What are the causes of hemoconcentration?
- Tourniquet on for too long
- Excessive squeezing
- Excessive probing
- Fist pumping during vein-puncture
- Long term I.V.
Chemistry department test
Iron, alcohol, glucose
Test for microbiology
Blood, fungal, and urine cultures
What are some test done by the coagulation department
Bleeding time, PT, PTT
Serology and immunology
Hepatitis A, B, or C
Hematology
CBC, PLatelets, WBC
Blood bank
XM, type and screen, T&C
What are your three fingers or choice
Index
Middle
Ring
What do you need to do if a hematoma occurs?
Discontinue the veni- puncture
Which tubes never clot
The purple and the blue
What are the three things needed to construct a syringe?
- Syringe
- Needle
- Transfer device
What is a sentinel event
Anything that is an unexpected Occurrence ending in serious injury or death
What color tube do you fill first when using a butterfly
You always used the red first
