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pmls 2 by puso > the challenges of phlebotomy and customer service > Flashcards

the challenges of phlebotomy and customer service Flashcards

1
Q

Can happen if the vein is located more deeply

A

Needle Not Inserted Far Enough

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2
Q

how to correct Needle Not Inserted Far Enough

A

you need to slowly advance the needle forward

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3
Q

This is why it’s important to palpate the vein before puncturing – to know the size, depth and direction of the vein

A

Needle Not Inserted Far Enough

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4
Q

Needle not completely under the skin

A

Bevel Partially out of the Skin

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5
Q

Can happen if the veins are superficial and your angle is steep

A

Bevel Partially out of the Skin

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6
Q

The tube vacuum can be lost when the bevel is partially out of the skin

A

Bevel Partially out of the Skin

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7
Q

short hissing sound or slight spurt of blood then the flow goes to a complete stop

A

Indication that the vacuum is lost

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8
Q

how to correct Bevel Partially out of the Skin

A

discard the tube, advance the needle, then engage a NEW tube

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9
Q

Needle not inserted deeply enough – half under the vein, half out

A

Bevel Partially into the Vein

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10
Q

The bevel may be under the skin but only partly through the upper vein wall, resulting to the blood filling the tube very slowly

A

Bevel Partially into the Vein

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11
Q

The blood will leak, and if not corrected quickly, it may cause hematoma

A

Bevel Partially into the Vein

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12
Q

how to correct Bevel Partially into the Vein

A

insert the needle

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13
Q

An angle that is too shallow may be in contact with the upper wall

A

Bevel Against a Vein Wall

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14
Q

An angle that is too steep (bevel down) may be in contact with the lower wall

A

Bevel Against a Vein Wall

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15
Q

how to correct Bevel Against a Vein Wall

A

remove the tube to preserve vacuum, tilt (rotate) it slightly so that the bevel will face upward, then re-engage the tube

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16
Q

Needle slip to the side of the vein slightly under it

A

Needle Beside the Vein

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17
Q

Usually happens if the vein is not anchored well – vein may roll or move slightly

A

Needle Beside the Vein

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18
Q

how to correct Needle Beside the Vein

A

withdraw the needle slightly until the bevel is just under the skin, then redirect (do not search or probe for the vein or move the needle in a lateral sideways direction to find it)

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19
Q

Causes of Unsuccessful Venipuncture: Improper Technique

A

a.) Bevel on lower wall of vein
b.) Needle rotated 45 degrees
c.) Needle inserted too far
d.) Needle partially inserted

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20
Q

causes blood to leak into tissue

A

Needle partially inserted

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21
Q

does not allow blood to flow

A

Bevel on lower wall of vein

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22
Q

To prevent this, apply direct pressure; Before putting adhesive, make sure that the bleeding has stopped

A

Excessive bleeding

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23
Q

Ask the patient to breathe slowly and deeply, then apply the cold wash cloth on the forehead

A

Nausea and vomiting

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24
Q

When you insert the needle, normally, it is painful; If it is very painful, you need to stop

A

pain

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25
Q

very rare Complication of Venipuncture

A

seizures/convulsion

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26
Q

tiny red spots; usually caused by platelet abnormalities and defect in the capillary wall

A

petechiae

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27
Q

loss of consciousness due to insufficiency of blood supply to the brain; second common complication in phlebotomy; apply cold compress on the patient’s forehead

A

Fainting / vasovagal syncope

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28
Q

most common complication

A

hematoma

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29
Q

Blood leaked to the blood vessel following a venipuncture

A

hematoma

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30
Q

Long-term complications in veinipuncture

A

a.) Iatrogenic anemia
b.) Infection
c.) Vein damage
d.) nerve injury

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31
Q

adverse condition brought by the effects of treatment or procedure; iron deficiency anemia

A

latrogenic

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32
Q

Usually happens when the needle used is not sterile

A

infection

33
Q

SIGNS of nerve injury

A

a.) Extreme pain
b.) Burning / electric shock sensation
c.) Numbness of arm
d.) Radiating pain

34
Q

is normally recommended for pediatric patients since their veins are small and not well-developed

A

Capillary collection

35
Q

superficial veins and not deep, hard-to-find veins

A

1-2 years old

36
Q

Other potential venipuncture sites include?

A

a.) medial wrist
b.) the dorsum of the foot
c.) the scalp
d.) the medial ankle

37
Q

removing more than 10% of an infant’s blood volume at one time can lead to?

A

shock and cardiac arrest

38
Q

volume of blood to be collected in babies are dependent on?

A

their weight

39
Q

method of restrain in newborn or young infant

A

wrapped in a blanket

40
Q

method of restrain in toddlers

A

sit upright in parent’s lap

41
Q

method of restrain in older children

A

sit by themselves but a parent or another phlebotomist should help steady the child’s arm

42
Q

geriatric

A

old age

43
Q

Must be treated with compassion, kindness, and treated with respect

A

geriatric

44
Q

site selection in geriatric

A

antecubital

45
Q

A Patient Who Is Resistant has what right

A

right to refuse

46
Q

A Patient Who Is too aggressive should be?

A

sedated

47
Q

A Patient w/o consent

A

can lead to charges of assault and battery

48
Q

A Patient Who refuse blood collection

A

Do not collect blood, the inform the doctor

49
Q

Veins are often difficult to feel through layers of tissue

A

obese patients

50
Q

usually the most prominent vein to feel in obese patients

A

median cubital

51
Q

blood collection on Patients with Damaged or Collapsing Veins

A

syringe method

52
Q

a persistent irrational fear of pins and needles

A

Belonephobia

53
Q

“belone” means

A

needle

54
Q

“phobos”

A

fear

55
Q

heightened sensitivity to pain and can experience a shock type reaction during or immediately following venipuncture

A

Belonephobia

56
Q

how long should an ice pack be used during Belonephobia

A

10 - 15 mins

57
Q

most legal actions against healthcare workers

A

civil actions

58
Q

The most common civil actions in healthcare are based on

A

tort law

59
Q

came from the Latin word tortum, meaning twisted, crooked, or wrong

A

tort

60
Q

An act or threat causing another to be in fear of immediate battery

A

assault

61
Q

An intentional harmful or offensive touching of, or use of force on, another person without consent or legal justification

A

battery

62
Q

usually both a tort and a criminal offense

A

battery

63
Q

are both examples of physical violence

A

assault and battery

64
Q

The violation of ones right to be left alone.

A

invasion of privacy

65
Q

failure to keep privileged medical information private

A

Breach of confidentiality

66
Q

failure to exercise due care

A

Negligence

67
Q

A type of negligence committed by a professional

A

malpractice

68
Q

Latin for “the thing speaks for itself”

A

Res ipsa loquitur

69
Q

Latin for “let the master respond”

A

Respondeat superior

70
Q

When a breach of duty is so obvious that it does not need further explanation, it is said that the situation speaks for itself

A

Res ipsa loquitur

71
Q

An employer is liable (legally responsible) for the actions of an employee, even though the employee is the one at fault

A

Respondeat superior

72
Q

Compensates the insured in the event of malpractice liability

A

Malpractice insurance

73
Q

are not typically targets of lawsuits because of respondeat superior

A

Malpractice insurance

74
Q

communication skill that the patient will understand

A

verbal

75
Q

communication skill that uses body language

A

non-verbal

76
Q

communication skill that limits your talking and focuses on customer

A

listening

77
Q

Reasons of patients in choosing a phlebotomy area (draw site)

A

a.) Insurance company
b.) Physician’s order
c.) Convenient location
d.) Image of draw site

77
Q

Reasons of patients in choosing a phlebotomy area (draw site)

A

a.) Insurance company
b.) Physician’s order
c.) Convenient location
d.) Image of draw site

pmls 2 by puso (6 decks)

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