W1 safe blood collection Flashcards
requisition`
form of communication between an ordering physician and laboratory that requests patient for testing
stat
collect immediately
pre op
done before surgery
post op
done after surgery
tat
turn around time - time for a sample to ve collected processed and for the test results to reach the physician or hospital ward
acrocyanosis
blueness of hands and feet caused by disturbance to superficial veins
carrier
person who can spread disease
no symptoms
communicable
disease that can be spread from person to person
cyanosis
turns skin blue from lack of oxygen
edema
interstitial fluid trapped in tissue
febrile
with fever
hematoma
collection of blood that is trapped in tissue
hemolysis
break down of rbc release of hemoglobin into plasma
ischemia
temporary deficiency of blood to an area from obstruction
palpation
feeling for a vein
petechiae
small red or purple spots caused by bleeding into skin
phlebitis
inflammation of vein wall
plasma
fluid portion of blood with clotting factors
sclerosed
veins or arteries plugged with fat or scar tissue
serum
fluid portion of blood once clotting has occurred
stasis dermatitis
inflammation and scaling of skin from venostasis
thrombophlebitis
inflammation of wall of vein with a clot
venostasis
stoppage of normal blood flow loss of function of valves
volar surcar
palm up this is the area the antecubital fossa area found
what are routine practices applicable to
blood and all body fluids except sweat
general safety guidelines for phlebotomists
- wear lab coat-change if soiled
- clean hands, short nails
- hair up
- gloves during all collections
- transfer blood and products carefully
- clean up spills with bleach and wash hands
- equipment work area clean
- spill on patient clean them or notify nurse
- same with outpatient, clean if spill
- sharps and contiminated materials dispose of properly
- immunizations up to date
- wash dose damn hands
routine practices for phlebotomists
gloves and gown when collecting
use goggles or mask when splashes or aerosols
exudative lesions or weeping dermatitis refrain from all direct patient contact
don’t recap needles
be careful around sharp things
disease of sharps in sharp containers
dispose of blood or contaminated waste in biohazard container
ppe
gloves always worn
goggles and mask- goggles always worn
gowns usually worn
donning
hand hygiene gown mask goggles or face shield gloves
doffing
gloves hand sanitizer goggles face shield gown mask hand hygiene
hand washing stuff
was hands between each patient plain soap is fine for general patient care antimicrobial soap is necessary for areas where invasive procedures are performed and where antibiotic resistant organisms ahve been identified which are: neonatal pediatric adult critical care operating rooms delivery rooms medication rooms burn units dialysis unit nurseries transplant units
incident report
written only by people who experience or witness the incident
the report should have a chronological order of events that is detailed so investigations can follow
be factual and objective, what you saw heard and what you did do not add who’s fault or anything like that also add the time and place and the persons involved
the report is don’t when there is any type of acident
when the incidents are contrary to laboratory policy like a mislabelled chemical or when there is abuse from a patient
organization of workflow
phlebotomists must organize their work flow if done in the correct order it will reduce number of repeat draws for patients allow physicians to deal with critical medical issues faster, and decrease the amount of time a patient is in the hospital for.
