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STUDY GUIDE

I/P Phelebotomy

QuestionAnswer
BLUE TUBE NO CLOTTING
LAVENDER TUBE NO CLOTTING
PINK TUBE NO CLOTTING
GREEN TUBE NO CLOTTING
YELLOW TUBE NO CLOTTING
NAVY TUBE WITH ADDITIVE NO CLOTTING
SST TUBE CLOTTING
RED TOP CLOTTING
NAVY NO ADDITIVE CLOTTING
PLASMA DOES NOT CLOT
SERUM DOES CLOT
How much time is spent in a patient's room trying to get a blood drew and it is unsuccessful. 20 MINUTES
IF A PATIENT HAS A MIDLINE WHERE CAN YOU DRAW BLOOD FROM? NO ONE DRAWS FROM MIDLINE DIRECTLY...YOU CAN ONLY DRAW IN HAND WITH PERMISSION.
Too TIE a TOURNIQUET it should be how far above the site? 3 INCHES
1X2 DRAW WHAT SHOULD YOU DO? PAGE OUT TO CHIEF TECH FOR FIRST 2 MONTHS
1X2 DRAW WHILE IN TRAINING PAGE MARIE OR PERSON ASSIGNED TO YOU
WHEN YOU ARE SPEAKING TO THE PATIENT YOU ARE LOOKING WHERE FOR SIGNS ABOVE THE BED AND IV'S
IF A PATIENT HAS AN INLINE OR PICK LINE WHAT SHOULD YOU DO? RESCHEDULE THE PATIENT IN REMARKS PUT INLINE AND ADD THE THE INLINE LIST AT THE NURSES STATION
SIGN SAYS NO BP'S IN LEFT ARM? DOES THAT MEAN NO BLOOD DRAWS IN LEFT ARM YOU SHOULD ASSUME NO BLOOD DRAWS FROM LEFT ARM
IF THE PATIENT HAS AN INLINE AND IT IS A STAT OR TIME CRITICAL WHAT SHOULD YOU DO? RESCHEDULE WITH INFO AND PAGE OUT TO CHIEF TECH.
WATER, MILK AND LEMONADE WHAT DOES THAT MEAN? THE COLOR OF IV'S TO WATCH FOR
TACRO,CYCLO,AND SIRO WHAT DO THESE TESTS MEAN? THEY CAN ONLY BE DRAWN BETWEEN 7:30AM AND 8:30AM
IDENTIFY PATIENT BY LOCATE THE NAME IDNICATOR OUTSIDE THE PATIENT'S DOOR/CALL BY FIRST AND LAST NAME/ASK PT TO SAY THEIR FULL NAME AND DOB/ CHECK LABELS AGAINST SCREEN AND AGAINST NAME TAG.
SUPPLIES FOR A VENIPUNCTURE ARE? TOURNIQUET,ALCOHOL PAD,GAUZE SPONGES/STRAIGHT NEEDLE, BUTTERFLY NEEDLE, TUBE HOLDER,EVACUATED TUBE,GLOVES, PEN LABELS AND OR REQUISTIONS
ASSEMBLE SUPPLIES? WHAT DOES THAT MEAN FOR IN PATIENT ONLY? HAVE EXTRA SUPPLIES IN POCKET SO YOU DO NOT HAVE TO GO BACK TO THE CART.(GET SUPPLIES)
PREFERRED SITE FOR BLOOD DRAWS? Antecubital area of arm, Median cubital of arm Cephalic vein
ACCEPTABLE SITES Basilic Vein (only if preferred sites not available) Hand veins on the dorsal (top)
IF A PATIENT HAS A NON WORKING FISTULAS WHERE CAN YOU DRAW FROM? with a doctor's order you can use the hand for a draw of a non working fistula
You can draw blood where if a patient has an IV? And how long should the IV be paused? below the IV and 2 min.
unacceptable sites to draw blood are? above an active IV. Burned scarred or damaged skin. Arm with active Fistula or shunt or any other device in arm. Edematous arm or hand. an
If a patient has a partial or radical mastectomy site? You cannot draw from that side.
Can a phlebotomist draw from a leg vein? No never even with doctors orders
Can a phlebotomist draw from the foot? Yes with doctor's order.
Where is the Median Cubital vein? In the center of the arm where it bends
Where is the Cephalic vein? On the top of the arm same side as the thumb.
Where is the Basilic vein? On the same side as your pinky finger.
Where is the Median antibrachial vein? on the inside/middle part of your arm half way between your elbow and wrist
If you can do a foot draw without a tourniquet should you? Yes
Only use what kind of needle in a foot draw? Butterfly
After venipuncture in foot apply pressuree to site for one minute or until bleeding subsides. Apply gauze to foot without restricting what? Blood flow.
Where should you place the tourniquet on the arm and should you place the tourniquet on clothing to prevent what? 3 inches above the site and yes so you do not pinch the skin.
After placing tourniquet on patient ask the patient to what? close had into a fist, but no not pump
What happens when you leave a tourniquet on a patient for too long? it causes concentration of the blood in the vein and it may affect the test results.
What is it called when you feel for veins? Palpate
Cleanse and disinfect the selected site with the alcohol pad by? concentric circular motion starting at the center of the site outward.
Allow site to air dry and avoid palpating area where the needle is entering the vein. True
When preparing a draw where should the supplies be placed so you can reach them? Somewhere that the patient will not move off the bed and where you will not cross over your hands.
Order of draw blood culture,Plain Navy Tube (no additive) (Light Blue) Red Tub,SST TUBE, Green Tube,Lavender, Pink, Black, Gray, Yellow Top
When drawing a PT7 AND/OR PTT. Is it necessary to draw a waste tube? Not if they are the only blood being drawn. And only if using a butterfly needle
What size needle so we use for buttefly? 21 Gauge or 23 Gauge
Blood Cultures ordered two times must have two sites? True
How many seconds do you cleanse the site for a blood culture? 30 seconds with alcohol, and Iodine solution to air dry at least 60 seconds.
Where do you take the blood specimen if you are responding to a code? Blood gas lab on 6D
Do you wait for the results from a specimen you delivered for a code? yes
If you are unable to obtain a specimen and its TIME draw what should you do? group page it out for assistance
When do you cancel a draw? Pt is not available or you are asked to postpone the draw..notify the nurse
STAT BLOOD DRAWS SHOULD BE IN THE LAB WITHIN ONE HOUR
If you are unable to get a STAT draw what should you do? you must group page it out. Let the medical staff know.
PPE Personal Protective Equipment
What are the names of the tubes that do not clot? blue, lavender,pink, gree,yellow, and navy
What are the names of the tubes that clot? SST, RED, and Navy no additive
The best way to stop the spreading of germs is to what? Wash your hands for least 10 seconds.
What does PPI stand for? Positive Patient Identifier
What does Positive patient Identifier mean? identifying device attached to the patient's body
What is the Chief Tech page number? 8079
Special Handling for tubes with Ice ? use 2 bio bags, fill one 1/3 way and seal. Place specimen in the other and seal. Place specimen gently on the ice and seal and delivery to appropriate area.
For Cryo Thermos what tubes should be drawn? two 10ml RED top or three 7ml red top
All Stats must be collected and in lab with in what time frame? one hour
All Coags may be tubed with the exception of WHAT TWO? PLAVIX AND ASPFT
a CYCLO AND TACRO CAN BE DRAWN 90 MINS
WHAT IS THE NUMBER TO SP (SPECIMEN PROCESSING) 37700
WHAT DOES F.A.S.T MEAN? FACE ARMS SPEECH AND TIME
SUPERVISOR NUMBER 66729
Created by: tcovingt