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STUDY GUIDE
I/P Phelebotomy
| Question | Answer |
|---|---|
| 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
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