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CH1

Patient Preparation

QuestionAnswer
What should be on the REQUISITION form? Patient's full name, date of birth, ID#, gender, tests name, and the person ordering the test. Also, space to document time/date taken.
What should you verify on the requisition? Tests, time to collect them, special preparation or restrictions (ex. Fasting or basal state), if it's STAT, ASAP or routine
What goes on an empty tube label? Patient name, ID#, date, time, my initials
What should be added to a printed label? my initials or ID#, time and date of collection.
Expressed Consent Ma be given verbally or writing. Used in surgery, medical research and and high risk procedures.
Informed Consent The patient is given information in a language he/she can understand.
Implied Consent An action by the patient implies that he gives consent (example: he extends his arm).
Consent for Minors The guardian or parent gives consent.
Refusal of Consent You need to obtain written proof of refusal. The ordering physician must be informed of the refusal.
Positive ID of the patient involves 2 of these 3 Patient states full name, Patient states date of birth, Patient shows ID or states last 4 of SS#. In hospital, the ID tag is correct and attached to patient.
Describe the first choice vein for phlebotomy Median cubital vein-large vein in the antecubital fossa. Does not usually move when punctured.
Describe the second choice vein for phlebotomy Cephalic vein-in the antecubital fossa on the lateral (thumb) side. It tends to roll. It can be palpated, even in OBESEA patients.
Describe the last choice of vein for phlebotomy Brachial vein-is in the antecubital fossa on the median (pinky) side. It is close to the brachial artery and the brachial nerve may even cross over the vein.
Do not perform veinpuncture in the following: Above an IV line. On an arm with dialysis shunt. On the side of a masectomy. On a site with EDEMA (excess fluid). On a site with a hematoma.
Difficult and not a good choice veins: Sclerotic, tortuous (twisted), thrombotic, fragile, phlebitic.
To ensure the patient can tolerate phlebotomy ensure the following: Accurately provide identification, speak coherently, medical conditions that increase risk of bleeding, fasting state. Ask if there were previous complications (fainting, pain, bruising). Check for anxiety.
Phlebotomy on children <12 months... If not yet walking, should be performed on heel. Lancet should not puncture >2mm.
Created by: glamorousglenys