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CH1
Patient Preparation
| Question | Answer |
|---|---|
| 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
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