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PMI tubes

PMI Blood drawing basics (Section 4)

QuestionAnswer
5 things on a pt label pt name, pt id#, time, date, phlebotomist initials
Order of take off TTN - Tourniquet (1 minute or less), Tube out of holder, Needle out of skin
Anchor to secure stabilize pull tight/taut
Palpate to asses by feel or touch (assess size, depth, direction)
What does a tourniquet do? Restrict venous blood flow Allow arterial blood flow
Needle gauges size/color? 18' pink, 20' yellow, 21' green, 22' black, 23' lt. blue, 25' dk blue (Pretty Young Girls Bought Little Dolls)
Basic rule to needle gauges? The larger the number, the smaller the gauge or bevel
Angles to be within? Routine venipuncture = 15-30 degree angle Butterfly venipuncture = 0-15 degree angle ABGs = 45 degree angle
2 MUSTS for lt blue tubes? MUST be filled to band on tube - no more, no less & use blank red tube before drawing (discard)
Rules for angles with a routine venipuncture Deep veins the greater the angle (30 degree end) Surface veins the lower the angle (15 degree end)
MUST MUST MUST MUST MUST follow rule when using syringe MUST evacuate air
2 divisions of a laboratory Clinical analysis & Anatomical pathology
6 major lab departments Microbiology (yellow), Coagulation (lt blue), Serology (red), Chemistry (c-gold he-red/grey m-lt green i-dk green s-grey t-dk blue r-tan y-amber), Hematology (lavender), Blood Bank (red & pink & pearl)
OOD - Order of draw w/ ETS - Evacuated Tube System Sterile yellow/BC bottles, Lt blue (FULL), Red, SST (gold or red/grey aka jungle, tiger, speckled, marble), PST (lt green), Green, Lavender, Grey
OOD - Order of draw w/ syringe Sterile yellow/BC bottles, Lt blue (FULL), PST (lt green), Green, Lavender, Grey, Red*, SST* *Clotters go last*
ETS Evacuated Tube System
SST Serum Separator Tube
PST Plasma Separator Tube
PPT Plasma Preparation Tube
Tube to Chemistry dept G-Gold, RG-Red/grey, LG-Lt green, G-Green, G-Grey, DB-Dk blue, T-Tan (lead in kids ONLY), A-Amber
Types of blood culture bottles Aerobic & Anaerobic
Memory jogger for OOD Silly young Little boy Replied Saying Please Gramma Let's Go (Sterile yellow, Lt blue, Red, SST, PPT, Green, Lavender, Grey)
Created by: rainie529