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PMI tubes
PMI Blood drawing basics (Section 4)
Question | Answer |
---|---|
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) |