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Phlebotomy

QuestionAnswer
Yellow/sterile Cap Additives SPS to inhibit complement and phagocytosis
Yellow/sterile Cap tests Blood Cultures
Yellow/sterile cap specimen Whole blood
Yellow/sterile cap cleaning technique 70% alcohol followed by povidone-iodine
Light blue cap additives Sodium citrate
Light blue cap tests Coagulation tests
Light blue cap specimen Plasma
Light blue cap collection notes Invert 3-4 times
Red cap (plastic) additives Clot activators
Red cap (glass) additives No additives
Red cap tests Chemistry, blood bank, serology
Red cap specimen Serum
Red cap (plastic) notes Invert gently 5 times
Red/grey (tiger) or gold cap additives Clot activators, polymer gel
Red/grey (tiger) or gold cap tests Most chemistry tests
Red/grey (tiger) or gold cap specimen Serum
Red/grey (tiger) or gold cap notes Known as SST or Serum Separater Tube Invert gently 5 times
Green cap additives Sodium heparin, lithium heparin, ammonium heparin
Green cap tests Stat chemistry, ABG's, Ammonia
Green cap specimen Plasma
Green cap notes Invert 8-10 times
Lavender cap additives EDTA
Lavender cap tests CBC and sedimentation rate
Lavender cap specimen Whole blood
Lavender cap Notes Invert 8-10 times
Gray cap additives Antiglycotic agent or sodium fluoride
Grey cap tests Lactic acid, GTT, FBS, blood alcohol levels
Grey cap specimen Plasma
Grey cap notes Invert 8-10 times Do not use alcohol to clean sight for blood alcohol test
Royal blue cap additives EDTA, heparin, or none
Royal blue cap tests Toxicology, trace metals, nutritional analysis
Royal blue cap specimen Plasma or serum
Royal blue cap notes Invert 8-10 times
Pink cap additives K2, EDTA
Pink cap tests Antibody screen, compatibility test
Pink cap specimen Plasma or whole blood
Pink cap notes Similar to lavender Invert 8-10 times
Order of draw Yellow/sterile, light blue, red, tiger/gold, green, lavender, grey, royal blue, pink
Where does the tourniquet go when drawing from hand? Above the wrist, below cubical fossa
Top vein in the inner elbow Cephalic vein
Middle vein (most recommended) in inner elbow Median cubital
Bottom vein in the inner elbow Bacilic vein
What is the most common way to clean a site for phlebotomy? 70% alcohol
What is used to clean the site for a phlebotomy when alcohol cannot be used? Povidone-iodine
What is used to clean a phlebotomy site when there is an allergy to povidone-iodine? Chlorhexidine gluconate
Why is povidone-iodine not recommended for dermal punctures? It can elevate test results for bilirubin, Uris acid, phosphorus, and potassium (BURPP)
What is petechiae? Little non-raised red dots that are formed due to a tourniquet being applied to a person with a capillary wall or platelet disorder. Could mean the site could bleed excessively. It can also be caused by too tight if a tourniquet.
Hemoconcentration The alteration in ratio of blood elements. It is caused by leaving a tourniquet on too long
Complications during blood draw. Seizures, syncope, pain, nausea and vomiting
How long should pressure be applied in the case of an artery puncture? 10 minutes
Complications (long-term) of venipuncture Anemia, compartment syndrome, nerve damage, and infection
What situations can alter blood test results? Occluded veins, hematoma, edematous tissue, burns and scars, mastectomies, difficulty finding veins, and other skin conditions
How to find hiding veins Dangle arm down, gently massage upward from wrist to elbow, palmate veins, apply heat, rotate wrist, tap antecubital are with index and middle fingers, (if trained to do so) use a blood pressure cuff
What should the requisition have in it? Patient's full name,DOB, sex, race, hospital ID or bed number, name or code of ordering physician, test status and the phlebotomist' ICD-9 code
What is the benefit of a syringe blood draw? Phlebotomist can control how fast the blood comes into the tube.
How long should the site be allowed to dry after being cleaned? 30-60 seconds
How far away should a vein be anchored? 1-2 inches below the vein
When should the tourniquet be removed? After the first tube is filled, before the needle is withdrawn- DO NOT LEAVE TOURNIQUET ON FOR LONGER THAN A MINUTE
Six types of patients where a dermal puncture is advised. Geriatrics, patient with an IV, patient with frequent blood tests, patients with burns or scars, patients at risk for anemia, obese patients
What are micropipettes used for? Arterial blood gas tests
What is a BT (bleeding time) test? Tells how long it takes for bleeding to stop.
What is BURPP? Bilirubin, Uric Acid, Phosphorus, and Potassium
Heel puncture should not be deeper than... 2.0mm
An infant heel warming device is used for how long? 3-5 minutes
When performing a dermal puncture, where should the puncture be made? Perpendicular to the fingerprint
Where should a heel puncture be made? Medial and lateral parts of the heel
What pain medication does not interfere with a BT test? Acetaminophen
During a BT test, what should the blood pressure cuff be? 40mm Hg
What is a normal BT test result? 2-10 minutes
Created by: Martinafulgieri