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Safe use of equipmen
| Question | Answer |
|---|---|
| Why is there rubber sheath ( cover) over the back end of a multiple draw needle? | It act as a valve to prevent blood from spilling when the tubes are changed. |
| What equipment would you use to ensure your safety during a venepuncture procedure? | Appropriate sized needle with a safety device. |
| Identify the size and type of needle to be used when collecting blood from an adult patient with small fragile veins on dorsal side of the hand and what step would you use to discard the equipment. | 23 gauge butterfly (winged infusion set) Immediately after removing from the arm, activate the safety device and discard it into the sharps container. |
| Describe the safest way to discard a butterfly needle attached to the closed system that does not have a safety device on the needle. | Immediately after removing from the vein, discard the head into the sharp container, disconnect the butterfly from the barrel and drop it in the tail. |
| List two advantages of using the closed vacutainer system. | Safer for the phlebotomist - lower risk of contamination. The blood comes directly into contact with any additive in the tube. |
| List 8 instances when a phlebotomist should wear gloves? | When you have cuts, scratches or other breaks in the skin. Likelihood of hand contamination.with blood from uncooperative patient.When performing dermal puncture e.g. heel pricks and bleeding time procedures.When receiving training in phlebotomy. When tou |
| List the 3 preferred needle sizes for adults. | 21,22,23 gauge |
| Describe the safe handling of a tourniquet | Take care with the buckle that the patient's skin is not pinched. Do not put directly onto broken or infected skin. Loosen tourniquet before removing it to avoid the tourniquet flicking into the patients face. Do not use contaminated tourniquet. |
| Describe the safe handling of plasters | Do not use on sensitive or allergic skin. Do not use on small children who may put plaster in the mouth. |
| Describe the safe use of Multi sample e.g. Vacutainer needles. | Do not bend. check for rough edges on bevel before use. Discard immediately into sharps container after use. Activate safety device immediately on removal from vein use only once. Do not wave around once cap has been removed, if no other option available, |
| Explain the steps you would take to discard a multi-sample needle attached to a tube holder | • Immediately after removing from the arm • Activate the safety device • discard it into the sharps container |
| In order to discard a butterfly safely into the biohazard sharps container, it is recommended you hold it by the: | Wings |
| Give 3 indications when you would utilize the bed in the depot for drawing a patient’s blood | • On ill patients ( esp patients in hospital) • On patients with a history of fainting • When drawing blood from children and babies |
| How long may a tourniquet be left on the arm ? | • May not be on longer than one minute ( changes blood components) |
| Identify the gauge of the green needle | 21G |
| Give 5 indications when the wearing of gloves in phlebotomy is recommended | • When receiving training in phlebotomy • When touching blood or body fluids • When touching broken skin and mucous membranes • When processing blood and body fluid specimens • When performing dermal puncture |
| Identify the gauge of the black needle | 22G |
| The advantage of using the closed vacutainer system is: | * Safer for the phlebotomist * lower risk of contamination * The blood comes directly into contact with any additive |
| Explain the rule regarding how tight a tourniquet may be applied | • Tight enough to restrict venous flow • But not restrict arterial flow |
| Name the device we use to attach a butterfly needle to a barrel/ needle holder | • Luer adaptor |
| Explain 2 safety concerns when working with plaster | • Do not use on sensitive skin • Do not use as a tourniquet to wrap around the arm • Do not leave on small children – choking hazard |
| Name the advantages of the Evacuated Tube System (ETS) | • Safe for phlebotomist • Blood comes into direct contact with tube and additive • Allows numerous tubes to be collected with a single puncture |
| Identify the gauge of the blue needle | 23G |
Created by:
cisca