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Phlebotomy Chapter 8
Question | Answer |
---|---|
Which of the following venipuncture steps are in the correct order? | Withdraw needle, place gauze, activate needle safety device |
Which type of test requisition has been shown to decrease laboratory errors? | Baarcoded |
The time 0750 hours. You have received the following test requests on different patients. Which test specimen should you collect first? | Cortisol ordered for 0800 |
A student asks the patient for permission to draw a blood specimen. Which of the following answers implies that the student does not really have permission? | “Yes, but I would rather not.” |
You have a request to collect a STAT specimen. A doctor is with the patient when you arrive. What should you do? | Excuse yourself and politely ask the doctor if you can do the draw |
You are I the process of identifying an inpatient. The patient’s verbal confirmation of name and date of birth matches the requisition, but the medical record number is different. What should you do? | Do not collect the specimen until the problem has been addressed and resolved |
You are a phlebotomy student on rotation at an outpatient site. A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. What should you do? | Ask an experienced phlebotomist to perform the draw for you |
There are two patients in the room. One of them has a latex allergy. You have a request to collect a blood specimen on the other one. How should you proceed? | Do not take anything that contains latex into the room |
The best way to judge patency of a vein is to? | Roll your finger from side to side while pressing against it |
Which of the following statements describes a proper venipuncture technique? | Fill additive tubes until vacuum is exhausted |
What is the most critical error a phlebotomist can make? | Misidentifying a patient specimen |
Which type of needle can be removed from the blood collection unit before disposal? | Syringe needle |
When should additive tubes be mixed? | As soon as they are removed from the holder. |
You have made two unsuccessful attempts while trying to collect an ASAP specimen on an inpatient. The specimen cannot be collected by skin puncture. What should you do next? | Ask another phlebotomist to collect it |
The proper way to transfer blood from a syringe into an ETS tube is to? | Safely remove the needle and attach a transfer device to fill the tube. |
How can you tell that you are in the vein when drawing blood with butterfly? | Blood usually appears in the tubing |
You are performing a venipuncture on a difficult vein using a butterfly. You have an SST and a light blue top. How do you proceed? | Draw a clear tube, fill and mix the light-blue top, then fill and mix the SST. |
Interventions to ease pain in collecting blood specimens from infants include? | EMLA |
Skin changes in elderly patients can make it harder to? | Anchor veins |
Which type of disease is most likely to cause tremors? | Parkinsons |
How can you tell that you are in the vein when you are using a syringe? | A “flash” of blood will appear in the hub of the syringe. |
Doing what before obtaining a blood specimen from a child is a bad idea? | Telling the child it will not hurt |
What is the best angle to use for needle insertion during routine venipuncture? | 30 degrees or less |
The following precautionary information was given to an outpatient after venipuncture. No other tests were scheduled. All the information was necessary EXCEPT? | Do not carry a heavy bag or large purse on that arm |
When is the best time to release the tourniquet during venipuncture? | As soon as blood flows freely into the tube. |