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Phleb
Final
| Question | Answer |
|---|---|
| What is the order of drawl? | Blood Cultures, Yellow tube (SPS), Light Blue, Red Top, Tiger Top/ Gold Top (SST), Light Green, Dark Green, Lavender Tube, Pink Tube, Grey Top, Yellow Top (ACD) , Royal Blue |
| #1 on order of drawl | Blood Cultures |
| #2 on order of drawl | Yellow tube (SPS) |
| #3 on order of drawl | Light Blue |
| #4 on order of drawl | Red Top |
| #5 on order of drawl | Tiger Top/ Gold Top (SST) |
| #6 on order of drawl | Light Green |
| #7 on order of drawl | Dark Green |
| #8 on order of drawl | Lavender Tube |
| #9 on order of drawl | Pink Tube |
| #10 on order of drawl | Grey Top |
| #11 on order of drawl | Yellow Top (ACD) |
| #12 on order of drawl | Royal Blue |
| What department does blood drawl? | Lab department |
| When drawing with a Butterfly which blood culture will you draw first anaerobic or aerobic? | aerobic |
| When drawing with ETS, which blood culture will you drawl first anaerobic or aerobic first? | anaerobic |
| How long do you have to drawl the next blood culture? | you should do 2 to 3 sets of cultures from separated sited at least 30 to 60 mins and no more than 4 sets in 24 hours |
| What department uses dark green tubes? | What kind of tube does this department process Chemistry Department |
| What additive do dark green tubes use? | Sodium heparin |
| What test uses dark green tubes? | glucose and electrolytes |
| What department uses gray tubes? | Chemistry |
| What additives use gray tubes? | sodium fluoride |
| What test commonly use gray tubes? | alcohol and glucose and lactic acid |
| What test and form do you need to have with the gray tube? | chain of custody if for alcohol level |
| What department uses Lavendar tubes? | hematology |
| What additives does the Lavendar tube uses? | EDTA |
| What common test uses Lavendar tubes? | CBC |
| What department uses light blue tubes? | Coagulation Department |
| What additive do light blue tubes use? | sodium citrate |
| What are common test that light blue tubes use? | PT/PTT |
| What is the proper blood to additive ratio for light blue tubes? | 9:1 |
| What department uses light green tubes? | Chemistry |
| What additive do light green tubes use? | Lithium heparin |
| What common test do light green tubes use? | STAT electrolytes |
| What does each color in the NFPA diamond represent? | Blue= health red = fire yellow= instability white= specific hazard |
| The SPS tube is used by what department? | microbiology |
| The SPS tube has what additive? | Sodium polyanetholesulfonate |
| The SPS tube is used for what common test? | blood cultures |
| Tiger top tubes and gold top tubes use what additives | uses serum separator |
| Tiger top tubes and gold top tubes are used by what department | Chemistry Department |
| tiger top tubes and gold top tubes are used for what common test | BMP |
| tiger top tubes and gold top tubes need to wait how long to be spun | allow red top tubes to clot in an upright position at room temperature for 60 minutes, gold top for 30 minutes. Tiger top tube allow clot for 30 minutes |
| why do tiger top and gold top tubes need to wait to be spun? | gives time for the blood to clot |
| ACD tubes are used by what department | microbiology |
| ACD tubes use what additive | Acid Citrate Dextrose |
| ACD tubes are used for what common test | blood culture |
| If you had a mastectomy on the right-side what side of the body should you VP done? | on the left side |
| If a patient is motionless you should? | Ask in a loud voice if they are okay. |
| How should you clean the skin when doing a capillary puncture? | 70% isopropyl alcohol |
| prothrombin time, which of the following collection tubes should the phlebotomist use? | Light blue |
| proper protocol by a phlebotomist who retrieved a laboratory report from the office fax machine for a patient who just called looking for results? | Give the report to the ordering provider to review and notify the patient. |
| massaging, probing, fist pumping, and prolonged tourniquet application can cause? | Hemoconcentration |
| Quality control testing does what? | Promotes accurate test results |
| What to do if a patient has a seizure | Place the patient on his side. |
| preferred vein to use for venipuncture on an adolescent patient? | Median cubital |
| There has been a chemical spill in the laboratory use what to learn how to clean it? | SDS |
| What blood sugars are critical? | below 50 or above 450 mg/dl |
| under HIPAA can you give the insurance company a copy of the patients lab results? | no |
| What do leukocytes in the urine indicate | a UTI |
| If a female refuses to have a man drawl her blood due to religious beliefs you should? | have a woman do it. |
| What does silica do? | promotes blood clots |
| If your patient is a child you should explain the procedure to who? | the patient and the parent. |
| With a cut what is the first thing you should do to stop the bleed | Apply pressure over the wound with a clean cloth. |
| Why shouldn't you drawl blood through a burn | it has an increased rate of infection |
| to drawl urine for a UA what should happen? | The specimen requires collection after sterilizing of the genitals. |
| Droplet precautions requires what protection? | mask |
| how to do you calculate the blood volume in an infant | weight |
| hepatitis B, hepatitis C, and HIV are what? | blood born pathogens |
| What makes vacutainers fill with blood | The negative pressure within the tube |
| What happens if you drawl blood without consent? | charged with assault and battery |
| How should a woman leave a urine sample for a culture and sensitivity? | Do not touch the inside of the container, clean the urinary meatus from front to back, begin voiding in toilet, and then collect the specimen. |
| How do you clean up blood in the lab? | Apply a liquid thickening agent on top of the spill. |
| When should you do a QC check on a glucometer? | before use |
| The Clinical Laboratory Standards Institute recommends a heel lancet's penetration to be less than 2 mm (0.03 in) to prevent which of the following conditions? | bone penetration |
| What are petechiae? | small red dots on the skin |
| chlorhexidine gluconate swab for | Blood culture |
| how do you dispose of a microscopy slide? | sharps container |
| By wearing a face shield prevents what type of exposure? | per mucosal |
| A phlebotomist has collected a stool sample that requires immediate processing at an outside reference laboratory. Which of the following nonlaboratory personnel should the phlebotomist contact about transferring the specimen? | Commercial courier |
| Why should the phlebotomist document the site of collection for a blood culture? | because you have to use 2 different sites |
| Which of the following cleansing agents should a phlebotomist use when collecting a sample for a blood alcohol concentration? | Soap and water |
| what condition do you cause if you drawl too much blood during a VP | iatrogenic anemia |
| postprandial glucose test when do you drawl | 2 hours post meal (blood sugar maxes out) |
| requirement for a serum cholesterol level? | Fasting for 12 hr |
| How to give a sputum sample | Take a deep breath and then expectorate (cough up phlegm) Note this is not a spit sample |
| Patient who is in critical condition (lets say coma). Which of the following is the applicable consent for this procedure? | implied |
| A tube with a green stopper normally contains | Heparin |
| What is the purpose of an antiglycolytic agent? | to preserve glucose |
| Glass particles present in serum separator tubes | speeds up clotting |
| A sleeping patient does not have an ID band. you should? | Ask the nurse to apply an ID band before you draw the blood |
| What is the purpose of waiting 30 seconds for the alcohol to dry before needle insertion? | less pain, kills germs, prevents hemolysis |
| What age group of pediatric patients is a capillary stick instead of a venous blood drawl? | Newborns and infants up to 12 months old |
| Leaving the tourniquet on over 1 minute can cause | hemoconcentration |
| What type of tube is typically used to collect a baby Bilirubin specimen? | amber-color microcollection tube |
| If you are using a microcollection container what should you not do to collect blood? | Use a scooping motion against the surface of the skin |
| How to collect blood using a microcontainer? | Touch the tip of the tube's "scoop" to the drop of blood, Allow the blood to run down the inside of the wall of the tube, Mix additive microtubes by gently inverting them. |
| What are procedural errors when drawling blood? | Tube with expired date The needle penetrating through the vein Tube being cracked releasing the vacuum |
| What is a problem that can happen if the patient has petechia? | the site may bleed excessively |
| What is the correct way to do a VP | 1)Inform pt get stuff. 2) ID the vein 3) Clean your hands 4) gloves. 5) Place a tourniquet and clean the area for 30 secs 6)Allow the area to dry 7) anchor the vein. 8) Insert the needle 9)connect the tubes 10) label the tubes |
| What do you do if a patient is supposed to be fasting but wasn't | Check with the nurse, if you collect the specimen write that it was non fasting. |
| Why should you wash your hands | to decrease healthcare associated infections |
| When should you label collection tubes | immediately after collection |
| The evacuated tube system allows | interchangeable collection tubes that allow you to draw several specimens at once |
| How do you select for a vein | feel for the veins while using a tourniquet |
| A face shield prevents what type of exposure | permucosal |
Created by:
ericmichaelperkins