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CH. 8
Venipuncture Procedures
| Question | Answer |
|---|---|
| What is the most critical error a phlebotomist can make? | Misidentifying a patient specimen |
| What would be the system of choice to identify laboratory specimens from an unconscious, unidentified woman in the emergency room? | Use a three-part ID band and labels |
| The priority designation for a test request is based on all of the following expect? | Age and gender |
| A phlebotomist arrives to draw a specimen from an inpatient. The patients door is closed. What should the phlebotomist do? | Knock softly, open it slowly, and ask for permission to come into the room |
| The patient asks if the specimen about to be drawn is for her diabetes test. How should the question be answered? | Say, "its best to discuss that with the docotor |
| An unconscious patient is not wearing an ID band, taped ID on patients IV pole. What should phlebotomist do? | Only draw specimen after an ID band has been applied |
| What is a test requisition? | A form generated by a healthcare worker on which tests are ordered. |
| Can a patient refuse a blood draw? | Yes, it's their right. |
| A unique numeric identifier used to identify specimen request is called | Accession number |
| The patient just finished a big breakfast as the phlebotomist arrives to collect a fasting specimen. What should the phlebotomist do? | Check with the patient's nurse to see if the specimen should still be collected. |
| Specimen HEMOlysis can result from: | Prolonged tourniquet application |
| Never leave a tourniquet on for more than | 1 min |
| After cleaning a venipuncture site, what should the phlebotomist do next? | Allow the site to air dry |
| What is the first step on venipuncture | Accession the requisition |
| What may happen if you mix a specimen too vigorously | HEMOlysis |
| When inserting a needle during venipuncture, the bevel should be in which of the following positions in relation to the vein? | Up |
| Bending the arm following blood removal can result in which of the following? | Bruising |
| How can you communicate with a patient who is hard of hearing? | Speak clearly and slowly at a slightly louder volume |
| Who should you contact if the patient reports they were not fasting for a fasting test | Physician or nurse |
| Which of the following is not a type of consent? | Suggestive |
| What is the best way to handle a needle phobic pateient | get the most experienced staff to draw |
| At what point during the procedure do you obtain consent? | Prior to touching them |
| What does the term "belonephobia" refer to? | Fear of pins and needles |
| Can you draw a patient in a recumbent position? | Yes, but remember to put guard rails back up, if you put them down |
| What does the term "reflux" mean? | Back flow from the tube into the patients arm |
| While obtaining blood during venipuncture, the patient faints. Which of the following actions should the phlebotomist take intially? | Discontinue the venipuncture and call for help |
| On the initial attempt the phlebotomist went through the vein, but was able to pull back on needle and successfully collect specimen. What should the phlebotomist do next? | Explain to patient that a bruise may be likely, but it'll be gone within a few days |
| When performing a venipuncture, sudden swelling is observed at the insertion site. Which of the following actions should the phlebotomist take? | Release the tourniquet, remove needle, and immediately apply pressure at the site (hematoma). |
| All specimens should be labeled with | Patients name and numeric ID, Date and time the specimen was drawn, Collectors initials. |
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