click below
click below
Normal Size Small Size show me how
Ch 7 Study Guide
Blood Collection Equipment, Additives, Order of Draw
| Term | Definition |
|---|---|
| Antiseptics | substances used to prevent sepsis, only reduce the amount of microbes, but does not kill them |
| Disinfectants | chemical substances used to remove or kill microorganisms |
| Tourniquet | A device applied or tied around the arm to restrict blood flow |
| Gauge | A number that gives an indication of the size of the lumen of the needle |
| ETS or multi sample needles | needles that are threaded in the middle and have a point at both ends, screw into tube holders and allow for multiple tubes to be collected at one time |
| Tube holder | clear plastic cylinder used to hold tubes |
| Evacuated tubes | tubes used to collect blood for specimen testing |
| Syringe transfer device | allows safe transfer of blood from syringe to tube without removing the tube stopper |
| Winged infusion set | butterfly needle |
| Gloves | must be changed every procedure, powdered and latex gloves are not approved |
| Antiseptics are used on | humans, most common is isopropyl alcohol |
| Disinfectants are used to | kill or remove microbes, not safe for skin, used to clean instruments and surfaces, bleach is most common |
| Gauze | used following VP, cotton balls not used because they can tear off platelet plugs when removed |
| Do not put bandages on children younger than | 2 years of age |
| Sharps containers need to be | identified with a biohazard symbol, be rigid, puncture resistant, leakproof and disposable with a locking lid |
| Tourniquets must be applied | tight enough to restrict venous flow, but not arterial flow, can be disposable, should |
| Bariatric tourniquets | are to be used for obese patients |
| Bevel | pierces skin |
| Lumen | internal gauge |
| Gauge | indicates lumen |
| 21-gauge | are most commonly used |
| Every needle must have a | safety feature |
| ETS (evacuated tube systems) are the | preferred collection system of the CLSI |
| Vacuum | is created in the tube during manufacture, can be lost if tube is expired or dropped |
| Common anticoagulants (ECHO) | EDTA, Citrates, Heparin, Oxalates |
| EDTA ethylene/diamine/tetra/acetic acid must be | mixed immediately to prevent platelet clumping and micro clot formation |
| Heparin | inhibits thrombin |
| Antiglycolytic agents | prevent the breakdown of glucose by the blood cells, if not prevented, glucose can decrease at a rate of 10 mg/dl |
| Thixotropic gel | is present to form a barrier between serum or plasma following centrifugation |
| Carry over or cross contamination | occurs when an additive is transferred by the needle to subsequent tubes, reason for order of draw |