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Need to know
Misc
| Term | Definition |
|---|---|
| Hard skills | Technical skills Require specific training and minimum proficiency |
| Soft skills | Personal attributes or behaviors Enhance interactions, job performance, and career prospects |
| AMA Form | Against medical advice |
| Bevel | The angled tip that pierces the skin and vein |
| 21 gauge | standard venipuncture, routine collection |
| 22 gauge | smaller or more fragile veins, pediatric & geriatric patients |
| 23 gauge | very small or fragile veins, hand veins |
| 20 gauge | blood bank collections therapeutic phlebotomy |
| 19 gauge | therapeutic phlebotomy, donations |
| Needle size Standard 1-1.5 inches (25-38mm) | suitable for most routine venipuncture procedures |
| Needle size Short 5/8 inch (16mm) | Used for pediatric patients Appropriate for superficial veins Sometimes used for hand veins in adult |
| Needle size Long 2 inches (50mm) | Used for obese patients when standard needles can’t reach veins Requires special technique to avoid transfixing the vein |
| Evacuated Tube System | Most commonly used Consists of needle, holder and vacuum tubes Can do multiple draws without removing the needle |
| Syringe System | Traditional method using needle and syringe Requires transfer of blood to tubes after collection Highest risk of exposure during transfer process |
| Butterfly/winged infusion set | Used fir difficult veins, hand veins, and pediatric patients Can be used with either evacuated tubes or syringes Provides better control and visualization during insertion Extended tubing increases safety by stabilizing needle in vein |
| Tourniquet Placement | Place tourniquet 3-4 inches above venipuncture site remove once you start last tube |
| Veins feel like | Feel springy with rebound when compressed and released |
| Arteries feel like | Pulsatile sensation, more rigid walls |
| Tendons feel like | Hard, cord-like structures that move with finger/wrist motions |
| Special Considerations for Mastectomy patients | Avoid using arm on side of mastectomy to reduce risk of lymphedema Double mastectomy patients use veins in the hand, wrist or consider capillary collection |
| Syncope | Heavy perspiration Pale skin Shallow or fast breathing Remove tourniquet and needle immediately Call for help Apply pressure to venipuncture site |
| cleaning blood | 10% bleach solution |
| What to use if basilic vine not available | Stick in hand |
| code red | fire |
| code blue | cardiac arrest |
| cpr compressions | 100-120 a min |
| when moving a sample after 10 hours | store sample at 2-8 degrees |
| hemolysis (Breakdown of blood) | tourniquet being on too long |
| how to know drug test is tampered with | temperature should be 90-100 |
| peak level | check one hour after taking meds |
| Testing BAC which tube | sodium flouride, grey tube |
| cleaning puncture site | srub back and forth over site |
| iatrogenic anemia | took too much blood |
Created by:
Hasna1