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WK7 phleb special
Week seven phlebotomy Special precedures and point of care testing
| Question | Answer |
|---|---|
| Special Procedures | Some test require special or additional collection procedures. Special preparation or equipment, handling or timing may be needed. |
| Blood Bank Specimens | A large pink top tube is required. Strict procedures must be followed! |
| Cooled Specimens | Certain metabolic changes continue even after a specimen is drawn. Chilling the specimen slows down this metabolism. Specimen should be placed immediately in a slurry of crushed ice and water. |
| Some examples of cooled specimens | -Ammonia-Grey on ice -Lactic Acid-Grey on ice -Ionized Calcium-Green on ice |
| Blood bank special "Strict" procedures | -Patient's name -Medical record number -D.O.B. of patient -Date and time of collection -Phlebotomist initials |
| Light sensitive specimens | Some test components are broken down in the presence of light causing falsely decreased values. Special tinted tubes are available. A specimen can be wrapped in aluminum foil. |
| Some examples of test that require light protection. | Bilirubin-Infants special tubes Red cell folate-Wrap in foil Serum folate-wrap in foil |
| Bleeding time test | Special pre-surgical screening test. This test is performed on the inner surface of the forearm, using a blood pressure cuff pumped to 40 to maintain constant pressure. Incision made with special sterile lancet. |
| Material list for Bleeding time test | -Automated bleeding time device -Blood pressure cuff -Stopwatch -Filter paper -Alcohol pad -Gauze -Butterfly bandage or steri-strip |
| Blood glucose monitor | A small device that measures blood sugar levels. The phlebotomist will sometimes be trained to operate monitor. You will mostly check sugar levels on diabetic patients |
| Blood cultures | Blood cultures are done on a patient with a fever of an unknown origin, or if there is a reason to suspect bacteria or septicemia. |
| Blood culture bottles | -Collected in sets of two -One bottle is Anaerobic, meaning without air. -The second bottle is Aerobic, meaning with air Anaerobic bottles are filled first when using a syringe. When using a butterfly needle the aerobic bottles are filled first. |
Created by:
blood guy
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