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Phlebotomy Items
Study items
Question | Answer |
---|---|
Labeling the tube: What is necessary? | Patients full name (first middle last as identified);DOB (or ID number); Date; Time; phlebotomist's initials |
Supplies needed for venipuncture | Needle, holder/adapter, tourniquet, evacuated collection tubes, alcohol wipe, gauze sponges, bandaging, gloves, |
Yellow SPS tube or Bactec broth tube for blood cultures. Drawn in what position if included in the following: Bactec or SPS Red (no additive) Lt Blue (Na citrate) Lt Grn PST (lithium hep) Gray (oxalate/fluoride) SST (clot act/gel) Dk Grn (Na hep) | #1 in order of draw |
Non-additive red stopper tube for serum tests for chemistries, immunology, serology that must not have additive. | Varies - would be #2 if drawn with butterfly, or if not butterfly could draw after light blue. |
Lt blue Na citrate for coag studies (always full draw req) Drawn in what position if included in the following: Bactec or SPS Red (no additive) Lt Blue (Na citrate) Lt Grn PST (lithium hep) Gray (oxalate/fluoride) SST (clot act/gel) Dk Grn (Na hep | #3 in order of draw |
Serum separator (SST) tubes (tiger red/gray, gold, red/yellow) clot activator and gel sep/serum chemistry, immun, serology Drawn in what position: Bactec or SPS Red Lt Blue Lt Grn PST Gray (oxalate/fluoride) SST (clot act/gel) Dk Grn (Na hep) | #4 in order of draw |
Dark green sodium heparin for specific levels Drawn in what position if included in the following: Bactec or SPS Red (no additive) Lt Blue (Na citrate) Lt Grn PST (lithium hep) Gray (oxalate/fluoride) SST (clot act/gel) Dk Grn (Na hep) EDTA | #5 in order of draw |
Lt green plasma separator tube (PST) containslithium hep and gel sep for chem What position if included in the following: Bactec or SPS Red (no additive) Lt Blue (Na citrate) Lt Grn PST (lithium hep) Gray (oxalate/fluoride) SST Dk Grn EDTA | #6 in order of draw |
Lavender EDTA tube for hematology testing Drawn in what position if included in the following: Bactec or SPS Red (no additive) Lt Blue (Na citrate) Lt Grn PST (lithium hep) Gray (oxalate/fluoride) SST (clot act/gel) Dk Grn (Na hep) EDTA | #7 in order of draw |
Gray top oxalate/fluoride for (preserves glucose for up to 5 days) FULL DRAW Drawn in what position if included in the following: Bactec or SPS Red (no additive) Lt Blue (Na citrate) Lt Grn PST (lithium hep) Gray SST Dk Grn EDTA | #8 in order of draw |
Median cubital region | First choice of venipuncture site |
Cephalic vein | Second choice of venipunture site |
Basilic vein | Last choice for venipuncture site - excessive risk of injury to patient |
Dorsal hand / wrist | Used for butterfly draw |
Proper specimen collection begins with? | Proper patient identification! Always get two identifying factors eg: Full name and DOB |
Phlebotomy Script may contain these primary elements: | Introduce self; identify patient; explain procedure eg: Need to obtain blood sample; get consent; ask about preparation; ask about relevant allergies; ask about preference; complete procedure; verify patient status |
Bactec tubes include Aerobic and Anerobic - which should be drawn first | Aerobic |