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Venipuncture Final

QuestionAnswer
What is the difference between a serum tube and a plasma tube? Serum has a clot and Plasma does not
What is in a blue tube and how many times do you invert it? Sodium citrate- 3 to 4 times
What is in a gold tube and how many times do you invert it? Serum separator tube- 5 times
What is in a red tube and how many times do you invert it? None- 5 times
What is in a green tube and how many times do you invert it? Heparin- 8 to 10 times
What is in a lavender tube and how many times do you invert it? EDTA- 8 to 10 times
What is in a pink tube and how many times do you invert it? EDTA- 8 to 10 times
What is in a gray tube and how many times do you invert it? Potassium oxalate and sodium flouride 8 to 10 times
What do you do with a tube that contains an additive? Invert
What parts of the vacutainer system are considered sterile? needle and inside of tube
What does the serum separator do? Thixatropic gel, when centrifuged seperates serum and clot
What information can be found on the vacutainer equipment label? Additive, expiration date, sterile or not sterile
What is the guideline on the vacutainer holder and what is its purpose? shows where you can place the tube with out losing pressure within the tube
What is the flange and its purpose? Used for leverage to place and remove tubes
When is the tourniquet released with the vacutainer technique? Last tube is 1/2 to 2/3 full
What does filled to exhaustion mean? Vacuum has been used completely
What do you do when the needle starts to come out of the arm during the procedure? How would you know you were pulling the needle out too early? Hear air, see blood. Pull taught and go back in
What do you do when you insert the needle and tube and there is no blood return? Pull taught and pull back. Pull taught and repalpate. Try new tube incase loss of suction
What hematology tests go in lavender tubes? CBC, RBC, WBC, platelets, hgb, Hct. These are plasma specimens
What chemistry tests go in red, gold, green or gray tubes? electrolytes, cholesterol, BUN, creatinine. Red and Gold are serum. Green and gray are plasma specimens
What coagulation studies go in a light blue tube? PT, INR. this is a plasma specimen
What can you do to make veins more prominent? Milk arm,slap arm, warm compress, hold arm downward.
How does isopropyl alcohol work? Inhibits reproduction of bacteria
What is the purpose of cleaning in a circular motion? Moves pathogens outward
How long should isopropyl alcohol stay on the skin? Till it air dries
When would isopropyl alcohol be contraindicated? allergy, blood alcohol test and blood culture
How should you handle an area that has been recently burned? Stay away- find another site or capillary puncture
How should you handle a patient with a history of a mastectomy? not on the same side of the mastectomy, preventing lymph edema
How do you handle a patient who gets nauseated? cool compress and a basin
How do you handle a patient who faints? stop, lay them down, head between knees, dont leave the patient and call for help.
What do you do differently for an obese patient? angle changes, go in deeper
What are some complications of leaving the tourniquet on too long? numbness, hematoma, hemolysis, pettchiae, pain and hemo concentration
Can you tie a tourniquet over clothing and when would you do that? Yes, with and obese patient or hairy patient
What is the proper way to palpate a vein? horizontally with index finger, bouncing
When should you ask someone to take over and perform the venipuncture procedure? When you have tried two times
What is a short draw? tube isn't filled to capacity
What does thixatropic mean? thicker at room temp and thinner when heated or vibrated
Why is there an order of draw? Dont want the additives to contaminate. Sterile specimen go first, coagulation test then tubes with additives
What is the order of draw? light blue, gold/red, green, lavender/pink, gray
Which bloodborne pathogens can you contract from a used needlestick injury? HIV, Hep B, Hep C
What is hemoconcentration? concentration of blood cells is increased in proportion to plasma
How long should you observe the VP site before applying the gauze and tape? 5 to 10 seconds
How long should you apply pressure to a hematoma? 3 minutes
What is hemolysis? Distruction of RBC with release of hemoglobin
What is the most common cause of specimen rejection? Hemolysis
What are smelling salts? How do they work? How should you use it? Ampules filled with amonium carbonate, irritate membrane in nose and lungs which causes a reflex that makes you take a deep breath. Should be waved 4 inches under nose
What should you do if a patient tells you they pass out sometimes when getting their blood drawn? lay them down first
Which vein do we avoid in VP and why? basillic vein, too close with brachial artery and median nerve
What is an SESIP? Sharp with engineered sharps injury protection- sheath
What should you do if your patient refuses the blood draw? ask them why? Talk to them and address concerns. Get the doctor. Then document
What should you do in the case of an accidental needlestick flush it for 10 minutes with antibacterial soap. Express/make it bleed. Tell supervisor then fill out incident report
What is the most important quality of a sharps container? puncture resistant
Why is it important to put your gloves on in front of the patient? So they can see you, makes them feel more secure
Created by: lecopple1