Blood collection technique
Help!
|
|
||||
|---|---|---|---|---|---|
| Aliquot | Portion of specimen that is used for testing
🗑
|
||||
| Constrict | Narrowing of the blood vessel
🗑
|
||||
| Lipemia | Abnormal amount of fat in the blood causing the serum or plasma
To appear cloudy or milky
🗑
|
||||
| Hematoma | Swelling or accumulation of blood due to leakage from a blood
Vessel during or after venipuncture
🗑
|
||||
| Lancet | Sterile disposable sharp pointed blade used to pucture the skin
To collect a blood sample
🗑
|
||||
| Gauge | Diameter of the lumen of the needle
🗑
|
||||
| Phlebotomy | Piercing the vein with a needle to obtain a blood specimen
🗑
|
||||
| Serum | Liquid portion of the blood that remains after the blood has clotted
🗑
|
||||
| Tourniquet | Device used to distend veins to assist with venipuncture
🗑
|
||||
| Primary container | Original container in which the specimen is collected
🗑
|
||||
| Veinupucture | Puncture of a vein to collect a blood sample
🗑
|
||||
| Plasma | Liquid portion of whole blood which comes from a sample
Which contains no anticoagulant
🗑
|
||||
| Butterfly | Small winged needle used for venipuncture / needle attached to tubing and an adapter to be used with a syrine or vacuum tube system
🗑
|
||||
| Integrity | Guarantees the purity or quality of the specimen
🗑
|
||||
| Evacuated tube | Collection tube which contains a vacuum that facilitates the
collection of blood during venipuncture
🗑
|
||||
| Additive | Substance such as a clotting activator
Separation gel
Anticoagulant
Cell preservation ( helps to Maintain the integrity or function of specimen)
🗑
|
||||
| Thixotropic gel | Additive used to separate cells from plasma
🗑
|
||||
| Antecubital space | Space in the elbow
(Ventral/ anitomical)
🗑
|
||||
| Hemolysis | Destruction of RBC during veinupucture to much blood volume
🗑
|
||||
| Hemoconcentration | Increase of the portion of formed elements in the blood
🗑
|
||||
| Palpate | To feel /touch/ bounce /to find vein depth and direction
🗑
|
||||
| Capillary puncture | Skin pucture/ methods used to obtain small amounts of blood for testing
Done on fingertips / great finger/baby's heal
🗑
|
||||
| QNS | Quantity not sufficient
🗑
|
||||
| An additive /anticoagulant in the vacuum tube | Can help preserve the integrity of the specimen
🗑
|
||||
| An anticoagulant added | To a collection tube prevents the blood from clotting
🗑
|
||||
| Winged infusion or butterfly set | Is used to collect blood from small or difficult veins
Usually in the hand
🗑
|
||||
| EDTA | Ethylenediaminetetraacetic acid
Used as an anticoagulant for preserving blood specimens
A chelating agent that binds calcium
🗑
|
||||
| ERS | Erythrocyte sedimentation rate
🗑
|
||||
| aPPT | Activated partial thromboplastin time
🗑
|
||||
| INR | International normalized ratio
🗑
|
||||
| SPS | Sodium Polyanethole sulfate
🗑
|
||||
| SST | Serum separator tube
🗑
|
||||
| MCV | Mean corpuscular volume
🗑
|
||||
| POCT | Point of care testing
🗑
|
||||
| OSHA | Occupational safety and health administration
🗑
|
||||
| BMP | Basic metabolic panel
🗑
|
||||
| 21g - 23g | The range of syringe volumes most commonly used for blood collection
🗑
|
||||
| Semi-fowler's position | For Pt's with history of fainting( syncope )
🗑
|
||||
| When palpating for a vein | ( Tendons )located near the surface will feel hard and cord-like
They are not a vein
🗑
|
||||
| Color coding for needles is | Not universal they vary by manufacturers
🗑
|
||||
| Hematoma | Common complication
Resulting from a venipuncture
A swelling or bruising resulting from an accumulation of blood
at the puncture site
🗑
|
||||
| Capillary puncture | Also known as skin or dermal puncture
🗑
|
||||
| Vacuum tube method supplies | Needle holder
Capped needle
Tube
🗑
|
||||
| Explain the correct order of drawer | To prevent cross contamination of additives
Can lessen discomfort and complications for PT
Lessens procedure time and prevent errors in diagnosis
Caused by crossed contamination of additives between blood collection tubes
🗑
|
||||
| CLSI order of drawer for capillaries punctures Lavender topped | Lavender topped (EDTA) tubes for hematology studies
🗑
|
||||
| CLSI order of drawer for capillaries puctures Green topped | Green topped / heparin tubes
🗑
|
||||
| CLSI order of drawer for capillaries Red topped | Red topped non- additive tubes contains no anticoagulant / gels / or clotting activators
🗑
|
||||
| Lavender top (Plasma) | EDTA anticoagulant
Binds calcium to prevent clotting
8-10 inversions
Hematology testing: complete blood count (CBC), differential, and erythrocyte sedimentation rate (ESR)
🗑
|
||||
| Dark green top (Plasma) | Sodium/ heparin Anticoagulant
Inhibits formation of thrombin and prevents clotting
Chemistry plasma studies electrolytes, arterial blood gases, and so on. Same testing as PST tube.
8-10 inversions
🗑
|
||||
| Light ( mint) green top (Plasma) | Lithium/ heparin/ thixopic gel anticoagulant //
Stat chemistry
🗑
|
||||
| Gray top (Plasma) | Sodium fluoride / potassium oxalate
Glucose/chemistry
FBS /any glucose test and alcohol levels
🗑
|
||||
| Light blue top (Plasma) | Sodium citrates anticoagulant
Test coagulation/ clotting factors
PT PTT PT INR FIBRINOGEN
🗑
|
||||
| Marble red/black top (Serum) | Thixopic gel and clot activator
🗑
|
||||
|
🗑
|
|||||
| Insufficient mixing | Causes micro-clot formation which will produce erroneous test results
🗑
|
||||
| Explain the importance of mixing the blood sample in tube with an additive | They should be inverted immediately to mix the additive with specimen
Each additive requires a specific number of in versions
🗑
|
||||
| Vigorous invertions | Will result in hemolysis
🗑
|
||||
| Prevention of hematoma tips | 1 Use smaller needles for small or fragile veins
2 Avoid going through the vein partially penetrating a vein or excessive movement in the vein
3 the bevel should be facing up and completely in the vein
4 avoid excessive probing
🗑
|
||||
| Rejection of specimen | Improper labeling
Using incorrect tubes
Improperly filled tubes
Incorrect collection time / handling
Sending a hemolyzed or Lipemia specimen
🗑
|
||||
| Transportation of tubes | Kept In upright position
🗑
|
||||
| Leaving a tourniquet on for more then 1 minute | Can result in Hemoconcentration
🗑
|
||||
| Placement of tourniquet | 3/4 inches above the elbow
🗑
|
||||
| OSHA requirement regarding blood tray | Should be red in color or have the biohazard symbol displayed
🗑
|
||||
| Wiping away the first drop | Lancet finger puncture/ is diluted with tissue fluid
🗑
|
||||
|
🗑
|
|||||
| DARK GREEN test for CHEMISTRY/ PLASMA WHOLE BLOOD SAMPLE/ Arterial blood gases / chemistry | ADDITIVES
SODIUM HEPARIN
8/10 inverts
🗑
|
||||
| RED PLAIN Tests for CHEMISTRY / SEROLOGY / TESTOSTERONE / TOXICOLOGY | NO ADDITIVES
Plastic : 5 inverts
Glass : none
🗑
|
||||
| BLOOD CULTURE (STERILE) tests for MICROBIOLOGY/ BACTERIA | ADDITIVES
ANAEROBIC AND AEROBICS BROTH
or SPS / Sodium Polyanethole
/ Sulfonate (pale yellow)
8-10 inverts
🗑
|
||||
| Orange top | Liver panel / organs
🗑
|
||||
| MARBLE LIGHT GREEN / GRAY tests for - CHEMISTRY/ OR STAT CHEMISTRY PLASMA WHOLE BLOOD SAMPLE electrolytes/ KFT / LFT / Cardiac enzymes / Metabolic panels | ADDITIVES USED /
Lithium Heparin with Thixotropic Gel
8/10 inverts
🗑
|
||||
| MINT / LIGHT GREEN (PLASMA) Tests for - CHEMISTRY OR STAT CHEMISTRY PLASMA/ WHOLE BLOOD SAMPLE electrolytes, KFT / LFT / Cardiac enzymes / Metabolic Panels | ADDITIVES
Lithium Heparin with Thixotropic Gel
8/10 inverts
🗑
|
||||
| GRAY TUBE (PLASMA) tests for GLUCOSE / CHEMISTRY - FBS / glucose tolerance testing/ Glucose challenge testing / Random glucose / Alcohol levels | ADDITIVE USED
POTASSIUM OXALATE
and SODIUM FLUORIDE
8-10 inversions
🗑
|
||||
| LIGHT BLUE (PLASMA) tests for Coagulation/clotting factors PT /. PTT PT. / INR Fibrinogen | additive
Sodium Citrate
3/4 inverts
🗑
|
||||
| LAVENDER (PLASMA) tests for HEMATOLOGY / CBC / RBC count / WBC count / with or w/o DifferentIal / PLATELETS / Hgb / HCT/ ESR | Additive
ETHYLENEDIAMINETETRAACETIC
-acid
8/10 inverts
🗑
|
||||
| GOLD (SST) Tests for - Chemistry, serology, immunology Serum sample/clotted blood Titers hormones lipids CMP Electrolytes amino acids ect... | Additive
Thixopic gel
Clot activator
5/6 inverts
Let stand for 30/45 mins
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
Tbella
Popular Phlebotomy sets