Chapter 8 venipuncture procedures

EMLA

A eutectic mixture of local anesthetics

Interventions to ease pain in collecting blood specimens from infants include

All of the above ( EMLA. Oral sucrose. Pacifiers)

A student asks the patient for permission to draw a blood specimen. Which of the following answers implies that the student does not really have permission

All of the above (As long as you're good at it.which arm do you want? Yes, but I would rather not.)

Skin changes in elderly patients can make it harder to

Anchor veins

ASAP

As soon as possible

When should additive tubes be mixed

As soon as they are removed from the holder

You have made two unsuccessful attempts while trying to collect an ASAP specimen on an inpatient. The specimen cannot be collected by skin puncture what should you do next?

Ask another phlebotomist to collect it

Reflux

Backflow of blood from the tube into the vein during a draw

Which type of test requisition has been shown to decrease laboratory errors

Bar coded

Preop/postop

Before an operation or surgery/after an operation or surgery

Bedside manner

Behavior of a healthcare provider toward a patient or as a perceived by a patient

How can you tell that you are in a vein when drawing blood with a butterfly?

Blood usually appears in the tubing

ID card

Clinic-issued patient identification document

The time is 07:45 hours. You have received the following test requests on different patients. Which test specimen should you collect first?

Cortisol ordered for 08:00

Needle sheath

Covering or cap of a needle

DNR/DNAR

Do not resuscitate/ do not attempt resuscitation

There are two patients in a room. One of them has a latex allergy. You have a request to collect a blood specimen on the other one how should you proceed?

Do not take anything that contains latex into the room

You are in the process of identifying an inpatient. The patients verbal confirmation of name and date of birth matches the requisition, but the medical record number is different. What should you do?

Don not collect the specimen until the problem has been addressed and resolved

You are performing a venipuncture on a different vein using A butterfly. You have an SST and a light-blue-top tube to collect. How do you proceed

Draw a clear tube, fill and mix the light-blue top, then fill and mix the SST

You have a request to collect a stat specimen. A doctor is with the patient when you arrive. What should you do?

Excuse yourself and politely ask the doctor if you can do the draw

You are a phlebotomy student on rotation at an outpatient site. A patient who seems extremely apprehensive about having her blood drawn tells you that she is afraid of needles. What should you do?

Explain to her that you will use a small needle that barely hurts

Which of the following statements describes proper venipuncture techniques

Fill additive tubes until the vacuum is exhausted

Requisition

From on which test orders are entered and sent to the lab

A vein that has patency

Has a bounce or resilience to it

Arm/wrist band

Identification bracelet (abbrev.)

Stat

Immediately (from the Latin statim, meaning " immediately")

Needle phobia

Intense fear of needle

MR number

Medical record number used for patient ID

What is the most critical error a phlebotomist can make?

Misidentifying a patients specimen

Fasting

No food or drink except. Water for 8 - 10 hours

NPO

Nothing by mouth (from Latin nil per os)

The best way to judge patency of a vein is to

Palpate above and below where you first feel it

Which type of disease is most likely to cause tremors?

Parkinson

Patient ID

Process of verifying a patients identity

Accession

Record in the order recived

The proper way to transfer blood from a syringe into an ETS tube is t o

Safety remove the needle and attach a transfer device to fill the tube

Anchor

Secure firmly,as in holding a vein in place by pulling the skin taut with the thumb

barcode

Series of black strips and white spaces that correspond to letters and numbers

Patency

State of being freely open

Which needle can be removed from the blood collection until before disposal?

Syringe needle None of the above

Belonephobia

The persistent, irrational fear of needles

Palpate

To examine by feel or touch

ID band/ bracelet

Two other names for an identification band/bracelet

Hospice

Type of care for terminally ill patients