Phlebotomy Chapter 8

EMLA

A eutectic mixture of local anesthetics

Skin changes in elderly can make it harder to:

Anchor veins.

ASAP

As soon as possible

When should addictive tubes be mixed?

As soon as they are removed from the holder.

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?

Ask an experienced phlebotomist to perform the draw for you.

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 flood from the tube into the vein during a draw

Which type of test requisition has been show 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 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

Clinical-issued patient identification document

The time is0750 hours. You have received the following tests requests on different patients. Which test specimen should you collect first?

Cortisol ordered for 0800.

Needle sheath

Covering or cap of a needle

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

Do not collect the specimen until the patient's nurse that the I'D needs and resolved.

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 patient to wear a mask unit you leave.

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

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

Interventions to ease pain in collecting blood specimens from infants include:

EMLA, oral sucrose, and pacifiers.

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 for permission to do the draw.

Which of the following statements describes proper venipuncture techniques?

Fill addictive tubes until the vacuum is exhausted.

Requisition

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

A vein that has patency

Has a bounce or resilience to it.

ID band/Bracelet

Identification bracelet

Which is the most critical error a phlebotomist can make?

Identifying a patient specimen.

Stats

Immediately

Needle phobia

Intense fear of needles

MR number

Medical record number used for patient ID

Fasting

No food or drink except water for 8 to 12 hours

NPO

Nothing by mouth (nil per os)

Which type of disease is most likely to cause tremors?

Parkinson's.

The best way to judge patient of a vein is to:

Press and release it several times to determine resilience.

Patient ID

Process of verifying a patient's identify

Accession

Record in the order received

The proper way to transfer blood from a syringe into an ERA tube is to:

Safely 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 stripes and white spaces that correspond to letters and numbers

Patency

State of being freely open

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

Syringe needle

Belonephobia

The persistent, irrational fear of needles

Palpate

To examine by feel or touch

Arm/wrist band

Two other names for an identification band/bracelet

Hospice

Type of care for terminally ill patients

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.

Yes, but I would rather not.