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
