PMLS LAB 2 Flashcards
-Is the procedure for removing blood from veins for
analysis
Venipuncture
-first site or choice of location for venipuncture.
Antecubital Fossa
shallow depression and anterior ans below the bend of the elbow
antecubital fossa
2 common patterns
H-pattern ans M-pattern
acceptable for venipuncture
veins on the back of the hands
foot and ankle
femoral vein
veins on the ______ are never acceptable for venipuncture
underside of the wrist
differs somewhat from person to
person, and you may not see the exact textbook
pattern
vein location
•The important thing to remember when locating a vein is to choose
prominent vein
well fixed
does not overlie a pulse (which indicates the presence of an artery and the potential presence of a major nerve.)
Hospital identification bracelet includes:
-Patient’s first and last names
-Hospital numbers (often two sets)
-Birth date
-Physician
-Temporary identification number and bracelet
Unidentified patients
to correctly identify the patient
Requisitions
Organize the necessary equipment
Requisitions
collect the appropriate samples
Requisitions
legal protection
Requisitions
Before leaving the laboratory
REVIEW THE REQUISITION!
Steps to review the requisition
• Verify the tests to be collected
• Check the time and date of collection
• Determine the patient preparation needed.
Contents in the Requisition or Request form
• Patient’s first and last names
• Identification number
• Patient’s date of birth
• Patient’s location
• Ordering health-care provider’s name
• Tests requested
• Requested date and time of sample collection
•Other information that may be present
Status of sample (stat, timed, routine)
(such as fasting
sample or latex sensitivity)
•Special collection information
(such as areas that
should not be used for venipuncture)
Special patient information
•Billing information and ICD-9 codes
Status of sample (stat, timed, routine)
Fasting Blood Sugar (fbs) hours
8-10hrs
Lipid profile fasting hours
10-12hrs
FBS and Lipid profile fasting
10hrs
the most important procedure in phlebotomy
patient identification
a hospitalized patient must always be correctly identified by an _____ that is attached to the patient
ID band
a hospitalized patient must always be correctly identified by an ______ that is attached to the patient
ID band
personnel already familiar with the patient must never become _____ with regard to patient identification
lax
failure to properly identify the patient may result in
patient medication and treatment mismanagement
Has refrained from strenuous exercise and has
not ingested food or beverages except water.
BASAL STATE
verify that the appropriate pretest preparation
such as fasting or abstaining from medications has
occurred
Patient Preparation
• If not, report to the nurse before drawing blood.
• If the sample is still required, note on the
requisition form and the sample
Patient Preparation
Patients should remove any objects such as food,
drink, gum, or a thermometer from their mouths
before performing the venipuncture.
Positioning the patient
Any foreign object in the mouth could cause
choking
Place the tubes in the correct order for sample
collection and have additional tubes readily
available for possible use during the procedure.
equipment selection
mansate that gloves be worn when performing a venipuncture procedure
Occupational safety and health administration
