ACT. 1A: UNDERSTANDING PHLEBOTOMY

Question 1

Also called as venesection

Answer 1

PHLEBOTOMY

Question 2

phlebos means?

Answer 2

vein

Question 3

temnein means?

Answer 3

• to cut.

Question 4

the act of opening a vein by using incision or puncture methods to draw blood for analysis or as part of therapeutic or diagnostic measures under the physician’s request.

Answer 4

PHLEBOTOMY

Question 5

The practice of Phlebotomy can be traced back to the time of the _________.

Answer 5

Stone Age

Question 6

used by men to cut vessels and drain blood from the body.

Answer 6

Crude tools

Question 7

also practiced this as a form of “Bloodletting” as early as 1400 BC.

Answer 7

Ancient Egyptians

Question 8

Phlebotomy became widely accepted during his time. [name and year]

Answer 8

Hippocrates (460 – 377 BC)

Question 9

Hippocrates’ time is where health was believed to be dependent on the balance of the humors.

Earth –
Air –
Fire –
Water –

Answer 9

blood & brain, phlegm & lungs, black bile & spleen , yellow bile & gallbladder

Question 10

To keep the balance, excess _______ is removed by bloodletting.

Answer 10

humor

Question 11

is vital to the correct diagnosis, treatment, and monitoring of a patient’s condition.

Answer 11

Laboratory testing of blood specimens

Question 12

constitute 70% of the objective information used by health-care providers to manage patient care and resolve patient health problems.

Answer 12

Laboratory results

Question 13

The quality of a test result is only as good as the quality of the __________________.

Answer 13

specimen analyzed

Question 14

can compromise the integrity of a successfully collected specimen.

Answer 14

failure to adhere to the collection procedure

Question 15

Approximately 56% of laboratory error occurs during this phase of laboratory testing.
(a process that occurs before testing of the sample)

Answer 15

Preanalytical phase

Question 16

Influencing factors are the responsibilities of the blood collector and it includes:

Answer 16

• Monitoring of specimen ordering
• Correct patient identification
• Patient communication and safety
• Patient preparation
• Timing of collections
• Phlebotomy equipment
• Collection techniques
• Specimen labeling
• Specimen transportation to the laboratory
• Specimen processing

Question 17

PHLEBOTOMY: COMPREHENSIVE PROCEDURE 1

Answer 17

Obtain and accession the test request

Question 18

PHLEBOTOMY: COMPREHENSIVE PROCEDURE2.

Answer 18

Identify the patient

Question 19

PHLEBOTOMY: COMPREHENSIVE PROCEDURE3.

Answer 19

Verify diet restrictions

Question 20

PHLEBOTOMY: COMPREHENSIVE PROCEDURE4.

Answer 20

Prepare the patient for testing

Question 21

PHLEBOTOMY: COMPREHENSIVE PROCEDURE5.

Answer 21

Assemble equipment and supplies

Question 22

PHLEBOTOMY: COMPREHENSIVE PROCEDURE6.

Answer 22

Wash hands and put on gloves

Question 23

PHLEBOTOMY: COMPREHENSIVE PROCEDURE7.

Answer 23

Reassure patient

Question 24

PHLEBOTOMY: COMPREHENSIVE PROCEDURE8.

Answer 24

Position patient

Question 25

PHLEBOTOMY: COMPREHENSIVE PROCEDURE9.

Answer 25

Apply the tourniquet.

Question 26

PHLEBOTOMY: COMPREHENSIVE PROCEDURE10.

Answer 26

Ask the patient to make a fist

Question 27

PHLEBOTOMY: COMPREHENSIVE PROCEDURE11.

Answer 27

Select the venipuncture site

Question 28

PHLEBOTOMY: COMPREHENSIVE PROCEDURE12.

Answer 28

Release the tourniquet.

Question 29

PHLEBOTOMY: COMPREHENSIVE PROCEDURE13.

Answer 29

Clean the site

Question 30

PHLEBOTOMY: COMPREHENSIVE PROCEDURE14.

Answer 30

Verify equipment and tube selection

Question 31

PHLEBOTOMY: COMPREHENSIVE PROCEDURE15.

Answer 31

Reapply the tourniquet

Question 32

PHLEBOTOMY: COMPREHENSIVE PROCEDURE16.

Answer 32

Pick up and position blood collection equipment

Question 33

PHLEBOTOMY: COMPREHENSIVE PROCEDURE17.

Answer 33

Remove the cover and inspect the needle

Question 34

PHLEBOTOMY: COMPREHENSIVE PROCEDURE18.

Answer 34

Anchor the vein

Question 35

PHLEBOTOMY: COMPREHENSIVE PROCEDURE19.

Answer 35

Have the patient make a fist

Question 36

PHLEBOTOMY: COMPREHENSIVE PROCEDURE20.

Answer 36

Insert the needle into the vein

Question 37

PHLEBOTOMY: COMPREHENSIVE PROCEDURE21.

Answer 37

Fill the syringe barrel

Question 38

PHLEBOTOMY: COMPREHENSIVE PROCEDURE22.

Answer 38

Withdraw the needle

Question 39

PHLEBOTOMY: COMPREHENSIVE PROCEDURE23.

Answer 39

Engage safety device

Question 40

PHLEBOTOMY: COMPREHENSIVE PROCEDURE24.

Answer 40

Dispose of sharps

Question 41

PHLEBOTOMY: COMPREHENSIVE PROCEDURE25.

Answer 41

Transfer blood to evacuated tubes

Question 42

PHLEBOTOMY: COMPREHENSIVE PROCEDURE26.

Answer 42

Label the tubes

Question 43

PHLEBOTOMY: COMPREHENSIVE PROCEDURE27.

Answer 43

Observe special handling instructions

Question 44

PHLEBOTOMY: COMPREHENSIVE PROCEDURE28.

Answer 44

Check the patient’s arm and apply bandage

Question 45

PHLEBOTOMY: COMPREHENSIVE PROCEDURE29.

Answer 45

Dispose of contaminated materials

Question 46

PHLEBOTOMY: COMPREHENSIVE PROCEDURE30.

Answer 46

Thank the patient

Question 47

PHLEBOTOMY: COMPREHENSIVE PROCEDURE31.

Answer 47

Remove gloves and wash hands

Question 48

PHLEBOTOMY: COMPREHENSIVE PROCEDURE32.

Answer 48

Check specimen collection logs (if applicable)

Question 49

PHLEBOTOMY: COMPREHENSIVE PROCEDURE33.

Answer 49

Transport the specimen to the lab

Question 50

Requisitions are the forms on which test orders are entered and sent to the lab. These include?

Answer 50

-Hand-written requisitions -Computer-printed requisitions -Barcode labels

Question 51

The most important step in specimen collection; Ask the patient to state name and date of birth;Check the patient’s identification bracelet (if admitted).

Answer 51

Identify the patient.

Question 52

In checking the patient's identification bracelet it includes?

Answer 52

-Name -Identification number: a. Medical record number b. Visit number

Question 53

Fasting

Answer 53

Verify diet restrictions

Question 54

-Bedside manner -Explain the procedure -Obtain consent

Answer 54

Prepare the patient for testing

Question 55

For seated patients, the arm should?

Answer 55

- arm should be supported firmly - Arm should not be bent at the elbow

Question 56

For Supine patients: the arm should be

Answer 56

Arm extended Not bent at elbow

Question 57

In asking the patient to make a fist, what happens to the veins?

Answer 57

-Veins become more prominent

Question 58

do not allow patient to pump (open and close) fist as this causes________________ and leads to ______________ results

Answer 58

hemoconcentration; erroneous

Question 59

What arm will generally have the most prominent veins?

Answer 59

Dominant arm

Question 60

It has a bounce or resilience

Answer 60

Veins

Question 61

Do not select vein that feels ____ and _____ or lacks ________

Answer 61

hard; cord-like; resilience

Question 62

These are hard and lack resilience

Answer 62

Tendons

Question 63

Do not draw from above an __

Answer 63

Do not draw from above an IV

Question 64

If necessary, have IV turned off for a minimum of__ minutes prior to collecting

Answer 64

2

Question 65

Remember to turn it back on, or inform the _____ staff that the phlebotomy procedure is done

Answer 65

Nurse

Question 66

Avoid____________, ____________ or ________area

Answer 66

burned; scarred; tattooed

Question 67

Edematous areas should be avoided. Edematous means?

Answer 67

Swelling caused by excess fluid in body tissues

Question 68

Avoid drawing in the area of a hematoma. If there is no alternative where will you draw?

Answer 68

Draw from below site

Question 69

Mastectomy means

Answer 69

a surgical operation to remove a breast.

Question 70

Draw from the side__________ of mastectomy whenever possible

Answer 70

opposite

Question 71

Check __________ region on both arms to find a suitable vein

Answer 71

antecubital

Question 72

Use leg, ankle, or foot veins except as a _______ and after obtaining permission from patient’s physician

Answer 72

last resort

Question 73

Lower extremity venipuncture may cause _________________

Answer 73

blood clot formation