ACT 4 - Familiarizing Phlebotomy Materials

Question 1

a dedicated area of a medical laboratory or clinic equipped for performing phlebotomy procedures on patients, primarily outpatients sent by their physicians for laboratory testing

Answer 1

blood drawing station

Question 2

inclusions for blood drawing station

Answer 2

table for supplies, special chair for patient, bed or reclining chair

Question 3

should have adjustable armrests to achieve proper positioning of either arm

Answer 3

phlebotomy chairs

Question 4

make blood collection equipment portable

Answer 4

equipment carrier

Question 5

They are convenient for “stat” or emergency situations or when relatively few patients need blood work.

Answer 5

handheld carrier

Question 6

Come in a variety of styles and sizes designed to be easily carried by the phlebotomist and to contain enough equipment for numerous blood draws

Answer 6

handheld carrier

Question 7

Nonsterile, disposable latex, nitrile, neoprene, polyethylene, and vinyl examination gloves are acceptable for most phlebotomy procedures.

Answer 7

gloves

Question 8

for routine decontamination of hands as a substitute for hand washing

Answer 8

hand sanitizer

Question 9

Used to cleanse the site

Answer 9

alcohol prep pads

Question 10

what is sometimes applied on the site to prevent microorganisms from contaminating the blood sample.

Answer 10

iodine

Question 11

folded in fourths are used to hold pressure over the site following blood collection procedures.

Answer 11

gauze pads

Question 12

T/F gauze pads are applied before procedure is complete

Answer 12

false, after

Question 13

ways to secure the puncture

Answer 13

Cotton with adhesive gauze
Band aid
Special adhesive pads for phlebotomy procedures

Question 14

used to cover a blood collection site after the bleeding has stopped

Answer 14

adhesive bandages

Question 15

where are adhesive pads placed?

Answer 15

over puncture site

Question 16

T/F adhesive pads can be used on babies younger than 2 years of age

Answer 16

false

Question 17

why cant adhesive pads be used on babies younger than 2 years of age?

Answer 17

because of the danger of aspiration and suffocation

Question 18

where Used needles, lancets, and other sharp objects must be disposed of immediately

Answer 18

specialized “sharps” container

Question 19

used for skin puncture among infants

Answer 19

tissue warmers

Question 20

how does tissue warmer help infants?

Answer 20

increases capillary circulation in an infant’s heel to facilitate blood collection by heel stick

Question 21

when is the computer label/permanent marking pen usually used?

Answer 21

After drawing blood
Before leaving patient

Question 22

constricting device applied to a patient’s arm prior to venipuncture with the aim of inflating the veins by restricting venous blood for a period of time

Answer 22

tourniquet

Question 23

types of tourniquet

Answer 23

strap
single use latex free
rubber tubing

Question 24

means to inspect an organ by passing light through its walls

Answer 24

transillumination

Question 25

These devices typically shine high-intensity LED or infrared red light through the patient’s subcutaneous tissue to highlight veins.

Answer 25

Vein-locating/transillumination devices

Question 26

How does transilluminating devices work?

Answer 26

The hemoglobin in the blood within the veins absorbs the light, causing the veins to stand out as dark lines.

Question 27

sterile, disposable, and designed for a single use only

Answer 27

needles

Question 28

T/F It is important to examine the packaging or seal of a needle before use.

Answer 28

True

Question 29

If the packaging is open or the seal is broken, the needle is no longer sterile and but can still be used

Answer 29

False

Question 30

indicated by a number that is related to the diameter of the lumen

Answer 30

gauge

Question 31

T/F A needle’s diameter and gauge have an inverse (opposite) relationship.

Answer 31

True

Question 32

The higher the gauge number, the higher the actual diameter of the needle

Answer 32

False, smaller actual diameter

Question 33

T/F It is important to select the appropriate needle for the situation

Answer 33

True

Question 34

What happens when a needle is too large?

Answer 34

It can damage the vein

Question 35

What happens when a needle is too small?

Answer 35

It may hemolyze the specimen

Question 36

Needle parts:

Answer 36

Hub, shaft, bevel, lumen, needlestick, prevention device

Question 37

Double pointed needle, part of evacuated collection system

Answer 37

Multi-sample needles

Question 38

Used with a syringe to draw blood, Blood transferred to evacuated tube, typically sealed in sterile-apart packages

Answer 38

Hypodermic needles

Question 39

an indispensable tool for collecting blood from small or difficult veins

Answer 39

winged infusion set

Question 40

other term for winged infusion set

Answer 40

butterfly

Question 41

what is the use of wings for the winged infusion set?

Answer 41

Stability

Question 42

Using a needle smaller than __ gauge increases the chance of hemolyzing the specimen

Answer 42

23

Question 43

What is hemolysis?

Answer 43

Red blood cells are fragile and easily rupture.

Question 44

What factors lead to hemolysis?

Answer 44

the needle is directed to the test tube gauge is too small

Question 45

a closed system in which the patient’s blood flows through a needle inserted into a vein and then directly into a collection tube without being exposed to the air or outside contaminants

Answer 45

evacuated tube system

Question 46

three basic components of an evacuated tube system

Answer 46

tube holder special blood-drawing needle various types of evacuated tubes

Question 47

a clear, plastic, disposable cylinder with a small threaded opening at one end (often also called a hub) where the needle is screwed into it and a large opening at the other end where the collection tube is placed

Answer 47

evacuated tube holder/adapter

Question 48

Premeasured vacuum, Some contain additives, Some have splash guards

Answer 48

Evacuated collection tubes

Question 49

any substance placed within a tube other than the tube stopper

Answer 49

additives

Question 50

function of additives

Answer 50

preventing clotting or preserving certain blood components.

Question 51

Evacuated tubes fill with blood automatically because there is what present in them?

Answer 51

Vacuum

Question 52

Define “short draw”

Answer 52

Underfilled tube

Question 53

Difference between solid caps and translucent caps

Answer 53

Solid caps have regular vacuum while translucent caps have reduced vacuum

Question 54

Most plastic tubes, used for clearing or discard purposes only

Answer 54

Non-additive tubes

Question 55

tops, or closures are typically made of rubber

Answer 55

stoppers

Question 56

what are color coded in tubes?

Answer 56

Tube stoppers

Question 57

What does the color of a tube stopper imply?

Answer 57

Identifies a type of additive placed in the tube by the manufacturer for a specific purpose

Question 58

Manufacturers guarantee reliability of additives and tube vacuum until an expiration date printed on the label, provided the tubes are handled properly and stored between what temperature?

Answer 58

4 and 25C

Question 59

System sometimes used for patients with small or difficult veins

Answer 59

Syringe system

Question 60

Usual appropriate syringe needles for phlebotomy procedures

Answer 60

gauges 21 to 23, in 1- or 1.5-in. lengths

Question 61

most common volumes for phlebotomy syringes

Answer 61

2, 5, and 10ml

Question 62

How is syringe volume selected?

Answer 62

size and condition of the patient’s vein and the amount of blood to be collected

Question 63

parts of a syringe

Answer 63

barrel plunger

Question 64

Allows the safe transfer of blood into the tubes without using the syringe needle or removing the tube stopper

Answer 64

Syringe transfer device

Question 65

Where is the syringe transfer device attached to?

Answer 65

Hub of the syringe

Question 66

A transfer device must be ______ when tubes are being filled in order to prevent blood in the tube from touching the needle in the transfer device

Answer 66

Vertical

Question 67

T/F You can use both hands to shift or remove the cap.

Answer 67

False, only one hand

Question 68

T/F Fish out the cover; don’t secure with two hands

Answer 68

True

Question 69

disposable, narrow-bore plastic or plastic-clad glass capillary tubes that fill by capillary action and typically hold 50 to 75 µL of blood

Answer 69

capillary tubes

Question 70

what is used to seal the capillary tube

Answer 70

clay

Question 71

special small plastic tubes used to collect the tiny amounts of blood obtained from capillary punctures

Answer 71

microcollection tubes