LESSON 5 Flashcards
This refers to the process of collecting or “drawing” blood from a vein of the patient for laboratory testing purposes.
venipuncture
They should possess the necessary knowledge and skills to perform venipuncture since they will perform this procedure frequently as part of their duties and responsibilities in the healthcare institution.
Phlebotomists
The first step of the pre-examination phase is the ___ that comes from a physician.
test request
The _______ includes information on the type of test ordered and any special instructions or conditions that should be considered during the pre-examination and examination phases.
request form
This form will be part of the patient’s medical record and can be referred to, should issues regarding the test arise.
Request form
The ___ could be manual, computerized, or bar-coded.
test requisition
These usually have parts for request, report, and billing.
Manual requisition forms
With the advances in technology, the use of the manual method has ___.
declined
These forms still serve as back-up when the computerized system fails.
Manual requisition forms
The___ includes patient information, test status, and other details that are useful for the test.
computerized requisition form
A _____ for the collection tube is made available, with which the phlebotomist must note the time of collection and confirm the information by affixing his/her initials.
computer-generated label
The _____ may contain a barcode, which is scanned into a computer using a special device with a laser.
manual or computerized request
The information in the (the barcode from the manual or computerized request) code is then interpreted and processed. The use of these codes greatly help in minimizing _____.
clerical errors
The required pieces of information in the requisition form are as follows: (10)
•Name of the physician who ordered the test
• Patient’s full name including the middle initial
•The medical record number for inpatients
• Birthday and age of the patient
• Room number and bed number if inpatient
•Type of test ordered
•Date when the test is to be performed
• Billing information (if required)
• Test status
•Special precaution
In which step can you find this?
A review of the test requisition to avoid duplication of request, to ensure proper collection timing, and to identify special instructions or equipment required for the test.
Step 1: Review and Accession the Test Request
The venipuncture procedure begins with a thorough review of the test requisition to: (3)
1) avoid duplication of request
2) to ensure proper collection timing
3) to identify special instructions or equipment required for the test.
In reviewing the request, the phlebotomist must: (4)
1) check the completeness of the required information
2) verify the tests to be collected including information such as the time and date of collection
3) take note of any dietary restrictions or special conditions that should be followed before the actual collection
4) determine the test status or priority of collection
The test request is then ______, which means that the specimen to be collected is assigned a special number that will serve as the reference number for all associated processes and paperwork.
accessioned
This helps improve the documentation, handling and reporting of test results.
Accessioning the test request
What is step 2 in the venipuncture procedure?
Step 2: Approach, Identify, and Prepare the Patient
Phlebotomists should organize the test request according to: (2)
1) priority
2) prepare all the necessary equipment and supplies needed to complete their collection round.
They should check for phlebotomy-related signs and warnings regarding the condition of the patient such as:
“No taking of blood pressure (BP) or venipuncture on the right arm.”
What are these called?
“No taking of blood pressure (BP) or venipuncture on the right arm.”
phlebotomy-related signs and warnings
These signs are usually posted on the door or wall next to the patients room.
phlebotomy-related signs and warnings