Needles

Question 1

In routine venipuncture, a ____ inserted into a vein allows blood to flow out into an evacuated collection tube or syringe.

Answer 1

needle

Question 2

All _____ used for phlebotomy are sterile, disposable, and used only once.

Answer 2

needles

Question 3

Inspect each needle package before opening it to be sure that the ____ has not been broken. If it has, discard it.

Answer 3

seal

Question 4

inspect the needle itself to be sure that it has no ______ _____. The needle should be straight, sharp, beveled, and free of nicks or burrs. Discard any defective needle.

Answer 4

manufacturing defects

Question 5

: A sharp needle provides smooth entry into the skin with a minimum of pain.

Answer 5

POINT

Question 6

eases the shaft into the skin and prevents the needle from coring out a plug of tissue.

Answer 6

bevel, or angle

Question 7

differ in both length and gauge.

Answer 7

Shafts

Question 8

The needles used for routine venipuncture range from ____ for “butterflies” to ______ long for standard needles.

Answer 8

¾ inches - 1 to 1½ inches

Question 9

Factors that influence the choice of length include _____ and ______, and the experience and preference of the phlebotomist.

Answer 9

location and depth of the vein

Question 10

describes the diameter of the needle’s lumen

Answer 10

gauge

Question 11

the hollow tube within the shaft.

Answer 11

Lumen

Question 12

The smaller the gauge number, the larger the

Answer 12

lumen diameter

Question 13

is not a matter of personal preference; it depends on the type of collection and the condition of the patient.

Answer 13

choice of gauge

Question 14

The largest-diameter needles routinely used in phlebotomy are ____ to ____

Answer 14

21 to 22 gauge

Question 15

Blood bank uses _____ to _____ needles to collect blood from donors for transfusions.

Answer 15

16- to 18-gauge

Question 16

The smallest needles commonly used are ___ gauge, for collection from small, fragile veins.

Answer 16

23

Question 17

A typical gauge for routine adult collection is ___ gauge.

Answer 17

21

Question 18

deliver blood more quickly but are more damaging to the tissue and may collapse the vein.

Answer 18

Large needles

Question 19

are less damaging to tissue, but collection is slower, and the blood cells may be hemolyzed as they pass through the narrower opening.

Answer 19

Small needles

Question 20

: The needle attaches to the collecting tube or syringe at the ___

Answer 20

HUB

Question 21

MULTISAMPLE NEEDLES:
Multisample/ collections uses ____ needle

Answer 21

Double-ended needle

Question 22

MULTISAMPLE NEEDLES:
While one tip of the needle penetrates the patient’s skin, the second tip
during blood collection pierces the ____ of an evacuated collection tube.

Answer 22

rubber cap

Question 23

MULTISAMPLE NEEDLES:

The most common double-ended needle is the ______ which has a _____ ______ _____ that covers the second tip when it is not inserted into a tube.

Answer 23

multisample needle/ retractable rubber sleeve

Question 24

remains in place in the patient’s vein while one tube is replaced with another

Answer 24

multisample needle

Question 25

The ____ keeps blood from leaking onto or into the adapter or tube holder while you are changing tubes.

Answer 25

sleeve

Question 26

SAFETY SYRINGES AND SAFETY SYRINGE NEEDLES: sometimes useful for patients with fragile or small veins, when the vacuum of the collection tube is likely to collapse the vein.

Answer 26

Syringe

Question 27

provides a controlled, gentle vacuum for fragile veins

Answer 27

syringe

Question 28

A _______ (also called a hypodermic needle) fits onto the syringe barrel.

Answer 28

syringe needle

Question 29

have an advantage over multisample needles in that blood appears in the hub when the vein has been entered.

Answer 29

Syringe needles

Question 30

A ___ ____ ____ must be used with the syringe needle whenever drawing with a syringe.

Answer 30

safety transfer device

Question 31

The winged infusion set, also called a winged collection set or butterfly, is used for venipuncture on _____ , such as those in the hand, and in elderly or pediatric patients.

Answer 31

small veins

Question 32

allows you great flexibility in placing and manipulating the needle.

Answer 32

butterfly needle

Question 33

Most butterfly needles are now designed to be used with an evacuated tube system. Those that are not can be fitted using a ___ adapter.

Answer 33

Luer

Question 34

A recent study by the Centers for Disease Control and Prevention (CDC) estimated that approximately ____ accidental needle sticks occur per day nationwide.

Answer 34

1000

Question 35

The ____________________ act specified types of "engineering controls" mentioned in OSHA's Bloodborne Pathogens Standard to increase needle safety.

Answer 35

Needlestick Safety and Prevention Act

Question 36

______ needles have a plastic sheath that snaps shut over the needle.

Answer 36

Self-capping

Question 37

The _______________ act specified types of "engineering controls" mentioned in OSHA's Bloodborne Pathogens Standard to increase needle safety.

Answer 37

Needlestick Safety and Prevention Act

Question 38

cause the needle to retract into the syringe, tube holder, or other device.

Answer 38

Retractable technologies

Question 39

The ______________ (winged collection set) manufactured by Becton, Dickinson and Company (BD) (Franklin Lakes, N.J.) has a button to push to retract the needle automatically from the vein and into the body of the needle device. This in-vein activation reduces the risk of needle sticks.

Answer 39

Vacutainer Push Button Blood Collection Set

Question 40

For most collections, you will use a multisample needle and an evacuated collection tube. To ensure a firm, stable connection between these two essential parts, a _____________ is used

Answer 40

needle adapter (also called a tube holder)

Question 41

is a translucent plastic cylinder. One end has a small opening that accepts the multisample needle. The other end has a wide opening that accepts the collection tube.

Answer 41

needle adapter

Question 42

have a tube advancement mark indicating how far the tube can be pushed in without losing the vacuum.

Answer 42

Adapters

Question 43

Like a needle, an adapter is used only once, and it is discarded while still ______ to the needle. According to OSHA regulations, reuse of an adapter is prohibited because of the risk of exposure to blood that may occur.

Answer 43

attached