Order Of Draw Flashcards
(104 cards)
1
Q
Breaking down of RBC’s membrane releasing free hemoglobin into the circulating blood is known as what?
A
Hemolysis
2
Q
Before someone donates whole blood, what test is done?
A
Hematocrit
3
Q
What is hemoglobin?
A
Oxygen carrying protein of the RBC’s
4
Q
Blood composes how much of the person’s body weight?
A
7-9%
5
Q
What is the name of the anticoagulant that acts to inhibit a number of coagulation factors (especially thromin & fibrin)?
A
Heparin
6
Q
What is the antiglycolytic agent in a gray stopper blood collection tube?
A
Sodium fluoride
7
Q
What is the needle gauge referred as?
A
Bore size
8
Q
What is the anticoagulant additive in a lavender stopper blood collection tube?
A
EDTA
9
Q
What evacuated blood collection tube would you use for a platelet function test?
A
Sodium citrate
10
Q
What is the anticoagulant in the gray stopper blood collection tube?
A
Potassium oxalate
11
Q
Which tubes are specifically designed to be free from lead?
A
Tan/Royal blue
12
Q
Which tube is specifically designed to be free from all trace elements?
A
Royal blue
13
Q
What additives does a light green stopper collection tube contain?
A
Sodium, lithium, or ammonium heparin
14
Q
Which color tube is a plasma separator tube (PST)?
A
Light green
15
Q
Which color tube would be used to perform a STAT prothrombin time test?
A
Light blue
16
Q
Which evacuation tube would be used to monitor a patient’s glucose levels?
A
Gray
17
Q
Which evacuated blood collection tube would be used to test for blood lead levels?
A
Tan
18
Q
What additive does the tan stopper collection tube contain?
A
EDTA
19
Q
How high above the evacuation site do you apply the tourniquet?
A
3-4 inches
20
Q
Which blood collection tube would be used to collect a CMP?
A
Tiger (gold/black)
21
Q
Which blood collection tube would be used to collect a CBC?
A
Lavender
22
Q
Which blood collection tube would be used to for a lipid panel?
A
Red
23
Q
What does facultative mean?
A
Grows with or without oxygen
24
Q
What does obligate mean?
A
Only survives in the one environment
25
Does serum have coagulation factors?
No
26
Does plasma have coagulation factors?
Yes
27
What color blood collection tube is used for blood banks?
Pink
28
What additive does the pink blood collection tube contain?
EDTA
29
What are the 5 WBC types?
Neutrophils, Lymphocytes, Monocytes, Eosinophils, & Basophils
30
Which WBCs are granulocytes?
All that end in -phil
| Neutrophils, eosinophils, & basophils
31
What does polycythemia mean?
Too much hemoglobin
32
What is used to clean when collecting blood cultures (yellow tube)?
Iodine
33
Blood tests for Lavender stopper blood collection tube?
CBC, ESR, Hct & Hgb, Differential, Retic count
34
Blood tests for Light Blue stopper blood collection tube?
PTT, PT, Fibrogen
35
Blood tests for SST/PST?
CMP, Cholesterol, Electrolytes, Lipase, PSA, Troponin, Renal Function, Hepatic Function Test, Thyroid
36
Blood tests for Gray/Red stopper blood collection tube?
Glucose
37
Blood tests for SST/Red stopper blood collection tube?
EBV, CRP, HIV, Hep B Surface AB
38
Blood tests for Pink, Purple, Red, Yellow stopper blood collection tube?
Antibody screen, Blood type & Rh, Type & crossmatch
39
Blood tests for Red stopper blood collection tube?
Drug test, Digoxin, Theophylline
40
Blood test for Navy (Royal Blue) stopper blood collection tube?
Trace Elements
41
At department is the Lavender stopper blood collection tube?
Hematology
42
What department is the Light Blue stopper blood collection tube?
Coagulation
43
What department is the SST/PST blood collection tube?
Chemistry
44
What department is the Gray/Red stopper blood collection tube?
Chemistry
45
What department is the SST/Red stopper blood collection tube?
Serology/Immunology
46
What department is the Pink, Purple, Red, Yellow stopper blood collection tube?
Blood Bank
47
What department is the Red stopper blood collection tube?
Chemistry
48
What department is the Navy (Royal Blue) stopper blood collection tube?
Toxicology
49
Who usually draws ABGs?
Doctor, nurse, respiratory therapist
50
In which tube are lead levels drawn in?
Royal Blue
51
In which tube would you draw APTT in?
Light blue
52
What does not necessarily need to be on a laboratory requisition?
Laboratory accession number
53
What piece of information found on a specimen label is not optional?
Time the specimen was collected
54
What’s another name for a winged infusion set?
Butterfly
55
What’s a capillary defined as?
A microscopic blood vessel
56
What’s a vacutainer system?
Combination of Vacutainer holder, needle, & sample tubes which allow for a more automated method of drawing blood
57
What is a tourniquet?
A constructive band used for venipuncture, blood aspiration, and intravenous injections
58
What is thixotropic gel?
A barrier between the serum and the cells
59
Which is the first toe?
The big toe
60
What tests are done using the light blue stopper blood collection tube?
PTT & PT
61
What are the additives in the mint green stopper blood collection tube?
Sodium heparin, Ammonium (SST)
62
What is the Good Samaritan law?
Health care professionals may render first aid (within the scope of training) at the scene of an accident or sudden injury without fear of being sued for negligence.
63
Hematocrit measures what within whole blood?
The percentage of RBCs to whole blood
64
What is a hematoma?
A localized collection of blood within the tissue due to leakage from the wall of the blood vessel producing a blackish/bluish discoloration
65
What is hematuria?
Blood in the urine
66
What is the depth for a capillary puncture on an infant?
2 mm
67
What is the definition of lipemic?
Excess fat in the blood
68
What does PTT stand for?
Partial Thromboplastine Time
69
What is cyanosis?
Bluish skin color due to lack of oxygen
70
What color stopper blood collection tube would be used for heavy metal testing?
Dark blue top (Royal Blue)
71
What should be remembered when doing a capillary puncture?
Excessive milking of the finger can result in hemolysis and contamination of the specimen with tissue fluids
72
For how long should a patient who has fainted during a phlebotomy procedure not be allowed to drive?
30 minutes after recovery
73
How is the tube for cold agglutinins transported?
At body temperature (98.6 degrees Fahrenheit)
74
How is the tube for ABG’s transported?
Chilled
75
How is the tube for Bilirubin or Vitamin B12 transported?
In aluminum foil because they are light sensitive
76
What does a requisition form have?
Patient name & DOB, Insurance info, Doctor’s name (demographics - Address, Phone #, Fax #), diagnosis, procedures, & Signature
77
What are the 3 steps in hemostasis?
1. Blood vessel spasm (vasoconstriction)
2. Platelet plug formation
3. Blood coagulation
78
What is a thrombus?
A blood clot formed on the side of a blood vessel
79
What is an embolus?
The moving part of a thrombus;
| a wandering clot
80
What are the four types of infections?
1. Endogenous (inside)
2. Exogenous (outside)
3. Nosocomial (hospital)
4. Congenital (birth)
81
What are the 3 need to know bloodborne pathogens?
Hepatitis B, Hepatitis C, & HIV
82
What are the 5 elements of the Cycle of Infection?
1. Reservoir host
2. Means of exit
3. Means of transmission
4. Means of entrance
5. Susceptible host
83
What is phlebotomy?
The insertion of a needle or cannula (small tube) into a vein for the purpose of withdrawing blood
84
What is phlebitis?
Inflammation of a vein; can be caused by too many punctures
85
What is thrombophlebitis?
One or more blood clots in a vein that cause inflammation
86
What are tortuous veins?
Varicose veins; twisted, dilated veins that are usually seen in the legs
87
What are sclerosed veins?
Hard/stiff veins where the tissue that surrounds the vein is getting less plastic/elastic
88
What is the chain of custody?
A procedure to ensure that a specimen is obtained from the patient and is correctly identified, that the specimen is under the uninterrupted control of authorized personnel, & that the specimen has not been altered/replaced
89
What is a lumen?
A canal within the shaft of a needle
90
What is quality control?
To ensure accuracy in test results through careful monitoring of test procedures
91
What does MRSA stand for?
Methicillin Resistant Staphylococcus Aureus
92
What is informed consent?
Giving the patient adequate information concerning the method, risk, & consequences to a specific procedure, expected outcome & alternatives
93
What is implied consent?
Form of consent for treatment that is inferred by signs, inaction, or silence of the patient
94
What is a consent form?
A form signed by the patient prior to a medical procedure to confirm that they agree to said procedure
95
What is indirect infection?
Infection transmitted through body fluids
96
What is malpractice?
Professional misconduct/demonstration of an unreasonable lack of skills with the results of injury, loss, or damage
97
What is medical asepsis?
Destruction of pathogenic microorganisms after they leave the body
98
What is empathy?
Sometimes referred to as emotional knowing. An objective awareness of and insight into the thoughts, feelings, and behavior of another
99
What action should a technician take after performing a venipuncture on a patient who has a wound infected with MRSA & has been placed in isolation?
Dispose of gown before leaving the room
100
Droplet precautions are designed to do what?
Reduce the risk of droplet transmission of infection agents
101
How should lactic acid samples be transported?
Chilled
102
Where should a phlebotomy technician perform a dermal puncture for an adult patient?
The side of central of the ring finger
103
If a patient is on an aspirin regimen, what would be most affected?
Prolonged clotting time
104
What is a multisample adapter?
A device used with a butterfly and/or vacutainer holder to allow the withdrawal of multiple tubes of blood during a venipuncture
