Phlebotomy

Question 0

Why is phlebotomy important

Answer 0

To establish a diagnosis 
Rule out a clinical problem 
Monitor therapy 
To establish a prognosis 
Screen for a disease 
Determine drug dosage 
Prevent toxicity

Question 1

Phlebotomy

Answer 1

The act or practice of opening a vein by incision or puncture to remove blood as therapeutic treatment

Question 2

Methods of blood collection

Answer 2

Venous
Arterial
Skin puncture

Question 3

Verifying

Answer 3

Indenting the patient
What specimen needs to be drawn
What time does the specimen needs to be drawn
What order the specimen needs to be drawn in
Handling of the soebingv

Question 4

Requisitions

Answer 4

Patients name 
DOB
Hospital ID number 
Patients room number and bed 
Name of Physician 
Type of test required

Question 5

Fasting Blood glucose

Answer 5

Can’t eat or drink after midnight

Question 6

STAT

Answer 6

Draw the Lab Immediately

Question 7

Times

Answer 7

Draw at a certain time
If level is critical call the doctor
(Doesn’t mean you don’t give the medicine)

Question 8

Routinely

Answer 8

Same time, routinely

Question 9

Outpatients

Answer 9

Seated

Question 10

Inpatients

Answer 10

Remain in bed

Question 11

Tourniquet

Answer 11

3-4 inches above site
Don’t leave for no longer than 1 minute
Do not apply to tightly

Question 12

Improper tourniquet can cause

Answer 12

Hemoconcentration
Hemolysis
Petechia

Question 13

Site selection

Answer 13

Emotional and mental status 
Prior mastectomies 
Dialysis shunt
Availability of veins 
Skill
Presence of edema 
Injuries 
Infusion of IV fluids

Question 14

Antecubital fossa

Answer 14

Inner arm (at the bend)

Question 15

Medial Cubital Vein

Answer 15

1st choice (vein in the middle)

Question 16

Cephalic Vein

Answer 16

2nd Choice ( vein closest to thumb side )

Question 17

Basilic vein

Answer 17

3rd choice (outside vein on pinky side )

Question 18

LAST RESORT

Answer 18

leg veins

MUST HAVE A DOCTORS ORDER

Question 19

Survey of antecubital area

Answer 19

Identify all 3
Veins -spongy resilient tube like curvature
Palpate all 3 beginning with median Cubital

Question 20

Enhance

Answer 20

Tap area 
Massage upward 
Dangle in down ward position 
Apply heat 
Rotate wrist 
Lower the arm below the level of the heart

Question 21

Basilic vein precaution

Answer 21

Closest yo nerves And can cause permanent injury

Question 22

Venipuncture and IV sites

Answer 22

NEVER DRAW BLOOD ABOVE AN IV SITE

Question 23

IF ABSOLUTELY NECESSARY

Answer 23

Shut off for 2 minutes
Apply tourniquet BELOW the IV site and above the intended puncture site
DISCARD FIRST 5 ML OF BLOOD
Document it was performed below and active IV site

Question 24

Important

Answer 24

DO NOT PLACE THE PHLEBOTOMY TRAY ON THE PATIENTS BED

Question 25

22 Gauge needle

Answer 25

Good blood flow comfort little or no discomfort

Question 26

23 gauge

Answer 26

Excellent choice for pediatric patients hand veins or veins that appear fragile or problematic

Question 27

Smaller #

Answer 27

Larger hole

Question 28

Larger number

Answer 28

Smaller hole

Question 29

Cleaning site

Answer 29

70% alcohol or chlorhexidine | Left in contact with skin 30-69 seconds to allow time to dry completely

Question 30

Tubes that contain an additive

Answer 30

Gently invert 5-10 times to prevent coagulation.

Question 31

Once the last tube is filled

Answer 31

Loose remove tourniquet then remove the specimen BEFORE removing the butterfly needle Apply pressure then remove Butterfly needle Places uncapped needle in sharps container

Question 32

Label blood tubes

Answer 32

At bedside

Question 33

Place tubes in a

Answer 33

Biohazard bag | Document procedure

Question 34

Order of Draw | (Red, Blood, Gives, Life, Graciously) after cultures

Answer 34

``` Blood cultures Red top (no additives) Blue Green Lavender /(contain an anticoagulant rich in K+ ) Gray ```

Question 35

Accidentally transfer of anticoagulant (from lavender/purple ) into blue

Answer 35

Lengthen Protime False coagulation disorder Make an under medicated patient appears well within the therapeutic range

Question 36

Hemolysis

Answer 36

Destruction of Red blood cells

Question 37

What caused Hemolysis

Answer 37

``` Needle smaller than 23 gauge Small needle with large vacuum tube Small needle (blood from syringe to tube) Too much agitation Vigorously mixing ```

Question 38

Long term complications of VP

Answer 38

Anemia Hematoma Nerve damage Infection

Question 39

Accidental puncture

Answer 39

Wash contaminated area Report to supervisor Follow up for blood borne pathogens Counseling

Question 40

Cavalier approach

Answer 40

Ppl new to phlebotomy | False sense of immunity

Question 41

Red Tops

Answer 41

Non- Additive Tube

Question 42

Blue top

Answer 42

Coagulation Tubes

Question 43

Green Top

Answer 43

Heparin Tubes

Question 44

Lavender Tube

Answer 44

EDTA-K3

Question 45

Gray Top

Answer 45

Oxalate Fluoride