Week 2 Flashcards
If you raise the bed, drop the rails or make a change to the bed to protect your back how do you leave it?
The way you found it
Phlebotomy tray can be put down anywhere in the room
No, it cannot be put on any food or Pt surfaces
An outpatient drawing station should contain what
Clean private quiet environment
Supply table
Special phlebotomy chair
Had a table for heelsticks and other procedures
Can you draw from a chair without arms
No
Are most gloves sterile
No, and they do not need to be but they must be a good fit
Hand Sanitizers
CDC Guidelines recommend use of alcohol-based hand sanitizer routine decontamination of hands
What is a SEESIP
A needle or tube holder that has a safety device, it is an OSHA acronym for a sharps with engineered sharp injury protection
Light blue stopper
2 in draw order
The additive is sodium citrate
The department is coagulation
Red stopper glass tube
Sterile tube
3 in draw order
No additive
Department is chemistry, blood bank, immunology
Red stopper plastic tube
3 and draw order
Additive is clot activator
Department is chemistry
Red/light gray stopper
3
No additive
No department, discard tube only
Red/black or red/gray
And gold stoppers
4 and draw order
Additive is clot activator and gel separator. SST
Department is chemistry
light green stoppers
5 in draw order
Lithium heparin and gel separator are the additive
PST
Chemistry is the department
Dark green stopper
6 in draw order
Additive is lithium heparin or sodium heparin
Department is chemistry
Lavender stopper
7 in draw order
EDTA is the additive
Hematology is the department
Pink stopper
7 in draw order
EDTA is the additive
Blood bank is the department
Gray stopper
8 in draw order
The additives are potassium oxalate/sodium fluoride, EDTA/sodium fluoride, and sodium fluoride
Department is chemistry
Royal blue stopper
7 in draw order
Additives can be none, EDTA, sodium heparin
Department is chemistry
The order of the draw
Young lads really shouldn’t put gum in ladies garments
- blood culture tubes or vials (sterile yellow or blood culture bottles)
- coagulation tubes (light blue tops)
- Serum tube with or without clot activator or gel (Red, gold, or speckle topped tubes)
- Heparin tubes (light green and dark green tubes)
- EDTA tubes (lavender, tan, royal blue top tubes)
- Oxalate/fluoride tubes (Gray top tubes)
What must you always do before using a tube
Always check the expiration date, and never use a tube that has been expired or dropped
Which additive prevents glycolysis?
Sodium fluoride
Mixing an additive correctly involves turn in the wrist this many degrees back in again
90°
Antiseptics
Antiseptic’s are to be used prior to all skin punctures
- 70% isopropyl alcohol, usually individually wrapped
(Do not use if drawing and alcohol level)
- Povidone – iodine, can be a swab, bottle or ampule
Disinfectants
Bactericidal, kill bacteria
Used on surfaces to kill bacteria, not safe for skin
A dilution of 1:10 of household bleach is used to kill viruses on surfaces and clean blood
