Term
| It is unlikely that misidentifying a patient specimen would result in |
|
Definition
| No reprimand if no one was hurt |
|
|
Term
| Basic step to minimize any trauma associated with a venipuncture |
|
Definition
| Choose the most skilled phlebotomist available to perform the venipuncture |
|
|
Term
|
Definition
| Thread part of the needle within the lumen |
|
|
Term
|
Definition
| Draw it at the best time for accurate results |
|
|
Term
|
Definition
| Blood cultures, Cardiac enzymes, and Cortisol |
|
|
Term
| Unique number assigned to a specimen request |
|
Definition
|
|
Term
| Individual who has legal authority to authorize patient testing |
|
Definition
|
|
Term
| Test recquisition info must include |
|
Definition
|
|
Term
| Info represented by patient ID band typically include |
|
Definition
| Medical record number and name |
|
|
Term
| Inpatient recquisitions are sorted by |
|
Definition
| Collection priority, date and time, and patient location |
|
|
Term
| Steps taken to unmistakably connect a specimen and the accompanying paperwork |
|
Definition
| Accessioning the specimen |
|
|
Term
|
Definition
|
|
Term
| Test commonly ordered stat |
|
Definition
|
|
Term
| When test is ordered ASAP |
|
Definition
| Results are needed soon for an appropriate response |
|
|
Term
| Tests are classified as routine if they are ordered |
|
Definition
| In the course of establishing a diagnosis |
|
|
Term
| Test commonly ordered fasting |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Patient says, OK, but I would rather not |
|
Definition
| Determine what the problem is and get the patients permission before proceeding |
|
|
Term
| Test used to identify protein disorders that lead to nerve damage |
|
Definition
|
|
Term
| In collecting from an unconscious patient |
|
Definition
| Move the patient to a special phlebotomy collection area |
|
|
Term
| Misidentification of specimen for this test will have fatal consequences |
|
Definition
|
|
Term
| Recquisition info must match info on patient's band |
|
Definition
|
|
Term
| System of choice to identify lab specimens from unconscious patient in ER |
|
Definition
| Use a three-part identification band with special tube labels |
|
|
Term
| Inpatient most likely to have more than one ID band |
|
Definition
|
|
Term
| Patient least likely to need their identity confirmed by nurse |
|
Definition
|
|
Term
| Part of informed consent for specimen collection |
|
Definition
| Informing the patient you are a student |
|
|
Term
| Proper arm position for routine veil-puncture |
|
Definition
| Downward in a straight line from shoulder to wrist, palm up |
|
|
Term
| Action prohibited during the vein selection process |
|
Definition
| Patient pumping their fist |
|
|
Term
| How to tell a vein from an artery |
|
Definition
| Artery has a distinct pulse |
|
|
Term
| Sclerosed vein feels like |
|
Definition
|
|
Term
| Will help you to avoid puncturing and artery |
|
Definition
Avoid drawing basilic vein in antecubital area
Do not select a site near a pulse
Do not select a site that overlies or close to an artery
ALL OF THE ABOVE |
|
|
Term
| Patient with IV in left wrist and dermatitis all over right arm and hand |
|
Definition
| Apply a tourniquet on right arm over a towel and draw |
|
|
Term
| Best thing to do if the vein can be felt but not seen, even with tourniquet on |
|
Definition
| Look for visual cues on the skin to remind you where the vein is |
|
|
Term
| Correct order of steps for venipuncture |
|
Definition
| Clean the site, prepare equipment, put on gloves, apply tourniquet |
|
|
Term
| Analytes least affected by prolonged tourniquet application |
|
Definition
|
|
Term
| Important to mix anticoagulation tubes immediatiely after filling them |
|
Definition
| Avoid microclot formation |
|
|
Term
| How many times do you mix a non-additive tube |
|
Definition
|
|
Term
| Use several layers of gauze when removing needle |
|
Definition
| Pressure is adequete and bruising is prevented |
|
|
Term
| Applying pressure on the gauze as the needle is removed can cause |
|
Definition
|
|
Term
| Specimen requiring routine handling |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Specimen hemolysis can result from |
|
Definition
| Using a large-volume tube with a 23-gauge needle |
|
|
Term
| Success of pediatric blood collection most dependent on |
|
Definition
|
|
Term
| Least effective way to immobilize a pediatric patient |
|
Definition
| Allowing child to sit with one arm bracing the other |
|
|
Term
| Drawing patient from older child, most important thing |
|
Definition
| Explaining the importance of holding still |
|
|
Term
| Diabetic patient had mastectomy on right arm and cannot straighten left arm from arthritis |
|
Definition
| Left forearm or hand, using butterfly |
|
|
Term
| Proper procedure when dealing with an elderly adult patient |
|
Definition
| Refrain from drawing if you have a cold, or wear a mask |
|
|
Term
| Most common reason a patient undergoes dialysis |
|
Definition
| End stage of renal disease |
|
|
Term
| According to CLSI, it is not necessary to attempt to locate median cubital in both arms before considering alternative location |
|
Definition
|
|
Term
| Patients need to understand the procedure before giving informed consent |
|
Definition
|
|
Term
| Once a patient consents to a procedure they can not change their mind |
|
Definition
|
|
Term
| When properly anchoring a vein |
|
Definition
| Thumb is 1 to 2 in. below the intended site and is pulling the skin toward the wrist |
|
|
Term
| Action unlikely to help a phleb gain patient trust |
|
Definition
| Collecting specimen before requested time |
|
|
Term
|
Definition
| Intense fear of needles and being stuck |
|
|
Term
| Symptoms of needle phobia |
|
Definition
Arrythmia
Fainting
Light-headedness
ALL OF THE ABOVE |
|
|
Term
| Proper use of hand sanitizer |
|
Definition
Allowing the alcohol to evaporate completely
Rubbing it in between and around the fingers
Using a very generous amount of sanitizer
ALL OF THE ABOVE |
|
|
Term
|
Definition
|
|
Term
| Needle insertion should be performed |
|
Definition
| Using a smooth, steady motion forward |
|
|
Term
| Going without food or drink except water for 8-12 hours |
|
Definition
|
|
Term
| Test ordered "fasting" to |
|
Definition
| Eliminate effects of diet on test results |
|
|
Term
| Bending arm up to apply pressure to the site has not been shown to |
|
Definition
| Enable the site to quickly stop bleeding after needle removal |
|
|
Term
| Failure of patient to to follow required diet restrictions before specimen colelction could lead to |
|
Definition
Compromised patient care and treatment
Erroneous and meaningless test results
Misinterpreted test results by the physician
ALL OF THE ABOVE |
|
|
Term
| Type of recquisition often serves as a test request, report, and billing form |
|
Definition
|
|
Term
| Outpatient recquisitions are typically of this type |
|
Definition
|
|
Term
|
Definition
| Collected immediately, without any hesitation |
|
|
Term
| If test ordered stat, could mean patient is in |
|
Definition
|
|
Term
|
Definition
| Will soon be going to surgery |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Cannot have any food or drink |
|
|
Term
| Liquid acceptable to drink when fasting |
|
Definition
|
|
Term
|
Definition
| Knock lightly, open door slowly, and ask whether it is all right to enter |
|
|
Term
| Patient door reads "No blood pressure or venipuncture right arm" |
|
Definition
| Collect specimen from left hand by finger puncture |
|
|
Term
|
Definition
Convey important information without alarming the public
Transmit messages over the facility's public system
Use numbers or words to represent important info
ALL OF THE ABOVE |
|
|
Term
|
Definition
|
|
Term
| Inpatient asleep when arrive |
|
Definition
| Call out patient's name softly and shake bed gently |
|
|
Term
| Lab results negatively affected if phleb |
|
Definition
| While preparing specimen, startles a patient who is asleep |
|
|
Term
| Physician is with patient and specimen ordered stat |
|
Definition
| Introduce yourself and ask permission to draw specimen |
|
|
Term
| Family or visitors with a patient |
|
Definition
| Ask them to wait outside of room until finished |
|
|
Term
| Patient out of room and not available for several hours for timed specimen |
|
Definition
| Fill out delay slip stating unable to collect specimen |
|
|
Term
| How to verify patient in 302B is John Doe |
|
Definition
| Ask him for his name and DOB and match it to recquisition |
|
|
Term
| ID number matches but name is spelled differently |
|
Definition
| Do not collect specimen until difference is resolved |
|
|
Term
| Unconscious inpatient has no ID band |
|
Definition
| Do not start any procedure until nurse attaches ID bracelet |
|
|
Term
| Most critical error phleb could make |
|
Definition
| Misidentify patient's specimen |
|
|
Term
| Patient not wearing ID band and its taped to nightstand |
|
Definition
| Ask patient's nurse to attach ID band and proceed when attached |
|
|
Term
| Woman only patient in waiting room |
|
Definition
| Ask her to state her complete name and DOB to confirm identity |
|
|
Term
| Cheerful, pleasant bedside manner and exchange of small talk unlikely to |
|
Definition
| Keep the patient from fainting during the venipuncture procedure |
|
|
Term
| Patient is cranky and rude |
|
Definition
| Be as professional as you can and collect specimen in normal way |
|
|
Term
| Patient asks if test you are drawing is for diabetes |
|
Definition
| Explain it is best to discuss the test with the physician |
|
|
Term
| Inpatient vehementely refuses to allow you to collect |
|
Definition
| Notify patient's nurse and document patient's refusal |
|
|
Term
| Arrive to draw fasting specimen and patient just finished breakfast |
|
Definition
| Check with nurse to see if it should be drawn or rescheduled |
|
|
Term
| If you assemble equipment after selecting and cleand site |
|
Definition
Be more apt to allow alcohol to dry
Have better idea of what equipment to use
Waste less equipment by knowing exactly what is needed
ALL OF THE ABOVE |
|
|
Term
| When performing venipuncture, hand decontamination is required |
|
Definition
| Before and after each patient |
|
|
Term
| Hands visibly contaminated |
|
Definition
|
|
Term
| Collect on 6 year old and child is fearful |
|
Definition
| Explain what you are going to do to the child in simple terms |
|
|
Term
| Patient asks if procedure will hurt |
|
Definition
| Might hurt just a little, but only for a short time |
|
|
Term
| Outpatients who have previously fainted |
|
Definition
| Asked to lie down, or sit in a reclining chair |
|
|
Term
| Can lead to liabiity issues |
|
Definition
| Lowering a bed rail to make access to patient's arm easier |
|
|
Term
| Never leave tourniquet on more than |
|
Definition
|
|
Term
| Best place to apply tourniquet |
|
Definition
| 3-4 in. above venipuncture site |
|
|
Term
|
Definition
Arterial flow below it may be stopped
Blood below it may hemoconcentrate
Pressure can cause the arm to ache
ALL OF THE ABOVE |
|
|
Term
| Acceptable to use ankle vein |
|
Definition
| Physician gives permission |
|
|
Term
| Release tourniquet as soon as blood flow established |
|
Definition
| Decrease hemoconcentration of specimen |
|
|
Term
| CLSI way to clean venipuncture site |
|
Definition
| Cleanse with circular motion from center to periphery |
|
|
Term
| Least important reason to wait 30 seconds for alcohol to dry |
|
Definition
| Allow phleb time to prepare equipment and supplies |
|
|
Term
| Advanced tube past guideline on holder before needle insertion |
|
Definition
| Tube will fail to fill with blood because of vacuum loss |
|
|
Term
| Visual inspection of needle unable to detect |
|
Definition
|
|
Term
| Touch needle to skin but change your mind and pull away |
|
Definition
| Stop and obtain a new needle before trying again |
|
|
Term
| Best angle to use for needle insertion |
|
Definition
|
|
Term
|
Definition
|
|
Term
| How to tell needle is in vein |
|
Definition
|
|
Term
| Best time to release tourniquet |
|
Definition
| As soon as blood begins to flow into tube |
|
|
Term
| Improper specimen collection technique |
|
Definition
| Position arm so tubes fill stopper end first |
|
|
Term
| Important to fill anticoagulant tubes to proper level |
|
Definition
| Proper ratio of blood to anticoagulant additive |
|
|
Term
| Filled EDTA before green-top |
|
Definition
| Draw several milliliters into discard tube, then fill green |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Cotton balls may pull platelet plug away from site |
|
|
Term
| Needle safety feature, other than blunting needle |
|
Definition
| Immediately after needle is withdrawn |
|
|
Term
| Right venipuncture procedure order |
|
Definition
| Establish blood flow, release tourniquet, fill and mix tubes, remove needle |
|
|
Term
| Proper needle disposal involves |
|
Definition
| Disposing of needle and tube holder in sharps container as one unit |
|
|
Term
| Label of routine specimens should take place |
|
Definition
| At the bedside immediately after collection |
|
|
Term
| Information on specimen label considered optional |
|
Definition
| Patient room number and bed |
|
|
Term
| Patient's ID number included on tube to |
|
Definition
| Avoid confusing specimens from patients with same name |
|
|
Term
| Information unnecessary to be given after venipuncture |
|
Definition
| Do not drink or eat for 2 hours after collection |
|
|
Term
| Not a valid reason for failure to obtain blood |
|
Definition
| Didn't have right equipment on tray |
|
|
Term
| Made two unseccessful attempts to collect |
|
Definition
| Ask another phleb to collect fasting specimen |
|
|
Term
| Where tourniquet applied when drawing hand |
|
Definition
|
|
Term
| Advantage of using butterfly |
|
Definition
| Butterflies make it easier to draw difficult veins |
|
|
Term
| May be necessary to use syringe when |
|
Definition
| Patient's veins are very fragile |
|
|
Term
| How to tell when in a vein using a syringe |
|
Definition
| A "flash" of blood will appear |
|
|
Term
| Doing this before obtaining blood from child is bad idea |
|
Definition
| Telling the child it will not hurt |
|
|
Term
| Butterfly and 23-gauge needle best choice for young child |
|
Definition
| Flexible tubing allows for arm movement |
|
|
Term
| Transferring blood from syringe to evacuated tubes |
|
Definition
| Use specially designed engineering device called syringe transfer device |
|
|
Term
| Criteria do decide which gauge needle to use |
|
Definition
| Size and condition of vein |
|
|
Term
|
Definition
| As soon as it is removed from tube holder |
|
|
Term
| Tremors associated with this disease can make collection difficult |
|
Definition
|
|
Term
| Care for patients who are terminally ill |
|
Definition
|
|
Term
| Always ask patient to state their name, never offer name |
|
Definition
|
|
Term
| Never verify patient's identity from ID band they're not wearing |
|
Definition
|
|
Term
| Phleb that lowers bed rail is responsible if patient falls out of bed |
|
Definition
|
|
Term
| Veins on underside of wrist are ideal location |
|
Definition
|
|
Term
| Once cap is removed, do not allow needle to touch anything, otherwise it will become contaminated |
|
Definition
|
|
Term
| Butterfly is inserted at 30 degree angle |
|
Definition
|
|
Term
| ETS is inserted at 10 degree angle |
|
Definition
|
|
Term
| If patient does not stop bleeding after 5 minutes, phleb should consult with nurse |
|
Definition
|
|
Term
| Studies show bending an arm after venipuncture in antecubital area increases chance of bruising |
|
Definition
|
|
Term
| If tube holder not securely anchored, needle can push through back of vein or pull out |
|
Definition
|
|
Term
| Once site has been decontaminated it is ok to repalpate the area before inserting needle |
|
Definition
|
|
Term
| Site is cleaned forming concentric circles outward working inward |
|
Definition
|
|
Term
| Dialysis patient most likely to have an Arteriovenous fistula or graft |
|
Definition
|
|
Term
| Labeling of tubes can be done back at nurse's station |
|
Definition
|
|
