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Phlebotomy: Safety, Procedures, and Best Practices Flashcards
This deck covers essential concepts in phlebotomy, including patient identification, personal protective equipment, bloodborne pathogen safety, and best practices for specimen handling and venipuncture procedures.
What is the most important step in venipuncture?
Patient Identification
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Key Terms
Term
Definition
What is the most important step in venipuncture?
Patient Identification
What is PPE?
Personal Protective Equipment - gown, mask, and gloves
What is the best way to let a clean site dry?
Air dry
OSHA requires all phlebotomists to be trained regarding what?
Blood borne pathogens and needle safety
All specimens are considered hazardous and infectious so we must use what?
Universal and/or standard precautions
What organization should be contacted regarding employee safety and unsafe working conditions?
OSHA - Occupational Safety and Health Administration
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| Term | Definition |
|---|---|
What is the most important step in venipuncture? | Patient Identification |
What is PPE? | Personal Protective Equipment - gown, mask, and gloves |
What is the best way to let a clean site dry? | Air dry |
OSHA requires all phlebotomists to be trained regarding what? | Blood borne pathogens and needle safety |
All specimens are considered hazardous and infectious so we must use what? | Universal and/or standard precautions |
What organization should be contacted regarding employee safety and unsafe working conditions? | OSHA - Occupational Safety and Health Administration |
What does MSDS mean and what is it part of? | Material Safety Data Sheet, the right to know the law |
What color tube, and additive is used for CBC, Hct, Hgb, Sed rate? | Lavender, EDTA |
Which tube has no additives? | Red, SST |
What color tube and which additive is used for Protime and APTT? | Light Blue, Sodium Citrate |
What is the ratio of blood to additive in a light blue tube? | 9 to 1 |
Which additive is the best choice for an ethanol specimen? | Na Fluoride |
What color tube is an ethanol specimen drawn in? | Grey, Oxalate |
In case of a needle stick accident you should...? | Cleanse the site, get patient information if able, and notify supervisor immediately |
What is the purpose of the tourniqutte? | To find a vein |
How long can a tourniqutte be in place? | 1 minute |
What is the first thing you must do after every finger stick? | Wipe away the first drop |
Why is it necessary to keep the centrifuge lid closed until it comes to a complete stop? | It reduces the chance of aerosol and microbial contamination |
What should your slider be when making blood smears? | 30 Degrees |
What should you do if a standard sizde tube collapses the vein? | Use a pediatric tube |
Which cleansers are most common for blood culture site preparations? | Povidone Iodine and Chloorhexidrine |
Which cleansers are most common for blood culture site preparations? | Spill Proof, Tamper Proof, and Puncture Resistant |
When used for decontamination, the dilution for bleach in water should be what? | 10% Bleach, 90% Water |
Which point of care test is done to determine a platelet plug formation? | Bleeding Time (also known as Platelet Function Assay) |
Where in the wrist area is ABG's done and which artery? | Outer aspect of the wrist and from the Radial Artery |
Which are the smallest vessels in the body? | Capillaries |
Which are the smallest veins in the body? | Venules |
What is the respiratory system responsible for? | Breathing and the exchange of oxygen and carbon dioxide |
A common site cleaner for venipuncture is...? | 70% Isopropyl Alcohol |
When anticoagulated blood is spun down in the centrifuge, how does it seperate? | Plasma (top), Buffy Coat=WBCs & Platelets (middle), Red Blood Cells (bottom) |
MSDS is part of the...? | Right to know the law |
When you leave a patients room, make sure that...? | Everything is returned to where you found it, including bed rails (up if up, down if down) |
What is the difference between serum and plasma? | Serum=Fluid portion of clotted blood
Plasma=Fluid portion of unclotted blood which contains all of its clotting factors (fibrogen) |
Empathy is...? | the validation of a person's feelings |
What are QA indicators | Measurable facts |
What system filters, eliminate wastes, and regulates water balance? | Urinary system |
If a patient has fragile skin or excessive hair, where should the tourniquet be placed? | Over the clothing or a piece of Coflex/Coband |
When drawing on a burn victim...? | Look for a site that is the least damaged or scarred for the draw |
Even if you wear gloves, your hands should be washed when? | Before and after sppecimen collection, toilet use, every time they become soiled |
What happens if you squeeze too much during a finger stick/capillary puncture? | Errors in the results by diluting with tissue fluid |
If an I.V. is present you must draw blood where? | Below the I.V. |
What vein is the most likely to be used for an obese patient? | The Cephalic Vein |
If swelling occurs or a hematoma begins to form at the venipuncture site you must...? | Remove the tourniquet and needle and apply pressure |
The most prevalent work related acquired infection in the laboratory is...? | Hepatitis B |
Fibrin strands may be present in serum because...? | It was centrifuged before it fully clottede |