Phlebotomy 2

Question 1

Evacuated tube system (ETS)

Answer 1

allows for multiple tubes to be collected with one single venipuncture
any needle attached to a hub/tube

Question 2

standard/straight needle

Answer 2

preferred method of collection
21G x 1.25 needle (green)
22G x 1.25 needle (black)

Question 3

winged infusion set (butterfly)

Answer 3

attached to a hub/syringe used for small fragile veins and infants
23 or 25G

Question 4

tourniquet

Answer 4

place 3-4in above AC
do NOT leave on longer than 60 sec due to hemoconcetration

Question 5

antiseptics

Answer 5

70% isopropyl alcohol normally
iodine for ETOH or blood culture
use chlorhexidine if allergic to either alcohol or iodine

Question 6

what info should be on the tube?

Answer 6

full name
DOB
date
time
initials

Question 7

what type of consent for blood draw?

Answer 7

implied consent

Question 8

puncture angles

Answer 8

AC: 45 degrees
hand: 10-15 degrees

Question 9

how many times can you invert the tube?

Answer 9

majority: 5-10
light blue: 3-4 to not aggravate platelets
SHAKING CAN CAUSE HEMOLYSIS

Question 10

bandages

Answer 10

do not bandage infants or anyone with fragile skin

Question 11

sclerosed veins

Answer 11

hardened veins
must use butterfly needle

Question 12

thrombosed veins

Answer 12

clotted vein
must use butterfly needle

Question 13

edema

Answer 13

swelling caused by abnormal accumulation of fluid in tissues
CANNOT DRAW ON THE SIDE THAT HAS EDEMA

Question 14

hematoma

Answer 14

swelling or mass of blood caused by blood leakage from vessel during venipuncture

Question 15

what to do if you cause a hematoma

Answer 15

1. remove tourniquet
2. remove needle
3. apply direct pressure

Question 16

mastectomy

Answer 16

surgical breast removal

Question 17

single breast removal

Answer 17

draw blood on the opposite side of breast that was removed
you can use a tourniquet on the arm that you can draw from

Question 18

double breast removal

Answer 18

pick any arm but do NOT use a tourniquet

Question 19

intravenous (IV) sites

Answer 19

always collect distal (below) IV site
if you collect above, youll get erroneous results. blood will be diluted

Question 20

aspirin

Answer 20

apply direct pressure cuz they might bleed longer

Question 21

anticoagulant

Answer 21

warfarin
coumadin
heparin
also apply direct pressure since they might bleed longer

Question 22

latex allergy

Answer 22

check to see if the tourniquet is made of latex.
if it is, do not use

Question 23

iodine allergy

Answer 23

use chlorhexadine

Question 24

adhesive allergy

Answer 24

do not use

Question 25

syncope

Answer 25

fainting if you know they usually do, put them in a bed before draw while collected: remove needle, call for help, elevate feet get OJ for them to drink

Question 26

pain

Answer 26

radiating pain or numbness you are to close to a nerve stop drawing and take out needle "zaps, electricity, sharp"

Question 27

petechiae

Answer 27

tiny, non raised purple/red spots this is NORMAL

Question 28

latrogenic anemia

Answer 28

only in infants when to much blood is removed