phlebotomy exam 2
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What should information be compared with?
What is first and most important task in phlebotomy?
IDENTIFY THE PATIENT
At what angel should the needle be inserted?
Patient ID, never label tubes before drawing, and bleeding attended to
What do you do if the patient ID number doesn't match the requistion form?
Contact the nurse
What is the best way to find out if the patient is fasting?
Ask the patient
What do you do if the patient refuses?
Explain the procedure and ask for concent.
What is the definition of hemoconcentration.
An increase in the ratio of formed elements to plasma, usually caused by leaving the tourniquet on too long
What is the definition of petechiae?
Small red spots appearing on the skin that are caused by a tourniquet that is too tight
What is the definition of hemolysis?
The destruction of red blood cells
How does hemoconcentration occur?
It can occur is the tourniquet is left on too long
What does it mean if the patient complains of tingling and pain in the hands and fingers?
The tourniquet has been left on too long
Which is the 2nd vein of choice?
The cephalic vein
Which vein lies on top of the brachial artery?
The bacillic vein
How does a vein feel?
Spongy and firm
How long should the alcohol be in contact with the skin in order for maximum effectiveness?
Wait 30-60 seconds
What is the correct way to insert the needle?
Bevel up: Quick and smooth
What can result if the needle is taken out before the tourniquet is taken off?
When should the tourniquet be taken off?
After the first tube
A reddened, swollen area in which blood collects under the skin
What do you to stop bleeding?
When do you label the tube?
At the patient's bedside, AFTER drawing blood
What do you do after you remove your gloves?
WASH YOUR HANDS
What do you do to ensure patency?
Pull plunger back on the syringe
What do you look for when using a syringe?
How do you transfer specimen from a syringe?
Remove needle and attatch needleless transfer device
phlebotomy exam 2