week 1 lecture notes

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week 1 lecture notes
2011-08-23 22:11:42
tanya lecture

Lbcc phlebotomy
Show Answers:

  1. What's the role of a phlebotomist
    venipuncture. The process of drawing blood is the most common job.
  2. what are all the departments you would find in a laboratory?
    • microbiology
    • coagulation
    • immunohematology
    • specimen processing
    • wave testing
    • urinalysis
    • toxicologycytology
    • special chemistry
    • phlebotomy
    • hematology
    • chemistry
  3. A pathologist is a
    medical doctor
  4. a medical technician has a
    bachelors degree in medical science 4 years of school
  5. a medical or clinical lab technician
    has 2 years of school, an associates position
  6. a lab assistant has
  7. a phlebotomist has
  8. a registar is a
  9. infection control in a lab
    washing hands/ removing jewelry
  10. Isolation procedures
    *gown, gloves
  11. strict or complete isolation
    gown gloves mask
  12. Respiratory or Droplet
    (relevant disease/condition, PPE)
  13. contact isolation
    gown gloves mask
  14. Protective isolation or reverse isolation
    mask, gloves, gown
  15. wound or skin isolation
    gown gloves
  16. OSHA stands for:
    date established
    role in medical field
    • Occupational safety and health administration
    • 1970
    • charged with the safety of workers
    • inspect and fine violators
    • gave us blood born pathogen standards.
  17. CDC stands for:
    date established
    role in medical field
    • Centers for disease control
    • 1964 (atlanta, GA)
    • issued "Universal Precautions"
    • promote hand washing
    • use PPE
    • -Everyone in health treats all blood body fluids as infectious.
  18. PPE
    Personal protective equipment
  19. HIV stands for
    • human immunodeficiency virus
    • causes immune failure
  20. Hep B
    • Liver affected.
    • fatigue, jaudice
  21. Hep C
    • Liver affected. fatigue, jaundice
    • -most commonly acquired in healthcare.
    • -can lay dormant
  22. OPIM stands for
    Other potentially infectious materials
  23. All of the following are _____
    -no eating or drinking
    -food isn't to be stored in a technical fridge
    -application of cosmetics is forbidden.
    -lab coat should be worn in the lab and stays in the lab-shoes should cover entire foot, and fitted w/non
    -slip soles.
    -hair longer than shoulder length should be pulled back.
    -wash hands often
    lab rules
  24. when should you wash your hands
    • before leaving the lab
    • handling specimens
    • after handling reagents or chemicals
    • before eating
    • after smoking
  25. -mouth pipetting is prohibited-keep all exits and isles clear
    -keep a clean neat work area-keep approved disinfectant in every area where specimens are handled.
    -clean all counters in specimen area daily.
    -don't use chipped or broken glassware.-don't operate centrifuge improperly (always follow instructions for safe use)
    - all accidents or hazards should be reported to the supervisor immediately.
    general safety guidelines
  26. during fire safety remember...
    • RACE: rescue, alarm, contain, extinguish
    • & PASS: Pull, allarm, squeeze, sweep
  27. fire prevention steps
    • keep flammables from ignition sources
    • no smoking in the work area
  28. Fire types
  29. -never touch an electrical device while touching water, or other conductive metal with other body part-never remove the panel from any instrument
    - periodically check equipment or loose wire and frayed cord.-minimize the use of extension cords
    -all instruments should be grounded.-always use the plug to unplug device (not the cord)
    - cover any trailing cords in walkway
    -turn off the device before unplugging it
    electrical safety
  30. what does MSDS stand for?
    Meterial Safety & Data Sheet.
  31. Disposal of the entire chemical label includes:
    • concentration
    • content
    • date prepared
    • date placed into use
    • date of expiration
    • storage requirements
  32. how do you handle spills in this class?
    • -inform the instructor or assistant immediately
    • -wash area w/water using eye wash or chemical shower
    • -any contaminated clothing should be removed ASAP
    • -Absorbent materials should be used during clean up procedures. Follow instructors instructions for assisting w/clean up.
  33. list basic lab equipment
    • 1 lab coat
    • 2 gloves
    • 3 tourniquet
    • 4 disinfectants
    • 5 bandages
    • 6 sharps
    • 7 needles
    • 8 tubes
  34. lab coats have
    • button-up from neck to hem
    • knitted cuffs
    • fluid resistant
    • OSHA regulation (cleaned off site or disposable
  35. glove types
    • powdered
    • nonpowdered
    • plastic
    • vinyl
    • nitril
  36. tourniquet materials
    • latex
    • onlatex
  37. disinfectants
    • 70% isopropyl alcohol
    • 0.5% chlorhexidine gluconate
    • povidone iodine
    • benzalkonium chloride
  38. bandages
    • 2X2 cotton gauze
    • cotton balls
    • tape
    • coban -sticks to itself
    • bandaid (choking hazard for children).
  39. Sharps disposal
    • -all "frossly bloody" materials goes in biohazard containers
    • -anything sharp goes in hard side sharps containers
  40. needles types
    • single use, and milti-sample
    • both are color coded & many manufactures.
    • single use are syringe needles.
    • multi-sample are ETS (evacuated Tube System)
  41. Tubes
    • vacuum sealed
    • blood flow is automatic
    • stop filling when full
    • glass is a natural clot activator
    • glass is also a sharp
  42. Order of draw
    • 1 light blue
    • 2 red series (gold/yellow)
    • 3 green series
    • 4 lavender
    • 5 grey
  43. needle color for standard size gage
    • Green: 21
    • black: 22 gage
    • Blue:23 gage
  44. How do you label a blood draw tube?
    • 1 patient's full name
    • 2 patients DOB
    • 3 patients MRN (medical records number)
    • 4 date of draw
    • 5 time of draw
    • 6 phlebotomist's initials
  45. greeting the patient
    • NEVER ask "how are you"
    • -identify yourself (my name is ___ I'm from the lab)
    • -explain what you are about to do (I'm here to take your blood"
    • -wait for implied consent (give you their arm or ask for it)
  46. positively identify the patient
    • two identifiers
    • 1)name and DOB
    • 2) ID band for inpatient
  47. where should you apply the tourniquet?
    3-4 inches above anecubital (AC) area
  48. selecting the vein
    • -palpate both AC (anecubital) areas before deciding
    • -1st choose median cubital
    • -2nd choose the cephalic
    • -3rd choose the basillic
  49. *landmark site selected
  50. why do you release the tourniquet?
    reduction in hemoconcentration
  51. how to you cleanse the cite
    • 70% isopropyl alcohol
    • concentric circles out from center area
    • allow to fully dry before proceeding
    • use fancy phlebotomy trick (gauze fold) r
  52. assemble and inspect all supplies and equipment before draw
    • -needle attached to hub
    • -gauze & tube on non-dominant side close to draw area

    *Apply gloves (latex or non latex)
  53. why do we re-apply the tourniquet before the draw?
    • vasodialation occurs
    • aids in ability to feel vain.
    • Can't palpate w/out tourniquet
  54. What are the MSDS guidelines?
    • 1 disposal of entire chemicals
    • 2 disposed into labeled waste containers
    • 3 handled by instructors or assistant
    • 4 only certain chemicals can go down the sink
    • 5 if you don't know ask
    • 6 all reagents must be properly labeled.
  55. RACE:
    • Rescue individuals from danger,
    • alarm the fire alarm,
    • confine the fire by closing all doors and windows, extinguish the fire w/extinguisher
  56. PASS:
    • Pull pin,
    • Aim nozzel,
    • Squeeze trigger,
    • Sweep nozzel

    p 92
  57. paper wood fires are put out w/
    water, dry powder, dry chemicals
  58. put out a liquid, chemical fire with
    CO2, dry powder, foam, dry chemicals
  59. put out electrical fires w
    CO2, dry chemicals
  60. put out combustibles w/
    dry powder