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38 Cards in this Set

  • Front
  • Back
What can damage a vein?
Too many punctures (it causes sclerosis- hardening)
Where do we draw from a damaged vein?
If we use it we draw below
What happens when you draw blood from a hematoma?
You get a hemolized specimen
What causes the serum to be red?
Hemolized blood
What happens when you draw from an arm that had a mastectomy?
Fluid Embalance- Infection because the lymph nodes are removed
What is the best vein to draw from on an obese patient?
Cephalic Vein
What should we use if someone has an adhesive allergy?
Coban
What is Petechiae?
Red dots-from tying the tourniquet too tight. Capillaries broke
What does arterial blood look like?
It is cherry red
Why do we want to avoid hitting an artery?
The thick walls cause it to close slower and bleeding is strong and it can cause massive damage
What is Latrogenic Anemia?
This is an anemia that occurs when a patient has a lot of blood drawn, over and over. (most common in Children, elderly or small petite person
What is a VAD?
This is the category of Vascular Access Devices
What is a CVC?
A Catheter surgically inserted proximal to the right atrium.
What is the blue port on a Hickman CVC for?
meds
What is the Red Port on A Hickman CVC for?
draw blood
What is the White port use for on a Hickman access Device?
iv fluid
When can we make an exception to labeling the blood that we did not draw?
When we are assisting the nurse with a blood draw? We go through the name and date of Birth verification, we observe the nurse drawing the blood (we put their initials and our initials)
What is the percentage of lab errors caused by the Pre-Analytical Errors?
46-68%
What phase are phlebotomists responsible for during the entire process?
Pre-Analytical Phase
What is Hemoconcentration?
Less Fluid more formed elements
What causes Hemoconcentration?
tourniquet on too long and dehydration
What is Hemolysis?
The destruction or breakdown of the cells and causes the color of the serum to be pink
What causes a hemolized specimen?
Draw from Hemotoma
Large Vein- Small Needle
Pulling the plunger too fast
Dont invert the tubes too rough
What are the Test Collection Priorities?
STAT
Timed Collect (TC)
ASAP
Routine
Fasting
Why must certain specimens be protected from the light?
The light breaks down the analyte.
Why must certain specimens be put on ice water?
The ice slows down the metabolic processes
Why do require a specimen to be kept warm?
It it needed to mantain Body temp to prevent precipitation or agglutination of the specimen
What is Body Temp?
37 degrees cel.
What is Room Temp?
15-30 degrees cel.
What is refrigeration temp?
2-10 degrees cel.
What is the temp for a frozen Sample?
-20 degrees Cel.
What is the percentage of lab errors caused by the Pre-Analytical Errors?
46-68%
What phase are phlebotomists responsible for during the entire process?
Pre-Analytical Phase
What is Hemoconcentration?
Less Fluid more formed elements
What causes Hemoconcentration?
tourniquet on too long and dehydration
What is Hemolysis?
The destruction or breakdown of the cells and causes the color of the serum to be pink
What causes a hemolized specimen?
Draw from Hemotoma
Large Vein- Small Needle
Pulling the plunger too fast
Dont invert the tubes too rough
What are the Test Collection Priorities?
STAT
Timed Collect (TC)
ASAP
Routine
Fasting