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38 Cards in this Set
- Front
- Back
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The process of collecting or drawing blood from a vein & most common way to collect blood specimen for lab tests.
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Venipuncture
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Number one thing to do when doing a venipuncture.
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Review and access test requests.
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If patient is unsure of being seated when doing a venipuncture, where can you take them to draw blood?
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Exam room (table)
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Preferred site in a lab for a venipuncture.
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Anticubital area.
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The protruding end of the needle that attaches to the blood collection device.
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Hub
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The slanted end of the needle that pierces the vein.
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Bevel
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The opening of the needle.
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Lumen
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The long cylindrical portion of the needle.
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Shaft
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A device used prior to venipuncture to restrict blood flow.
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Tourniquet
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What is not recommended for phlebotomists with sensitive hands?
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Powdered gloves
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What should NOT be used on babies younger than 2 years because of the danger of aspiration and suffocation?
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Adhesive bandages
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What is NOT adequate for all hand washing, according to the CDC?
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Hand Sanitizers
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After removal of gloves, what is essential?
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Decontamination of hands
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What is NOT recommended to hold pressure on skin?
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Cotton balls
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What can change blood components if the tourniquet is left in place for more than 1 minute?
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Restriction of blood
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Where are the veins more accessible for infants and toddlers?
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Antecubital fossa and forearm
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What can you get when a large quantity of blood is removed at once or even small quantities on a regular basis?
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Anemia
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What is the percentage of blood volume removal in an infant which can lead to shock and cardiac arrest?
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10
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What can reduce a child's anxiety and have a positive effect on their behavior?
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Parents presence and involvment
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What should you never tell a child?
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The needle puncture will not hurt
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What can happen if a child is stressed from crying?
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Can alter blood components and lead to erroneous test results.
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What should you never assume in an elderly person?
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That they are hard of hearing and not of sound mind
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What should you never do to a patients arm or open hand, which can cause pain and injury?
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Use force to extend
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When drawing blood from a patient in a wheelchair, what can you put under their arm for support?
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Pillow or special padded board
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Meaning for Geriatric?
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Old age
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What does NPO mean?
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Nothing by mouth
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The requisition form requires the physician's name, patients first and last name as well as what?
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Type of test to be performed
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If a clergy is with your patient when you arrive to collect a routine specimen, what should you do?
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Come back after he has left
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What should you do if a patient refuses to have blood drawn?
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Notify the patient's nurse or physician
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What should you do if an inpatient is eating breakfast when you arrive to collect a fasting glucose?
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Consult with the patient's nurse to see if the specimen should be collected
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What is the best thing to do if an inpatient is not wearing an ID band for blood collection?
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Ask the patient's nurse to put an ID band on before you draw the specimen
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What should you do after cleaning the venipuncture site with alcohol?
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Allow the alcohol to dry completely
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The tourniquet should be released as soon as blood flow is established, before needle removal from the arm and what other time?
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Within 1 minute of its application
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What is sometimes used for veins that collapse easily?
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Syringe
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When are blood collection tubes labeled?
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After specimen collection
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What is the best approach to use on an 8 year old child who needs to have blood drawn?
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Explain the draw in simple terms and ask for the child's cooperation
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Which type of patient is most likely to have an AV fistula or graft?
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Dialysis
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Which of the following is proper procedure when dealing with an elderly patient?
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Make certain to hold adequate pressure after the draw until bleeding stops
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