CHOA Flashcards for Medical Procedures

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Questions and Answers

Send specimens to the laboratory via the pneumatic tube system with the exception of:

  • Pathology specimens (correct)
  • Deep wound culture (correct)
  • Blood bank bags/products (correct)
  • CSF (correct)
  • Blood gases (correct)

What are the 2 patient identifiers?

  • Patient's address
  • Patient's MRN (correct)
  • Patient's DOB
  • Patient's name (correct)

Drawing blood BELOW an IV: Turn off IV for at least ____ before collecting specimen.

2 minutes

Drawing blood ABOVE an IV: Turn off IV for at least ____ before collecting specimen.

<p>10 minutes</p> Signup and view all the answers

What is the order of blood draw (colors)?

<p>Red (A), Lavender (B), Blood cultures (pink, grey, purple) (C), Green (D), Pink (E), Blue (F), Yellow (G), Grey (H)</p> Signup and view all the answers

Where can specimen requirements for laboratory specimens be found?

<p>Careforce --&gt; Departments --&gt; Laboratory --&gt; Test Directory</p> Signup and view all the answers

What test can be falsely elevated if IV tubing is not adequately cleared before collecting the specimen?

<p>PTT</p> Signup and view all the answers

What is the correct order of draw?

<p>Blue, Red, Yellow, Green - CMP, Lavender, Pink, Grey - Lactic acid (on ice!)</p> Signup and view all the answers

What is the amount of blood to be inoculated in the PedsPlus aerobic culture bottle?

<p>Up to 5mL</p> Signup and view all the answers

What is the minimum age to stick a child's finger?

<p>1 year</p> Signup and view all the answers

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Study Notes

Laboratory Specimen Handling

  • Send specimens via pneumatic tube system, excluding CSF, deep wound cultures, blood bank bags/products, pathology specimens, and blood gases.
  • Specimen requirements can be found in Careforce under Departments > Laboratory > Test Directory.

Patient Identification

  • Use two patient identifiers: patient's name and Medical Record Number (MRN).

Blood Draw Protocol

  • For drawing blood below an IV, the IV must be turned off for at least 2 minutes before collecting the specimen.
  • For drawing blood above an IV, turn off the IV for at least 10 minutes prior to specimen collection.

Order of Blood Draw

  • Follow the correct order of draw to avoid contamination:
    • Blood cultures (pink, grey, purple)
    • Blue
    • Red
    • Yellow
    • Green
    • Lavender
    • Pink
    • Grey (for lactic acid, must be on ice)

Test Considerations

  • PTT (Partial Thromboplastin Time) can be falsely elevated if IV tubing is not adequately cleared before collecting the specimen.

Pediatric Considerations

  • The amount of blood to inoculate in the PedsPlus aerobic culture bottle is up to 5mL.
  • The minimum age for performing a fingerstick on a child is 1 year.

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