Clinical Blood Collection Procedures

Questions and Answers

If you squeeze the finger too hard it may dilute the blood with swab particles and ruin the test.

True

Define bilirubin.

Light Sensitive

__________ are federal regulations passed by Congress and administered by the Center for Medicaid Services (CMS).

Clinical Laboratory Improvement Amendments of 1988 (CLIA)

Clinical Laboratory Improvement Amendments (CLIA) are federal regulations passed by Congress and administered by __________.

The Center of Medicaid Services (CMS) Signup and view all the answers

What is defined as conduct, courtesy, and manners customary in the medical profession?

Medical Etiquette Signup and view all the answers

What is used to clean dried blood on countertops?

Spill Kits Signup and view all the answers

Define hemolysis.

the rupture or destruction of red blood cells. Signup and view all the answers

When do you close and lock a sharps container?

When it is 3/4 full. Signup and view all the answers

It is fine to reuse needles, gloves, or tubes.

False Signup and view all the answers

What indicates the gauge of a needle?

The color coding. Signup and view all the answers

What does OSHA stand for?

Occupational Safety and Health Administration Signup and view all the answers

What is Phlebotomy Competency?

Correct medical terminology, following safety protocols, and selecting proper site for specimen collection. Signup and view all the answers

A cholesterol test is collected in which tube?

Red top tube. Signup and view all the answers

What is needed to help find and stick the vein?

A Tourniquet Signup and view all the answers

Never process a tube of blood that's missing a _________.

Label Signup and view all the answers

Define characteristics of capillaries.

thin walls, forming microscopic pathways, and connecting arterioles with venules. Signup and view all the answers

____________ are the result of tourniquets left on the arm for over 1 minute.

hero-concentrations Signup and view all the answers

What is used to detect diabetes?

Glucose Tolerance Test Signup and view all the answers

You should ________ a needle when it is not properly anchored, patient moves unexpectedly, blood flow starts and then stops.

Redirect Signup and view all the answers

What are red blood cells called?

Erythrocytes Signup and view all the answers

Who governs safe working conditions for employees?

OSHA Signup and view all the answers

When performing a _______________________, you must wipe away the first drop of blood.

Skin Procedure Signup and view all the answers

What causes a rejection of a sample collected for potassium testing?

Hemolysis Signup and view all the answers

Prevent needle sticks by using ________________________ and following instructions on how to use them.

Safety needle devices Signup and view all the answers

When collecting a 5ml tube from an 18-month-old, use the _____________.

Dorsal Hand Signup and view all the answers

__________________ a site for increased blood flow of a micro-collection.

Pre-warm Signup and view all the answers

If you get stuck with a needle, _____________________.

Report it immediately. Signup and view all the answers

What is the CLSI standard for a heel puncture?

2.0mm Signup and view all the answers

What is used to disinfect blood on the outside of a test tube?

Disinfectant Signup and view all the answers

___________________________ includes a patient's address, name, and diagnosis.

Protected Health Information (PHI) Signup and view all the answers

Contamination of a blood culture is preventing a sterilized site prior to a ______________.

Venipuncture Signup and view all the answers

Forcing venipuncture on a patient who has refused is called ____________.

Battery Signup and view all the answers

Part of a patient's rights are complete __________________________________.

Care and Respect Signup and view all the answers

When you shake the blood tube, you can cause ________________.

Hemolysis Signup and view all the answers

Clean the center of the site with a circular motion from the _________________.

Periphery Signup and view all the answers

____________ is the federal law that protects the confidentiality of a patient's health information electronically.

HIPAA Signup and view all the answers

What tests are affected if a patient does not fast?

Glucose and Triglycerides Signup and view all the answers

Study Notes

General Information

Squeezing a finger too hard can dilute blood samples with swab particles, compromising test results.
Bilirubin is light-sensitive, requiring special handling during tests.

Regulations and Compliance

Clinical Laboratory Improvement Amendments (CLIA) are federal regulations, administered by the Centers for Medicare & Medicaid Services (CMS).
OSHA stands for the Occupational Safety and Health Administration, which governs safe working conditions for employees.

Blood Collection Procedures

Medical etiquette involves conduct and manners customary in the medical profession.
Spill kits are essential for cleaning dried blood from countertops.
Hemolysis is the rupture or destruction of red blood cells, affecting test results negatively.
Sharps containers should be closed and locked when they are 3/4 full to prevent accidents.
Reusing needles, gloves, or tubes is prohibited for safety reasons.

Equipment and Techniques

Needles use color coding to indicate gauge sizes.
A tourniquet is necessary to help locate and access veins for blood collection.
Blood collection tubes must be appropriately labeled; a missing label results in sample rejection.
Capillaries have thin walls and connect arterioles with venules, forming microscopic pathways.
Pre-warming the collection site can increase blood flow for micro-collection.

Testing Guidelines

Cholesterol tests require a red top tube for blood collection.
The Glucose Tolerance Test is conducted to detect diabetes.
The CLSI standard for heel punctures is 2.0mm to ensure safe collection in infants.

Patient Safety and Rights

Reporting needle stick injuries immediately is crucial for safety.
A blood culture sample is contaminated if the site is repalpated before venipuncture.
Forcing venipuncture on a patient who has refused is classified as battery.
Patients are entitled to complete care and respect as part of their rights.

Common Pitfalls

Hemolysis can result from shaking blood tubes excessively or using improper techniques.
Not fasting before tests can affect results, especially for glucose and triglyceride levels.
Disinfect blood on the outside of a test tube using a disinfectant to minimize contamination risks.

Confidentiality and Privacy

Protected Health Information (PHI) includes a patient's name, address, and diagnosis.
HIPAA is the federal law that ensures the confidentiality of a patient's health information electronically.

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Description

This quiz covers essential procedures and regulations for blood collection in clinical laboratories. Key topics include medical etiquette, handling of samples, and safety measures required to maintain compliance with federal regulations. Test your knowledge on best practices to ensure accurate results and workplace safety.