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General Phlebotomy Practices Quiz
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General Phlebotomy Practices Quiz

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@RazorSharpDaisy

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Questions and Answers

When should an additive tube be mixed?

as soon as it is removed from the holder

What should the phlebotomist do if the patient is just finishing a big breakfast while requiring a fasting specimen?

check with the patient's nurse to see if the specimen should still be collected

If an elderly patient is hard of hearing, how should the phlebotomist proceed?

speak distinctly in a normal tone of voice

What should a phlebotomist do if the patient's door is closed?

<p>knock softly, open it slowly, and ask permission to enter</p> Signup and view all the answers

What may happen if you mix a specimen too vigorously?

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

What can result in specimen hemolysis?

<p>using a large-volume tube with a 23-gauge needle</p> Signup and view all the answers

Which test should the phlebotomist collect first among several ordered tests?

<p>STAT electrolytes in the ER</p> Signup and view all the answers

If a venipuncture site is still bleeding after 5 minutes, what should the phlebotomist do?

<p>alert the patient's nurse or other healthcare provider</p> Signup and view all the answers

What should the phlebotomist do if an unconscious patient does not have an ID band?

<p>only draw the specimen after the ID band has been applied</p> Signup and view all the answers

When does the first step in the testing process begin?

<p>when the test is ordered by the healthcare provider</p> Signup and view all the answers

What does NPO mean?

<p>nothing by mouth</p> Signup and view all the answers

What should the phlebotomist do if the patient is sound asleep during the blood draw?

<p>wake the patient gently to avoid a startle reaction</p> Signup and view all the answers

A specimen that must be drawn immediately is called a _____

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

What should the phlebotomist do after two unsuccessful attempts to collect a fasting specimen from an outpatient?

<p>ask another phlebotomist to collect the specimen</p> Signup and view all the answers

What could be bad for the specimen during vein selection?

<p>allowing the patient to pump her fist</p> Signup and view all the answers

A tourniquet used for venipuncture procedures should be:

<p>All of the options are correct</p> Signup and view all the answers

When should blood collection tubes be labeled?

<p>immediately after specimen collection</p> Signup and view all the answers

Which communication strategy demonstrates poor technique before obtaining a blood specimen from a child?

<p>telling the child it won't hurt</p> Signup and view all the answers

What is the recommended angle of needle insertion for an antecubital vein and a hand vein, respectively?

<p>30 degrees or less, 10 degrees or less</p> Signup and view all the answers

How long should a tourniquet never be left on before collection?

<p>1 minute prior to collection</p> Signup and view all the answers

How can you tell that you are in a vein when using a needle and a syringe?

<p>you will normally see blood appear in the hub of the needle</p> Signup and view all the answers

What is the job of a student phlebotomist?

<p>letting the patient know that you are a student phlebotomist</p> Signup and view all the answers

What is the most critical error a phlebotomist can make?

<p>misidentifying a patient specimen</p> Signup and view all the answers

What should a phlebotomist do if startled while performing a venipuncture?

<p>replace the needle, clean the site, warn the patient, and finish the draw</p> Signup and view all the answers

How can you confirm a patient's identity for a specimen collection?

<p>match the ID band and requisition with the patient's verbal statement of ID</p> Signup and view all the answers

Study Notes

General Phlebotomy Practices

  • Additive tubes must be mixed immediately after removal from the holder to ensure proper blood sample integrity.
  • In case of uncertain fasting status due to a recent meal, confirm with the patient's nurse before collecting specimens.
  • For patients with hearing difficulties, use a normal tone but speak distinctly for clear communication.

Patient Interaction and Safety

  • Always knock softly and request permission before entering a patient's room to respect privacy.
  • Excessive mixing of specimens can lead to hemolysis, damaging blood cells and affecting test results.
  • A large-volume tube combined with a 23-gauge needle can also result in specimen hemolysis.

Priority in Sample Collection

  • STAT electrolytes should be collected first during emergencies like those in the ER, as they are urgent tests requiring immediate attention.
  • If bleeding persists beyond 5 minutes after a venipuncture, notify the patient's nurse or healthcare provider for further evaluation.

Identification and Specimen Integrity

  • Draw specimens only after confirming patient identification; ID bands are crucial for safe and accurate testing.
  • The testing process initiates when a healthcare provider orders the test, signifying the start of sample collection protocols.

Communication and Patient Comfort

  • NPO (nil per os) indicates that the patient should consume nothing by mouth before a procedure.
  • Gently waking a sleeping patient before a blood draw minimizes the risk of startling them.

Types of Specimens and Collection Techniques

  • Urgent specimens drawn immediately are classified as "stat".
  • After two unsuccessful attempts at collecting a specimen, consult another phlebotomist for assistance.
  • Avoid having patients pump their fists during vein selection, as this can negatively impact specimen quality.

Technical Procedures

  • A tourniquet must be snug but comfortable, applied 3 to 4 inches above the venipuncture site to facilitate blood flow without compromising arterial circulation.
  • Blood collection tubes should be labeled right after specimen collection to ensure accuracy.
  • Informing a child that a procedure will not hurt may be misleading; instead, use more honest communication strategies.

Needle Insertion Techniques

  • Recommended needle angles: 30 degrees or less for antecubital veins and 10 degrees or less for hand veins.
  • Do not leave a tourniquet on for more than 1 minute before specimen collection to prevent complications.

Recognizing Vein Entry and Professionalism

  • Blood entering the hub of the needle indicates successful entry into a vein.
  • Student phlebotomists must clearly inform patients of their status as learners to maintain transparency.
  • The most critical phlebotomy error is misidentifying a patient specimen, which can lead to serious consequences.

Responding to Patient Movement

  • If a patient moves during venipuncture, apologize, and carefully reinsert the needle, clean the site, and proceed with the collection.
  • Confirm patient identification by cross-referencing the ID band, requisition details, and the patient’s verbal confirmation to ensure accurate testing.

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Description

Test your knowledge on essential phlebotomy practices and patient interaction protocols. This quiz covers proper techniques for specimen collection, patient safety measures, and handling emergency situations. Ensure your understanding of these critical practices to maintain sample integrity and patient care.

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