Questions and Answers
What should a phlebotomist do before performing a venipuncture on a patient with severe Downs' Syndrome?
Speak with the patient's guardian before performing the venipuncture to ensure the explanation is understood.
What is the first step for a phlebotomist during a finger stick?
Confirm the correct identity of the patient.
What should a phlebotomist do if they observe red spots while drawing blood?
Apply pressure after collecting the specimen.
What is appropriate to use for a chemistry test that requires serum?
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What should a phlebotomist advise a patient who needs to submit a semen sample?
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Which test result is affected by the use of povidone iodine as a cleanser?
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What materials should the phlebotomist bring for blood cultures?
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Which lab results have priority when distributing to physicians?
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What action can cause a hemolyzed specimen?
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How should routine lab results be reported?
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What should a phlebotomist do after donning gloves if a patient reveals they are HIV positive?
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What is an appropriate cleanser for a clean-catch urine collection?
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Which anticoagulant is used to collect a PT/PTT test?
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When should glucose cuvettes or strips' code be compared to the glucose meter?
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What should be drawn first when collecting an infant screening card, O2 levels, bilirubin, and DNA?
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What is the correct procedure after performing a heel puncture for neonatal screening?
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What indicates the correct order of draw?
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Why is the order of draw for capillary collections different from venipuncture?
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What should a phlebotomist assemble for a hand draw?
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What is the most appropriate action when a patient comes in to find out their test results?
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What should a phlebotomist do if a patient reports a sharp pain during venipuncture?
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A blood specimen was rejected by the laboratory with the abbreviation ______.
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Study Notes
Phlebotomy Procedures and Patient Care
- Communicate with the guardian of patients with severe conditions, like Downs' Syndrome, to ensure understanding before venipuncture.
- Confirm patient identity prior to performing a finger stick to ensure accurate test results.
- When observing red spots (petechiae) during blood draw, apply pressure post-collection to mitigate bleeding risk associated with reduced platelet function.
Specimen Collection Guidelines
- Use a serum separator tube (SST) for chemistry tests requiring serum.
- Semen samples for fertility analyses must be kept next to the body for temperature maintenance and delivered within 2 hours.
- Povidone iodine can affect potassium test results if used to cleanse the site before dermal puncture.
- For blood cultures, bring both aerobic and anaerobic bottles to ensure comprehensive microbial assessment.
Laboratory Result Reporting and Prioritization
- Pre-surgical test results take precedence when distributing laboratory results to physicians, as they may influence surgical decisions.
- Routine lab results should be sent to physicians in marked envelopes for organized communication.
Handling Special Situations
- When a patient discloses HIV status before venipuncture, proceed with the draw as normal while adhering to OSHA regulations.
- Use benzalkonium chloride as an appropriate cleanser for clean-catch urine collection.
Test and Collection Procedures
- For PT/PTT tests, utilize tubes containing sodium citrate as the anticoagulant.
- Always compare the code on glucose cuvettes or strips with the glucose meter code at the time of patient testing.
- Prioritize drawing O2 levels first for infants to ensure accuracy before distress from additional draws.
Blood Collection Techniques
- Saturate collection circles fully after heel puncture for neonatal screening to ensure proper sample size.
- Memorize the correct order of draw: green, lavender, gray.
- Understand that capillary collection order differs from venipuncture due to increased coagulation rates.
Tools and Equipment
- Assemble winged infusion sets and adapters when preparing for hand draws to facilitate easier blood collection.
Patient Interactions
- Advise patients to contact their physician for test results instead of providing direct information during their visit.
- In cases of reported sharp pain during venipuncture, immediately release the tourniquet and withdrawal the needle for patient safety.
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Description
This quiz covers key phlebotomy procedures essential for patient care, including communication techniques for working with patients and specimen collection guidelines. It aims to enhance understanding of blood draw protocols, patient identification, and result reporting priorities. Ideal for those in healthcare fields concerned with laboratory and patient interactions.
