Phlebotomy Techniques Quiz
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Questions and Answers

What is the recommended way to position the patient's hand for venipuncture?

  • Facing sideways with fingers pointing towards the wrist.
  • Slightly downward with the top of the hand facing the phlebotomist. (correct)
  • Flat on the table with no movement.
  • With the palm facing upward and fingers extended.

Why should the phlebotomist avoid puncturing at the junction of a vein?

  • This area is prone to collapsing veins.
  • It may lead to inaccurate blood samples.
  • The junction may contain a valve that could be damaged. (correct)
  • There are fewer blood cells at this point, making it inefficient.

What step should be taken immediately after collecting specimens?

  • Mix the specimen by gentle inversion. (correct)
  • Label the specimen immediately.
  • Dispose of the needle in a regular trash bin.
  • Remove the tourniquet before removing the needle.

What is the purpose of applying a tourniquet during venipuncture?

<p>To engorge the vein with blood for easier access. (C)</p> Signup and view all the answers

Which angle should the needle be inserted for optimal venipuncture?

<p>15° to 25°. (A)</p> Signup and view all the answers

What action should the phlebotomist take after applying direct pressure to the puncture site?

<p>Check the puncture site about 2 minutes later to verify bleeding has stopped. (D)</p> Signup and view all the answers

What should be done if the patient is unable to state their name?

<p>Confirm the name with the patient's caregiver. (A)</p> Signup and view all the answers

What is advised to be used for cleansing the venipuncture site?

<p>An approved disinfectant. (C)</p> Signup and view all the answers

Which part of the patient's anatomy should not be used for venipuncture?

<p>Fingers. (C)</p> Signup and view all the answers

What should the phlebotomist do before starting the venipuncture procedure?

<p>Reassure the patient and explain the procedure. (B)</p> Signup and view all the answers

Flashcards

Positioning the hand for venipuncture

Place the patient's hand slightly downward, with the top of the hand toward the phlebotomist. Fingers of the patient's hand are wrapped around the phlebotomist's hand to anchor the vein.

Vein puncture avoidance

Do not puncture veins where they branch (junctions) or the underside of the wrist, fingers, or top of the wrist, to prevent striking nerves, tendons or arteries.

Patient identification method

Use at least two unique identifiers to confirm patient identity: first and last name and an additional identifier, e.g., date of birth, medical record number.

Patient arm position

Support the patient's arm on a firm surface; the arm should be held in a downward position before venipuncture.

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Tourniquet application

Apply the tourniquet 3-4 inches above the puncture site.

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Needle insertion angle

Insert the needle at a 15-25 degree angle, bevel up (needle side facing upwards).

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Specimen mixing

Gentle inversion (5-10 times) of the specimen tube to ensure proper mixing of the collected blood.

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Aseptic technique

Clean the puncture site with approved disinfectant, allowing it to air-dry to prevent specimen contamination and patient discomfort.

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Specimen labeling

Label specimens with all required information, e.g., patient name, date, time, and any special test details, confirming this against patient wristband.

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Direct pressure

Applying direct pressure to the venipuncture site to stop bleeding.

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