Questions and Answers
The process of recording in the order received is known as _____
Accession
What is the most important step in the venipuncture procedure?
Patient identification
When does the process of blood collection legally begin?
With the test request
What does DAT stand for?
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What does ISO stand for?
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What were the terms changed to by the CLSI to align with ISO standards?
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What is the form on which tests orders are entered?
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What are the two types of requisitions?
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What must a phlebotomist write on a computer generated label?
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What are the four steps to requisition review?
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What does 'Stat' mean in the medical context?
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What do you mean by 'ASAP' in terms of medical testing?
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What does 'NPO' status indicate?
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How should you identify yourself to a patient?
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What does a sign with a leaf and a teardrop indicate?
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What does a sign with fall-colored leaves indicate?
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Match the following statuses with their definitions:
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Study Notes
Venipuncture Procedure
- Venipuncture involves 20 steps, including patient preparation, site selection, blood collection, and specimen handling.
- Key steps: patient identification, sanitization, and proper labeling of tubes.
Importance of Patient Identification
- The most critical step in venipuncture is confirming patient identity to ensure specimen safety and accuracy.
Legal Aspects of Blood Collection
- Blood collection legally begins with the submission of a test request.
Direct Access Testing (DAT)
- Patients in some states can order their own blood tests directly without a physician's order.
International Standards Organization (ISO)
- ISO establishes global standards for terminology and practices in laboratory testing.
CLSI Terminology Updates
- According to CLSI, the terms changed to align with ISO standards are:
- Pre-analytical → Pre-examination
- Analytical → Examination
- Post-analytical → Post-examination
Requisition Forms
- Test orders are documented on requisition forms which may be manual or computer-generated.
Phlebotomist Responsibilities
- Phlebotomists must record the time of collection and their initials on computer-generated labels.
Requisition Review Process
- Review involves ensuring completeness, verifying test details, checking diet restrictions, and determining test urgency and priority.
Accession Process
- Accessioning involves recording specimens in the order received, linking them to corresponding paperwork, and assigning unique identifying numbers.
Test Priority Levels
- Various urgency levels for tests:
- Stat: immediate attention due to critical patient status.
- ASAP: soon but not critical.
- Timed: specific timing for accuracy.
- Fasting: requires patient to abstain from food/drink for 8-12 hours.
- NPO: nothing by mouth, especially before surgeries.
- Preop and Postop: assessments before and after surgical procedures.
- Routine: non-urgent tests performed during regular schedules.
Patient Identification Protocols
- Introduce yourself with name, title, and purpose.
- Use three-way ID to confirm identity: verbal statement, ID band check, visual specimen comparison.
- For unconscious patients, identify through family or staff, provide clear communication, and assist with the collection.
Blood Transfusion Identification
- American Association of Blood Banks (AABB) has specific procedures for emergency room identification and managing unidentified patients.
- Typenex Blood Recipient ID band helps connect patients to their blood specimens and transfusions.
Special Considerations for Neonates and Infants
- Identification bands may be placed on limbs if necessary for neonates and infants to ensure accurate identification during procedures.
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Description
Test your knowledge on the 20 essential steps of venipuncture. This quiz will help reinforce proper procedures for patient identification, preparation, and execution. Perfect for healthcare students and professionals looking to enhance their skills.
