Phlebotomy Skills Quiz

What is the maximum time allowed for the Routine ETS Venipuncture skill in Round 2?

10 minutes

What type of gloves were deleted from the items competitors must provide?

Sterile gloves

What is the first skill performed in Round Two?

Handwashing

What is the time limit for the skill of applying a tourniquet?

2 minutes

What is the last-choice vein for venipuncture due to proximity to the median nerve?

Median Basilic Vein

Which tube should be inverted gently six to eight times after blood draw?

Lavender top

Which white blood cells release histamine and heparin?

Basophils

What is the time limit for the skill of removing contaminated gloves?

3 minutes

What is the time limit for the skill of an accidental arterial stick?

5 minutes

What is the time limit for a 24-hour urine collection skill?

5 minutes

What is the first step in handwashing for phlebotomy?

Remove all jewelry.

How should clothing be handled during handwashing?

Clothing should never touch the sink.

What is the recommended water temperature for handwashing?

Warm.

How should hands be positioned when wetting them?

Fingertips pointing down.

What technique is used to create lather during handwashing?

Work up lather using a circular motion with friction.

How should fingers be cleaned during handwashing?

Interlace fingers to clean between them and rub vigorously.

What is the method for cleaning under the nails during handwashing?

Scratch the nails of one hand against the palm of the other hand.

What is the minimum washing time at the start of the workday?

2 minutes.

How should hands be rinsed after washing?

With hands pointed down and lower than elbows.

What is the proper method for drying hands?

Use a patting motion with a clean paper towel.

What should be done with the paper towel after drying hands?

Discard it without touching the receptacle.

What is the purpose of a tourniquet in venipuncture?

To restrict blood flow and make veins more visible.

How far above the venipuncture site should the tourniquet be placed?

3-4 inches.

What should be done to maintain tension on the tourniquet?

Grasp one side of the tourniquet in each hand and apply tension.

What is the maximum time a tourniquet should remain on the arm?

No longer than one minute.

What is the first step in the routine ETS venipuncture process?

Review the test request/requisition.

What should the phlebotomist do after greeting the patient?

Identify themselves.

How should the patient's identity be verified?

Ask the patient to state their full name and date of birth.

What is the purpose of cleaning the puncture site?

To reduce the risk of infection.

What angle should the needle be inserted during venipuncture?

At a 15-30 degree angle.

What should be done after selecting the vein?

Release the tourniquet.

What should be done before inserting the needle?

Warn the patient of the needlestick.

What is the correct position for the needle during insertion?

The bevel should be up.

How should the skin be prepared before venipuncture?

Cleaned using back and forth friction with adequate pressure.

What should be done after drawing blood?

Remove the tourniquet and apply pressure to the site.

What is the importance of allowing the puncture site to air dry?

To ensure the antiseptic is effective.

What should be done with the needle after use?

Dispose of it in a sharps container.

What is the significance of verifying collection requirements?

To ensure the correct tests are performed and avoid errors.

What should be done if the puncture site is soiled?

Wash hands for 1 to 2 minutes.

What should a phlebotomist do when they feel a decrease in resistance during venipuncture?

Stop advancing the needle and ask the patient to release their fist.

How should the tube holder be grasped during blood collection?

With the index and middle fingers.

What action is taken to push the tube into the multi-draw needle?

Use the thumb to push the tube into the needle.

What should be done to prevent the device from moving during venipuncture?

Maintain a steady grip on the device throughout the procedure.

What indicates that blood flow has been established during a blood draw?

The tube fills until the vacuum is exhausted and blood flow stops.

What is the correct order for filling blood collection tubes?

1. Light blue 2. Red

When should the tourniquet be removed during a blood draw?

When the last tube starts to fill.

What should be done after removing the needle from the patient?

Remove the needle in a smooth motion and activate the needle safety feature.

What is the procedure for applying pressure after a blood draw?

Place a clean folded gauze pad over the site and apply pressure.

What should the patient be instructed to do after a venipuncture?

Maintain pressure on the venipuncture site until bleeding stops.

What should be checked after the blood draw is completed?

Check the patient's arm for no additional bleeding and apply a bandage.

How should used blood collection units be disposed of?

Discard in a biohazard sharps container.

What should be done with the gloves after completing the procedure?

Remove and dispose of gloves

What is the importance of verbal and nonverbal communication during phlebotomy?

To ensure clear understanding and comfort for the patient and other personnel.

What precautions should be practiced throughout the phlebotomy skill?

Standard precautions.

What is the first step in the venipuncture procedure?

Review the test request/requisition.

What should be done to identify the patient before the procedure?

Ask the patient to state their full name and date of birth

What should be done to sanitize hands before the procedure?

Wash hands thoroughly and put on gloves.

What is the purpose of applying a tourniquet during venipuncture?

To engorge the veins for easier access.

How should the selected puncture site be cleaned?

Using back and forth friction with adequate pressure.

What should be done after cleaning the puncture site?

Allow the site to air dry.

What should be checked before inserting the needle?

Verify that the needle is uncapped and inspected for any defects.

What is the correct angle for inserting the needle?

The needle should be inserted at the correct angle to ensure proper access to the vein.

What should be done after the blood collection is complete?

Fill

What is the expected mastery percentage for Skill IIIA in phlebotomy?

70% mastery equals 48.3 points.

What should be done with used materials after a phlebotomy procedure?

Dispose of used materials appropriately and clean up the workspace.

What is the first step if a patient starts to faint during venipuncture?

Verbally recognize a minimum of four signs and symptoms of syncope.

What should be done immediately if heavy perspiration and pale skin are noted?

Release the tourniquet.

What action should be taken after removing the needle during a fainting episode?

Activate the safety device and discard the needle.

What should be applied to the site after removing the needle?

Apply pressure to the site.

How should the patient's position be adjusted if they start to faint?

Lower the patient's head and arms by placing both between the patient's knees.

What should be done to help a patient who is feeling faint?

Instruct the patient to breathe deeply.

What should be done to the patient's clothing if they start to faint?

Loosen tight clothing.

What should not be used if a patient starts to faint?

No ammonia inhalant should be used.

What should be provided to a patient if they experience nausea?

Provide a basin

What is the final step after a fainting incident has been documented?

Remove and dispose of gloves

What is the first step in the heel puncture procedure?

Review the test request.

What is required when approaching a patient for a heel puncture?

Greet and identify the patient using two identifiers.

What must be done before performing a heel puncture?

Explain the procedure and obtain consent from parents if present.

What should be done to the heel site before puncturing?

Warm the site for three to five minutes.

How should the puncture site be cleaned?

Clean the site with an alcohol pad using back and forth friction and air-dry.

What is the maximum depth for a heel puncture in infants?

The puncture should be no more than 2mm deep.

What should be done immediately after puncturing the heel?

Remove the lancet and discard it in a sharps container.

What should be done with the first drop of blood after a heel puncture?

Wipe away the first drop of blood with a gauze pad.

What should be done after forming a drop of blood during a heel puncture?

Scoop the drop into the blood collection tube.

What is the order of draw for blood collection?

Fill and mix tubes/containers in the order of draw as per scenario.

What should be done after applying pressure to the heel post-puncture?

Check the site to ensure bleeding has stopped.

What should be done with the specimen after a heel puncture?

Label and prepare the specimen for handling and transport.

What should be done after thanking the patient post-procedure?

Document the incident on the HOSA chart.

What is the first step in removing contaminated gloves?

Grasp the outside of one glove below the wrist with the opposite gloved hand.

How should the first glove be removed?

Pull the glove inside out

What should be done after removing the first glove?

Hold the first glove in the gloved hand.

What is the next step after holding the first glove?

Slip fingers of the non-gloved hand under the wrist of the gloved hand.

How should the second glove be removed?

Pull the glove inside out over the hand so that it ends up inside the first glove.

What should be done with the contaminated gloves?

Place them into the proper waste receptacle.

What is the final step after removing gloves?

Wash hands or use an alcohol-based handrub for hand hygiene.

What indicates an accidental arterial stick?

Rapidly forming hematoma and bright red blood pulsing into the collection tube.

What should be done immediately after an accidental arterial stick?

Release the tourniquet.

What is the correct procedure for the needle after an accidental arterial stick?

Remove the needle

How long should pressure be applied to the puncture site after an arterial stick?

For a minimum of 5 minutes

What should be done after the bleeding has stopped from an arterial stick?

Apply a taut gauze dressing.