Phlebotomy questions Day 1 & 2

What is HIPAA

Health Insurance Portability and Accountability Act

protects patient privacy rights (medical records/appointments/records)

• established 1996

What is OSHA

Occupational Safety and Health Administration

Protect employees/employee safety

what is TJC

The Joint Commission

Hospital quality and patient safety / prevent patient harm

• established 1951

what is CLSI

Clinical and Laboratory Standards Institute

set standards/ Creates rules and guidelines/ where order of draw comes

when you participate as both sender and reciever

communication loop

What is it called when OSHA does a random inspection

programmed inspection

Hemostasis

blood vessel repairs after injury

what gauge is a butterfly needle

23g x .75

what is Coban

tape to secure/add pressure

• used on eldery,sensitive skin,on blood thinners

what should you never do on bruising

draw blood bc its clotted

what is hemoconcentration

when you leave the tourniquet on a patient for too long

what is a common needle gauge

21g x 1

which step in phlebotomy has the most error made

• identifying patient properly

what are the three clotting factors

calcium, protein, fibrinogen

what are the three blood thinners

heparin, coumidan, warfarin

when is a heel stick necessary

poke on lateral sides of heel

do NOT exceed 2.0mm for infants and .85 for preemies

place gel warmer

Screening test from infant heel poke

• Bilirubin: test for jaudice (protect from light, tube should be colored or foiled)

  • babies will need light therapy for jaudice(yellow)

• PKU: all babies screened for this

what is the capillary order of draw

1. EDTA tubes → pink/purple

2. Heparin→ dark green

3. Any other additive

4. Serum → red/gold/tiger/marble

what is the 2 stick rule

after poked 2 times, failure to get vein, get someone else

3 body positions

supine→ back

prone→ stomach

lateral→ sides

what do you do when a patient faints

• first, get needle out of arm

• ALWAYS believe when patient says going to pass out

what do you do when a patient seizes

• withdraw needle, discard it

• call for help

• get patient on floor, put on side

what are the types of circulation issues

• petechiae: tiny nonraised bumps due to backpressure in circulatory system

• Thrombosis: blood clots, D-Dimer (lt.blue tube checks this)