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Routine Practices
Practices always applied to blood collections, including the use of proper PPE.
PPE
Personal Protective Equipment essential for keeping the collector and patient safe during blood collection.
Hand Hygiene
Essential practice requiring hand washing and new gloves between each patient.
Safety glasses
Worn to reduce the risk of blood splashes into the collector’s eyes.
Implied Consent
Assumed consent when a patient extends their arm for blood collection.
Patient Identification
The most important job of an MLA/T to ensure the right patient is being collected from.
STAT
A priority test with a turnaround time of 1 hour.
Urgent
Tests required sooner than routine testing with a turnaround time of 3-4 hours.
Routine
Testing processed last, typically within 8 hours, for non-urgent situations.
Introduction to Patient
A necessary part of the blood collection procedure that builds rapport and assures the patient.
Fasting Period
The time a patient has abstained from eating or drinking prior to blood collection.
Tourniquet
A device applied to the arm to distend veins prior to blood collection.
Median Cubital Vein
The first choice for venipuncture due to its location and reduced risk.
Cephalic Vein
The second choice for venipuncture, often more difficult to locate.
Basilic Vein
The last choice for venipuncture due to proximity to arteries and nerves.
Cleaning the Site
Using a 70% isopropyl alcohol wipe to disinfect before puncture.
Vacuum Tubes
Collection tubes that require careful monitoring during blood draw.
Anchor the Skin
Technique used to stabilize the vein and make puncturing easier.
Venipuncture Troubleshooting
Strategies for addressing issues during blood collection where blood flow is not established.
Labeling Tubes
The process of marking blood tubes with patient details immediately post-collection.
Disinfect Area
Cleaning the blood collection area to maintain safety and hygiene after the procedure.
Discarding Waste
Proper disposal of contaminated items after blood collection.
Post-Collection Instructions
Advice given to the patient after procedure completion regarding care.
Accession Number
A unique identifier assigned to each lab specimen.
Hypotensive Reaction
A potential reaction where patient may feel faint during venipuncture.
Patient Complaints
Listening to patient concerns, especially if they have a history of issues with collections.
Equipment Assembly
Prior preparation of necessary blood collection tools before beginning the procedure.
Glove Use
Wearing gloves is mandatory to prevent contamination during blood collection.
Order of Draw
The sequence in which tubes should be filled during blood collection.
Fainting Precautions
Steps taken if a patient exhibits signs of fainting during the procedure.
Controlled Environment
Maintaining a clean and organized space for blood collection.
Documenting Refusal
Necessary action when a patient denies consent for blood collection.
Sharps Container
A disposal unit for used needles to ensure safety.
Documenting Collection Times
Recording the time and date of blood collection on requisition forms.
Returning Items
Placing any moved furniture back to its original location after the procedure.
Patient Comfort
Ensuring the patient feels safe and relaxed during the blood draw.
Post-Procedure Monitoring
Observing the site for complications and ensuring proper closure.
Patient Involvement
Engaging the patient in confirming their identity during the collection process.
Specimen Label Errors
Risks associated with incorrect labeling that can lead to misdiagnosis.
Expiring Tubes
Checking the expiration date on blood collection tubes before use.
Gauze Application
Using gauze to apply pressure at the puncture site post-collection.
Referring Questions
Directing patient inquiries about tests back to the healthcare provider.
Patient Education
Informing patients about the collection process and potential concerns.
Risk of Collapse
Concern about veins collapsing during the collection process due to tourniquet application.