checklist 2 and 3

when do u label a specimen

presence of patient

the terms a doctor may use for tests needed right away

asap medical emergency STAT

agency responsible for patient privacy

HIPAA

5 main items on a requisition

patients name, dob, gender, medical record number ,doctors info

two forms of info needed to ID a patient in an outpatient setting

Full name DOB

what does HIPAA stand for

health insurance portability and accountability act

what three forms of info is needed to ID a patient in a hospital setting

full name dob wristband

the 4 different types of consent

informed , expressed, implied ,consent for minors

the two positions to place a patient in to draw blood

supine or sitting down

the hourly fasting range

8-12 hours

5 difficult veins

Phlebitic, Tortuous,Thrombotic, Sclerotic, Fragile Veins

phlebitic veins

tender and warm with a red area around them

Tortuous Veins

twisted,dilated, and lack elasticity

Thrombotic Veins

blood clot in them and feel hard and inflexible

Sclerotic

hard,inflexible, and narrow

Fragile Veins

weak, thin, and difficult to puncture

three main veins to draw from

cephalic vein, median cubital, basilic vein

where to look for a patients allergy info

requisition in precautions

what is considered battery

touching patient without consent

three questions you ask the patient before the blood draw

allergies, syncope, blood thinners,

area of the arm that is used to draw blood from

antecubital fossa

number the specimen is given while in the lab setting

accession number

what type of consent do u have for an emergency patient

implied consent

what should you do if the patient is not wearing their wristband

nothing wait for nurse to replace it

what Is the peak level

HIGHEST CONCENTRATION OF A DRUG IN THE PATIENT’S BLOOD STREAM 30 min after IV, 1 hour after medication, 1-2 oral medication

what is the trough level

LOWEST CONCENTRATION OF A DRUG BLOOD STREAM

what type of gloves can be worn if there is a latex allergy

nitrile gloves

joint admission mandates how many identifiers

2

how long to observe patient if they feel faints or faints

15 min

if patient has exercised before draw how long to wait

15-30min

purpose of palpating vein

determines depth direction and dimension

why to avoid drawing blood on foot diabetic

slow ability to heal

what is required prior to drawing in the tertiary site

doctors authorization

patient taking Coumadin

smaller needle and apply more pressure after draw

what to do if you receive duplicate orders

inform ordering doctor

where to draw blood on a patient with a double mastectomy

dorsal back side of hand

before drawing a metabolic panel what question should you ask the patient

are u fasting

5 items on a specimen tube

name, dob,date of collection, time, my initials

CLSI

Clinical Laboratory and Standards Institute

PPE

Personal Protective Equipment

OSHA

Occupational and Safety Health Administration

CLIA

Clinical Laboratory Improvement amendment act

CDC

Centers for disease control and prevention

SDS

safety data sheets

define standard precautions

practices workers must follow before during, and after patient interactions

define reverse isolation

isolating from general population

define QC

how reliable an instrument gives the same results constantly

define battery

touching a patient without consent

define assault

intentionally scaring patient to control them

who helps labs achieve accreditation

CLSI

4 steps of an accidental stick

wash w soap and water, notify supervisor, document on sharps log, medical exam asap

characteristics a sharp container should have

function accessible visible accomodating

What is considered PPE

gloves gowns masks goggles

3 means of transmission

airborne, droplet, contact precautions

when should the phlebotomist wash their hands

before and after patient procedures

what prevents the spread of disease

CLSI guidelines

What does OSHA require a phlebotomist to do

wear gloves when contact or likely w blood

what does the color red stand for on NFPA

fire hazard

where should a crack tube be discarded

biohazard bag

what ppe should be worn for a TB patient

n95 respirator

what is used to clean a blood spill

bleach w water sodium hypochlorite

what are examples of engineering controls

safety device,sharps container, safety data sheets,NPA label

what vaccination must employers provide on an annual basis

hepatitis B

a sharps container should be replaced at what level

2/3 full

when is a phlebotomist more likely to be exposed to HEP-B

needle stick injury

CPR

cardiopulmonary Resuscitation

PPE

personal protective equipment

cpr to patient

100 -120 per min 1.5-2 depth

what does the white diamond on the NFPA label indicate

acid

correct removal sequence of PPE

GLOVES GOGGLES GOWN MASK