National Phlebotomy Certification Latest 2023 Graded A

National Phlebotomy Certification Latest 2023 Graded A hematuria ✔✔blood in urine winged infusion set ✔✔butterfly ESR ✔✔Erythrocyte sedimentation rate test performed in purple-EDTA tube hematoma ✔✔bruising under sk ...

National Phlebotomy Certification Latest 2023 Graded A hematuria ✔✔blood in urine winged infusion set ✔✔butterfly ESR ✔✔Erythrocyte sedimentation rate test performed in purple-EDTA tube hematoma ✔✔bruising under skin and common complication from venipuncture procedures light blue tube ✔✔sodium citrate PT, PTT activated partial thromboplastin time, coagulation studies yields plasma *absolutely requires full draw* EDTA ✔✔Purple tube - CBC, glycosylated HGB, ESR must be 80% or 2/3 full Redraw immediately ✔✔if you realize that you have drawn tube from wrong patient, or you have drawn wrong color tube on patient edema ✔✔fluid tissues phlebitis ✔✔inflammation of vein from repeated venipuncture green top ✔✔Lithium or Sodium Heparin Stat chems, ammonia level (keep on ice), electrolytes yield is plasma blood borne ✔✔infection transmitted by body fluid cleansing arm ✔✔concentric motion, using an outward spiral blood smear ✔✔for CBC with differential, goal is to get good feathered edge endothelial ✔✔inner layer of blood vessel hepatitis B virus ✔✔OSHA requires that all healthcare workers get vaccinated against this capillaries ✔✔run into the veins and back to the heart accession number ✔✔a unique tracking number for each specimen BBP ✔✔blood borne pathogen prevention of accidental needle sticks ✔✔Use of needle safety devices manufactured to cover the exposed needle. never recap. never cut needle. expose of in sharps container intact. quality assurance ✔✔a QA program is a continuous program, established by the healthcare facility which will provide guidelines, protocols, and continuing education for their employees 30-60 minutes ✔✔the time it takes for a clot or plain tube to clot prior to centrifugation nothing to eat or drink for 12 hours ✔✔body in basal state, fasting, NPO, nothing by mouth proper order for finishing up venipuncture ✔✔remove tourniquet, remove tube, remove needle, check site and have patient apply pressure for 3 to 5 minutes median cubital vein ✔✔most common vein used in venipuncture latex sensitivity ✔✔allergic to latex formed elements ✔✔platelets, RBCs, WBCs = 45%, Plasma = 55% patient confidentiality ✔✔patient gives rights to authorize use of his/her information negligence ✔✔failure to give appropriate care to patient CCMS ✔✔urine collection is called Clean Catch Mid Stream. used especially when need to culture urine sample to check for urinary tract infection chemistry department ✔✔runs test on serum and plasma including chemistries, enzyme levels, and hormones pregnancy tests and therapeutic drug monitoring pathogens ✔✔microorganisms that cause disease aspirin ✔✔blood thinner and will increase bleeding times, PT and PTT blood cultures and ESR ✔✔tests that cannot be collected from capillary punctures or in capillary tubes because require too much volume eosinophils ✔✔included with CBC and counted on differential, elevated in allergies and parasitic infections decline medical treatment ✔✔patient has the right under the patient's bill of rights thrombocytes ✔✔platelets - clotting or repairing vessels warming site ✔✔increases blood flow 7x common blood culture contamination ✔✔improper technique due to skin preparation cyanosis ✔✔lack of oxygen and skin appears blue sclerosed ✔✔veins are cord-like due to plaque build-up or other condition multisample needles ✔✔needles used in class because they are able to draw multi tubes vs one tube fomite ✔✔inanimate objects that transmit disease i.e bed linens inversion of anticoagulated tube ✔✔8 times prevention of hematoma ✔✔pressure at site pink tube ✔✔same as purple tube, but created for blood banks additive is EDTA liters of blood found in adult ✔✔5-6 liters tourniquet ✔✔placed 3-4 inches above antecubital fossa, remain on no longer than 1 minute, enlarges veins so you can see them better. hemolysis or hemolyzed ✔✔destruction of RBCs, makes plasma or serum appear pink, get from traumatic draw, using too small of a needle, alcohol residue or squeezing finger too hard in capillary puncture obese patient draw ✔✔best area will be the cephalic instead of median cubital CBC ✔✔Complete Blood Count RBC, WBC, platelet, HGB, HCT, and differential proper order for CBC, PT, ammonia, Cardiac Enzymes is: ✔✔1. Light Blue 2. red/red marble 3. green 4. lavender capillary tubes ✔✔used to collect blood from skin puncture lipemic specimen ✔✔serum with milky appearance because of too much fat or triglyceride informed consent ✔✔giving patient information and risks regarding the procedure accidental needle poke ✔✔wash area with lots of soapy water, encourage bleeding and notify supervisor CDC ✔✔Center for Disease Control and Prevention Petechiae ✔✔Red splotches on skin because capillaries can rupture if tourniquet left on too long best way to ID patient prior to venipuncture ✔✔ask them to state their full name venipuncture refusal ✔✔report refusal to physician or nurse IV line ✔✔draw from other arm assault ✔✔attempting harm to someone battery ✔✔harming someone with intentional purpose C&S ✔✔Culture and Sensitivity of a bacterial organism. Performed in Microbiology Dept. along with parasitology Specimen for arterial blood gases ✔✔arterial blood royal blue tube ✔✔Trace elements: lead, Mercury, Arsenic Hypoglycemia ✔✔low blood sugar neutrophils ✔✔performs phagocytosis, increased in bacterial infections evacuated tubes ✔✔made to pull in predetermined amount of blood. most efficient and effective way to collect blood specimen. will lose vacuum with time profile ✔✔group of tests drawn as one test, i.e. lipid profile, comprehensive metabolic panel, hepatic panel syncope ✔✔fainting, when a patient starts to faint, remove needle and finish draw quickly blood cultures ✔✔first in order of draw, test blood for microorganisms or septicemia oncology department ✔✔cancer patients Newborn Screening Specimen ✔✔Newborn's heel Gray top ✔✔Addititve is Potassium Oxalate or Sodium Flouride, an antiglycolytic agent that maintains glucose stability keeping RBCs from utilizing glucose for up to 3 days.