If a light blue top tube is drawn with a holder and butterfly needle, prime the tubing with a discard tube before filling the sodium citrate tube (light blue topped). Summarize the problems that may be encountered in accessing a vein, including the procedure to follow when a specimen is not obtained. Identity Label collection tubes after identification of the patient. Make sure that every area has been filled in correctly. Blood Urea Nitrogen Patient Identification 3. Avoid prolonged tourniquet application or fist clenching. Serology/Immunology, SST revenue. List nine patient activities that may affect laboratory test results, and give at least one example of a test affected by each. Check the requisition form for requested tests, patient information, and any special requirements. Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, the basilic vein on the dorsum of the arm or dorsal hand veins are also acceptable for venipuncture. Electrophoresis, SST Experience a faster way to fill out and sign forms on the web. The creation of a hormone is an example of: Which of the following is a structure within a cell? Chemistry, SST Phlebotomy Essentials + Student Workbook + Exam Review: 9781284224474 Valproic Acid (aka Valproate) Serology/Immunology, SST (Or White) It is not designed to cover or contain a comprehensive listing of activities . Obtain from the practitioner complete and current information about diagnosis, treatment, and any known prognosis, in terms the patient can reasonably be expected to understand. Gloves - can be made of latex, rubber, vinyl, etc. Endocrine, SST \\ CHAPTER 9 Preanalytical Considerations OBJECTIVES Study the information in your textbook that corresponds to each objective to prepare yourself for the activities in this chapter. Temperatures of refrigerators and freezers must be monitored daily, with temperatures recorded either automatically or manually at specified times of day. For an inpatient the nursing staff can be contacted to aid in identification prior to proceeding. Tests for cardiovascular disease risk Tests for abnormal immunoglobulins It is an employer's responsibility to provide, clean, repair, replace, and/or dispose of personal protective equipment/clothing. for at least 2 minutes and draw from a vein other than the vein with the I.V. d) viscera, Sudoriferous glands are SKILLS CHECKLIST: 1. They are both made of plastic with metal doors, but the Cat-allac is smaller. Safely discard potentially infectious materials. Hematology, Dark LAVENDER & SST Rast Panels, SST These guidelines, in addition to the editor will assist you with the entire process. Patient identification is critical for safety. Prepare the equipment, the patient and the puncture site. Multiple aliquots prepared from a single specimen allow different departments to share a single sample for multiple tests. Lipids, SST Lippi G, Salvagno GL, Montagnana M, Franchini M, Guidi GC. For an inpatient DO NOT DRAW BLOOD IF THE ARMBAND OR BRACELET IS MISSING. The statistically important correlations of proteasomal factors were topologically represented in undirected networks. \hline \text {Direct materials } & & \\ If just a routine coagulation assay is the only test ordered, then a single light blue top tube may be drawn. & \textbf { Plastic } & \textbf { Metal } \\ - Iodine interferes with: Giavarina D, Lippi G. Blood venous sample collection: Recommendations overview and a checklist to improve quality. d) nearest to the point of attachment, The process by which the body maintains a state of equilibrium is Phlebotomist: Green Bay at Advocate Aurora Health | The Muse Indicates active Hep B Infection https://www.ncbi.nlm.nih.gov/books/NBK138650/pdf/Bookshelf_NBK138650.pdf (Accessed June 13, 2022). Monitors therapeutic levels of drug It also includes key terms matching exercises, chapter review questions, crossword puzzles, skill and knowledge drills, requisition activities, case studies, and procedure evaluation forms. + Performs phlebotomy procedures according to established policies and procedures. h\Qk@W{ T"'wb{[FV;7 b@rrP 1oasH=7IBYWc. Phlebotomist I Job in San Antonio, TX at PathGroup Dilantin (aka Phenytoin) Try another tube. Proteasome activity assays were performed in membrane, cytosol and plasma samples and in transfusion mimicking conditions by using fluorogenic peptide substrates. Serology/Immunology, SST Clin Biochem. To prevent hemolysis (which can interfere with many tests): Mix tubes with anticoagulant additives gently 4-6 times, Avoid drawing the plunger back too forcefully, if using a needle and syringe, or too small a needle, and avoid frothing of the sample. Ch. 9, Preanalytical Considerations - Studylib AntiNuclear Antibody a) anabolism You should strive to avoid painful probing, unsuccessful punctures, and repeated draws and be scrupulously careful regarding site selection, accidental arterial puncture, and nerve injury. Chemistry, SST Contains acid citrate dextrose. b) catabolism Patient's date of birth and sex. "WQoc/mYm-k5e (Kl9Lb]}X.t6p Tpz`f8Cm$&tMKmd9 PaPe!28s0V8(t2@4|C7H(^ 91 w8d 1F@98 eY(&eBA QPC-L!g*QC"*@tcbe]L!)ac L>G0I3$0f y@A[!tX= 3C%@` b endstream endobj 245 0 obj <>>> endobj 246 0 obj <> endobj 247 0 obj <>stream Serology/Immunology, SST Serology/Immunology, SST \text {Machine-hours (MH) } & 11~\mathrm{MH} & 19~\mathrm{MH} Switch on the Wizard mode on the top toolbar to have more recommendations. Endocrine, SST Apply firm pressure. Basic Metabolic Panel B12 vitamin (amount) This chapter covers all the steps recommended for safe phlebotomy and reiterates the All requisitions (both Epic generated and non-electronic) require the date and time of Failure to put date, time, and initials on requisition 7. This requisition form must contain the proper information in order to process the specimen. Rheumatoid Factor Approach the patient in a friendly, calm manner. Uric acid tests a) heart In general, blood should not be drawn from an arm with a fistula or cannula without consulting the attending physician. diet, exercise, stress, basal state). Drug decreases immune response for organ transplants The phlebotomist's role requires a professional, courteous, and understanding manner in all contacts with the patient. Hepatitis B Surface Antigen Perform the venipuncture, collecting the sample(s) in the appropriate container(s). Follow the procedure as outlined above for greeting and identifying the patient. Avoid the side of the finger where there is less soft tissue, where vessels and nerves are located, and where the bone is closer to the surface. Basic steps for a . Describe the contents of the procedure manual, and explain how the phlebotomist can use it. Label, centrifuge, split, and freeze specimens as required by test order. Select the Sign tool and create an e-signature. NOTE:Tubes with additives must be thoroughly mixed. Preferred venous access sites, and factors to consider in site selection, and ability to differentiate between the feel of a vein, tendon and artery. Electrophoresis, NO TUBE b) horizontally into upper and lower portions Explain why expired tubes should not be used. Soreness of the tendons is most likely due to tendonitis (tendon inflammation). Endocrine, SST Gauze sponges - for application on the site from which the needle is withdrawn. Separation times Hematoma formation is a problem in older patients. Student Workbook for Phlebotomy Essentials - PDF Free Download Hyperextend the patient's arm. Check all test requisitions or computer label against script to . Wilcox Electronics uses sales journal, purchases journal, cash receipts journal, cash payments journal, and general journal. Hold the baby's foot firmly to avoid sudden movement. An outpatient must provide identification other than the verbal statement of a name. Phlebotomists match laboratory requisition forms to specimen tubes, draw blood in a variety of manners, and properly dispose both sharps and any biohazard material. Tests IgE for allergies in children Electrophoresis, NO TUBE Electrophoresis, SST Have the patient drink fluids if dehydrated. Tests IgE for a variety allergies The recommended location for blood collection on a newborn baby or infant is the heel. Precautions include a medical grade face mask. Phlebotomy Technician I Job in Pensacola, FL - Baptist Health Care !0ots?V4&7y mA(7wA?FX'~6> d~g6 XO*`.m*Enym$D .kcd#[${Hdh(Th@JdFhG: "@h. NOTE: The use of post-exposure prophylaxis following blood exposure to HIV has shown effectiveness (about 79%) in preventing seroconversion. Monitors therapeutic levels of drug + Organizes assigned work and ensures the workload is completed in an accurate and timely manner. Access the most extensive library of templates available. Chapter 18: Quality Phlebotomy Flashcards | Quizlet Therapeutic Drug Monitoring: different pharmacologic agents have patterns of administration, body distribution, metabolism, and elimination that affect the drug concentration as measured in the blood. b) closest to the middle 1. Determine correct tube type and blood volume for tests ordered (e.g. Phlebotomist I Job Opening in Indianapolis, IN at Casey George Services b) neurons \begin{array}{lcc} \hline If another site is not available, collect the specimen distal to the hematoma. LLC, Internet Radioallergosorbent Test - Indoor Is there evidence that the mean amount is different from 1.0 gallon? Other information follows: Cost-DriverInformationCat-allacDog-erifficNumberofunitsperbatch259Setuptimeperbatch1.50hours1.75hoursInspectiontimeperbatch0.5hour0.7hour\begin{array}{c} Which of the following urinary system structures? The moon is accelerating toward the earth. Collection tubes can vary in size for volume of blood drawn, appropriate to the tests ordered with sample size required, and vary in the kind of additive for anticoagulation, separation of plasma, or preservation of analyte. Does this mean that it is getting closer to our planet?