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ROUTINE VENIPUNCTURE AND SPECIMEN HANDLING

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Question
Answer
On a requisition form what patient information MUST you verify and record before proceeding?   show
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show Requesting Physician's full name Source of specimen Date and time of collection Initials of phlebotomist Indicated test requests.  
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What information needs to be labeled on the sample?   show
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The label on the sample must match?   show
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show Blood should NEVER be poured from one tube to another  
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show Evacuated Collection Tubes Appropriate needle Holder/Adapter Tourniquet Alcohol Wipes Gauze Bandage Needle Disposal unit Gloves  
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What are Evacuated Collection Tubes?   show
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What do the various colors of rubber stoppers indicate on collection tubes?   show
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Why must blood collection tubes be drawn in a specific order?   show
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In order, what are the first 3 blood collection tubes you would use?   show
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On your last draw, what order of additive tubes would you draw?   show
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What may be obtained if the blood is not thoroughly mixed with the additive?   show
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show If patient information does not match id armband. If patient is missing id armband.  
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What areas are to be avoided when choosing a site?   show
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show 3-4 inches above the selected puncture site No longer than 2 minutes. 1 minute is ideal.  
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show Resecure the tourniquet to increase venous filling. If this is not successful, remove the needle, take care of the puncture site, and redraw.  
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When the last tube to be drawn is filling what should you go ahead and do?   show
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Describe what you should do after you remove the tourniquet and blood collection tube.   show
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show The 3rd (middle) and 4th (ring) fingers of the non-dominant hand.  
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show The tip of the finger or the center of the finger.  
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What must you do after initially sticking a finger before you can start blood collection?   show
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What can you do to prevent hemolysis in a blood sample?   show
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What is hemoconcentration?   show
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show Hemoconcentration Increase of protein from tourniquet site down Can affect packed cell volume Can cause hemolysis.  
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show Wear gloves and a lab coat or gown when handling blood/body fluids. Change gloves after each patient or when contaminated. Wash hands frequently. Dispose of items in appropriate containers.  
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