Phlebotomy 1 Mid-Term Exam Essay and Procedure Review

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List the appropriate steps to take when a patient faints?
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1. Call for help 2. Lay the patient down and elevate feet above the head and heart. 4. Apply a cool or cold rag to the forehead or back of the neck 5. Can give juice to elevate glucose level 6. Do not allow patient to leave until fully recovered 7. Document the incident
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What are the five techniques for blood letting?
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Cupping Leeching Arteriotomy Venisection Scarification
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List four types of personal protective equipment.
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Goggles Mask Gloves Gown
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When drawing from a vein, what three ways do you adjust your venipuncture technique?
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Decrease the angle Anchor the vein Use a small gauge needle with a syringe switch tubes Roll needle left or right
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Beginning with greeting the patient list the first five steps to complete a routine venipuncture.
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1. Greet the patient 2. Introduce yourself 3. Verify the patient with two identifiers 4. Gather supplies 5. Open gauze
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After opening the gauze list the next five steps to complete a routine venipuncture.
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6. Open Alcohol wipe 7. Assemble needle and hub 8. Tie tourniquet on patients arm 9. Put on gloves 10. Feel for vein
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After feeling for a vein list the next five steps to complete a routine venipuncture.
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11. Wipe venipuncture site with alcohol wipe in circular motion and allow to dry 12. Instruct patient to make a fist 13. Grasp the needle with dominate hand 14. Anchor the vein with other hand 15. Insert needle at 30 degrees, bevel up
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After inserting the needle at a 30 degree angle bevel up list the next five steps to complete a routine venipuncture.
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16. Allow fingers to rest on patients arm 17. Insert first tube into the hub 18. No Blood: pull the needle back a bit and try to turn the needle, go in further or change the tube, 19. Yes Blood: after the tube is filled remove and invert 3 to 8 times 20. Continue inserting tubes until l all tubes have been filled
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After continuing inserting tubes until all tubes are full what are the next five steps to complete a routine venipuncture
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21. After last tube is filled instruct the patient to relax there fist 22. Untie the tourniquet and remove from the arm 23. Grab gauze and fold into fourths 24. Place folded gauze over puncture site 25. Remove the needle for patients arm without scathing the patient
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After removing the needle from the patients arm without scratching the patient what are the next five steps to complete a routine venipuncture
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26. Place safety device on needle 27. Place needle into the rigid sharps container 28. Bandage or Coban the patients arm at puncture site 29. Label tubes with patients name, ID number, date, time and phlebotomists initials 30. Ensure special requirements are met
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Afterensuring special requirements have been met what are the last eight steps to complete a routine venipuncture
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31. Take off gloves 31. Wash or sanitize hands 33. Document the draw 34. Thank the patient 35. Clean up the area 36. Bag the tubes 37. Escort the patient out if needed 38. Deliver the bagged and labeled tubes to the lab or store accordingly
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Can you perform a venipuncture from a patient who has undergone a mastectomy?
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The patient must be 1 year post op Perform a full surgical scrub at the venipuncture site Proceed only with dr approval and dr orders Document in detail after draw is complete
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What are five examples of patient rights while in the hospital?
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Receive medical care that meets the highest standards Receive visitors of your choosing Right to prompt, life-saving treatment in an emergency without discrimination Be treated respectfully by others Privacy within the capacity of the medical center
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What are the first four things you should do if a vile of blood breaks on the floor causing a blood spill situation?
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1. Put on P.P.E 2. Use forceps to scoop up the glass and put in sharps container 3. Absorb blood with absorbent pack or paper towels if not available put in bio bag 4. Disinfect area of spill using a 10-1 solution of bleach to water
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What are the last four should you do if a vile of blood breaks on the floor causing a blood spill situation?
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5. Spray the area and let sit for 10 minutes minimum 6. Wipe up the sprayed area 7. Clean area again 8. Disguard the soiled materials in biohazard bin, tie the bag and discard according the facilities protocol
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What should the phlebotomist do if they cant find a vein at all?
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1. Use a tourniquet or a blood pressure cuff and palpate site 2. Position the palm up arms , straight the arm and turn fist over to raise vein up 3. Apply a warm pack or warm glove to the potential draw site 4. Use an alcohol wipe prep the area using a light touch skim across the skin feeling for a potential vein 5. Use two finges to lightly tap if needed on the median cuboidal or top of hand
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What should you do if you accidentally self stick with a used needle?
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1. Use the needle safety and take the tourniquet off 2. Bleed the stick site 3. Use hand sanitizer or wash hands in sink 4. Report the stick immediately for medical assistance
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Name three colors of arm bands patients will have on while in the hospital.
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Purple – do not resuscitate Yellow – allergy Red – fall risk
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While working in a hospital you will hear various overhead pages. name three colors you would hear paged in the hospital and what they stand for.
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Red – fire Adam/amber – child missing Blue – cardiac or respiratory emergency Gray – tornado Black – external disaster
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What are the steps to properly wash your hands?
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1. Remove rings and watch and adjust water temperature to warm and keep the water running and wet both hands 2. Apply soap and lather thoroughly for at least 10 seconds. Clean under the nails and around nail beds with a nail brush on both hands 3. Thoroughly rinse hands of all soap from the wrist down to fingertips 4. Dry hands with disposable paper towel. Turn off water facet with used paper towl
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What are four signs of fainting for a patient during a blood draw?
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Watch Chest for breathing or holding there breath Skin coloration changes or becomes pale Skin temp and feeling changes or becomes cold, sweaty or clammy Response to questions is slow or given no response
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Why might you use a butterfly on a hand vein draw?
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No fatty tissue Decrease angle Veins closer together Small or thin veins
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What are some tricks you can use on a difficult draw patient?
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1. Use a butterfly if a standard evacuated draw wont work or change needle size to 1 or 1.5 2. Apply the tourniquet or use a blood pressure cuff pumped up to 40 to palpate the vein 3. Hyper-extend the arm and turn the wrist 4. Change the tube for better vacuum 5. Apply heat to dilate the vein and increase blood flow
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What do you do if you cause a hematoma
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1. Pull the needle from the puncture site, activate the needle safety cap 2. Apply pressure and bandage the puncture site and apply ice 3. Instrut the patient to apply heat at home
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