Speak with the patient's guardian before performing the venipuncture to ensure the explanation is understood

Confirm the correct identity of the patient

Apply pressure after collecting the specimen. The development of petechiae is a sign of reduced platelet function and carries an increased risk of bleeding.

SST

"As soon as you collect the specimen, keep it next to your body. We will need to submit it right away for testing." Semen samples for fertility must be delivered to the laboratory within 2 hr of collection and kept at body temperature.

Potassium

An aerobic and an anaerobic bottle

Pre-surgical test results are a priority to report, because the results may alter how or if a surgery is performed.

Shaking the collection tube vigorously. This will cause the red blood cells to rupture, causing hemolysis.

Send the results to the physician in a marked envelope.

perform the venipuncture as normal per OSHA regulations.

Benzalkonium chloride

Sodium citrate

When a patient is tested

O2 levels. The infant may cry due to the draw, so every attempt must be made to collect the O2 levels as close to resting as possible.

Saturate each circle.

Green, lavender, gray

an increased rate of coagulation

Winged infusion set and adapter

Inform the patient to contact the ordering physician to get the results

Release the tourniquet and remove the needle

The specimen was insufficient

Apply pressure to prevent leakage of blood into the tissues.

Median cubital

Attempt to draw from the antecubital region. With any patient the antecubital region is the first choice for a draw.

N-95 respirator

Blood Cultures are collected first to prevent contamination

clotting

SHOCK

The site is cleaned more stringently

Autologeous donation

for no longer than 60 seconds

Implied consent

1-2 minutes

laboratory test

Cleanse the site in an outward spiral

Labeling specimens at the time of collection in front of the patients.

36-38 degrees C.

Insert a new tube to see if it will fill.

Engage the needle safety device

Test requisition

veins are inaccessible

implied consent

The laboratory rejects the mislabeled specimen

Choose a syringe and butterfly assembly and transfer to an ETS tube.

Iatrogenic anemia. This disease is caused by too much blood loss from testing, and clearing of lines.

The biohazard bag prevents a possible exposure incident

The median cubital vein could be more accessible on one side than the other.

When a new lot number or kit is opened.

A transfusion reaction. Could cause a fatal transfusion.

An incorrect needle gauge. A large-guage needle indicates a smaller lumen, which causes hemolysis.

return after drawing other patients if it isn't a STAT test.

Describe the procedure

requires time for antiseptic action

cells must be separated from the serum. If not the cells continue to metabolize into the serum.

Ask the patient when she last ate or drank

Dorsal veins (veins on the back of the hand)

Discontinue the draw.

"I will collect the specimen in a sterile container and return with 1 hr."

Flush the injured area with running water

Check for breathing

"I will cleanse the area with povidone iodine"

Shut off power to the instrument

Accession number. This is the number which identifies the specimen as long as it remains in the laboratory.

2-10 degrees C

Wear gloves when contact with blood is anticipated.

Complete medical history

Patient's information

Insert until a change in resistance

Inspect the integrity of the needle's seal

Place a 1mm drop of blood a half-inch from the edge of the slide

Lavender top, this minimizes the platelet clumping and microclot formation.

Place the specimen tube in a icewater slurry

Either heel. For children under 12 months

position the needle in the same direction as the vein and at a 30 degree agnle with the bevel up.

These areas are more susceptible to infection

Syncope

To determine if the patient is at risk for developing iatrogenic anemia

Below the IV

Don't draw until the nurse has attached a wristband to the patient

A syringe draw transferred into a light blue Vacutainer

release the tourniquet and stop the draw.

Access the site, cleanse the site, insert the needle

Apply direct pressure to the wound.

Paternity testing

Place in a box with cold packs and a biohazard label.

Initial and date/time mark each tube drawn

Arterial blood gases

240 to 330 ml

Lavender and red

15-30 degree angle

"When was the last time you ate?"

The incorrect data may be reported to the health care provider

Check with the nurse to verify the exact time the medication was given.

EDTA

"Hi my name is Sally Smith. I am a student phlebotomist and I'm here to collect a blood specimen."

the ordered tests can be performed on a capillary specimen.

Petechiae

Report the result to the patient's physician.

Verbal, wrist band