Phlebotomy Basics

1. Why do we draw bood?

Helps diagnose Patient illness

Because we are told to do it

To teach new methods

2. MLA's apply a touniquet to locate a suitable vein and asses the status of that vein

True

False

3. The results of the tests are only as good as the specimen quality .

True

False

4. What is the correct INPATIENT identification process?

Ask Pt name, DOB ,confirm with requisition and match pt info on ID band

Great Pt with "Hi Mr Smith", match Id band and requisition form info

Match Id band and requisition form only, its too stressful to talk to an inpatient

5. An ID band will have the Pt name , Hosp. room # and unique ID #?

True

False

6. What are the basic information REQUIRED on a requisition form? (pt = patient)

Pt name, birthdate, hosp #, pt room ,test ordered , time and date of collection , DR name

Pt name,birthdate, hosp#, Dr name, billing address

Pt name, birthdate, test ordered, Pt room #, diagnosis, Dr billing #

7. A multi sample needed is used when more than one evacuated tube is needed

True

False

8. The higher the guage # the larger the needle?

True

False

the higher guage number + smaller needles

Explanation

the higher guage number + smaller needles

9. Grey Tubes contain __? and are used for _tests?

Sodium citrate, Pt,PTT

Sodium heprin, Bun, electrolyes

Sodium floride, blood alcohol levels, glucose

10. What is the correct order for site selection ?

Arms, foot/ankle, wrist / hand, skin punctures

Arms , wrist / hands, foot/ankle , skin puncture

Wrist/hand, arm, foot/ankle, skin puncture

11. Hemoconcentration is _____?

Destruction of red blood cells

Higher than normal concentration of cellular components of blood

Occurs when a hematoma is formed

12. Light Blue tubes contain__? and are used for _tests?

Lithium heprin, BUN , basic chemistry

Sodium citrate, PT PTT

SST and Clot activators, serum chemistry test

13. Adults + 20-22 guage needle, Children = 21-23 guage needle , Transfusions = 17 guage needle

True

False

14. What are the main components used in a evacuated tube method?

Needle , holder, sharps container

Needle , holder, vaccum tubes with rubber stoppers

Needle , holder, vaccum tubes with scew caps

15. What is the order of choice for the veins used in the antecubital fossa of the arm?

Cephalic, basilic, median cubital

Basilic , median cubital, cephalic

Median cubital, cephalic, basilic

16. Hemolysis is ____?

Distruction of red blood cells

Higher than normal concentration of cellular components of blood

Occurs when a hematoma is formed

17. What is the most common anticeptic used?

70 % isopropyl iodine

70 % buffered formalin

70 % isopropyl alcohol

100% alcohol

18. Order of Draw for a evacuated tube method?

Blood cultures , coagulation studies, serum tubes heprin tubes, edta, grey

Blood cultures , Edta, serum , grey , heprin, coagulation tudies

Blood cultures, Green , serum, edta, grey coagulation studies

19. Red tubes contain___? and are used for _tests

Sterile tubes, culture for bacteria

No preservatives, blood typing, serology

Sodium floride, glucose test, blood alcohol

20. Your first priority as an MLA is-____?

The collection of specimen

The aseptic collection of specimen

The Patient

21. Lavender tubes contain _? and are used for _tests?

Lithium Heprin, CBC

EDTA, BUN, Blood cultures

EDTA, CBC WBC,ESR

Sodium citrate, PT, PTT

22. Colour of tubes in Order of Draw for a evacuated tube method?

Blood culture, red, green , light blue, lavender, grey ,gold,

Blood cultures, light blue, heprin , grey, gold, red, lavender

Blood cultures,light blue,red, gold, green , lavender, grey

23. Order of draw for a Pt needing the following tests PT, CBC, and culture for bacteria. using the evacuated tube method.

Sterile, light blue ,lavender

Light blue, lavender, green

Sterile, green, lavender

24. Order of draw for syringe method with vaccum tube.

Sterile, light blue, lavender, green, gold, grey ,red

Sterile, lavender, green, grey ,red ,gold, light blue

Sterile, green, lavender, light blue, grey, red , gold

25. Green tubes contain ? and tests are ?

Lithium heprin, electrolyes, BUN

Lithium heprin, coagulation studies ie CBC

EDTA, blood cultures

Soduim citrate , PT PTT

26. Gold Tubes contain _? and are used for _tests

SST , clot activators ie glass particles, serum chemistry tests

SST , blood alcohol levels, glucose

No preservatives, serology tests

27. Where do you apply a tourniquet?

1-2 " above the antecubital fossa

2-3 " above the antecubital fossa

3-4 " above the antecubital fossa

4-5 " above the antecubital fossa

28. What is a Luer adapter?

Device that connect the needle to the blood collection container

Device that connects the blood collection container to the arm

Device that attaches to the needle before the butterfly tubing

29. A single sample needle is used when more than one evacuated tube is needed

True

False

Only one sample is needed

Explanation

Only one sample is needed

30. How tight do you apply the tourniquet?

Tight enought to reduce all blood flow to lower limb

Tight enough to reduce artirial blood flow, but have no effect on venous blood flow

Tight enough to reduce venous blood flow , but have no effect on artirial blood flow

Tight enough to keep skin tight to prevent rolling veins

31. What are the methods of collecting blood ?

Evacuated tube method

Butterfly method

Syringe method

Transfusion needle method

Blood leeching method

A and B

A B and C

All of the above

32. What might be on a requisiton, but not required?

Pt diagnosis, pt ethnic origin, pt gender

Pt diagnosis, pt gender, phlebotomis ID or name

Pt symptoms, phlebotomist name and address

33. Why do you use an antiseptic?

Cool the skin to reduce hematomas

Reduce bacteria population

Eliminate contamination of blood sample

Protect the phlebotomist

Submit

34. You must invert a light blue tube ____ times after collection?

2-5

5-8

8-10

35. Needles are identified by_____?

Length

Guage

Type of steel used

Left or right handed

Submit

36. You can't use the arms as a collection site if the Pt has/is ____?

I.V in both arms

Mastectomy

Edema or hematoma

Cannula or fustula

Burns or scarring

Submit

37. What are the types of tourniquets used?

Latex

Velcro

Buckle

Blood pressure cuff

Corded rope

Submit

38. What is the correct way to ID out patients?

Picture ID

Ask Pt to spell name or ask birthdate , compare with requisition

Get the pt to sign requisition form, so he/she is responsible for any mistakes made.

Submit

39. When do you use a butterfly method?

Cancer/ renal dialysis pt

Difficult veins

Difficult pt

Children

When needing a clotted sample

Submit

40. What are some "special situations" you may encounter when getting a specimen?

No ID braclet on an In patient

No Id on an out patient

Unconscious Pt

Pt in Emergency room

Sleeping Pt

Pt out and about

Visitor in room

Pediatric

Refusal

Difficult or agressive

Submit

Phlebotomy Basics

1. Why do we draw bood?

2.

What first name or nickname would you like us to use?

2. MLA's apply a touniquet to locate a suitable vein and asses the status of that vein

3. The results of the tests are only as good as the specimen quality .

4. What is the correct INPATIENT identification process?

5. An ID band will have the Pt name , Hosp. room # and unique ID #?

6. What are the basic information REQUIRED on a requisition form? (pt = patient)

7. A multi sample needed is used when more than one evacuated tube is needed

8. The higher the guage # the larger the needle?

9. Grey Tubes contain ____? and are used for ___tests?

10. What is the correct order for site selection ?

11. Hemoconcentration is _____?

12. Light Blue tubes contain____? and are used for ___tests?

13. Adults + 20-22 guage needle, Children = 21-23 guage needle , Transfusions = 17 guage needle

14. What are the main components used in a evacuated tube method?

15. What is the order of choice for the veins used in the antecubital fossa of the arm?

16. Hemolysis is ____?

17. What is the most common anticeptic used?

18. Order of Draw for a evacuated tube method?

19. Red tubes contain_____? and are used for ___tests

20. Your first priority as an MLA is-____?

21. Lavender tubes contain _____? and are used for _____tests?

22. Colour of tubes in Order of Draw for a evacuated tube method?

23. Order of draw for a Pt needing the following tests PT, CBC, and culture for bacteria. using the evacuated tube method.

24. Order of draw for syringe method with vaccum tube.

25. Green tubes contain ? and tests are ?

26. Gold Tubes contain ___? and are used for ___tests

27. Where do you apply a tourniquet?

28. What is a Luer adapter?

29. A single sample needle is used when more than one evacuated tube is needed

30. How tight do you apply the tourniquet?

31. What are the methods of collecting blood ?

32. What might be on a requisiton, but not required?

33. Why do you use an antiseptic?

34. You must invert a light blue tube ____ times after collection?

35. Needles are identified by_____?

36. You can't use the arms as a collection site if the Pt has/is ____?

37. What are the types of tourniquets used?

38. What is the correct way to ID out patients?

39. When do you use a butterfly method?

40. What are some "special situations" you may encounter when getting a specimen?

9. Grey Tubes contain __? and are used for _tests?

12. Light Blue tubes contain__? and are used for _tests?

19. Red tubes contain___? and are used for _tests

21. Lavender tubes contain _? and are used for _tests?

26. Gold Tubes contain _? and are used for _tests