NHA-Phlebotomy
Phlebotomy: - ANSW withdrawal of blood from a vein
What procedure requires
-professionalism
-ability to multi-task
-appropriate technique - ANSW phlebotomy
What is the vital first step to performing any phlebotomy procedure? - ANSW obtaining
the provider's order for laboratory testing
What is essential to the process of order verification - ANSW correct interpretation of
medical abbreviations
What are typically expressed in abbreviations: - ANSW -lab tests
-proper blood collection tubes for ordered tests
Upon receiving the provider's order what should happen? - ANSW review the order for
completion of all required items
what should be done before beginning the procedure? - ANSW -verify accuracy
-requested tests
-test requirements
What should happen if there is any question regarding specimen handling requirements
or the tube color for each test - ANSW consult a facility specific laboratory reference
manual
What does the laboratory reference manual provide: - ANSW all information required
for testing
-how many and what color tube must be drawn
-test code
What are required items to do before beginning a procedure: - ANSW -test and test
code
-patient demographics
-insurance or other billing information
Requisition - ANSW written or computer generated order for laboratory tests
Fasting: - ANSW abstinence of food and liquids, except water, for a set number of
hours prior to testing
What do blood cultures require: - ANSW -specific preparation of the skin, as well as
multiple tubes and specific specimen labeling
, What should you do if performing blood draw for an unfamiliar test? - ANSW consult
the laboratory reference manual
What are several verbal to consider when performing a blood collection procedure: -
ANSW -basal state
-fasting status
-condition of venipuncture site
Venicpunture: - ANSW the puncture of a vein for the purposes of withdrawing blood
Edema: - ANSW an excessive buildup of fluid in body tissue
Hemoconcentration: - ANSW increase in the concentration of red blood cells in the
circulating blood, which is commonly caused by exceeding the truncate time of 60
seconds
Tourniquet - ANSW flat length of vinyl, rubber, or fabric with velcro, which restricts
blood flow and causes the venous blood to accumulate, enabling better palpation of a
vein prior to phlebotomy
What should you do if the veins are sclerotic or the skin is scarred? - ANSW evaluate
and alternative location
What can cause elevation in white blood cells, decrease in iron level,s and abnormal
hormone levels, among few possible complications? - ANSW stress
What can occur if the tourniquet is left on the patient longer than 60 seconds - ANSW
hemoconcentration
How long should a tourniquet be on - ANSW no longer than 1 minute
What happens if missing or inaccurate info on the laboratory requisition or improper
specimen labeling: - ANSW excessive blood collection, which could be harmful to
patients health
What info should be verified with every phlebotomy procedure to minimize errors and
ensure proper collection and testing of specimens? - ANSW -providers order
-patient identity
-labeling of the specimens
-identification number of the specimen
What should you always do for the blood collection procedure? - ANSW always
introduce yourself to the patient and confirm the purpose of the blood collection
procedure
Phlebotomy: - ANSW withdrawal of blood from a vein
What procedure requires
-professionalism
-ability to multi-task
-appropriate technique - ANSW phlebotomy
What is the vital first step to performing any phlebotomy procedure? - ANSW obtaining
the provider's order for laboratory testing
What is essential to the process of order verification - ANSW correct interpretation of
medical abbreviations
What are typically expressed in abbreviations: - ANSW -lab tests
-proper blood collection tubes for ordered tests
Upon receiving the provider's order what should happen? - ANSW review the order for
completion of all required items
what should be done before beginning the procedure? - ANSW -verify accuracy
-requested tests
-test requirements
What should happen if there is any question regarding specimen handling requirements
or the tube color for each test - ANSW consult a facility specific laboratory reference
manual
What does the laboratory reference manual provide: - ANSW all information required
for testing
-how many and what color tube must be drawn
-test code
What are required items to do before beginning a procedure: - ANSW -test and test
code
-patient demographics
-insurance or other billing information
Requisition - ANSW written or computer generated order for laboratory tests
Fasting: - ANSW abstinence of food and liquids, except water, for a set number of
hours prior to testing
What do blood cultures require: - ANSW -specific preparation of the skin, as well as
multiple tubes and specific specimen labeling
, What should you do if performing blood draw for an unfamiliar test? - ANSW consult
the laboratory reference manual
What are several verbal to consider when performing a blood collection procedure: -
ANSW -basal state
-fasting status
-condition of venipuncture site
Venicpunture: - ANSW the puncture of a vein for the purposes of withdrawing blood
Edema: - ANSW an excessive buildup of fluid in body tissue
Hemoconcentration: - ANSW increase in the concentration of red blood cells in the
circulating blood, which is commonly caused by exceeding the truncate time of 60
seconds
Tourniquet - ANSW flat length of vinyl, rubber, or fabric with velcro, which restricts
blood flow and causes the venous blood to accumulate, enabling better palpation of a
vein prior to phlebotomy
What should you do if the veins are sclerotic or the skin is scarred? - ANSW evaluate
and alternative location
What can cause elevation in white blood cells, decrease in iron level,s and abnormal
hormone levels, among few possible complications? - ANSW stress
What can occur if the tourniquet is left on the patient longer than 60 seconds - ANSW
hemoconcentration
How long should a tourniquet be on - ANSW no longer than 1 minute
What happens if missing or inaccurate info on the laboratory requisition or improper
specimen labeling: - ANSW excessive blood collection, which could be harmful to
patients health
What info should be verified with every phlebotomy procedure to minimize errors and
ensure proper collection and testing of specimens? - ANSW -providers order
-patient identity
-labeling of the specimens
-identification number of the specimen
What should you always do for the blood collection procedure? - ANSW always
introduce yourself to the patient and confirm the purpose of the blood collection
procedure
