NHA CCMA – Phlebotomy COMPLETE
QUESTIONS AND ANSWERS)
phlebotomy - ANSWER>>withdrawal of blood from a vein
venipuncture - ANSWER>>puncture of a vein to remove blood
requisition - ANSWER>>a written or computer generated order for laboratory tests
Things to explain to pt. before drawing pt.'s blood: - ANSWER>>1. how long the procedure will
take
2. level of pain (typically bee sting)
3. what they can expect to experience after blood draw
4. leave bandage on for 15 minutes and no heavy lifting for 1 hour afterwards
Requisition form for ALL patients having blood drawn must have: - ANSWER>>name of
physician who ordered it
pt. name: first, middle initial, last
pt. DOB
type of test
date of test
test status (ex. fasting, timed)
special precautions (ex. latex allergy)
Requisition form for inpatient blood draw must also have: - ANSWER>>room #, bed #, id #
Requisition for for outpatient blood draw must also have: - ANSWER>>billing information and
ICD9 codes
What are the 3 veins acceptable for blood draws in adults? - ANSWER>>Median cubital, Basilic,
Cephalic
If you can't access the Median Cubital, Basilic or Cephalic veins, what should use next in adult
patients? - ANSWER>>Dorsal part of hand
, vasovagal response - ANSWER>>Fainting because the body overreacts to certain triggers (the
sight of blood, extreme emotional distress)
Site of blood draws in patients < 1 y/o - ANSWER>>scalp, wrists, medial ankle
Site of capillary collection in patients 2+ y/o - ANSWER>>side of middle or ring finger
Site of capillary collection in patients < 1 y/o - ANSWER>>medial or lateral plantar portions of
heel
If a patient has been fasting for the blood draw, the question you must ask is: -
ANSWER>>"When was the last time you ate or drank anything other than water?"
If it's a basal state blood draw, the questions you must ask are: - ANSWER>>"When was the last
time you exercised? And when was the last time you ate or drank anything other than water?"
If a patient has eaten or had anything to drink before having blood drawn and the Doctor
decides to go ahead with blood draw, what must you note on the pt.'s requisition form? -
ANSWER>>Pt. non-compliant
Equipent needed to draw blood: - ANSWER>>gloves, isopropyl alcohol swabs, gauze pads,
bandages, tourniquet, needles, blood collection tubes
Which needle is best for smaller veins? - ANSWER>>Winged infusion or butterfly
A vacutainer is what type of sterile needle? - ANSWER>>Double-ended; one end has protective
cap and the other has a rubber sheath
What is the order of the draw for venipuncture? - ANSWER>>LIGHT BLUE (Sodium Citrate)
RED (non-additive)
GREEN (Heparin)
LAVENDER (EDTA),
GRAY (Potassium oxalate)
What is the order for capillary collection? - ANSWER>>EDTA additive (lavender) , other additive,
serum tubes (red)
Red-stopper tubes are used for: - ANSWER>>blood that needs to clot
QUESTIONS AND ANSWERS)
phlebotomy - ANSWER>>withdrawal of blood from a vein
venipuncture - ANSWER>>puncture of a vein to remove blood
requisition - ANSWER>>a written or computer generated order for laboratory tests
Things to explain to pt. before drawing pt.'s blood: - ANSWER>>1. how long the procedure will
take
2. level of pain (typically bee sting)
3. what they can expect to experience after blood draw
4. leave bandage on for 15 minutes and no heavy lifting for 1 hour afterwards
Requisition form for ALL patients having blood drawn must have: - ANSWER>>name of
physician who ordered it
pt. name: first, middle initial, last
pt. DOB
type of test
date of test
test status (ex. fasting, timed)
special precautions (ex. latex allergy)
Requisition form for inpatient blood draw must also have: - ANSWER>>room #, bed #, id #
Requisition for for outpatient blood draw must also have: - ANSWER>>billing information and
ICD9 codes
What are the 3 veins acceptable for blood draws in adults? - ANSWER>>Median cubital, Basilic,
Cephalic
If you can't access the Median Cubital, Basilic or Cephalic veins, what should use next in adult
patients? - ANSWER>>Dorsal part of hand
, vasovagal response - ANSWER>>Fainting because the body overreacts to certain triggers (the
sight of blood, extreme emotional distress)
Site of blood draws in patients < 1 y/o - ANSWER>>scalp, wrists, medial ankle
Site of capillary collection in patients 2+ y/o - ANSWER>>side of middle or ring finger
Site of capillary collection in patients < 1 y/o - ANSWER>>medial or lateral plantar portions of
heel
If a patient has been fasting for the blood draw, the question you must ask is: -
ANSWER>>"When was the last time you ate or drank anything other than water?"
If it's a basal state blood draw, the questions you must ask are: - ANSWER>>"When was the last
time you exercised? And when was the last time you ate or drank anything other than water?"
If a patient has eaten or had anything to drink before having blood drawn and the Doctor
decides to go ahead with blood draw, what must you note on the pt.'s requisition form? -
ANSWER>>Pt. non-compliant
Equipent needed to draw blood: - ANSWER>>gloves, isopropyl alcohol swabs, gauze pads,
bandages, tourniquet, needles, blood collection tubes
Which needle is best for smaller veins? - ANSWER>>Winged infusion or butterfly
A vacutainer is what type of sterile needle? - ANSWER>>Double-ended; one end has protective
cap and the other has a rubber sheath
What is the order of the draw for venipuncture? - ANSWER>>LIGHT BLUE (Sodium Citrate)
RED (non-additive)
GREEN (Heparin)
LAVENDER (EDTA),
GRAY (Potassium oxalate)
What is the order for capillary collection? - ANSWER>>EDTA additive (lavender) , other additive,
serum tubes (red)
Red-stopper tubes are used for: - ANSWER>>blood that needs to clot
