Bloodletting
: used to rid the body of excess/infected fluids
Therapeutic Phlebotomy
: Extracting large volumes of blood to bring specific values in the blood in line
What is Therapeutic Phlebotomy used for
: Treating Polycythemia Vera, high iron levels, o hemochromatosis, pulmonary
edema = ...
🗸🗸🗸: used to rid the body of excess/infected fluids
Therapeutic Phlebotomy
🗸🗸🗸: Extracting large volumes of blood to bring specific values in the blood in line
What is Therapeutic Phlebotomy used for
🗸🗸🗸: Treating Polycythemia Vera, high iron levels, o hemochromatosis, pulmonary
edema = used to decrease total blood volume
Polycythemia Vera
🗸🗸🗸: High RBC count
Most common phlebotomy practices today
🗸🗸🗸: extraction of blood for donation, testing substances within, other medical uses
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,Another word for Phlebotomy
🗸🗸🗸: Venesection
Tourniquet is tied
🗸🗸🗸: 3-4" above the draw site
Patient's Bill of Rights
🗸🗸🗸: · Have the option to decline medical treatment
· Have the right to know what tests are being performed
Informed Consent
🗸🗸🗸: A competent person giving voluntary permission after receiving adequate info
Implied consent
🗸🗸🗸: A patient's actions permit the procedure without verbal or written consent
(expressed consent)
First/most important step in a blood draw
🗸🗸🗸: · Verify requisition form and then positively identify patient
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,using the ID band on wrist or ankle
If no band, ask for full name and DOB
Latex free gloves
🗸🗸🗸: Vinyl or nitrile
When to dispose of sharps containers
🗸🗸🗸: 2/3 full
Decontamination technique using bleach
🗸🗸🗸: Sodium Hypochlorite solution (household bleach) diluted between 1:10 (9 parts
water, 1 part bleach - strong) and 1:100 (weak) with water
Leave on surface for at least 10 minutes
Needlestick Safety and Prevention Act
🗸🗸🗸: · Signed 11/6/2000
· Sharps injury log is required: type and brand of device involved, the department or
work area where exposure occurred, an explanation of how it happened
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, Bloodborne Pathogen Exposure Protocol
🗸🗸🗸: · Wash the exposed area with soap and water and flush for at least 15 minutes
· Report the exposure to supervisor
· Refer to MSDS (Material Safety Data Sheet) for procedures on handling substances
· Fill out exposure report form (kept for 40 years)
· Test for HBV/HIV if necessary
OSHA: Occupational Safety and Health Administration Inspection Types
🗸🗸🗸: o Complaint: most common
o Programmed: random
Three major veins for venipuncture
🗸🗸🗸: Three major veins of the antecubital fossa (elbow ditch)
o Median Cubital: The most commonly used
o Cephalic
o Basilic
Vacutainer Needle gauges
🗸🗸🗸: Needles smaller than 23 gauge (butterfly) are not recommended for drawing
blood bc they can cause hemolysis. Most common size used for venipuncture is 21
gauge, 1.25"
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