What if a patient has cold hands? - warm them before finger stick
contact isolation - use gloves and gown
How often do you do quality controls? - usually daily but depends on the manufacturer
crying baby - wait one hour to draw
evacuated tube system - dispose of both needle and holder
fasting - 12 hours of no food, water okay
which fingers do you use on a finger stick? - 3rd and 4th
how often do you change gloves? - in between patients
hemolysis - --when RBC are damaged or destroyed and the hemoglobin escapes into the fluid portion of
the specimen turning it pink to red depending on extent
--unsatisfactory for electrolytes, esp. potassium, also magnesium and most enzyme tests
, What could happen if you draw too much blood from infants? - anemia
How long do you leave iodine on for blood cultures? - at least 20 seconds
What if a patient has an IV? - draw below IV from a different vein
When do you label tubes? - after blood is collected
lancet position - perpendicular to fingerprint
lancets - control length to prevent bone injury
links in chain of infection -
mastectomy patient - draw from other arm so lymph nodes don't swell
negligence - failure to exercise due care that any reasonable professional would do
i.e.
not disinfecting skin
forgetting to remove tourniquet
leaving a bed rail down
If a tube doesn't have anticoagulant what does it result in? - serum
Oral glucose tolerance test (OGTT) - evaluates the body's ability to metabolize glucose by monitoring the
patient's tolerance to high levels of glucose without adverse effects; evaluates the insulin response to a
measured dose of glucose by recording glucose levels on specimens collected at specific time intervals
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