NHCO Phlebotomy WITH QUESTIUONS AND 100% SURE
ANSWERS
-Testing that is carried out usually in the presence of the patient using devices onsite.
-Many POCT procedures are "waived tests", which means that the process can be
Point Of Care Testing (POCT)
performed by providers other than the physicians or nursing staff.
-If the test is NOT waived, the phlebotomist is NOT allowed to perform it.
-Modern Blood Letting
Therapeutic Phlebotomy -Polycythemia Vera
-Hemochromatosis
-The average adult body contains 5.0 liters to 7.0 liters of blood . The recommended
allowance for the total volume of blood that should be drawn from an adult patient
Modern Bloodletting
within a 24 hour period is 1 % to 5 % .
-Once completed "bad blood" will be discarded
Polycythemia Vera (PV) Too many red blood cells.
-Too much Iron in their system.
Hemochromatosis
-400-500ml is a standard draw
-Nasal Swab
-Buccal Swab (Mouth Swab)
-Throat Swab (Only for the throat)
-Stool Specimen (hat shaped plastic lid to catch specimen) get stool to lab
immediately. The STOOL QUAIAC TEST looks for hidden OCCULT blood in a stool
sample. Most common fecal occult blood test.
-Sputum Specimen (Hock up a Lougie) Mucous membranes line the respiratory tract.
Sputum helps tract prevent infection
Other Non-Blood Specimen/Various
-Semen Specimen (free of spermicides or detergent) must reach lab in 1hr and be
Collection Types
kept as close to body temperature as possible.
-Urine Specimen (most common) to the lab within 4 min of collection. CLEAN
CATCH- MID STREAM, geriatric and obese patients should use a HAT.
-24 HR Urine Specimen (Has to be Refrigerated) Discard first specimen, urinate into
small collection container & pour into large collection container, Refrigerate & keep
refrigerated until delivery
-Catherization (through the bladder)
-Suprapubic Catherization (through the abdomen straight to bladder with a needle)
-Refrigerate Urine Specimens and process within 1 hour
-Preserved Specimens for reagent strip testing (dipstick), keep at room temp for up
How to Handle Non-Blood Specimens to 72 hours.
-Culture and Sensitivity bottles will also keep at room temperature for up to 72
hours.
Transporting Samples Use plastic biohazard bags with zipper seals.
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