HARTMANS PHLEBOTOMY CORRECT
COMPREHENSIVE TEST QUESTIONS AND
ANSWERS SURE A+
✔✔anchoring of the vein? - ✔✔meaning they don't roll. palpation helps determine rolling
✔✔diameter of vein? - ✔✔helps determine gauge of needle
✔✔water encouraged in both fasting and not fasting draws - ✔✔water
✔✔when vein difficult to locate? - ✔✔1- hang Arm straight down causing blood to pool
2- warm cloth or heat pack veins dilate
3- make fist will cause blood to surge
4- do not pump repeatedly can cause hemoconcentration or hemolysis
5- ask where has been successful b4
6- never slap veins
✔✔if no arm veins suitable then use - ✔✔back of hand
✔✔dorsal aspect - ✔✔back of hand
✔✔never use veins in wrist bc of - ✔✔nerves, tendons and arteries
, ✔✔if no veins in arms or hand then try - ✔✔lower leg , ankle or foot
✔✔draw sites in lower limbs are elevated risk for - ✔✔thrombosis
✔✔thrombosis - ✔✔blood clot
✔✔dr orders - ✔✔leg, ankle, and foot draws need dr approval
✔✔what is first priority for PBT when selecting a site? - ✔✔safety and health. select a
site with least discomfort
✔✔clean site? - ✔✔70% alcohol in circles starting inside working out and let dry
✔✔how to clean for blood culture? - ✔✔most common chloraprep
can use alcohol but 3 pads for 60 sec
if iodine then clean off with alcohol so no trace
✔✔iodine allergy - ✔✔shellfish
✔✔when testing for alcohol level how to clean site? - ✔✔use something other than
alcohol or iodine so not to contaminate blood
✔✔how to anchor vein? - ✔✔use thumb to anchor vein pulling skin below site
✔✔info about inserting needle - ✔✔bevel up
30% angle
✔✔"Blown" Veins - ✔✔needle thru vein
✔✔what problems can prevent blood flow? - ✔✔1- vein have moved or rolled
2- needle gone thru vein
3- bevel not fully inserted into vein or vein collapsed
✔✔do not probe for vein, if blood isn't immediate you might create a - ✔✔hematoma
✔✔Hematoma - ✔✔leaked blood beneath skin
✔✔PBT can move needle ........... but never ......... - ✔✔forward and back
side to side
✔✔if you cannot get blood from a site what do you do? - ✔✔remove tourniquet , remove
needle ans select another site
COMPREHENSIVE TEST QUESTIONS AND
ANSWERS SURE A+
✔✔anchoring of the vein? - ✔✔meaning they don't roll. palpation helps determine rolling
✔✔diameter of vein? - ✔✔helps determine gauge of needle
✔✔water encouraged in both fasting and not fasting draws - ✔✔water
✔✔when vein difficult to locate? - ✔✔1- hang Arm straight down causing blood to pool
2- warm cloth or heat pack veins dilate
3- make fist will cause blood to surge
4- do not pump repeatedly can cause hemoconcentration or hemolysis
5- ask where has been successful b4
6- never slap veins
✔✔if no arm veins suitable then use - ✔✔back of hand
✔✔dorsal aspect - ✔✔back of hand
✔✔never use veins in wrist bc of - ✔✔nerves, tendons and arteries
, ✔✔if no veins in arms or hand then try - ✔✔lower leg , ankle or foot
✔✔draw sites in lower limbs are elevated risk for - ✔✔thrombosis
✔✔thrombosis - ✔✔blood clot
✔✔dr orders - ✔✔leg, ankle, and foot draws need dr approval
✔✔what is first priority for PBT when selecting a site? - ✔✔safety and health. select a
site with least discomfort
✔✔clean site? - ✔✔70% alcohol in circles starting inside working out and let dry
✔✔how to clean for blood culture? - ✔✔most common chloraprep
can use alcohol but 3 pads for 60 sec
if iodine then clean off with alcohol so no trace
✔✔iodine allergy - ✔✔shellfish
✔✔when testing for alcohol level how to clean site? - ✔✔use something other than
alcohol or iodine so not to contaminate blood
✔✔how to anchor vein? - ✔✔use thumb to anchor vein pulling skin below site
✔✔info about inserting needle - ✔✔bevel up
30% angle
✔✔"Blown" Veins - ✔✔needle thru vein
✔✔what problems can prevent blood flow? - ✔✔1- vein have moved or rolled
2- needle gone thru vein
3- bevel not fully inserted into vein or vein collapsed
✔✔do not probe for vein, if blood isn't immediate you might create a - ✔✔hematoma
✔✔Hematoma - ✔✔leaked blood beneath skin
✔✔PBT can move needle ........... but never ......... - ✔✔forward and back
side to side
✔✔if you cannot get blood from a site what do you do? - ✔✔remove tourniquet , remove
needle ans select another site
