NHCO PHLEBOTOMY END OF COURSE ANSWERS
AND QUESTIONS SET A+
✔✔The CDC - ✔✔Centers for Disease Control and Prevention; recommends universal
precautions
✔✔Standard Precautions - ✔✔Wear gloves when collecting and handling blood, bodily
fluids, or tissue specimens. NEVER double glove
Wear face shields when there is danger of splashing onto mucous membranes
Dispose of all needles and sharp objects in puncture resistant containers without
recapping.
ALWAYS activate the safety mechanism
Be aware that disinfectants are used to clean fluid spills, killing pathogenic organisms
✔✔Cough and sneezing etiquette - ✔✔Cough and sneeze into elbow bend; wash hand
and elbow after
✔✔antecubital fossa - ✔✔interior depression (ditch or impression ) opposite of the
elbow; blood pressure site
✔✔What should you do if sharps container is overflowing - ✔✔Report violation to
supervisor
✔✔How do you pick up glassware - ✔✔Mechanical means ( forceps, tweezers, broom
and dust pan)
✔✔Thrombocytes - ✔✔platelets, blood-clotting cell fragments; aid in process of
hemostasis and are critical to repairing blood vessels after injury
✔✔Erythrocytes - ✔✔red blood cells( rbc); contain hemoglobin the oxygen carrying
protein
, ✔✔Leukocytes - ✔✔white blood cells, fight infection
✔✔Where should tourniquet be applied? - ✔✔3 to 4 inches above the venipuncture site
✔✔How long can a tourniquet be left on? - ✔✔60 seconds/ 1 minute
✔✔Venipuncture Equipment/supplies - ✔✔Laboratory requisition
Antiseptic
Tourniquet
Gloves
Vacutainer tubes
Vacuainer needles
Needle adapters
Sharps container
✔✔median cubital vein - ✔✔The vein of choice because is it large and does not tend to
move the the needle is inserted.
✔✔cephalic vein - ✔✔Large vein on the outermost side of the upper arm
✔✔basilic vein - ✔✔The third choice for venipunctures. It is the least firmly anchored
and located near the brachial artery. If the needle is inserted too deep, this artery may
be punctured.
✔✔Which vein should you use for obese patient? - ✔✔Cephalic vein
✔✔What should you do if the patient complains the blood draw hurts, itches, or is
painful - ✔✔Stop the blood draw immediately
✔✔Labeling each collected specimen - ✔✔Patients full name
A numeric identifier such as DOB
Date and time of collection
Phlebotomist initials
✔✔When choosing fingerstick site - ✔✔Select either 3rd or 4th finger of the non
dominant hand
✔✔Heel stick - ✔✔Method of obtaining blood samples on infants and toddlers up to 2
years old; stick on the outside lateral plantar portion of foot. Draw imaginary lines
medially extending from the middle of the great toe to the heel, and then laterally from
the middle of the fourth and fifth toes to the heel.
AND QUESTIONS SET A+
✔✔The CDC - ✔✔Centers for Disease Control and Prevention; recommends universal
precautions
✔✔Standard Precautions - ✔✔Wear gloves when collecting and handling blood, bodily
fluids, or tissue specimens. NEVER double glove
Wear face shields when there is danger of splashing onto mucous membranes
Dispose of all needles and sharp objects in puncture resistant containers without
recapping.
ALWAYS activate the safety mechanism
Be aware that disinfectants are used to clean fluid spills, killing pathogenic organisms
✔✔Cough and sneezing etiquette - ✔✔Cough and sneeze into elbow bend; wash hand
and elbow after
✔✔antecubital fossa - ✔✔interior depression (ditch or impression ) opposite of the
elbow; blood pressure site
✔✔What should you do if sharps container is overflowing - ✔✔Report violation to
supervisor
✔✔How do you pick up glassware - ✔✔Mechanical means ( forceps, tweezers, broom
and dust pan)
✔✔Thrombocytes - ✔✔platelets, blood-clotting cell fragments; aid in process of
hemostasis and are critical to repairing blood vessels after injury
✔✔Erythrocytes - ✔✔red blood cells( rbc); contain hemoglobin the oxygen carrying
protein
, ✔✔Leukocytes - ✔✔white blood cells, fight infection
✔✔Where should tourniquet be applied? - ✔✔3 to 4 inches above the venipuncture site
✔✔How long can a tourniquet be left on? - ✔✔60 seconds/ 1 minute
✔✔Venipuncture Equipment/supplies - ✔✔Laboratory requisition
Antiseptic
Tourniquet
Gloves
Vacutainer tubes
Vacuainer needles
Needle adapters
Sharps container
✔✔median cubital vein - ✔✔The vein of choice because is it large and does not tend to
move the the needle is inserted.
✔✔cephalic vein - ✔✔Large vein on the outermost side of the upper arm
✔✔basilic vein - ✔✔The third choice for venipunctures. It is the least firmly anchored
and located near the brachial artery. If the needle is inserted too deep, this artery may
be punctured.
✔✔Which vein should you use for obese patient? - ✔✔Cephalic vein
✔✔What should you do if the patient complains the blood draw hurts, itches, or is
painful - ✔✔Stop the blood draw immediately
✔✔Labeling each collected specimen - ✔✔Patients full name
A numeric identifier such as DOB
Date and time of collection
Phlebotomist initials
✔✔When choosing fingerstick site - ✔✔Select either 3rd or 4th finger of the non
dominant hand
✔✔Heel stick - ✔✔Method of obtaining blood samples on infants and toddlers up to 2
years old; stick on the outside lateral plantar portion of foot. Draw imaginary lines
medially extending from the middle of the great toe to the heel, and then laterally from
the middle of the fourth and fifth toes to the heel.
