NHCO PHLEBOTOMY ALL SET A ANSWERS AND
QUESTIONS SET A+
✔✔PKU - ✔✔Ordered within 72 hours using heel stick
✔✔mastectomy patients - ✔✔Draw on opposite side or hand
✔✔IV patient - ✔✔Draw below IV site
✔✔What is the most common complication of phlebotomy? - ✔✔Hematoma- a localized
collection of blood within tissues due to leakage from the wall of a blood vessel
produces a bluish discoloration (ecchymosis) and pain.
Stop venipuncture
✔✔If vein is missed - ✔✔Adhere to 2 stick rule
✔✔To prevent missing vein - ✔✔Apply tourniquet right
Palpate vein
Warm site
✔✔If no blood comes out - ✔✔Always have back up tube
Reposition needle
✔✔Rolling veins - ✔✔Anchor the vein
✔✔syncopal episode - ✔✔fainting spell, brief loss of consciousness
Remove needle
Never use smelling salts to wake patient
✔✔What should you do if patient has history of fainting - ✔✔Have patient lay down
during venipuncture
, ✔✔If the tourniquet has rolled into a thin chord like structure or is too tight what can
happen - ✔✔Petechia- tiny non raised, red spots appear on the skin from capillaries
rupturing
✔✔Thrombosis protocol - ✔✔Blood clots
Consult with provider
Never draw from the same side as clots
✔✔Point-of-care-testing (POCT) - ✔✔A mode of testing in which the analysis is
performed at the site where health care is provided
Coagulation monitoring
Activated Clotting Time
Prothrombin
Platelet function
Arterial blood gas
Glucose cholesterol
✔✔How much blood does the average adult have? - ✔✔5L-7L
✔✔What is the recommended allowance for total volume of blood that should be drawn
in 24 hour period - ✔✔1%- 5%
✔✔Polycythemia vera - ✔✔too many red blood cells, test for hematocrit
✔✔Hematocrit - ✔✔the ratio of the volume of red blood cells to the total volume of blood
✔✔Hemochromatosis - ✔✔excess iron deposits throughout the body
Blood draw of 400-500 ml
✔✔Nasal swab - ✔✔collection of a specimen from inside a patient's nostrils ( Covid 19)
✔✔Buccal swab - ✔✔A swab of the inner portion of the cheek; sublingual ( under
tongue)
✔✔Throat swab - ✔✔A throat swab is the same as a throat culture and is used to test
for Streptococcus.
✔✔Stool specimen collection - ✔✔Catching device or jar
Cannot touch urine or toilet
Refrigerated
QUESTIONS SET A+
✔✔PKU - ✔✔Ordered within 72 hours using heel stick
✔✔mastectomy patients - ✔✔Draw on opposite side or hand
✔✔IV patient - ✔✔Draw below IV site
✔✔What is the most common complication of phlebotomy? - ✔✔Hematoma- a localized
collection of blood within tissues due to leakage from the wall of a blood vessel
produces a bluish discoloration (ecchymosis) and pain.
Stop venipuncture
✔✔If vein is missed - ✔✔Adhere to 2 stick rule
✔✔To prevent missing vein - ✔✔Apply tourniquet right
Palpate vein
Warm site
✔✔If no blood comes out - ✔✔Always have back up tube
Reposition needle
✔✔Rolling veins - ✔✔Anchor the vein
✔✔syncopal episode - ✔✔fainting spell, brief loss of consciousness
Remove needle
Never use smelling salts to wake patient
✔✔What should you do if patient has history of fainting - ✔✔Have patient lay down
during venipuncture
, ✔✔If the tourniquet has rolled into a thin chord like structure or is too tight what can
happen - ✔✔Petechia- tiny non raised, red spots appear on the skin from capillaries
rupturing
✔✔Thrombosis protocol - ✔✔Blood clots
Consult with provider
Never draw from the same side as clots
✔✔Point-of-care-testing (POCT) - ✔✔A mode of testing in which the analysis is
performed at the site where health care is provided
Coagulation monitoring
Activated Clotting Time
Prothrombin
Platelet function
Arterial blood gas
Glucose cholesterol
✔✔How much blood does the average adult have? - ✔✔5L-7L
✔✔What is the recommended allowance for total volume of blood that should be drawn
in 24 hour period - ✔✔1%- 5%
✔✔Polycythemia vera - ✔✔too many red blood cells, test for hematocrit
✔✔Hematocrit - ✔✔the ratio of the volume of red blood cells to the total volume of blood
✔✔Hemochromatosis - ✔✔excess iron deposits throughout the body
Blood draw of 400-500 ml
✔✔Nasal swab - ✔✔collection of a specimen from inside a patient's nostrils ( Covid 19)
✔✔Buccal swab - ✔✔A swab of the inner portion of the cheek; sublingual ( under
tongue)
✔✔Throat swab - ✔✔A throat swab is the same as a throat culture and is used to test
for Streptococcus.
✔✔Stool specimen collection - ✔✔Catching device or jar
Cannot touch urine or toilet
Refrigerated
