AMCA-PTC Study Guide Objective
#4--Specimen Collection
When patients need more than one check finished, requiring a couple of tube to be filled, the
identical multi-sample ___ is used to fill all the tubes. This leads to capability ___ of cloth
from in advance tubes into subsequent tubes. As a result, the ___ ___ ___ ___ ___ (CLSI)
has evolved a preferred order of draw for multitube attracts. This applies to both syringe
samples and multi-sample needle attracts.
Needle, contamination, Clinical and Laboratory Standards Institute
CLSI Order of Draw
(name hues in order)
1. Sterile Tube (blood cultures): ___ pinnacle
2. Coagulation Tube: ___ ___ top
three. Serum Tube: ___ top (glass or plastic tube)
four. SST (Serum Separator Tubes): Speckled Red/Gray, Tiger top, or ___ BD Hemoguard
five. PST (Plasma Separator Tubes): Light or Dark ___ top
6. EDTA Tube: ___ top
7. Glycolytic Inhibitor Tube: ___ top
Yellow, Light Blue, Red, Gold, Green, Lavender, Gray
It is very vital that a ___ ___ , located inside the place of work, be followed regarding
specimen collection and order-of-draw requirements, despite the fact that they range from
the order above.
Procedure Manual
The first and most crucial step in venipuncture processes is to properly ___ the affected
person.
Perceive
Erroneously drawing blood from the incorrect patient could result in serious consequences,
which include incorrect ___ or remedy of the meant affected person, which could result in
damage or loss of life, ___ of the phlebotomist, and the capability for a lawsuit.
Diagnosis, termination
To lessen the threat of wrong identification of a affected person, two of the following 3
primary identifiers have to be used earlier than drawing a patient's blood:
,- Patient's ___
- D___ (abbrev.)
- Hospital-issued ___ (abbrev.) variety
name, DOB, ID
The following resources are needed so one can carry out venipuncture:
- Phlebotomy ___ containing vacutainers, holders, needles, and syringes
- T___
- Specimen labels
- Disposable gloves
- ___ box
- ___% isopropyl alcohol
- Gauze pads
- Bandages
tray, Tourniquet, Sharps, 70%
While evacuated tubes are greater usually used when drawing blood from veins, in a few
patients, especially those with fragile veins, the strong vacuum of those tubes can also
motive the vein to ___ . To avoid such headaches, a ___ is used in vicinity of the evacuated
tubes. A smaller gauge needle is usually used for those forms of draws and discarded as
soon as the draw is whole. The blood is then transferred from the syringe to the evacuated
tubes thru using a needleless blood ___ ___ .
Collapse, syringe, transfer device
Parts of a multi-pattern needle:
- Bevel
- Shaft
- Threaded ___
- Rubber ___ over the needle
hub, sleeve
Parts of a syringe device:
- Bevel
- Shaft
- Hub
- Graduated ___
- P___
barrel, Plunger
In certain situations, venipuncture series may be not possible or inadvisable. In such
situations, ___ series, also referred to as dermal puncture, can be used.
Capillary
, Dermal puncture is really helpful whilst acquiring blood from the subsequent sorts of
patients:
- ___ , specially those more youthful than 2 years of age
- Geriatric patients with small, ___ veins
- Obese sufferers, whose veins are hard to locate or get admission to
- Patients at chance for extreme headaches associated with a deep venous puncture
(consisting of iatrogenic anemia, hemorrhage, and so on.)
- Patients vulnerable to venous ___ (blood clot)
- Patients with burns or ___ over venipuncture web sites
- Patients requiring frequent glucose monitoring
Children, fragile, thrombosis, scars
Capillary/Dermal Puncture:
Adult or child older than 1 year
___ floor of the distal segments of the third ( ___ ) or 4th (ring) palms
Puncture is made perpendicular to the ridges of the fingerprint and slightly ___ to the middle
of the finger
Depth: three.Zero mm
Palmar, center, lateral
Capillary/Dermal Puncture:
Child more youthful than 1 12 months
___ and lateral borders of the ___ surface of the heel
For older toddlers, the ___ ___ may be used if an alternative web site is wanted
Depth: 2.Zero mm
Medial, plantar, big toe
Capillary/Dermal Puncture:
Premature babies or neonates
___ and lateral borders of the ___ surface of the heel
#4--Specimen Collection
When patients need more than one check finished, requiring a couple of tube to be filled, the
identical multi-sample ___ is used to fill all the tubes. This leads to capability ___ of cloth
from in advance tubes into subsequent tubes. As a result, the ___ ___ ___ ___ ___ (CLSI)
has evolved a preferred order of draw for multitube attracts. This applies to both syringe
samples and multi-sample needle attracts.
Needle, contamination, Clinical and Laboratory Standards Institute
CLSI Order of Draw
(name hues in order)
1. Sterile Tube (blood cultures): ___ pinnacle
2. Coagulation Tube: ___ ___ top
three. Serum Tube: ___ top (glass or plastic tube)
four. SST (Serum Separator Tubes): Speckled Red/Gray, Tiger top, or ___ BD Hemoguard
five. PST (Plasma Separator Tubes): Light or Dark ___ top
6. EDTA Tube: ___ top
7. Glycolytic Inhibitor Tube: ___ top
Yellow, Light Blue, Red, Gold, Green, Lavender, Gray
It is very vital that a ___ ___ , located inside the place of work, be followed regarding
specimen collection and order-of-draw requirements, despite the fact that they range from
the order above.
Procedure Manual
The first and most crucial step in venipuncture processes is to properly ___ the affected
person.
Perceive
Erroneously drawing blood from the incorrect patient could result in serious consequences,
which include incorrect ___ or remedy of the meant affected person, which could result in
damage or loss of life, ___ of the phlebotomist, and the capability for a lawsuit.
Diagnosis, termination
To lessen the threat of wrong identification of a affected person, two of the following 3
primary identifiers have to be used earlier than drawing a patient's blood:
,- Patient's ___
- D___ (abbrev.)
- Hospital-issued ___ (abbrev.) variety
name, DOB, ID
The following resources are needed so one can carry out venipuncture:
- Phlebotomy ___ containing vacutainers, holders, needles, and syringes
- T___
- Specimen labels
- Disposable gloves
- ___ box
- ___% isopropyl alcohol
- Gauze pads
- Bandages
tray, Tourniquet, Sharps, 70%
While evacuated tubes are greater usually used when drawing blood from veins, in a few
patients, especially those with fragile veins, the strong vacuum of those tubes can also
motive the vein to ___ . To avoid such headaches, a ___ is used in vicinity of the evacuated
tubes. A smaller gauge needle is usually used for those forms of draws and discarded as
soon as the draw is whole. The blood is then transferred from the syringe to the evacuated
tubes thru using a needleless blood ___ ___ .
Collapse, syringe, transfer device
Parts of a multi-pattern needle:
- Bevel
- Shaft
- Threaded ___
- Rubber ___ over the needle
hub, sleeve
Parts of a syringe device:
- Bevel
- Shaft
- Hub
- Graduated ___
- P___
barrel, Plunger
In certain situations, venipuncture series may be not possible or inadvisable. In such
situations, ___ series, also referred to as dermal puncture, can be used.
Capillary
, Dermal puncture is really helpful whilst acquiring blood from the subsequent sorts of
patients:
- ___ , specially those more youthful than 2 years of age
- Geriatric patients with small, ___ veins
- Obese sufferers, whose veins are hard to locate or get admission to
- Patients at chance for extreme headaches associated with a deep venous puncture
(consisting of iatrogenic anemia, hemorrhage, and so on.)
- Patients vulnerable to venous ___ (blood clot)
- Patients with burns or ___ over venipuncture web sites
- Patients requiring frequent glucose monitoring
Children, fragile, thrombosis, scars
Capillary/Dermal Puncture:
Adult or child older than 1 year
___ floor of the distal segments of the third ( ___ ) or 4th (ring) palms
Puncture is made perpendicular to the ridges of the fingerprint and slightly ___ to the middle
of the finger
Depth: three.Zero mm
Palmar, center, lateral
Capillary/Dermal Puncture:
Child more youthful than 1 12 months
___ and lateral borders of the ___ surface of the heel
For older toddlers, the ___ ___ may be used if an alternative web site is wanted
Depth: 2.Zero mm
Medial, plantar, big toe
Capillary/Dermal Puncture:
Premature babies or neonates
___ and lateral borders of the ___ surface of the heel
