How is ammonia handled after being drawn? - ANSWER it needs to be put on ice
Arteries carry blood away from the heart via _____? - ANSWER Aorta
What carries blood back to heart - ANSWER veins
Baby bilirubin; amber tube, Why? - ANSWER bilirubin breaks down in the presence of
light, amber tube protects specimen from light
best site for baby heel stick - ANSWER medial to big toe and lateral to the line be-
tween 4th and 5th toe on the fattiest part of the heel
Best way to break the chain of infection - ANSWER hand hygiene
Blood alcohol; What do you use to cleanse the skin - ANSWER not isopropyl alcohol;
povidone-iodine and benzalkonium chloride
Blood cultures; What is the #1 skin antiseptic? - ANSWER -povidone-iodine,
bezalkonium chloride
-due to iodine sensitivities chlorhexidine gluconate/ isopropyl alcohol antiseptic prepara-
tions are being used
blood cultures - ANSWER draw two at 30-60 minutes intervals
1
,capillary blood - ANSWER closer to arterial blood than venous
causes of hematoma - ANSWER probing
going through the vein
using a cotton ball instead of gauze
Centrifudges - ANSWER check every 3 months, balance with caps on
chain of custody - ANSWER ID, Date, time of sampling handling
clean catch midstream urine - ANSWER best for detecting bacterial infection
cold agglutinins, cryofibrinogen, cryoglobulines - ANSWER keep sample warm; body
temperature; 37 degrees Celsius
What if a patient has cold hands? - ANSWER warm them before finger stick
contact isolation - ANSWER use gloves and gown
How often do you do quality controls? - ANSWER usually daily but depends on the
manufacturer
crying baby - ANSWER wait one hour to draw
evacuated tube system - ANSWER dispose of both needle and holder
fasting - ANSWER 12 hours of no food, water okay
2
, which fingers do you use on a finger stick? - ANSWER 3rd and 4th
how often do you change gloves? - ANSWER in between patients
hemolysis - ANSWER --when RBC are damaged or destroyed and the hemoglobin es-
capes into the fluid portion of the specimen turning it pink to red depending on extent
--unsatisfactory for electrolytes, esp. potassium, also magnesium and most enzyme tests
What could happen if you draw too much blood from infants? - ANSWER anemia
How long do you leave iodine on for blood cultures? - ANSWER at least 20 seconds
What if a patient has an IV? - ANSWER draw below IV from a different vein
When do you label tubes? - ANSWER after blood is collected
lancet position - ANSWER perpendicular to fingerprint
lancets - ANSWER control length to prevent bone injury
links in chain of infection - ANSWER
mastectomy patient - ANSWER draw from other arm so lymph nodes don't swell
negligence - ANSWER failure to exercise due care that any reasonable professional
would do
3
Arteries carry blood away from the heart via _____? - ANSWER Aorta
What carries blood back to heart - ANSWER veins
Baby bilirubin; amber tube, Why? - ANSWER bilirubin breaks down in the presence of
light, amber tube protects specimen from light
best site for baby heel stick - ANSWER medial to big toe and lateral to the line be-
tween 4th and 5th toe on the fattiest part of the heel
Best way to break the chain of infection - ANSWER hand hygiene
Blood alcohol; What do you use to cleanse the skin - ANSWER not isopropyl alcohol;
povidone-iodine and benzalkonium chloride
Blood cultures; What is the #1 skin antiseptic? - ANSWER -povidone-iodine,
bezalkonium chloride
-due to iodine sensitivities chlorhexidine gluconate/ isopropyl alcohol antiseptic prepara-
tions are being used
blood cultures - ANSWER draw two at 30-60 minutes intervals
1
,capillary blood - ANSWER closer to arterial blood than venous
causes of hematoma - ANSWER probing
going through the vein
using a cotton ball instead of gauze
Centrifudges - ANSWER check every 3 months, balance with caps on
chain of custody - ANSWER ID, Date, time of sampling handling
clean catch midstream urine - ANSWER best for detecting bacterial infection
cold agglutinins, cryofibrinogen, cryoglobulines - ANSWER keep sample warm; body
temperature; 37 degrees Celsius
What if a patient has cold hands? - ANSWER warm them before finger stick
contact isolation - ANSWER use gloves and gown
How often do you do quality controls? - ANSWER usually daily but depends on the
manufacturer
crying baby - ANSWER wait one hour to draw
evacuated tube system - ANSWER dispose of both needle and holder
fasting - ANSWER 12 hours of no food, water okay
2
, which fingers do you use on a finger stick? - ANSWER 3rd and 4th
how often do you change gloves? - ANSWER in between patients
hemolysis - ANSWER --when RBC are damaged or destroyed and the hemoglobin es-
capes into the fluid portion of the specimen turning it pink to red depending on extent
--unsatisfactory for electrolytes, esp. potassium, also magnesium and most enzyme tests
What could happen if you draw too much blood from infants? - ANSWER anemia
How long do you leave iodine on for blood cultures? - ANSWER at least 20 seconds
What if a patient has an IV? - ANSWER draw below IV from a different vein
When do you label tubes? - ANSWER after blood is collected
lancet position - ANSWER perpendicular to fingerprint
lancets - ANSWER control length to prevent bone injury
links in chain of infection - ANSWER
mastectomy patient - ANSWER draw from other arm so lymph nodes don't swell
negligence - ANSWER failure to exercise due care that any reasonable professional
would do
3
