CCMA Phlebotomy Review (NHA) Study Guide with Complete Solutions

CCMA Phlebotomy Review (NHA) Study Guide with Complete Solutions Things to explain to pt. before drawing pt.'s blood: - Answer️️ -1. how long the procedure will take 2. level of pain (typically bee sting) 3. what they can expect to experience after blood draw 4. leave bandage on for 15 minutes and no heavy lifting for 1 hour afterwards Requisition form for ALL patients having blood drawn must have: - Answer️️ -name of physician who ordered it pt. name: first, middle initial, last pt. DOB type of test date of test test status (ex. fasting, timed) special precautions (ex. latex allergy) Requisition form for inpatient blood draw must also have: - Answer️️ - room #, bed #, id # ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 2 Requisition for for outpatient blood draw must also have: - Answer️️ - billing information and ICD9 codes What are the 3 veins acceptable for blood draws in adults? - Answer️️ - Median cubital, Basilic, Cephalic If you can't access the Median Cubital, Basilic or Cephalic veins, what should use next in adult patients? - Answer️️ -Dorsal part of hand Site of blood draws in patients < 1 y/o - Answer️️ -scalp, wrists, medial ankle Site of capillary collection in patients 2+ y/o - Answer️️ -side of middle or ring finger Site of capillary collection in patients < 1 y/o - Answer️️ -medial or lateral plantar portions of heel If a patient has been fasting for the blood draw, the question you must ask is: - Answer️️ -"When was the last time you ate or drank anything other than water?" If it's a basal state blood draw, the questions you must ask are: - Answer️️ -"When was the last time you exercised? And when was the last time you ate or drank anything other than water?" ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 3 If a patient has eaten or had anything to drink before having blood drawn and the Doctor decides to go ahead with blood draw, what must you note on the pt.'s requisition form? - Answer️️ -Pt. non-compliant Equipent needed to draw blood: - Answer️️ -gloves, isopropyl alcohol swabs, gauze pads, bandages, tourniquet, needles, blood collection tubes Which needle is best for smaller veins? - Answer️️ -Winged infusion or butterfly A vacutainer is what type of sterile needle? - Answer️️ -Double-ended; one end has protective cap and the other has a rubber sheath What is the order of the draw for venipuncture? - Answer️️ -LIGHT BLUE (Sodium Citrate) RED (non-additive) GREEN (Heparin) LAVENDER (EDTA), GRAY (Potassium oxalate) What is the order for capillary collection? - Answer️️ -EDTA additive (lavender) , other additive, serum tubes (red) Red-stopper tubes are used for: - Answer️️ -blood that needs to clot tests: serum, chemistry or immunological ©SOPHIABENNETT@ Monday, August 26, 2024 6:09 AM 4 Gold, black or red tiger speckled ("tiger") colored stoppers: - Answer️️ - gel separator, clot activator tests: chemistry and immunological Light blue-colored stoppers additive - Answer️️ -Sodium Citrate Lavender or pink-colored stoppers additive - Answer️️ -EDTA Green-colored stoppers - Answer️️ -Heparin Pale yellow-colored stoppers - Answer️️ -ACD Yellow-colored stoppers - Answer️️ -SPS Gray-colored stoppers - Answer️️ -Potassium oxalate Sodium Citrate - Answer️️ -(blue) preserves bloo