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Chapter 44 Blood specimen collection Flashcards | Quizlet Note: Avoid the use of bandages on the fingers of small children due Webthe donor received an arterial puncture rather than the normal venepuncture required for venesection. for heel or fingersticks. (14) The correct sharps disposal procedure should be adhered to in accordance with policies and procedures within the workplace. Phlebotomy Aortic Injury and Cardiac Tamponade as a Complication of % If you are experiencing any of the following symptoms: 1: Raise your arm and apply firm pressure. 48. Venipuncture and Peripheral Intravenous Access Complications of venipuncture | How to avoid | Aimvein These differences include variations in blood-sampling technique, training (both formal and on-the job), use of safety devices, disposal methods, reuse of devices and availability of hepatitis B vaccine. Never fan or blow on the area. Course Hero is not sponsored or endorsed by any college or university. If no hematoma is forming and the patient is not under any noted duress, continue the collection without the or plastic capillary pipettes should be used when obtaining capillary blood. Webif an accidental arterial puncture occurs during the venipuncture procedure: a. apply direct forceful pressure to the puncture site after removing the needle for a minimum of five use of cotton balls, except in patients with dermatitis. thrombosis is more common in the radial artery than in the brachial or femoral artery. d. 8-10, the tubes that contain SSTgel tubes must stand for ____ minutes The heat of vaporization of carbon disulfide, CS2\mathrm{CS}_2CS2, at 25C25^{\circ} \mathrm{C}25C is 27.2kJ/mol27.2 \mathrm{~kJ} / \mathrm{mol}27.2kJ/mol. WebArterial puncture is best achieved with a 20 gauge needle and a 0.025 inch guidewire. Finasteride is a competitive and specific inhibitor of Type II 5-reductase, an intracellular enzyme that converts the androgen testosterone into DHT. Using the smallest acceptable needle size can help reduce the risk of bleeding or hematoma formation. Maintain the patient in recumbent position until fully recovered, and continue monitoring.The collector must call any nearby attending nurse or physician if the patient did not respond. A glass of water or orange juice may be provided. (a)(a)(a) quadruple. Aseptic technique must The collector must watch the patient for signs of fainting like pallor (paleness), hyperventilation, vertigo, dizziness and light-headedness. Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code I97.51 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Webarterial puncture can result in subsequent placement of a large-bore catheter into an artery, ranging from 0.1% to 1.0% of attempted CVC placements in reported series. sheaths must be discarded after each use. Furthermore, the use of the Aimvein vein finder may help to find more suitable venipuncture locations, thereby avoiding veins close to the artery. Webif an accidental arterial puncture occurs during the venipuncture procedure what should happen next? Inadvertent used for phlebotomy, refer to Infection Control Manual, Policy No. Source: www.researchgate.net 3 Date and time sent to lab Use your knowledge of the building blocks of terms, and deconstruct the following terms into their basic elements. drawn on newly admitted patients at least two sets of blood cultures should 10 Inform the supervisor, or nurse in-charge /physician; and document the incident. extreme pain even with anaesthetic during the procedure. The collector must have the patient to lay the patient flat or lower his/her head and arms .Recline chair is recommended for blood collection procedure. You should use a _____ lancet for a patient with large, calloused fingers, For a pediatric patient or a geriatric patient you should use a _______ lancet, wash hands, wipe diapered site with alcohol-prep pad and let dry , hold patients finger securely between your thumb and great finger. give you a better picture of how the words were formed. Appropriate personal protective equipment must be provided. Accidental radial artery puncture can cause complications such as temporary occlusion, pseudoaneurysm and haematoma formation. The three major issues resulting from errors in collection are haemolysis, contamination and inaccurate labelling. Skin at the site of venipuncture and arterial puncture must be free of dirt and debris. The collector must immediately report to the supervisor all complications and incident occurring during the draw and document it according to clinical laboratory policy, including exposure to blood and other infectious materials. are recommended. Some patients are extremely difficult to obtain blood from such infants and small children the elderly or patients who have small veins in this case it may be necessary to use a ________? be wiped with a disinfectant after each patient, if possible. A clean bandage or gauze 11, 27 The ultrasound identification of these structures requires adequate ultrasound instrumentation (especially for correct Since the process of donation can not be continued, the collected blood is not usable. Diseases such as malaria and syphilis may also be transmitted via contaminated blood, and poor infection control practices may lead to bacterial infection where the needle is inserted and contamination of specimens. lines cannot be avoided, it should be obtained by use of a closed system method. Drug resistance: Why do we need new drugs. Find the rms output voltage of the transformer. gentle inversion prevents hemolysis Collection of blood from Continuous pressure on the puncture site best reduces the development of the hematoma.2. Capillary blood collection are frequently preformed in __________ and __________ because of the small amount of blood required, usually one to a few drops. 5 date and time results received "The risk of complications caused by inadvertent arterial puncture is that leaks may not be undetected and cause blood to build up in an area, thereby causing oppressive damage to nearby nerves. Phlebotomy | Issues And Complications - Gafacom Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Never draw blood from a patient who is standing. Arterial injury may be a potentially lethal problem of serious bleeding or Artery puncture is more likely if performed on vessels with the occlusive disease. d. 8-10, Medical assistant certification complete stud, Julie S Snyder, Linda Lilley, Shelly Collins, Pathophysiology for the Health Professions, Self Care Assistance Self Assessment Quiz. 2: Go immediately to the Accident and Emergency department at your nearest hospital, ask someone to take you or dial 999 and take this information with you. 4.02. Gray, 1 data collection WebArterial puncture is an invasive procedure that with serious complications and requires priority to patient safety. If clothing is contaminated, remove clothing and shower if necessary. 2) insert needle into vein at approximately 15-30 degrees, Procedures for venous blood with a vacuum tube. rapidly forming hematoma, rapid filling tube, and bright red blood), discontinue the venipuncture immediately. approved one-step product. and arterial puncture must be performed in a manner that prevents infection 3 attach blood transfer device to syringe and allow the blood transfer using the tube vacuum do not depress the plunger of the syringe fill the tubes with blood from the syringe according to the correct order of draw blood smears be made at this time if needed must be used for the latex sensitive patient. Ultrasound Doesnt Reduce Complications in Femoral Access but The most common complications are bleeding at the puncture site or hematoma formation. This rarely happens and our nurses are trained to deal with this complication: however, it is important that if there are any changes you follow the advice below. Cleanse the skin with soap and friction when grossly soiled. What is the angular magnification if the final image is at (a) infinity or (b) the near point of 25 cm? A standing patient is more likely to faint than one who is sitting or lying down. Pulsatile blood that pushes back the syringe plunger indicates an arterial puncture. in Infection Control Manual, Policy No. Any attempt to repeat a puncture at the same site increases the risk of complications.1. all the above (1. discontinue the venipuncture immediately 2. remove the Guidelines to prevent and Apply a sterile dressing as necessary and apply pressure through the dressing if bleeding is still occurring. cortisol, glucose, blood urea nitrogen (BUN), (Hgb) and hematocrit (Hct) levels are increased, in high-altitude areas such as the mountains, between infancy, childhood, adulthood, and, the elderly because of the gradual change, in the composition of body fluids. The phlebotomy site should If a blood sample is poorly collected, the results may be inaccurate and misleading to the clinician, and the patient may have to undergo the inconvenience of repeat testing. This is more common in humeral and femoral punctures than radial punctures. A clean tourniquet should 4.00. a. A single unit disposable Atrial and ventricular diastole, A step-down transformer is used for recharging the batteries of portable devices. employee health standards as outlined in Infection Control Manual, Section Using a needle with too small diameter (above 23 gauge) 2. 2 Print the test label. (maximum of three sets daily) should be obtained from different venipunctures 1) clean the site lightly with an alcohol prep pad and let it air dry Web terms in this set (45) if an accidental arterial puncture occurs during the venipuncture procedure? Choosing a selection results in a full page refresh. The blood collector must apply a cold compress to the patients forehead and provides him with an emesis basin (kidney dish) or bag. If you require pain relief take paracetamol (according to manufacturers instructions) butavoidaspirin and ibuprofen for the first 24 hours. the blood levels of creatinine, fatty acids. 3. Pre-Analytical Considerations in Phlebotomy.docx, Mindanao State University - General Santos, MODULE-6-Pre-analytical-Considerations-in-Phlebotomy.docx, Pre-Analytical Considerations in Phlebotomy.pdf, LESSON 6_PRE-ANALYTICAL CONSIDERATIONS IN PHLEBOTOMY SUMMARY.pdf, If you dont use it you lose it 19 Define muscular strength and muscular, Box 62 Structure and agency and the Rwandan success story Rwandas economic, Therefore given the complexity of the social determinants of mental health, 2 Add bread crumbs stirring constantly to prevent scorching 3 Remove from heat, The first pioneering practical nursing schools.docx, f If having a shirt number from 1 to 33 and weighing at most 210 pounds were, C Proxy firewalls are used to process requests from an outside network the proxy, Tutorial 5 Assignment SU 6 (Part 2) Memo 2022.pdf, The result will be Increased productivity Reduce the cost of operations Improved, At the national level the Tanzania Bureau of Standards TBS should develop, Aranyak Vedic texts composed by forest dwelling hermits Artha Material, on the northern horizon Suppose the date is June 21 st and the sun never sets, What is the principal structure of an Organizational policy and procedure for, 5FE6F72C-F6DC-4BE6-9B4A-C7D6D447815F.jpeg. Inform your Immediate Supervisor and/or Head of the Department immediately after the exposure, Referencehttps://www.webmd.com/a-to-z-guides/what-is-phlebotomyhttps://www.cancer.gov/publications/dictionaries/cancer-terms/def/phlebotomyhttps://www.surgeryencyclopedia.com/Pa-St/Phlebotomy.htmlhttps://www.cambridgehealth.edu/phlebotomy-common-questions/https://pmi.edu/programs/certificate/phlebotomy-technicianhttps://webpath.med.utah.edu/TUTORIAL/PHLEB/PHLEB.htmlhttps://www.allalliedhealthschools.com/medical-technician/become-a-phlebotomy-technician/https://www.medicinenet.com/script/main/art.asp?articlekey=4875, Understanding the menstrual cycle is an important aspect of reproductive health for women. risk of spraying of blood and/or body fluids. Although it is rare to puncture the arteries for vein intubation, it does occur. The puncture should be made slightly off the off-the center from the fleshy part of the finger tip perpendicular across the finger tip not____? Using an improperly attached needle on a syringe so that frothing occurs as the blood enters the syringe. 7 The use of the brachial artery is a safe and reliable alternative site for arterial puncture. Red/grey Webmechanisms to prevent or minimise the risk of accidental injury. Blood culture must be collected When an incidence of fainting occurs, the collector must discontinue immediately the procedure by releasing the tourniquet and discarding the needle to protect the patient and discarding the needle to protect the patient and himself from injury. Compression - pressing on the point where the needle was inserted when a bruise has appeared may reduce the size of the bruise which is forming. When used with 120-V (rms) household service, the transformer draws an rms current of 250 mA. must be used according to manufacturer's guidelines, whenever used for phlebotomy. So, Manuel S. Enverga University Foundation - Lucena City, Quezon. 4.02. with soap and friction when grossly soiled. This may include Site for Venipuncture or Arterial Puncture. and/or body fluids. The limb containing a portion of the heel's plantar surface is recommended for infant capillary Venipuncture 4: Continue to raise your arm and apply firm pressure over the site of needle entry on your way to hospital. Webso reduces the risk for accidental arterial puncture. The term Phlebotomy suggests the taking of Blood only. Gloves must be worn when Which chamber atrium or ventricle has higher pressure during the following phases of the cardiac cycle? Phlebotomy Test Review Flashcards | Quizlet prior to sample collection may affect tests, results, either by changing a metabolic process, interference with the testing procedure. must follow standard precautions. and medical devices used for venipuncture and arterial puncture must meet If a patient has a long term vascular catheter, such as a Hickman or Ch. 44 MA Flashcards | Quizlet The ________ is widely used for simple blood test that require capillary blood . Determine the tension T in the cable. By clicking Accept, you consent to the use of ALL the cookies. If a hematoma begin to form during the venipuncture, the collector must remove the needle immediately and apply pressure. venous catheters. c. to pump the fist for at least three minutes WebAccidental Arterial Puncture: If during the procedure accidental arterial puncture is suspected (e.g. be obtained. Although this artery is smaller than the ulnar artery, it is more super cial and can be stabilized more easily during the procedure. 12. III. stream Hormone. b. testing blood glucose levels b. anemia C) to pump the dust for at least three minutes, when it is very difficult to draw blood from a patient, it is recommended that you try using a __ as a tourniquet, When obtaining a venous blood with a vacuum tube the tip of the needle should be inserted in the vein at a degree, After you wipe the desired site with an alcohol-prep pad: you should. PROPECIA is indicated for the treatment of male pattern hair loss (androgenetic alopecia) in MEN ONLY. The menstrual cycle is a complex process, Vectors are living organisms that serve as vehicles to transmit a pathogen (a disease-causing agent like a virus or parasite), Clinical death is defined as the period of respiratory, circulatory and brain arrest during which initiation of resuscitation can lead, In most developing countries, the community health-care system represents at least five layers of care that respond to the comprehensive, is that field of pharmaceutical sciences which applies the principles of chemistry and biology to the creation of knowledge leading, The over-usage of the same drugs, such as antibiotics, can result in the development of resistance to that drug by. is applied to the skin prior to phlebotomy. The exhaust velocity is 720 m/s. Blood cultures should not be routinely obtained through arterial or soiled tourniquets must be discarded. WebIf an accidental arterial puncture occurs during the venipuncture procedure 1. 2. Patients, especially children under the age of 12 or mentally disabled persons, may show anxiety or fear when they present for blood collection. Gloves must be discarded b. it is generally appropriate to collect a capillary blood sample from a site that is: when more than a few drops of blood are required to perform tests, a ____ collection of blood is performed. When a femoral vein is at the gym or carrying heavy shopping, and only light, gentle movement is recommended. Personnel 13 0 obj A circular pattern from the phlebotomy site to periphery is recommended for Immediate removal of the needle and direct pressure Blood Collection Adverse Reactions and Patient Blood Volumes should be chosen prior to skin preparation. measures must be maintained by personnel performing venipuncture and arterial Caution and adherence to infection control and safety Venipuncture Nerve injury may be due to accidental insertion of a needle directly into the nerve tract or to excessive nerve compression secondary to a large hematoma in an adjacent area. blood collection. Use left/right arrows to navigate the slideshow or swipe left/right if using a mobile device. and arterial puncture must be free of dirt and debris. These pathogens include human immunodeficiency virus (HIV), hepatitis B virus (HBV), hepatitis C virus (HCV), and those causing viral haemorrhagic fevers (Crimean Congo haemorrhagic fever, Ebola, Lassa and Marburg) and dengue. skin must never be used for venipuncture or arterial puncture. 2) insert needle into the vein at approximately 15-30 degree angle Web The preferred artery for arterial puncture is the radial artery. The first one is done for you. 3. Arterial Puncture The menstrual cycle is a complex process that involves various hormonal changes in the body, and it plays a key role in fertility and the ability to conceive. Bruises will disappear with time but this may take several weeks. Happens to everyone at some point. Accidental Arterial Puncture During Venipuncture If the blood pulses into the collection system or fills collection tubes rapidly and is bright red, an artery has been punctured. Web11. 3) stretch the end in your right hand to apply gentle pressure over the area of the arm while you hold the other end against the patients arm. distal phalanges. The needle is removed while the tourniquet is still on. WebIf an accidental arterial puncture occurs during the venipuncture procedure: All of the above Following an allergy immunotherapy injection, the patient must be observed for _____ Practice Manual. Webfills collection tubes rapidly and is bright red, an artery has been punctured. Chapter 48. Venipuncture and Peripheral Intravenous Access Chapter 44 & 45 Test Flashcards | Quizlet a. disposable latex-free 75-80 Properly position the needle within the vein. Tourniquets should In most developing countries, the community health-care system represents at least five layers of care that respond to the comprehensive healthcare demands of its people, is that field of pharmaceutical sciences which applies the principles of chemistry and biology to the creation of knowledge leading to the introduction of new therapeutic agents. based on a 24-hour cycle of eating and sleeping. Puncturing parallel to the fingerprint may cause the blood to ? Needles, lancets, syringes, Has 16 years experience. 3 Check patient's record for precautions to be taken, such as in anticoagulant therapy, surgery or trauma to hand. When the needle selected is too large for the vein or the vacuum applied to the vein is too great, a hematoma can result. must be discarded if grossly soiled, damaged, and/or contaminated with blood and other devices contaminated with blood and/or body fluids must be immediately