+ Ensure the proper information is provided on the requisition. \end{array} \begin{array}{lcc} Tests liver infection from HAV (all antibodies) variables to be controlled include duplicate or missing requisitions, test left off the requisition, missing patient number, missing doctor name, or priority not indicated. It also provides the standards for ensuring the College . Tests for measles vaccination Deliver specimens promptly to the laboratory. 1 SKILLS DRILL 1-1: REQUISITION ACTIVITY 5.0 (2 reviews) RBC Click the card to flip red blood cell count. Papanicolaou Diagnostic Hold the baby's foot firmly to avoid sudden movement. Povidone-iodine wipes/swabs - Used if blood culture is to be drawn. Measures Low Density Lipoprotein Cholesterol (Bad) - The directory of services contains a variety of information pertinent to the smooth coordination of nursing staff and laboratory personnel. It also includes key terms matching exercises, chapter review questions, crossword puzzles, skill and knowledge drills, requisition activities, case studies, and procedure evaluation forms. Always wear a clean lab coat or gown. Centrifugation Drug Levels, RED line. Edematous extremities - tissue fluid accumulation alters test results. Beta-HCG Tumor Marker Chemistry, SST The patient should make a fist without pumping the hand. Drug Levels, RED Tests for cause of breast milk production without pregnancy Clin Lab. Chemistry, SST + Dark LAVENDER b) drug monitoring Measures High Density Lipoprotein Cholesterol (Good) 4. tube size has adequate volume \text {Direct manufacturing labor-hours } & 3 \text { hours } & 5 \text { hours } \\ Phlebotomy is a booming career path within the medical field. Effective methods use distraction. Have the patient hold a small gauze pad over the puncture site for a couple of minutes to stop the bleeding. Cochrane Database Syst Rev. \\ https://www.ncbi.nlm.nih.gov/books/NBK138650/pdf/Bookshelf_NBK138650.pdf (Accessed June 13, 2022). in the patient's chart. Identify the patient using two identifiers. Assess the need for sample recollection and/or rejection. Clean up any blood spills with a disinfectant such as freshly made 10% bleach. \textbf{Sales and Inventory Information, Finished Goods} Serology/Immunology, SST d) sex cells, Surfactant QA - the larger set of methods used to guarantee quality patient care, including the methods used for patient preparation and collection and transportation protocols; The team approach improves production by reducing errors and waste, thereby resulting in a reduction in healthcare cost; QA programs use written documentation to set standards for the performance of procedures, monitor compliance with written procedures, and track patient outcomes with scheduled evaluations of all laboratory activities. revenue. Tests for liver problems (esp. \text { Setup time per batch } & 1.50 \text { hours } & 1.75 \text { hours } \\ Collect drops of blood into the collection device by gently massaging the finger. Hepatitis A Antibody Total Monitors therapeutic levels of drug What conclusions do you reach? If patient is an outpatient, ask them to state their full name and date of birth. Cannula/fistula/heparin lock - hospitals have special policies regarding these devices. Draw 5 ml of blood and discard before drawing the specimen tubes for testing. - Specimen transportation variables include the method of delivery, the treatment of the sample during transportation, and the timing of delivery The functional units the Nervous System are the a) axons b) dendrites c) nephrons d) neurons d A person who is supine is a) lying face up b) lying on the side c) sitting up d) standing erect a The creation of a hormone is an example of: a) anabolism b) catabolism c) hemopoiesis d) homeostasis a Which of the following is a structure within a cell? Monitors therapeutic levels of drug . Serology/Immunology, SST Check for any allergies to antiseptics, adhesives, or latex by observing for armbands and/or by asking the patient. 3.Assesses physical condition of the patient during phlebotomy and takes appropriate action; maintains phlebotomy supply levels. Primary effect is hemoconcentration of non-filterable elements (i.e. & \textbf { Plastic } & \textbf { Metal } \\ Employment Type: Casual Position Classification: Technical Assistant Grade 2 Remuneration: $28.39 - $29.54 per hour plus superannuation Hours Per Week: Casual Requisition ID: REQ393323 Location: Royal North Shore Hospital Applications Close: 7 May 2023 - 11:59pm About The Opportunity We are currently seeking a motivated and reliable casual Pathology Collector to join our team and work across . Clean the site to be punctured with an alcohol sponge. Hepatitis, SST Identity Dispose of contaminated materials in appropriate waste receptacles. Posture: Postural changes (supine to sitting etc.) proteins). d) viscera, Sudoriferous glands are Measures HIV RNA present Phlebotomy issues and quality improvement in results of laboratory testing. a) away from the middle It can take months of training to become a phlebotomist. Valenstein PN, Sirota RL. Tests for HBV surface ANTIGEN b) involuntary Access the most extensive library of templates available. Specimens for Blood Bank require a specific patient identification and collection process. Animal Gear uses a FIFO cost flow assumption for finished goods inventory. d) vertically into right and left portions, Proximal is defined as LLC, Internet Safely discard potentially infectious materials. Needles should be placed in a proper disposal unit IMMEDIATELY after their use. Palpate and trace the path of veins with the index finger. The person in this position interacts with the client, patients, and other PathGroup personnel in a professional and courteous manner and performs with confidence, both the forensic and clinical specimen . c) striated Describe and perform the venipuncture process including: Appropriate clothing and protective equipment. Avoid trauma and excessive probing. C-Reactive Protein, more sensitive d) responsible for goose bumps, Most gas exchange between blood and tissue takes place in the Interruptions and distractions during medical encounters and procedures should be avoided. Lipids, SST Requisition refers to physician's order/doctor's order/lab order. How do you read a phlebotomy requisition? c) smooth \text {Target ending inventory } & 410 \text { pounds } & 65 \text { pounds } \\ Stress: May cause transient elevation in white blood cells (WBC's) and elevated adrenal hormone values (cortisol and catecholamines). Dispose of contaminated materials/supplies in designated containers. INCLUDES: HDL, LDL, Total Cholesterol, Triglycerides Position the patient. Monitors therapeutic levels of drug Alanine Aminotransferase This requisition form must contain the proper information in order to process the specimen. Tumors of liver, testes, ovaries 2017;50(10-11):568-573. Tests IgE for outdoor allergies \text { Beginning inventory in dollars } & \$ 1,000 & \$ 4,650 - After this time, the sample will begin to show falsely lowered glucose and falsely elevated potassium and lactate dehydrogenase Hyperextend the patient's arm. The only variable nonmanufacturing cost is sales commission, equal to 1% of sales - Centrifuges must be calibrated every 3 months with a tachometer to ensure that they are running at the reported speed. Serology/Immunology, Dark LAVENDER & SST Describe the contents of the procedure manual, and explain how the phlebotomist can use it. These may include listening to music or a story, watching a video, playing with a toy, having a parent provide distraction with talk or touch, using flash cards, and squeezing a rubber ball. Animal Gear Company makes two pet carriers, the Examples of labeled collection tubes are shown below: THE FOLLOWING ARE NEEDED FOR ROUTINE VENIPUNCTURE: Evacuated Collection Tubes - The tubes are designed to fill with a predetermined volume of blood by vacuum. \\ Monitors therapeutic levels of drug Test used to diagnose problems of carbohydrate metabolism Intended to assist memory Microorganisms or their toxins in the blood Often called alternate-site testing Another name for central processing 10 Type of circulation in which more than one artery supplies blood to an area 12 Sets standards for laboratory medicine (abbrev.) 7. ensure labeling is complete "WQoc/mYm-k5e (Kl9Lb]}X.t6p Tpz`f8Cm$&tMKmd9 PaPe!28s0V8(t2@4|C7H(^ 91 w8d 1F@98 eY(&eBA QPC-L!g*QC"*@tcbe]L!)ac L>G0I3$0f y@A[!tX= 3C%@` b endstream endobj 245 0 obj <>>> endobj 246 0 obj <> endobj 247 0 obj <>stream Apply to Phlebotomist, Phlebotomy Technician, Mobile Phlebotomist and more! Have the patient make a fist and flex the arm, which helps engorge muscles to fill veins. Tests amount of Immunoglobulin A Enzymes, proteins, lipids, iron, and calcium are significantly increased with changes in position. - Immediate and follow -up testing for bloodborne pathogens, plus counseling, is standard protocol for accidental needle sticks. Identify the additive, additive function, volume, and specimen considerations to be followed for each of the various color coded tubes. a) diagonally into upper and lower portions . Therapeutic Drug Monitoring: different pharmacologic agents have patterns of administration, body distribution, metabolism, and elimination that affect the drug concentration as measured in the blood. Select a vein other than the one with the IV. Prostate cancer screen Always thank the patient and excuse yourself courteously when finished. Basic steps for a routine venipuncture (with lots of video clips linked throughout!) \\ MMR V Immune, SST Discuss at least eight precautions that must be taken in collecting and labeling specimens. As part of presenting a professional appearance, an institutional dress code may include wearing of a laboratory coat or smock. The following forms are only used if Epic is unavailable or in select areas where Epic is not live. TopTenReviews wrote "there is such an extensive range of documents covering so many topics that it is unlikely you would need to look anywhere else". Check the requisition form for requested tests, patient information, and any special requirements. Label, centrifuge, split, and freeze specimens as required by test order. Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system. Assess the patient's physical disposition (i.e. The needle may have pulled out of the vein when switching tubes. Can irritate the skin Chemistry, SST Do not use a previous puncture site. Learn more. This is a practice called venipuncture. Lipids, SST Fill the capillary tube(s) or micro collection device(s) as needed. . Track HIV Progression Patient Identification 3. List nine patient activities that may affect laboratory test results, and give at least one example of a test affected by each. Prepare the patient's arm using an alcohol prep. Glucose and insulin levels evaluate the endocrine system and the function of the pancreas, which is also an accessory organ of the digestive system. Prepare the equipment, the patient and the puncture site. Chemistry, SST Dilantin (aka Phenytoin) Rapid Plasma Reagin Tumor Markers, SST Practice hygiene for the patient's protection. Requisition must be accurately and completely filled out with the patient number, test ordered and priority. Tests IgE for a variety allergies General health and nutritional status This information must be given when requesting microbiology, cytology, fluid analysis, or other testing where analysis and reporting is site specific. Tests blood carbon dioxide levels Endocrine, SST 3. Summarize the problems that may be encountered in accessing a vein, including the procedure to follow when a specimen is not obtained. Drug treats seizures and bipolar disorder The puncture should be made perpendicular to the ridges of the fingerprint so that the drop of blood does not run down the ridges. Planning, Wills Upon arrival at the patient's room, he finds an airborne precautions sign on the door. + Identifies patients and properly labels specimen tubes. Service, Contact Endocrine, SST & Dark LAVENDER Jaundice) You should strive to avoid painful probing, unsuccessful punctures, and repeated draws and be scrupulously careful regarding site selection, accidental arterial puncture, and nerve injury. Animal Gear uses an activity-based costing system and classifies overhead into three activity pools: The key elements in labeling are: NOTE: Both of the above MUST match the same on the requisition form. The cells you see are long, cylindrical, multinucleated, and heavily striated. Tumor Markers, SST Radioallergosorbent Test - Indoor Tests for HCV infection (acute or chronic) f`a``[ Bl@qM Endocrine, SST Theft, Personal The Patient's Bill of Rights has been adopted by many hospitals as declared by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Apply firm pressure for more than 5 minutes. Approach the patient in a friendly, calm manner. Recognize complications associated with the phlebotomy procedure. Tests for liver damage 134 Phlebotomy jobs available in Rosemont, OH on Indeed.com. Find our Phlebotomist: Green Bay job description for Advocate Aurora Health located in Green Bay, WI, as well as other career opportunities that the company is hiring for. a) ABG Tests results may be altered by dilution and/or content of the intravenous fluid, resulting in misleading laboratory values. 2009;47(2):143-53. Total Iron Binding Capacity Confidentiality of all communications and other records pertaining to the patient's care. Avoid excessive pressure that may squeeze tissue fluid into the drop of blood. Case study 5-1: Body System Structures and Disorders Serology/Immunology, SST b) capillaries Fasting, dietary restrictions, medications, timing, and medical treatment are all of concern and should be noted on the lab requisition. It is not designed to cover or contain a comprehensive listing of activities . #1 Internet-trusted security seal. The unit covers the following learning objectives: 1. . Side 1: Test Abbreviation 8-1) becoming more for backup Computer (Fig. Tumor Markers, SST Tests for A, B or O blood group antigens Screen for Mononucleosis (Epstein-Barr) Dispose of needles immediately upon removal from the patient's vein. Expect reasonable safety congruent with the hospital practices and environment. For areas not live on Epic Orders and during Epic down-time: Complete requisition for appropriate laboratory: Form: A-1a General Lab (Pathology Doctor's Orders) Form: A-1a Therapeutic Drug Assay (TDA) (Pathology Doctor's Orders) Form: A-1a Clinical Microbiology Laboratory (Pathology Doctor's Orders) Tests for thyroid disorders Certain areas are to be avoided when choosing a site: Extensive scars from burns and surgery - it is difficult to puncture the scar tissue and obtain a specimen. Carry out hand hygiene before and after each patient procedure, before putting on and after removing gloves. Drug treats epilepsy (seizures) and is a sedative Hemoconcentration: An increased concentration of larger molecules and formed elements in the blood may be due to several factors: Prolonged tourniquet application (no more than 1 minute). ACDA or ACDB (pale yellow top). 2006;52(5-6):217-30. Side 2: Tube color, test name/purpose, department, Light LAVENDER We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use. Electrophoresis, NO TUBE Arteries pulsate, are most elastic, and have a thick wall. Tests for past or present (chronic) HBV infection Hematoma - may cause erroneous test results. Potassium Thyroid Stimulating Hormone The essential elements of the requisition form are: Patient's surname, first name, and middle initial. Drug treats seizures, mood disorders, migraines PROBLEMS OTHER THAN AN INCOMPLETE COLLECTION: A hematoma forms under the skin adjacent to the puncture site - release the tourniquet immediately and withdraw the needle. \text {Cost of beginning inventory } & \$ 1,102 & \$ 217 Allow to air dry. \\ Electrolyte Panel Cap, rotate and invert the collection device to mix the blood collected. Be informed of the hospital rules and regulations regarding patient conduct. to increase 5% in April. Diagn Microbiol Infect Dis. Serology/Immunology, SST 75g Glucola, draw after 0.5, 1.0, 1.5, and 2.0 hrs. The blood is bright red (arterial) rather than venous. Hemoconcentration causes the false increase of large molecules such as proteins and cholesterol and the false decrease of electrolytes like chloride and potassium. Basic Metabolic Panel Drug Levels, RED Clinic codes are unacceptable. This chapter covers all the steps recommended for safe phlebotomy and reiterates the All requisitions (both Epic generated and non-electronic) require the date and time of Failure to put date, time, and initials on requisition 7. Assesses kidney problems Serology/Immunology, SST Re-anchor the vein. A requisition form must accompany each sample submitted to the laboratory. Blood clots, and the serum is separated by centrifugation, Chemistries, Immunology and Serology, Blood Bank (Crossmatch), Serum separator tube (SST) contains a gel at the bottom to separate blood from serum on centrifugation, Plasma Separating Tube (PST) with Lithium heparin, Anticoagulates with lithium heparin; Plasma is separated with PST gel at the bottom of the tube, Hematology (CBC) and Blood Bank (Crossmatch); requires. Endocrine, SST Accessory organs of the digestive system includes. Tests Adrenal function \end{array} (Partial penetration may allow blood to leak into the soft tissue surrounding the vein by way of the needle bevel). Monitor glucose control over time (Diabetes) Effective communication - both verbal and nonverbal - is essential. Tests for Pregnancy Tests for adrenal disorders Endocrine, SST Direct Antiglobulin Test Endocrine, SST Last draw - additive tubes in this order: SST (red-gray or gold top). The Use professional pre-built templates to fill in and sign documents online faster. 2017;148(4):330-335. \text{Direct materials}\\ After blood withdrawal has occurred, a major phlebotomy principle is cleaning contaminated surfaces and completing interactions with the patient. The patient has the right to refuse participation in such activity. Assesses cardiovascular disease risk Know the identity and professional status of individuals providing service and to know which physician or other practitioner is primarily responsible for his or her care. For an inpatient DO NOT DRAW BLOOD IF THE ARMBAND OR BRACELET IS MISSING. Drug treats heart rhythm problems 1. collected in the correct tube Tests acute liver infection from HAV, HBV, HCV Tests hemolytic anemia causes Study with Quizlet and memorize flashcards containing terms like Define quality assurance (QA), quality control (QC), total quality management, and continuous quality improvement, and discuss their differences and roles in quality phlebotomy., Describe the contents of the procedure manual, and explain how the phlebotomist can use it., Explain the role of the directory of services, and describe . So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. Be sure to dispose of the lancet in the appropriate sharps container. Handbook, Incorporation Phlebotomy Essentials, Seventh Editionprovides accurate, up-to-date, and practical information and instruction in phlebotomy procedures and techniques, along with a comprehensive background in phlebotomy theory and principles. Veins sometimes roll away from the point of the needle and puncture site. Diagnose cause of recurrent kidney stones The student's leg muscles and tendons are probably stressed from the long weekend runs. 2006;52(5-6):217-30. . \\ Job Outlook hb```f`` Identification errors in pathology and laboratory medicine. Consult a specialist at the patient's own request and expense. Total bilirubin Aspartate aminotransferase Impartial access to treatment or accommodations that are available or medically indicated, regardless of race, creed, sex, national origin, or sources of payment for care. A delta check is a QA procedure that helps spot identification errors. The line must be flushed first. Skills Drills SKILLS DRILL 3-1: REQUISITION ACTIVITY A phlebotomist is sent to collect the specimens on the following requisition.
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