Blood collection tubes must be drawn in a specific order to avoid cross-contamination of additives between tubes. \begin{array}{ll} Switch on the Wizard mode on the top toolbar to have more recommendations. SalesandInventoryInformation,FinishedGoodsCat-allacDog-erifficExpectedsalesinunits530225Sellingprice$205$310Targetendinginventoryinunits3010Beginninginventoryinunits1025Beginninginventoryindollars$1,000$4,650\begin{array}{c} 2017;148(4):330-335. The recommended order of draw for plastic collection tubes is: First - blood culture bottle or tube (yellow or yellow-black top). Arteries pulsate, are most elastic, and have a thick wall. Valproic Acid (aka Valproate) Hematology, Dark LAVENDER & SST IF AN INCOMPLETE COLLECTION OR NO BLOOD IS OBTAINED: Change the position of the needle. Get access to thousands of forms. \text { Beginning inventory in units } & 10 & 25 \\ Enjoy smart fillable fields and interactivity. Monitors therapeutic levels of drug %PDF-1.6 % Last draw - additive tubes in this order: SST (red-gray or gold top). Perform the venipuncture. Be informed of the hospital rules and regulations regarding patient conduct. h\Qk@W{ T"'wb{[FV;7 b@rrP 1oasH=7IBYWc. \textbf{Sales and Inventory Information, Finished Goods} Case study 5-2: Body Systems, Disorders, Diagnostic Tests, and Directional Terms xYy\?y{ot[Hruo[DRT*K(KiC" *KEB1J12i0,fcuOyz~.9Y9%\4"?nW#bVs4,]ua)|yvpX^,u}xg_V A requisition form must accompany each sample submitted to the laboratory. Chemistry, SST USLegal received the following as compared to 9 other form sites. Jaundice) Valenstein PN, Sirota RL. Adhesive bandages / tape - protects the venipuncture site after collection. . Holder/Adapter - use with the evacuated collection system. c) striated Am J Clin Pathol. Hepatitis, SST Lipids Promptly send the specimens with the requisition to the laboratory. Check for any allergies to antiseptics, adhesives, or latex by observing for armbands and/or by asking the patient. Otherwise, satisfactory samples may be drawn below the IV by following these procedures: Turn off the IV for at least 2 minutes before venipuncture. c) pulmonary vein b. Compute the p-value and interpret its meaning. (Uman et al, 2013). Technology, Power of b) is secreted by sebaceous glands Contains acid citrate dextrose. 7. ensure labeling is complete \textbf{Input Quantities per Unit of Output}\\[3pt] a) blood-filtering structures H. Pylori Antibody Clin Lab. hb```f`` 2004;24(4):979-96, vii. Tests for pregnancy or infertility cause Chemistry, SST Posture: Postural changes (supine to sitting etc.) Fill phlebotomy lab requisition form: Try Risk Free Comments and Help with phlebotomy requisition form Video instructions and help with filling out and completing online blood requisition form Instructions and Help about blood collection from fillup form Tests blood potassium levels hbbd``b`@q?`RR@Y$D8$,XQkX @#C3F$? endstream endobj startxref 0 %%EOF 265 0 obj <>stream Tests IgE for a variety allergies Follow the simple instructions below: The days of distressing complex tax and legal documents are over. 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. MMR V Immune, SST Monitors therapeutic levels of drug Hepatitis, SST 100 g Glucola, draw after 1, 2, and 3 hrs. INCLUDES: Na, Ca, Cl, CO2 Requisition : 89735. Drug treats bipolar disorder c. Construct a 99 % confidence interval estimate of the population mean amount of water per bottle. Endocrine, SST ACDA or ACDB (pale yellow top). Preanalytic variables: Occur before analysis of the specimen. MMR V Immune, SST f`a``[ Bl@qM The patient who is at ease will be less focused on the procedure. hematology Click the card to flip 1 / 10 Flashcards Learn Test Match Created by jscajsca P.9 for each test abbreviation list the test name and the department that performs the test Terms in this set (10) RBC Confidentiality of all communications and other records pertaining to the patient's care. Nonmanufacturing fixed costs for March equal $32,000, half of which are salaries. Airborne precautions may be considered to provide a level of safety against infectious diseases such as tuberculosis, influenza, and COVID-19. Describe and perform the venipuncture process including: Appropriate clothing and protective equipment. The blood is bright red (arterial) rather than venous. 5. mix gently and thoroughly via inversions Avoid the side of the finger where there is less soft tissue, where vessels and nerves are located, and where the bone is closer to the surface. If possible, speak with the patient during the process. - No more than 2 hours should elapse between the time a specimen is collected and the time serum or plasma is separated from formed elements Screen for Mononucleosis (Epstein-Barr) . Describe at least five errors that may occur as a result of improper requisition handling, and explain QA procedures to monitor for them. Ifyou believe that this page should betaken down, please follow our DMCA take down process, Ensure the security ofyour data and transactions. 2017;50(10-11):568-573. ______ c. Paid an employee's salary in cash. The best locations for fingersticks are the 3rd (middle) and 4th (ring) fingers of the non-dominant hand. Assess the patient's physical disposition (i.e. Potassium d) venostasis, Which part of a cell contains the chromosomes or genetic material? Follicle Stimulating Hormone Electrophoresis, SST Hepatitis, SST C-Reactive Protein, more sensitive Radioallergosorbent Test - Miscellaneous To prevent hemolysis (which can interfere with many tests): Mix tubes with anticoagulant additives gently 4-6 times, Avoid drawing the plunger back too forcefully, if using a needle and syringe, or too small a needle, and avoid frothing of the sample. Chemistry, SST Serology/Immunology, SST a) cardiac '9[Rumd;T/T>Iu#)+YI_L~>X"wfe$ou=1])%a/w6oZv~GCR|thtPn }9y)5gG(?O{a9~ /I5sTz@a{}PZW.qkOD - Iodine must be removed from site after collection c) hormone determinations Identity Chemistry, SST - Immediate and follow -up testing for bloodborne pathogens, plus counseling, is standard protocol for accidental needle sticks. Allow to air dry. Patient's ID number. Needles are available for evacuated systems and for use with a syringe, single draw or butterfly system. - Sites that cause specimen contamination include hematomas or areas with edema and the side of the body that has undergone mastectomy or is currently receiving IV fluids. Ensure that the info you add to the Phlebotomy Requisition is updated and correct. Serology/Immunology, Dark LAVENDER & SST Chemistry, SST 2. collected in the right order https://www.osha.gov/laws-regs/standardinterpretations/2007-10-26 and https://www.osha.gov/OshDoc/data_BloodborneFacts/bbfact03.pdf (Accessed June 13, 2022). 4. tube size has adequate volume (Please refer to the tables for complete forms listing). Specimens for Blood Bank require a specific patient identification and collection process. Located in Kailua, Hawaii, Adventist Health Castle serves all of O`ahu and is the primary healthcare facility for the Windward side of the island. Measures all cholesterol For samples that MUST be collected from an arm with an active I.V., the best option is to collect the sample distal (below) the intravenous site. Luteinizing Hormone General health and nutritional status Performs clerical duties related to printing and distribution of patient reports. Tests amount of Immunoglobulin M NOTE:Tubes with additives must be thoroughly mixed. identify different types of test requisition systems and specimen handling, transportation, and processing needs. Tests for Autoimmune disorders Case study 5-1: Body System Structures and Disorders You must check the timing of these variations for the desired collection point. Endocrine, SST Glucose and insulin levels evaluate the endocrine system and the function of the pancreas, which is also an accessory organ of the digestive system. Radioallergosorbent Test - Greets patient, identifies self, and explains procedure. 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. Oxidative stress was measured by fluorometry. C-Reactive Protein, less sensitive 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. Needle disposal unit - needles should NEVER be broken, bent, or recapped. Remove your gloves and wash your hands. Blood culture collections require special care to prevent contamination of the sample with skin flora Date, time and initials of the phlebotomist must be on the label of EACH tube. & Estates, Corporate - Dispose of contaminated materials in appropriate waste receptacles. Chemistry, SST Rast Panels, SST Label all appropriate tubes at the patient bedside. Tests for HBV surface ANTIBODY List at least four blood collection sites that may lead to sample contamination, and list six sites that may result in pain or injury to the patient. \textbf{Input Prices}\\[3pt] Assesses coronary risk b) endocrine system structures Larger tube sizes typically provide for collection of samples from 6 to 10 mL. c) is a digestive enzyme z z ! Prepare the patient's arm using an alcohol prep. b) capillaries If an inpatient is able to respond, ask for a full name and always check the armband or bracelet for confirmation. GOAL: The phlebotomist will be able to perform a complication-free venipuncture obtaining a quality specimen in a manner consistent with good customer service. Tests blood phosphorus levels % " ~ W$ ( $ $ $ E&. \text{Direct manufacturing labor}&\text{\$10 per direct manufacturing labor-hour} FG 1L[cPb8! The 2nd (index) finger tends to have thicker, callused skin. Diagnoses heart failure 1. collected in the correct tube Tests blood magnesium levels Other Factors: Age, gender, and pregnancy have an influence on laboratory testing. Endocrine, SST As always, properly fill out appropriate requisition forms, indicating the test(s) ordered. Serology/Immunology, SST Tests for unexplained inflammation/edema Chemistry, SST + Dark LAVENDER Dispose of contaminated materials/supplies in designated containers. B12 vitamin (amount) site, turn off the I.V. They may also collect fluid or tissue samples using appropriate collection procedures, or collect specimens at time intervals for a variety of tests. Tests for acute and chronic tissue damage Avoid puncturing a finger that is cold or cyanotic, swollen, scarred, or covered with a rash. The patient may be a diabetic who is either in insulin shock or diabetic coma. \text { Selling price } & \$ 205 & \$ 310 \\ However, do not use too high a temperature warmer, because baby's skin is thin and susceptible to thermal injury. Enzymes, proteins, lipids, iron, and calcium are significantly increased with changes in position. Tests liver infection from HAV (all antibodies) \hline \text { Number of units per batch } & 25 & 9 \\ Diagnostic tool for many conditions d) visceral, Which of the following is an accessory organ of the digestive system? NOTE: The use of post-exposure prophylaxis following blood exposure to HIV has shown effectiveness (about 79%) in preventing seroconversion. variables to be controlled include duplicate or missing requisitions, test left off the requisition, missing patient number, missing doctor name, or priority not indicated. Folate vitamin (amount) Most carbon dioxide is carried in the blood in this manner. Animal Gear accounts for direct materials using a FIFO cost flow assumption. Requisition must be accurately and completely filled out with the patient number, test ordered and priority. . Chemistry, SST Lippi G, Salvagno GL, Montagnana M, Franchini M, Guidi GC. Upon arrival at the patient's room, he finds an airborne precautions sign on the door. The patient should either sit in a chair, lie down or sit up in bed. INCLUDES: HDL, LDL, Total Cholesterol, Triglycerides Tests for acute or chronic pancreatitis c) lung Check the requisition form for requested tests, patient information, and any special requirements. Chapter 7 Skills Drill 7-1: Requisition Activity Test in Order of Draw Tube Stopper Color and. Edematous extremities - tissue fluid accumulation alters test results. Have the patient drink fluids if dehydrated. Rast Panels, SST Centrifugation - QA procedures include monitoring the number of accidental punctures and instituting additional training or equipment modifications in the event of frequent accidents Matches laboratory requisition forms to specimen tubes. https://www.ncbi.nlm.nih.gov/books/NBK138650/pdf/Bookshelf_NBK138650.pdf (Accessed June 13, 2022). Identify the patient using two identifiers. Patient Identification 3. Dispose of needles immediately upon removal from the patient's vein. Always thank the patient and excuse yourself courteously when finished. and "What is your date of birth?". Lipids, SST Hepatitis A Antibody Immunoglobulin A - Accidental puncture with a used needle must be reported immediately to a supervisor 2. 13 Immediately 15 Tests liver infection from HAV (IgM antibodies) Label, centrifuge, split, and freeze specimens as required by test order. For an inpatient DO NOT DRAW BLOOD IF THE ARMBAND OR BRACELET IS MISSING. Ordering physician's name, code and signature. Lipids, SST Tourniquet - Wipe off with alcohol and replace frequently. Chemistry, SST Pregnancy Test 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. R*1qQ\k\A~Xlp_|XyA}%3Ey\IB`}E"g:/7 % 8 endstream endobj 248 0 obj <>stream 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 . Define quality assurance (QA), quality control (QC), total quality management, and continuous quality improvement, and discuss their differences and roles in quality phlebotomy. Tests for mumps vaccination Refer to ". Uh|a^ Case study 5-1: Body System Structures and Disorders b) neurons What is that fluid-filled sac on her elbow called and why is it there? - Each aliquot must be properly labeled as to the source and additives present. Endocrine, SST The unit covers the following learning objectives: 1. Measures triglycerides 2009 Feb;131(2):195-204. 1. Dehydroepiandrosterone Provide for their comfort as much as possible, and gain the patient's cooperation. Tests for acute and chronic pancreatitis Tests acute liver infection from HAV, HBV, HCV Perform the venipuncture, collecting the sample(s) in the appropriate container(s). Greet the patient and identify yourself and indicate the procedure that will take place. It can take months of training to become a phlebotomist. PST (light green top). - Spinning samples below the required speed may result in incomplete separation of liquid from formed elements, affecting test results. Do not bend, break, recap, or resheath needles to avoid accidental needle puncture or splashing of contents. Tumor Markers, SST Total Iron Binding Capacity Tumor Markers, SST \begin{array}{lcc} \hline Radioallergosorbent Test - Indoor Although the larger and fuller median cubital and cephalic veins of the arm are used most frequently, the basilic vein on the dorsum of the arm or dorsal hand veins are also acceptable for venipuncture. Of the three veins in the antecubital area acceptable for venipuncture, the median cubital vein (in the middle) is the vein of choice for four reasons: 1) it's more stationary; 2) puncturing it is less painful to the patient; 3) it's usually closer to the surface of the skin; and 4) it isn't nestled among nerves or A requisition form must accompany each sample submitted to the laboratory. The infusion must be turned off for a MINIMUM of 2 minutes, before drawing the sample. This position performs related clerical duties. A test that has been ordered may be cancelled due to problems unrelated to drawing the specimen, and these are the most common causes for cancellations: A test may be cancelled due to a technical problem in the specimen collection process: Identification of the specimen is suspect. Hepatitis C RNA Quantitative (Viral Load) A bottled water distributor wants to determine whether the mean amount of water contained in 1-gallon bottles purchased from a nationally known water bottling company is actually 1 gallon. The phlebotomist's role requires a professional, courteous, and understanding manner in all contacts with the patient. When finished, elevate the heel, place a piece of clean, dry cotton on the puncture site, and hold it in place until the bleeding has stopped. Assesses kidney problems Describe procedures that should be followed for the QC of phlebotomy equipment. Tumor Markers, SST So You're Going to Collect a Blood Specimen: An Introduction to Phlebotomy, 13th Edition (2010), College of American Pathologists, Northfield, IL. This role will direct daily activity at a Patient Service Center (PSC) or In-Office Phlebotomy (IOP) and could also lead one or more PSR on site. Uric acid tests Using a sterile blood lancet, puncture the side of the heel in the appropriate regions shown above in green. Patient Identification 3. Dilantin (aka Phenytoin) All requisitions (both Epic generated and non-electronic) require the date and time of collection and the collector's initials be recorded. Explain why expired tubes should not be used. Phlebotomists are considered to have occupational exposure to blood borne pathogens. Uman LS, Birnie KA, Noel M, et al. Complete each fillable field. Adjust the angle (the bevel may be against the vein wall). If the difference ("delta") between the two sets of results is outside the limit of expected variation, it alerts laboratory personnel to the possibility of an error. Apply to Phlebotomist, Phlebotomy Technician, Mobile Phlebotomist and more! Endocrine, SST & Dark LAVENDER
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