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MA 202 Specimen Collection
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Phlebotomist Primary Job
Collect blood and deliver to lab
Blood Cultures
Need iodine for cleaning
Sterile collection
Yellow Tube top
Inpatient Collection
At bed side
Tray on solid surface
Not patient tray, bed or floor
Tourniquet Characteristics
Help locate vein (selection)
Causes vein to fill with blood (swell, bulge)
No longer than 1 minute
Antiseptic
Clean living tissue
Disinfectant
Clean surfaces, not tissue
Bacteriostatic
Inhibits growth / reproduction of bacteria
Allow to dry 30-60 seconds for full affect
Stop Bleeding at Puncture Site
Use direct pressure
DO NOT BEND ELBOW
Rubber Retracable Sheath (dual needle)
Keeps blood from seeping out while in vein / changing tubes
Safety Needle / Syringe
Used on small, frail veins
Vacuum could collapse vein
Butterfly Use
Back of hand / small veins in arm / foot
Pediatric patients
Allows more flexibility and movement when placing needle
Tube Color
Type of test
Type of additive
Tube Size
Patient size and test
Some tests have minimum required amount needed
Whole Blood
Same as in body
Has anticoagulant
Lavender Tube Top
Hematology tests
CBC
Blood Type
Plain Red Top (glass)
Has no additive
Plasma
Liquid part of whole blood (55%)
Used for STAT chemistry
Used for coagulation study
Has anticoagulants in tubes
Use centrifuge to separate from whole blood
Serum
Liquid part of blood after coagulation (30-60 minutes)
Clotting must occur first
No anticoagulants in tube
Then centrifuge to separate
Used for chemistry / immunity tests
Specle Tube Top
Fill to top
Used fro PT/PTT
Gold / Tiger top same thing
If Additives in Tube
Must invert set number of times
Over then back is one time
Types of Additives
Anticoagulants - EDTA
Clot Activator - Thrombin
Separator - Thixotropic Gel (separates the sections of blood)
Smallest Needle
23 Gauge
Smaller can cause Hemolysis
Hemolysis
Destruction of RBC
Multidraw Needle Sizes
20-21 Gauge
Hematocrit Range
Males = 14-18
Females = 12-16
Hemoglobin Ranges
Males = 40-54%
Females = 37-47%
Needle Parts
Point
Bevel
Lumen
Shaft
Hub
Straight Needle Size
22 gauge
Butterfly Needle Size
23 gauge
Needle Adapter
Holds multisample needle on one end
Holds tubes on opposite end
Author
Shutrbug20
ID
77066
Card Set
MA 202 Specimen Collection
Description
Chapter 3 Unit 8
Updated
2011-04-04T01:49:10Z
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