requisition activity phlebotomy

Matches laboratory requisition forms to specimen tubes. Clin Chem Lab Med. Phenobarbital Tests for skeletal muscle damage Check the requisition form for requested tests, patient information, and any special requirements. posture, short term exercise, long term exercise, medications/treatments, alcohol consumption, smoking, stress, diurnal variation, fasting, age, altitude, dehydration, sex, pregnancy. Rast Panels, SST If superficial veins are not readily apparent, you can force blood into the vein by massaging the arm from wrist to elbow, tap the site with index and second finger, apply a warm, damp washcloth to the site for 5 minutes, or lower the extremity over the bedside to allow the veins to fill. 8. note any special conditions on the requisition. If there is a concern regarding contamination by tissue fluids or thromboplastins, then one may draw a non-additive tube first, and then the light blue top tube. . Cochrane Database Syst Rev. Tumor Markers, SST Laboratory coats or work smocks are not typically needed as personal protective equipment during routine venipuncture, but an employer must assess the workplace to determine whether certain tasks, workplace situations, or employee skill levels may result in an employee's need for laboratory coats or other personal protective equipment to prevent contact with blood. \hline \text { Expected sales in units } & 530 & 225 \\ CareerBuilder TIP. . Describe and perform the venipuncture process including: Appropriate clothing and protective equipment. - Variation may indicate the need to replace worn parts Drug treats asthma, emphysema, bronchitis Contains acid citrate dextrose. Tests IgE for outdoor allergies The diagram below indicates in green the proper area to use for heel punctures for blood collection: Prewarming the infant's heel (42 C for 3 to 5 minutes) is important to obtain capillary blood gas samples and warming also greatly increases the flow of blood for collection of other specimens. Serology/Immunology, SST Tumor Markers, SST General health and nutritional status Phlebotomy is a booming career path within the medical field. d) responsible for goose bumps, Most gas exchange between blood and tissue takes place in the Greet the patient and identify yourself and indicate the procedure that will take place. 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. 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 . \begin{array}{lcc} Thyroid Stimulating Hormone Electrophoresis, SST Active form of Throxine Drug treats seizures Phlebotomists typically enter the occupation with a certificate from a postsecondary phlebotomy program, but some qualify with a high school diploma and on-the-job training. c) smooth Tests amount of Immunoglobulin G Using a sterile lancet, make a skin puncture just off the center of the finger pad. b) skeletal Chemistry, Dark LAVENDER Tests blood phosphorus levels 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. Tests blood calcium levels Now is your chance to apply your passion to our mission. Have the patient hold a small gauze pad over the puncture site for a couple of minutes to stop the bleeding. and "What is your date of birth?". Drug Levels, RED C-Reactive Protein, less sensitive a) diagonally into upper and lower portions Tests for fetal abnormalities Label the form/requisition with an Epic label or print the full name (last, first, middle initial), medical record number, birthdate, and current date on the requisition. Tests for past or present (chronic) HBV infection (IgM Antibodies) Remove the needle from the patient's arm using a swift backward motion. f`a``[ Bl@qM https://www.ncbi.nlm.nih.gov/books/NBK138650/pdf/Bookshelf_NBK138650.pdf (Accessed June 13, 2022). The term for muscle pain is myalgia. The student's leg muscles and tendons are probably stressed from the long weekend runs. Indicating the test(s) requested. Endocrine, SST Case study 5-2: Body Systems, Disorders, Diagnostic Tests, and Directional Terms a) ABG Stress: May cause transient elevation in white blood cells (WBC's) and elevated adrenal hormone values (cortisol and catecholamines). Smaller collection tubes for sample sizes of 2 mL or less may be appropriate in situations where a smaller amount blood should be drawn, as in pediatric patients, or to minimize hemolysis during collection, or to avoid insufficient sample volume in the collection tube. 100 g Glucola, draw after 1, 2, and 3 hrs. Assess the patient's physical disposition (i.e. Hepatitis B Surface Antibody Serology/Immunology, SST 13 Immediately 15 \text { Beginning inventory in units } & 10 & 25 \\ Is the seating comfortable and has the patient been seated for at least 5 minutes to avoid being rushed or confused? - As part of QA program, microbiology department keeps records of blood cultures contaminated with normal skin flora. Bursitis of the elbow most likely resulted from the long periods of lying on the floor resting her elbows. Clin Lab. Serology/Immunology, SST Oxidative stress was measured by fluorometry. Endocrine, SST "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 Use a smaller tube with less vacuum. Tests for quantitative and qualitative antibodies a) heart \begin{array}{lll} Salaries are expected Enzymes, proteins, lipids, iron, and calcium are significantly increased with changes in position. \text {Machine-hours (MH) } & 11~\mathrm{MH} & 19~\mathrm{MH} Lippi G, Salvagno GL, Montagnana M, Franchini M, Guidi GC. Requisition must be accurately and completely filled out with the patient number, test ordered and priority. 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. As part of presenting a professional appearance, an institutional dress code may include wearing of a laboratory coat or smock. \textbf{Sales and Inventory Information, Finished Goods} After drawing, but before leaving the patient, label the tube(s) with two patient identifiers (PID) labels. Screening for diabetes, high or low blood sugar Dispose of contaminated materials/supplies in designated containers. Hold the baby's foot firmly to avoid sudden movement. Chemistry, SST If an inpatient is able to respond, ask for a full name and always check the armband or bracelet for confirmation. Since opening in 1963, the hospital has expanded into a full-service medical center with 160 beds, 16 clinics, staffed by approximately 300 . Chemistry, SST b) cytoplasmic organelles Assesses coronary risk Radioallergosorbent Test - Children + Organizes assigned work and ensures the workload is completed in an accurate and timely manner. there could be additives that do not work after a certain period of time**. Avoid excessive pressure that may squeeze tissue fluid into the drop of blood. Confirms HCV infection How is Thomson's model of the atom different from Dalton's model of the atom? (Please refer to the tables for complete forms listing). The patient who is at ease will be less focused on the procedure. Date, time and initials of the phlebotomist must be on the label of EACH tube. Indicates active Hep B Infection Larger tube sizes typically provide for collection of samples from 6 to 10 mL. As always, properly fill out appropriate requisition forms, indicating the test(s) ordered. Join to apply for the Phlebotomist - Job Fair 4/29/23 role at Quest Diagnostics. 1. Blood culture collections require special care to prevent contamination of the sample with skin flora Describe how refrigerators and freezers are monitored. What is that fluid-filled sac on her elbow called and why is it there? Drug treats bipolar disorder Cap, rotate and invert the collection device to mix the blood collected. Serology/Immunology, SST Chemistry, SST Saskatoon Health Region COMMUNITY MOBILE PHLEBOTOMY REQUISITION To be used for Saskatoon and Area Residents Only Clinical Diagnosis: PHN #: Requesting Physician: Name: Date of Birth: Phone #: Address:. Urine Protein Test (24 Hour) If this is not successful, remove the needle, take care of the puncture site, and redraw. Tumors of liver, testes, ovaries Prepare the patient's arm using an alcohol prep. Rapid Plasma Reagin 2 List and describe the physiological variables that influence laboratory test results Job Description. However, do not use too high a temperature warmer, because baby's skin is thin and susceptible to thermal injury. What occurrence has made them dangerous to the global ecosystem? a) connected to hair follicles before leaving the room b. Compute the p-value and interpret its meaning. AntiNuclear Antibody Quantitative Human Chorionic Gonadotropin 8-1) becoming more for backup Computer (Fig. For example, serum cortisol levels are highest in early morning but are decreased in the afternoon. Service, Contact Monitors therapeutic levels of drug 7. ensure labeling is complete Preanalytic variables: Occur before analysis of the specimen. Bilirubin Total and Direct Glucose and insulin levels evaluate the endocrine system and the function of the pancreas, which is also an accessory organ of the digestive system. c) nucleus Tests for HBV surface ANTIGEN USLegal fulfills industry-leading security and compliance standards. If the only available site is proximal (above) to the I.V. Effects of Exercise: Muscular activity has both transient and longer lasting effects. Wait 2 minutes before reapplying the tourniquet. Phlebotomy procedure when using a syringe is basically the same as the one outlined above, except that blood is drawn by slowly pulling back on the syringe stopper, rather than an evacuated vacutainer tube. 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. Information found on requisition forms 2. a) blood-filtering structures Tests for Autoimmune disorders Identify the journal in which each transaction should be recorded. Label, centrifuge, split, and freeze specimens as required by test order. An example of a simple requisition form with the essential elements is shown below: A properly labeled sample is essential so that the results of the test match the patient. USLegal has been awarded the TopTenREVIEWS Gold Award 9 years in a row as the most comprehensive and helpful online legal forms services on the market today. Hand hygiene should be performed once again, to protect against infections. The exception is for samples collected in serum separator tubes, which are stable once they are spun and a good gel seal is in place. Label, centrifuge, split, and freeze specimens as required by test order. Check all test requisitions or computer label against script to . This is a practice called venipuncture. Tests hemolytic anemia causes 1 SKILLS DRILL 1-1: REQUISITION ACTIVITY 5.0 (2 reviews) RBC Click the card to flip red blood cell count. The patient may be a diabetic who is either in insulin shock or diabetic coma. 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. Direct Antiglobulin Test What conclusions do you reach? d) venostasis, Which part of a cell contains the chromosomes or genetic material? Label all appropriate tubes at the patient bedside. Make the cut across the heelprint lines so that a drop of blood can well up and not run down along the lines. WHO guidelines on drawing blood: best practices in phlebotomy. Serology/Immunology, SST Impact of Use of Smaller Volume, Smaller Vacuum Blood Collection Tubes on Hemolysis in Emergency Department Blood Samples. The blood is bright red (arterial) rather than venous. Select the Sign tool and create an e-signature. 1. collected in the correct tube Ensure that the info you add to the Phlebotomy Requisition is updated and correct. The rubber stoppers are color coded according to the additive that the tube contains. c) lung Tests for liver disease and bone disorders Phlebotomy issues and quality improvement in results of laboratory testing. Mix and label all appropriate tubes at the patient bedside. Tests amount of Immunoglobulin A Which of the following are all endocrine system tests? Hepatitis, SST b) HCG ! \text {Target ending inventory } & 410 \text { pounds } & 65 \text { pounds } \\ Hepatitis, SST Describe precautions that must be taken when iodine is used as a cleansing agent, and list at least two laboratory tests that can be affected. are known to vary lab results of some analytes. Chemistry, SST Palpate and trace the path of veins with the index finger. They are both made of plastic with metal doors, but the Cat-allac is smaller. ACDA or ACDB (pale yellow top). Sanders AM, Agger WA, Gray AM, Fischer CM, Kamprud EA. Consult a specialist at the patient's own request and expense. Primary effect is hemoconcentration of non-filterable elements (i.e. Journal of Exotic Pet Medicine. Tests for HCG in blood Assesses kidney problems Tests for abnormal immunoglobulins Animal Gear uses a FIFO cost flow assumption for finished goods inventory. Tumor Markers, SST Promptly send the specimens with the requisition to the laboratory. ! Yes No N/A 2. Chemistry, SST Follicle Stimulating Hormone try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry . d) spinal fluid analysis, The spinal cord and brain are covered by protective membranes called USLegal received the following as compared to 9 other form sites. The best locations for fingersticks are the 3rd (middle) and 4th (ring) fingers of the non-dominant hand. and/or while attending College-sponsored activities on or off campus. Chemistry, SST Luteinizing Hormone The Patient's Bill of Rights has been adopted by many hospitals as declared by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO). A physician order is an authorization for you to have lab testing performed. Aspartate aminotransferase Posture: Postural changes (supine to sitting etc.) 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. This position performs related clerical duties. 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. Effective methods use distraction. 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. It's similar to a doctor providing a prescription for medication. (Use =0.01\alpha=0.01=0.01.). Animal Gear Company makes two pet carriers, the Hepatitis, SST a) As bicarbonate ion d) skeletal, Gametes are Serology/Immunology, SST If you stick yourself with a contaminated needle: Remove your gloves and dispose of them properly. Lipids, SST Valproic Acid (aka Valproate) Always thank the patient and excuse yourself courteously when finished. Drug treats epilepsy (seizures) and is a sedative 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 a) blood gas studies Chemistry, SST Confidentiality of all communications and other records pertaining to the patient's care. d) venues. Am J Clin Pathol. For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Use of hair nets and face masks to decrease blood culture contamination rates. \\ Complete each fillable field. Upon arrival at the patient's room, he finds an airborne precautions sign on the door. Complement Testing PST (light green top). Dispose of needles immediately upon removal from the patient's vein. . Rast Panels, SST Theft, Personal Practice hygiene for the patient's protection. The 2nd (index) finger tends to have thicker, callused skin. Measures Low Density Lipoprotein Cholesterol (Bad) Electrophoresis, NO TUBE \textbf{Input Prices}\\[3pt] Change gloves after each patient or when contaminated. z z ! - Spinning samples below the required speed may result in incomplete separation of liquid from formed elements, affecting test results. Occupational Safety and Health Administration, United States Department of Labor. Clean the site to be punctured with an alcohol sponge. It also provides the standards for ensuring the College . Chapter Objectives that correspond to those in Phlebotomy Essentials, Enhanced Seventh Edition Monitors therapeutic levels of drug Dispose of contaminated materials in appropriate waste receptacles. Giavarina D, Lippi G. Blood venous sample collection: Recommendations overview and a checklist to improve quality. inflammation of the bursa is called bursitis. Refuse treatment to the extent permitted by law. Chemistry, SST MMR V Immune, Dark LAVENDER The moon is accelerating toward the earth. SalesandInventoryInformation,FinishedGoodsExpectedsalesinunitsSellingpriceTargetendinginventoryinunitsBeginninginventoryinunitsBeginninginventoryindollarsCat-allac530$2053010$1,000Dog-eriffic225$3101025$4,650. 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. Phlebotomists match laboratory requisition forms to specimen tubes, draw blood in a variety of manners, and properly dispose both sharps and any biohazard material. The Student Workbook for Phlebotomy Essentials, Seventh Edition is designed to be used in combination with the seventh edition of the Phlebotomy Essentials textbook as a valuable learning resource that will help the student master the principles of phlebotomy by reinforcing key concepts and procedures covered in the textbook. List several effects of exercise, posture, and tourniquet application upon laboratory values. https://www.osha.gov/laws-regs/standardinterpretations/2007-10-26 and https://www.osha.gov/OshDoc/data_BloodborneFacts/bbfact03.pdf (Accessed June 13, 2022). 3.Assesses physical condition of the patient during phlebotomy and takes appropriate action; maintains phlebotomy supply levels. Chemistry, SST ______ c. Paid an employee's salary in cash. - Immediate and follow -up testing for bloodborne pathogens, plus counseling, is standard protocol for accidental needle sticks. d) vertically into right and left portions, Proximal is defined as 2006;52(5-6):217-30. Chapter 7 Skills Drill 7-1: Requisition Activity Test in Order of Draw Tube Stopper Color and. Monitors therapeutic levels of drug anti-coagulant, additive. Explain the effects of sample-processing variables on sample quality (e.g., separation times and centrifugation). Using a sterile blood lancet, puncture the side of the heel in the appropriate regions shown above in green. d) UA, The transverse plane divides the body After blood withdrawal has occurred, a major phlebotomy principle is cleaning contaminated surfaces and completing interactions with the patient. C-Reactive Protein, more sensitive &\textbf {Cat-allac } & \textbf {Dog-eriffic } \\ Case study 5-1: Body System Structures and Disorders Serology/Immunology, SST Brain Natriuretic Peptide 2. Patient Identification 3. (Uman et al, 2013). b) capillaries + Ensure the proper information is provided on the requisition. Valenstein PN, Sirota RL. Use it now! B12 vitamin (amount) + Identifies patients and properly labels specimen tubes. Lipids, SST Hepatitis, SST 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? Kiechle FL. Most carbon dioxide is carried in the blood in this manner. Tests results may be altered by dilution and/or content of the intravenous fluid, resulting in misleading laboratory values. Tests for measles vaccination Matches laboratory requisition forms to specimen tubes. Endocrine, SST Tests blood potassium levels . Contains a gel separator and clot activator. Case study 5-1: Body System Structures and Disorders

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