Phlebotomy : Worktext and Procedures Manual

by Sommer & Warekois

• ISBN13: 9780721684840
• ISBN10: 072168484X
• Format: Paperback
• Copyright: 2002-02-11
• Publisher: Saunders

Summary

This full-color, how-to text covers all aspects of phlebotomy, with complete coverage of equipment, safety procedures, arterial blood gases, point of care testing, and a special emphasis on practical phlebotomy skills. Specific procedures are outlined in a unique storyboard format pairing each step in the procedure with a clear, full-color photographs to help students thoroughly understand the techniques and equipment used in routine venipuncture, butterfly venipuncture, skin punctures, and much more. An expanded section on cardiovascular anatomy and physiology features extensive vivid, colorful illustrations for easy reference. In addition, a perforated bookmark on the back cover doubles as a quick-reference reminder of which stopper tops to use with certain diagnostic tests. Instructor resources are available to qualified adopters; contact your sales representative for more information.

Table of Contents

Unit 1 Introduction to Phlebotomy
What is Phlebotomy?	3	(10)
What Is Phlebotomy	4	(1)
Modern Phlebotomy	4	(3)
Professional Organizations and Standards	7	(3)
Legal Issues in Phlebotomy	10	(1)
Review for Certification	10	(3)
Health Care Structure	13	(16)
Hospital Organization	15	(1)
Introduction to the Clinical Laboratory	16	(1)
Functions of the Clinical Pathology Laboratory	17	(7)
Standards and Accreditation for the Clinical Laboratory	24	(1)
Other Health Care Settings	25	(1)
Review for Certification	25	(4)
Safety	29	(12)
Occupational Safety and Health Administration	30	(1)
Types of Safety Hazards	30	(6)
Emergency First-Aid Procedures	36	(1)
Disaster Emergency Plan	36	(1)
Latex Sensitivity	36	(1)
Review for Certification	37	(4)
Infection Control	41	(20)
Infection	42	(1)
Chain of Infection	43	(2)
Breaking the Chain of Infection	45	(1)
Procedure 4-1: Hand-Washing Technique	46	(2)
Procedure 4-2: Putting on and Removing Personal Protective Equipment	48	(3)
Occupational Safety and Health Administration Standards	51	(1)
Isolation Procedures	52	(1)
Blood-Borne Pathogens	53	(1)
Cleaning up a Spill	54	(1)
Review for Certification	54	(7)
Unit 2 Phlebotomy Basics
Medical Terminology	61	(16)
Parts of a Word	62	(10)
Review for Certification	72	(5)
Human Anatomy and Physiology	77	(36)
Levels of Organization	80	(4)
Anatomic Terminology	84	(1)
Skeletal System	85	(3)
Muscular System	88	(2)
Integumentary System	90	(1)
Nervous System	91	(3)
Digestive System	94	(3)
Urinary System	97	(2)
Respiratory System	99	(2)
Endocrine System	101	(4)
Reproductive Systems	105	(3)
Review for Certification	108	(5)
Circulatory, Lymphatic, and Immune Systems	113	(22)
Circulatory System	115	(10)
Lymphatic System	125	(3)
Immune System	128	(1)
Review for Certification	129	(6)
Unit 3 Specimen Collection
Venipuncture Equipment	135	(18)
Phlebotomy Equipment	136	(1)
Organizing and Transporting Equipment	136	(1)
Locating Veins	137	(1)
Cleaning the Puncture Site	138	(1)
Protecting the Puncture Site	139	(1)
Needles	139	(1)
Needle Safety	140	(1)
Needle Adapters	141	(1)
Evacuated Collection Tubes	142	(1)
Types of Blood Specimens	142	(1)
Tube Additives	142	(1)
Color-Coded Tops	143	(3)
Order of Draw	146	(1)
Needle Disposal Systems	146	(1)
Review for Certification	147	(6)
Routine Venipuncture	153	(22)
Requisitions	154	(1)
Procedure 9-1: Routine Venipuncture	155	(13)
Procedure 9-2: Venipuncture with a Syringe	168	(3)
Routine Venipuncture Procedure	171	(1)
Routine Venipuncture with a Syringe	171	(1)
Review for Certification	171	(4)
Dermal Puncture	175	(22)
Reasons for Performing Dermal Puncture	176	(1)
Differences Between Venous and Capillary Blood	177	(1)
Equipment for Dermal Puncture	177	(2)
Site Selection	179	(2)
Procedure 10-1: Unopette System	181	(2)
Procedure 10-2: Dermal Puncture	183	(5)
Dermal Puncture Procedure	188	(1)
Other Uses of Dermal Puncture	188	(1)
Procedure 10-3: Bleeding Time Test	189	(4)
Procedure 10-4: Ancillary Blood Glucose Test	193	(1)
Review for Certification	194	(3)
Venipuncture Complications	197	(18)
Factors that Prevent Access to the Patient	198	(1)
Barriers to Communicating with the Patient	199	(1)
Problems in Site Selection	199	(2)
Problems Associated with Cleaning the Site	201	(1)
Problems Associated with Tourniquet Application	201	(1)
Procedure 11-1: Hand Collection Using a Winged Infusion Set	202	(4)
Complications During Collection	206	(1)
Problems in Completing the Procedure	207	(1)
Factors that Affect Sample Integrity	208	(1)
Long-Term Complications Associated with Venipuncture	209	(1)
Specimen Rejection	209	(1)
Specimen Recollection	209	(1)
Review for Certification	210	(5)
Blood Collection in Special Populations	215	(14)
Pediatric Patients	216	(4)
Elderly Patients	220	(3)
Special Equipment Used in the Intensive Care Unit and Emergency Room	223	(2)
Review for Certification	225	(4)
Arterial Blood Collection	229	(12)
Composition of Arterial Blood	230	(1)
Arterial Blood Gas Testing	230	(3)
Procedure 13-1: Modified Allen Test	233	(1)
Arterial Puncture Complications	234	(1)
Capillary Blood Gas Testing	234	(1)
Procedure 13-2: Radial Artery Puncture	235	(3)
Review for Certification	238	(3)
Special Collections and Procedures	241	(18)
Fasting Specimens and the Basal State	242	(1)
Timed Specimens	243	(2)
Blood Cultures	245	(1)
Blood Donor Collection	246	(1)
Procedure 14-1: Blood Culture Collection	247	(3)
Special Specimen Handling	250	(2)
Blood Smears	252	(1)
Review for Certification	252	(2)
Procedure 14-2: Blood Smear Preparation	254	(5)
Special Nonblood Collection Procedures	259	(16)
Urine Specimens	260	(2)
Fecal Specimens	262	(1)
Procedure 15-1: Midstream Clean Catch	263	(2)
Semen Specimens	265	(1)
Throat Specimens	265	(1)
Procedure 15-2: Throat Swab	266	(2)
Nasopharyngeal Specimens	268	(1)
Sweat Electrolyte Specimens	268	(1)
Cerebrospinal Fluid Specimens	268	(1)
Body Fluid Specimens	268	(1)
Amniotic Fluid Specimens	268	(1)
Review for Certification	269	(6)
Unit 4 Specimen Handling and Processing
Transport, Handling, and Processing	275	(12)
General Guidelines for Specimen Transport	276	(2)
Transporting Samples to the Lab	278	(1)
Processing	279	(2)
Transport and Processing of Nonblood Specimens	281	(1)
Specimen Rejection	281	(1)
Review for Certification	282	(5)
Unit 5 Professional Issues
Quality Phlebotomy	287	(14)
Features of Quality Phlebotomy	288	(2)
Patient Preparation and Specimen Collection	290	(5)
Transportation	295	(1)
Processing	295	(1)
Review for Certification	296	(5)
Legal Issues in Phlebotomy	301	(12)
Why Study Legal Issues?	302	(1)
The Legal System	303	(1)
Professional Liability	304	(2)
Ethical Considerations in Phlebotomy: Confidentiality	306	(3)
Review for Certification	309	(4)
Point-of-Care Testing	313	(80)
Advantages of Point-of-Care Testing	314	(1)
Common Tests Performed at the Point of Care	315	(3)
Electrocardiography	318	(2)
Other CLIA-Waived Tests	320	(1)
Review for Certification	321	(6)
Appendices
Appendix A Metric System Measurements	327	(2)
Appendix B Common English-Spanish Phrases for Phlebotomy	329	(2)
Appendix C Competency Checklists	331	(28)
Appendix D Common Abbreviations	359	(2)
Appendix E Mock Certification Exam	361	(10)
Appendix F Answers to Chapter Questions and Mock Certification Exam	371	(22)
Glossary	393	(14)
Index	407