Blood Collection in Healthcare

by Di Lorenzo, Marjorie Schaub

• ISBN13: 9780803608481
• ISBN10: 0803608489
• Format: Paperback
• Copyright: 2001-07-01
• Publisher: F a Davis Co

Summary

Univ. of Nebraska, Omaha. Cross-training and continuing education textbook, for healthcare professionals, on blood collection and preservation. Discusses all of the essentials of phlebotomy, including test specific handling and vein selection. Halftone illustrations. Front and back covers feature a color tube guide table. In outline and workbook formats. Softcover.

Table of Contents

Introduction to Blood Collection	1	(5)
Learning Objectives	1	(1)
Introduction	1	(1)
Importance of Correct Specimen Collection and Handling	2	(1)
Safety Precautions	2	(1)
Types of Specimen	3	(2)
Quality Assurance	5	(1)
Venipuncture Equipment	6	(21)
Learning Objectives	6	(1)
Introduction	6	(1)
Organization of Equipment	7	(1)
Evacuated Tube System	7	(11)
Needles	7	(2)
Adapters/Holders	9	(2)
Needle Disposal Systems	11	(4)
Collection Tubes	15	(1)
Color-Coding of Tubes	16	(2)
Order of Draw	18	(1)
Syringes	19	(2)
Winged Infusion Sets	21	(2)
Tourniquets	23	(1)
Gloves	24	(1)
Antiseptics	24	(1)
Gauze/Bandages	24	(1)
Additional Supplies	24	(1)
Quality Control	24	(3)
Venipuncture Equipment Selection Exercise	25	(2)
Routine Venipuncture	27	(15)
Learning Objectives	27	(1)
Introduction	27	(1)
Blood Collection Procedure	28	(14)
Examine the Requisition Form	28	(1)
Greet the Patient	28	(1)
Identify the Patient	29	(1)
Prepare the Patient	29	(1)
Wash Hands and Apply Gloves	30	(1)
Select Equipment	30	(1)
Apply the Tourniquet	31	(2)
Select the Venipuncture Site	33	(2)
Cleanse the Site	35	(1)
Examine and Assemble Puncture Equipment	35	(1)
Perform the Venipuncture	36	(1)
Remove the Needle	37	(1)
Dispose of the Contaminated Needle	37	(1)
Label the Tubes	38	(1)
Bandage the Patient's Arm	39	(1)
Dispose of Used Supplies	39	(1)
Thank the Patient	39	(1)
Deliver Specimens to the Laboratory	39	(1)
Summary of Venipuncture Technique with a Vacuum	40	(1)
Evaluation of Venipuncture Technique Using an Evacuated Tube System	41	(1)
Complications and Additional Techniques	42	(11)
Learning Objectives	42	(1)
Introduction	42	(1)
Failure to Obtain Blood	42	(2)
Hematomas	44	(1)
Hemolyzed Specimens	44	(1)
Specimen Contamination	45	(1)
Technical Problems	45	(1)
Patient Complications	46	(1)
Use of Syringes	47	(1)
Use of Winged Infusion Sets	47	(2)
Use of Central Venous Catheters	49	(1)
Cannulas and Fistuals	50	(1)
Causes of Specimen Rejection	50	(3)
Venipuncture Complications Situations Exercise	51	(2)
Special Venipuncture Collection	53	(7)
Learning Objectives	53	(1)
Introduction	53	(1)
Fasting and Timed Specimens	53	(2)
Two-Hour Postprandial Glucose	54	(1)
Glucose Tolerance Test	54	(1)
Diurnal Variation	55	(1)
Therapeutic Drug Monitoring	55	(1)
Blood Cultures	55	(1)
Special Specimen Handling Procedures	56	(4)
Cold Agglutinins	56	(1)
Chilled Specimens	57	(1)
Specimens Sensitive to Light	57	(10)
Legal Specimens	67
Special Venipuncture Collection Situations Exercise	57	(3)
Dermal Puncture	60	(13)
Learning Objectives	60	(1)
Introduction	60	(1)
Importance of Correct Collection	61	(1)
Compostion of Capillary Blood	61	(1)
Dermal Puncture Equipment	61	(4)
Skin Puncture Devices	62	(2)
Microspecimen Containers	64	(1)
Capillary Tubes	64	(1)
Micropipets	65	(1)
Microcollection Tubes	65	(1)
Micropipet and Dilution System	65	(1)
Dermal Puncture Procedure	65	(8)
Prepuncture Preparation	65	(1)
Patient Preparation	65	(1)
Site Selection	66	(1)
Heel Puncture Sites	66	(1)
Finger Puncture Sites	67	(1)
Summary of Dermal Puncture Site Selection	67	(1)
Cleansing the Site	68	(1)
Performing the Puncture	68	(1)
Specimen Collection	69	(1)
Order of Collection	70	(1)
Labeling the Specimen	70	(1)
Completion of the Procedure	70	(1)
Summary of the Dermal Puncture Procedure	71	(1)
Evaluation of Finger Stick	71	(2)
Appendix 1 Lecture Outlines	73	(4)
Appendix 2 Comprehensive Test	77	(4)
Appendix 3 Laboratory Tests and the Required Types of Anticoagulants and Volume of Blood Required	81	(2)
Appendix 4 IV Access: Flush Protocols	83	(8)
Appendix 5 Clinical Correlations of Blood Tests Related to Body Systems	91	(4)
Appendix 6 Answer Keys	95	(2)
Index	97