The Complete Textbook of Phlebotomy

by HOELTKE

• ISBN13: 9780766809277
• ISBN10: 0766809277
• Edition: 2nd
• Format: Paperback
• Copyright: 1999-11-08
• Publisher: CENGAGE Delmar Learning

Summary

This comprehensive text provides in-depth training and information on the skill of phlebotomy for allied health professionals. Phlebotomy is an invasive procedure that requires a depth of knowledge to provide the most accurate and risk-free technique in the collection of a blood sample. The knowledge gained from this book is more than just the ability to collect a blood sample. The learner will have a better understanding of what is in the blood sample and why it was collected. This invaluable text establishes professional standards for phlebotomy professionals. Features: *Easy-to-read writing style *Legal compliance issues *Customer service skills *Step-by-step procedures (risk-free, accurate, compliance, Allied Health, phlebotomy, Medical Lab Technicians, blood, blood samples)

Table of Contents

List of Procedures	ix
Preface	xi
Introduction to Phlebotomy	1	(54)
History of Phlebotomy	3	(1)
Phlebotomy's Role in Health Care	4	(8)
Laboratories in the Twenty-First Century	12	(3)
Laboratory Staff	15	(5)
Ethical Considerations	20	(6)
Standards Used in the Laboratory	26	(4)
Quality Assurance in Phlebotomy	30	(1)
Body Systems	31	(3)
Anatomy and Physiology of the Circulatory System	34	(21)
Safety in Phlebotomy	55	(36)
Infection Control and Isolation Techniques	56	(14)
Medical Asepsis Handwashing	70	(4)
Removing Contaminated Gloves	74	(3)
Blood Collection in an Isolation Room	77	(1)
Occupatinal Safety and Health Administration Standards	78	(8)
Disposal of Used Materials	86	(1)
Importance of Following Safety Guidelines	87	(1)
Response to Accidental Biohazard Exposure	88	(3)
Phlebotomy Equipment	91	(36)
The Metric System	92	(1)
Syringes and Needles	93	(3)
Evacuated System	96	(10)
Butterfly Collection System	106	(1)
Coagulation	107	(3)
Anticoagulants	110	(2)
Tourniquets	112	(2)
Microcollection Equipment	114	(6)
Collecting a Unopette Blood Sample	120	(2)
Specimen Collection Trays	122	(5)
Phlebotomy Technique	127	(46)
Steps in the Blood Collection Technique	128	(1)
Approaching the Patient	129	(1)
Patient Identification	130	(3)
Patient Identification	133	(1)
Accession Number and Specimen Identification	134	(1)
Positioning the Patient	135	(1)
Selecting the Appropriate Venipuncture Site	136	(2)
Performing a Safe Venipuncture	138	(2)
Syringe Versus Evacuated Tube Specimen Collection	140	(6)
Venipuncture by Syringe	146	(3)
Venipuncture by Evacuated Tube Method	149	(3)
Patient Reactions	152	(3)
The Failed Vanipuncture	155	(1)
Intravenous and Indwelling Lines	156	(2)
Identification of the Specimen	158	(1)
Criteria for Recollection or Rejection of a Specimen	159	(1)
Prioritizing Specimen Collection	160	(1)
Arterial Punctures	161	(12)
The Challenge of Phlebotomy	173	(22)
Venipuncture on Children	174	(1)
Performing a Skin Puncture	175	(6)
Fingerstick Skin Puncture	181	(1)
Obtaining a Blood Sample on Babies	182	(5)
Heelstick Skin Puncture	187	(2)
The Anticoagulated Patient	189	(1)
The Resistant Patient	190	(1)
The Psychiatric Patient	191	(1)
The Obese Patient	191	(1)
The Patient in Isolation	191	(1)
The Patient with Damaged or Collapsing Veins	191	(4)
Specimen Considerations and Special Procedures	195	(38)
Fasting Specimens	197	(1)
Times Specimens	197	(3)
Stat Specimens	200	(1)
Special Collection Techniques	201	(1)
Making a Blood Smear	202	(2)
Making a Blood Smear	204	(2)
Glucose Testing	206	(4)
Bleeding Times	210	(3)
Surgicutt Bleeding Time Method	213	(1)
The Blood Culture	214	(3)
Factors Affecting Laboratory Values	217	(2)
Urine, Semen, and Culture Collection	219	(2)
Collecting a Cleancatch Midstream Urine Specimen: Male	221	(1)
Collecting a Cleancatch Midstream Urine Specimen: Female	222	(1)
Collecting a Bagged Urine Specimen from Children	223	(1)
Collecting a 24-Hour Urine Specimen	224	(2)
Collecting a Specimen for Semen Analysis	226	(1)
Collecting a Throat Culture Specimen	227	(2)
Specimen Preservation and Transport	229	(4)
Customer Service	233	(12)
Communication Skills	235	(5)
Conflict Management	240	(1)
Patient Satisfaction	241	(4)
Compliance	245	(12)
What Is Compliance?	246	(1)
Why Compliance Is Essential	246	(1)
Laws that Regulate Compliance	247	(2)
Compliance Plan Elements	249	(2)
Phlebotomy-Related Compliance Policies	251	(6)
Competency	257	(14)
Frequency of Competency Documentation	258	(1)
Limits on Invasive Specimen Collection Procedures by Phlebotomists	258	(1)
Patient Safety	259	(3)
Age-Specific Care	262	(3)
Phlebotomy Procedures	265	(1)
Practical Evaluation Form	266	(1)
Phlebotomy Competency Examination	266	(3)
Certification	269	(2)
Appendix Frequently Ordered Laboratory Tests	271	(16)
Glossary	287	(6)
Index	293