Case 2: A phlebotomist name Sarah is in the process of collecting a pro time and CBC from a patient. The needle is in the patient's vein. As Sarah pushes the first tube onto the needle in the tube holder, there is a spurt of blood into the tube, and she hears a hissing sound. Then the blood stops flowing. She-re-positions the needle but is not able to reestablish blood flow.
Case 2: A phlebotomist name Sarah is in the process of collecting a pro time and CBC from a patient. The needle is in the patient's vein. As Sarah pushes the first tube onto the needle in the tube holder, there is a spurt of blood into the tube, and she hears a hissing sound. Then the blood stops flowing. She-re-positions the needle but is not able to reestablish blood flow.
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Transcribed Image Text:Case 2: A phlebotomist name
Sarah is in the process of
collecting a pro time and CBC
from a patient. The needle is in
the patient's vein. As Sarah
pushes the first tube onto the
needle in the tube holder, there
is a spurt of blood into the tube,
and she hears a hissing sound.
Then the blood stops flowing.
She-re-positions the needle but
is not able to reestablish blood
flow.
45. Why did blood spurt into the
tube then stop?*
A.The tube lost vacuum
B.The tube may have been
partially in the vein
C.Both
D.Neither
46. What clues are there to
determine the problem?"
A.The hissing sound
B.Spurt of blood
C.Blood stops flowing
D.A and C
47.What can Sarah do to
correct the problem?"
A.Replace the tube
B.Repeat the whole procedure
C.Twist the tube to reestablish flow
D.Remove the tourniquet
Case 3: Ceasar is a
phlebotomist in a small rural
hospital. One night he is
working the night shift by
himself and he was having a
major headache but decided to
continue his work. All his draws
have been patients with easy
veins. Then he gets an order for
STAT CBC, electrolytes, and
glucose on a patient in ICU.
The patient has IVs in both
arms and has tiny hand beans.
He decided to perform a
syringe draw on a hand vein.
The vein blows and he had to
continue the draw. There was a
small amount of blood in the
syringe, so he decided to put
half of it in a non-additive
microtube part way. Just then
he is paged for a new STAT
draw in the ER. He quickly
finishes up with the patient.
slaps labels on the microtubes,
scribbles his initials, and heads
to the lab to deliver the
specimen before proceeding to
the ER.
48.Ceasar forgot to put
something important on the
labels of the microtube? What
was it?*
A.Date and time
B.Doctor's name
C.Ordered test
D.Vein blood sample.
49. Why is that a problem?"
A.The specimen will not be processed
an time
B.The procedure will not be STAT as
ordered by the attending physician
C. The specimen cannot be processed
due to lack of information
D.The specimen will be assumed
were collected on capillary
puncture
50. What effect will it have to the
results?"
A.There will be lower results for the
requested tests
B.Nothing. The results are still
normal
C.There will be higher results for
glucose and potassium
D.There will varied results for CBC
and electrolytes
51.The range of values normal
for a physiologic measurement
in healthy persons.
A.Basal state
B.Reference range
C.Normal line
D.All of the choices
52.Permanent surgical
connection of an artery and
vein by direct fusion (fistula).*
A.Heparin Lock
B.CVAD
C.PICC Catheter
D.Arteriovenous shunt
53.Stagnation of the normal
venous blood flow*
A.Basal state
B.Homeostasis
C.Venous stasis
D.None of the choices
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