Routine Blood Collection CTC

A phlebotomist is performing a hand venipuncture on 25 year old patient who has small veins that are difficult to access. what gauge should the phlebotomist used to perform procedure?

• 23 gauge winged collection set.

• 21 gauge ETS eclipse needle

• 25 gauge ETS eclipse needle

• 23 gauge syringe collection set

A phlebotomist technician is preparing equipment for blood draw. The tech notices that one of the tubes on the tray is expired. What should the tech do?

• Use a new tube from the front of the shelf.

• use a tube from the back of the shelf

• use the tube within 5 days of expiration

• use the expired tube regardless of the date

A phlebotomist is performing a venipuncture for potassium test, CBC and glucose test. The tech left the tourniquet tied on the patient for 3 minutes. what outcome should the tech expect ?

• low iron level

• High potassium level which causes hemolysis if left longer than 1 minute.

• low potassium level

• high CBC level

A phlebotomist is performing a blood collection for a person who has edema ( fluid) in her right arm. Which location should the tech identify as the best vein for venipuncture?

• left side basilic

• Left side dorsal hand

• right side median cubital

• right side median cephalic

A phlebotomist is using povidone-iodine during a capillary specimen collection . What outcome should the tech expect?

• increased glucose level

• decreased glucose level

• 
  Increased potassium level

• 
  decreased potassium level

A phlebotomist tech is performing a venipuncture . After removing the needle cap , what step should the tech take

• Anchor the vein 2.5 to 5cm (1 to 2 inches) below the puncture site

• position the needle at 40 degree angle above the puncture site

• insert the needle quickly at the puncture site

• perform a "C" hold over the intended puncture site

A phlebotomist is drawing blood through a hematoma. What error should the tech expect to see in the specimen?

• Hemolysis

• increased potassium

• increased epithelial tissue

• decreased electrolytes

A phlebotomist is performing a venipuncture for bilirubin test, cold agglutinin titer, CBC, PTT test, what tubes should the tech use?

• two gray, one light yellow SPS, and one dark blue tube

• one light blue, two serum tops, and one lavender tube

• One gray, two light yellow SPS, and one dark blue tube

• one serum top, two purple, and one light blue tube

A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says, "I don't want my blood drawn." Which of the following responses should the technician make to the patient. 

• "I will get another phlebotomist."

• "Do you want me to get the nurse? "

• "may I draw your blood?"

• "I am going to start the draw now."

A phlebotomy technician is performing a venipuncture on a deep median cubital vein. Which of the following methods of withdrawal should the technician use? 

• Withdraw with the bevel down at a 10-14 degree angle

• Withdraw with the bevel down at a 25-30 degree angle

• Withdraw with the bevel up at 25 to 30 degree angle

• Withdraw with the bevel up at 10-15 degree angle