Question

case study for phlebotomy

answer every Question shown in the picture.

Ricochet.com Case #1 Infection Control, Universal Precautions and Safety Case #1: You are asked to draw blood samples from a patient known to have active Tuberculosis. He is an inpatient in a hospital where you work. He doesn't look very sick, but he goes cough a lot. A sign on the patient door designates that this patient is in respiratory isolation Questions: What does respiratory isolation mean? How do you proceed? What precautions should you take during the draw? What precautions should you take when handling the sample? Should you clean this patients arm with something besides alcohol because he is in isolation? Case 112 Proper selection and Preparation of skin Puncture Sites, including Selection of Disinfectants Case #2: You will be performing venipunctures on three patients in a row. The first patient has orders for electrolytes only. The second patient has a blood culture ordered. Your last patient has a CBC ordered. You wash off your hands and put on new gloves before drawing your first patient. You take off your gloves, fill out some paperwork and then go back to draw your second patient's blood work. You grab a new pair of gloves and perform the blood culture draw. You discard the gloves when finished and move toward your third and final patient. After greeting her, you look for another new pair of gloves. Questions: How are you doing so far with respect to following Universal Precautions? What should you do before drawing patient number three? How would cleansing the draw site differ between patients 1 and 2? What are Universal Precautions? What color tube is generally drawn for blood cultures? What color tube is drawn for CBC? What color tube is drawn for electrolytes? What is being tested when a CBC is being performed? Which veins of the circulatory system are most commonly used for yenipunctures?

Answer 1

1. Respiratory isolation is used for disease that spread through particle that are exhaled.
2. It can be achieved by personal protective equipment. Respiratory hygiene and cough etiquette are the infection prevention measures to decrease the transmission of respiratory illness. Education of patient, family, visitors and care providers regarding the transmission.

• Demonstrate how to cover cough and hand washing.
• Use mask while cloughing.

3.collect the sputum outdoor. It rapidly dilute the infectious droplets and ultraviolet will inactive TB bacilli. Never collect in lab, waiting room, toilet and other enclosed space.

4.Biosafety measure is essential while handling in the lab.

• Never eat, smoke or drink in laboratory.
• Wash hand with soap and water.
• Always follow safety precautions
• Decontamination of the equipment and works surface at least once a day.
• Use PPE such mask, gloves, gown etc

5.Clean the patient hand with soap anf water.

Phlebotomy

1.Universal protection

• Use barrier protection : Ckean the puncture site.
• Wear gloves while handing blood related procedure.
• Were face mask and gown (no need of phlebotomy )
• Use caution while handling sharpe object never recap needle
• Discarded contaminated material.
• Wash hanf with soap and water

2.Wash hand nd gloving before drawing number 3.

3.First patient blood drawn for electrolyte so clean the area with normal saline and drawn the blood.

Second patient blood drawn for culture. So follow strict aseptic techniques. Clean the site with betadine, then clean with normal saline and then drawn blood.

4.mentioned in first ques

5.Lavender is used for blood culture

6.Lavender (EDTA) for CBC

7.Red tube is used for electrolytes

8CBC is complete blood count consists of

• WBC -fight of infection

WBC differential

• Neutrophils
• Lymphocytes
• Monocytes
• Eisinophils
• Basophil

RBC-carry oxygen with help of Hg

Hemoglobin -protein carry oxygen

Hematocrit -Amount of space in the blood that is occupied by RBC

MCV (mean corpuscles volume ) average size of RBC

MCH(mean corpuscles hemoglobin )average amount of Hg in each RBC

MCHC(mean corpuscles hemoglobin concentration )

RDW(Red cell distribution width )

Plt(platelets count)

MPV(mean platelet volume )

9.sites are median cubital and cephalic vein, basilic vein on the dorsum of the arm.