Question

Chapter 11: Special Collection and mo re Testing 210 Why does a "blood recipient patient ID wstem allow for one person w as for Woods il The nurse who is going to administer a blood transfusion in the validation for a party thing for ex facts about the blood product in the presence of the patient, and they are Why is a grossly hemolyzed sample not acceptable for testing you must collect a BB specimen and the patient has an IV, what additional responsibilities does the phleboto mist have at that time? SKILLS DRILL 11-5: TB TEST ADMINISTRATION (Text Procedure Box 11-4) Instructions: Using the TEXTBOOK, fill in the blanks with the missing information Step Rationale 1. Identify the patient. (A) - the Correct ID is vital to patient safety and meaningful test procedure, and sanitize hands results. Proper hand hygiene plays a major role in infec tion control by protecting the phlebotomist, patient, and others from contamination. Gloves are sometimes put on at this point. Follow facility protocol. 2. Support the patient's arm on a firm surface and The arm must be supported to minimize movement select a suitable site on the (B) during test administration. Areas with scars, bruises, of the forearm. (C) ____ the antecubi burns, rashes, excessive hair, or superficial veins must tal crease. be avoided as they can interfere with (D) of the test. 3. Clean the site with an (E) - pad Cleaning with antiseptic and allowing it to air dry and allow it to air dry. permits maximum antiseptic action. 4. Put on gloves at this point if you have not already Gloves are necessary for safety and infection control. done so. The top of the bottle must be clean to prevent 5. Clean the top of the antigen bottle and draw of the antigen. of diluted antigen into the (F) syringe.

Answer 1

5. A blood recipient patient ID system allow for one person verification for blood transfusion at a time to ensure transfusion safety and to avoid blood transfusion errors .

6. Four key facts gathered before transfusion of blood about the blood product in the presence of patient are :-

- name of the patient ( first and last name )

- unique ID

- blood group and type

- date of collection

7. In hemolysis sample , RBC's break and the plasma or serum becomes pink or even red . This destruction of red blood cells is caused either by outside influences or may be an actual indicator of an illness.

Effects of hemolysis :-

high levels of K+ found in RBC as well as LDH; if hemolysis occurs it can cause abnormal results in many tests and also it does not tell about hemolytic antibody .

8. If the patient has an IV line then the phlebotomist must take sample either from the other hand or on the same below the IV line and ask the nurse to stop infusion to the IV line before taking sample .