Question

phlebotomy

166 Unit Ill: Blood Collection Procedures MATCHING 9-4: SCENARIOS AND VASCULAR ACCESS DEVICES e type of equipment described in the following scenaries with the list of vascular access devices. Scenarios Vascular Access Devices A nurse is collecting a blood gas specimen A. Arterial line (A-line) from tubing inserted in the underside of a B. Arteriovenous (AV) shunt patient's left wrist on the thumb side. C. Central venous catheter (CVC) D. Implanted port A nurse is palpating an area in the patient's upper chest. She tells the patient that she is E. Peripherally inserted central catheter (PICC) looking for the chamber." F Saline lock A patient in the dialysis unit has what appears to be a loop under the skin on the inside of his forearm in which the large nee dles connected to the dialysis tubing have been inserted. There are several short lengths of capped tub- ing protruding from a patient's left arm, just above the antecubital area. There is a device inserted on the back of a patient's arm just above the wrist. The device has a thin, rubber-like cover through which a nurse is administering fluid from a syringe. The patient is a line draw. He has three short lengths of capped tubing protruding from his chest. The nurse draws the specimen for you from one of the lengths of tubing. MATCHING 9-5: RISK AND PROCEDURAL ERROR Match the risk to the procedural error involved. Risk Procedural Error Hematoma formation A. A patient is a difficult draw, so the phlebotomist uses the exact same site each time. Iatrogenic anemia B. Blood fills the stopper end of the tube first Inadvertent arterial puncture C. Blood spurts into the tube after the needle is redirected multiple times. Infection D. The needle goes through the vein. Nerve damage E. The patient complains of great pain during a missed atter to draw from the basilic vein. Reflux F. The phlebotomist always wipes the alcohol dry before pe Vein damage forming a venipuncture. G. Three 5-ml tubes of blood are drawn from an infant at time.

Answer 1

PAGE 166, MATCHING 9-4

Scenario 1 - A

Scenario 2 - D

Scenario 3 - B

Scenario 4 - E

Scenario 5 - F

Scenario 6 - C