Question

phlebotomy

the following questions concerning the test requisition show Answer the following a Any Hospital USA 1123 West Physician Drive Any Town USA Laboratory Test Requisition - - - - - - - PATIENT INFORMATION: Name: Smith John Identification Number: 09365784 Referring Physician: Payne Birth Date: 06/21/67 Date to be collected: 03/15/19 Time to be collected: 0600 Special Instructions:_line draw only TEST(S) REQUIRED: NH4 - Ammonia Bili - Bilirubin, total & direct BMP - basic metabolic panel BUN - Blood urea nitrogen Lytes - electrolytes CBC - complete blood count Chol - cholesterol ESR - erythrocyte sed rate EtOH - alcohol D-dimer Gluc -glucose Hgb - hemoglobin Lact - lactic acid/lactate Plt. Ct.-platelet count PT - prothrombin time PTT - partial thromboplastin time RPR-rapid plasma regain T&S-type and screen PSA - prostatic specific antigen Other HIV X A new phlebotomist does not know anything about collecting a D-dimer or an HIV test. Where comes collection information on these tests be found? drawing an HIV sample? in tormed cment What does patient consent involve when drawing an HIV sample?

answer the following questions concerning test requisition

Answer 1

Ans) Venipuncture must be performed with no trauma. Hemolyzed samples are not acceptable. If blood is drawn from an indwelling catheter, flush with 5 mL of saline and discard the first 5 mL of blood collected. If blood is drawn with a butterfly device, draw a discard tube first to remove air from tubing.

- The following steps are recommended for processing blood collected by venepuncture20: Collect up to 10 ml of blood from the patient’s vein into a sterile 10 ml tube.

For serum, blood is collected in a red-top tube (without anticoagulants).
For plasma, blood is collected in a purple-top tube (with anticoagulants, e.g. EDTA).
For safety reasons, the use of an evacuated blood collection system (e.g, Vacutainer® tube) is recommended.

- HIV tests can only be done with the consent or at the request of the patient. Based on the new CDC guidelines, you would still be informed that your blood was being tested, but you would be able to refuse the test if you wanted to.

- The main arguments against testing for HIV without patient consent relate to discrimination, patient autonomy, and the fear that at-risk patients will avoid the healthcare system so as to avoid being tested.