Reference no: EM133385113
Questions
1. Rosa is the phlebotomist in charge of collecting a CBC and prothrombin time (PT) from Mrs. R.S. Rosa follows correct procedure and is able to enter the vein with a Vacutainer with no problem. However, as she is collecting the blood for the PT, a brief spurt of blood enters the tube and then she hears a hissing sound. The blood stops flowing. She repositions the needle and is not able to establish blood flow.
What tubes are necessary for the CBC and PT?
Is there a particular order that should be followed for drawing these blood samples?
Why does the blood flow stop in the PT tube? Is the blood sample useful for testing?
What can Rosa do to correct the problem?
2. Mr. E.S. is an elderly gentleman who experienced a heart attack two months ago. Fortunately, it was a fairly mild attack, and he has walked into the blood drawing center to have blood drawn for a liver panel and PT. He mentions to Eduardo, the phlebotomist, that he is taking a "blood thinner".
1. What tubes are necessary for these tests?
Is there a particular order that is necessary for collection of these tests?
What type of "blood thinner" is the most likely taking?
What special precautions should the phlebotomist take?
3. T.J. is a five-year old boy whose mother is Filipino and does not understand English very well. T.J. was admitted to the Emergency Room with a nosebleed that has been unstoppable for the past two hours. The doctor has ordered a CBC with platelet count and PT and PTT. As the phlebotomist, you also notice that the child has numerous bruises on the arms and face.
How do you establish identification and explain what you need to do?
Where is the best site for obtaining a blood sample? Explain your procedure.
What tubes do you need? Are there any special precautions that you should follow? Are there any legal precautions you should take?