CTE Resource Center - Verso - Patient Care Technician Task 549762184
Demonstrate blood collection, handling, and processing for venipuncture procedures.
Demonstration should include the following:
- A. Primary Collections
- Demonstrate proper insertion and removal techniques for venipuncture.
- Perform the capillary collection method based on the patient's age and condition.
- Ensure the patient's safety throughout the collection process.
- Perform venipuncture steps in the correct order (e.g., evacuated tube system, syringe, winged collection set).
- Perform capillary (dermal) puncture steps in correct order.
- Recognize common complications from primary collection (e.g., lack of blood flow, hematoma, petechiae, nerve injury).
- Identify problematic patients and the importance of the order of the draw. Monitor signs and symptoms throughout collection (e.g., syncope, diaphoresis, nausea, seizure).
- Follow the order of the draw a) venipuncture b) capillary collection.
- Ensure that tube additives are appropriate for testing requirements.
- Assemble the equipment needed for primary blood collections.
- Invert evacuated tubes with additives after collection.
- Verify the quality of equipment (e.g., sterility, expiration date, manufacturer’s defects).
- B. Special Collections
- Prepare peripheral blood smears.
- Perform blood culture collections.
- Assist other healthcare professionals with blood culture collections.
- Collect blood samples for inborn errors of metabolism (e.g., PKU, galactosemia).
- Perform phlebotomy for blood donations.
- Calculate volume requirements to avoid causing iatrogenic anemia.
- C. Processing
- Label all specimens.
- Perform quality control for Clinical Laboratory Improvements Amendments (CLIA)-waived procedures.
- Transport specimens based on handling requirements (e.g., temperature, light, time).
- Explain non-blood specimen collection procedures to patients (e.g., stool, urine, semen, sputum).
- Handle patient-collected, non-blood specimens.
- Avoid pre-analytical errors when collecting blood specimens (e.g., QNS, hemolysis).
- Adhere to chain of custody guidelines when required (e.g., forensic studies, blood alcohol, drug screen).
- Prepare samples for transportation to a reference (i.e., outside) laboratory.
- Coordinate communication between non-laboratory personnel for processing and collection.
- Use technology to input and retrieve specimen data.
- Report critical values to point-of-care testing (finger stick, blood glucose.
- Distribute laboratory results to ordering providers.
- Where is the best place to perform a finger stick for a capillary collection?
- How long may the tourniquet be left on the patient?
- Why is there a time limit?
- What is the rationale for inverting the vacutainers after blood draws?