phleb pa rin

• Hematocrit (Hct) checks the hemoglobin level and the red cell count.
• Hemoglobin (Hgb) tests the value to rule out anemia.
• 2 major divisions of hospital

  • Anatomical and Surgical Pathology area Clinical analysis area
• Red Blood Cell (RbC) count is used to measure the erythropoietic activity.
• White Blood Cell (WbC) count checks the leukocyte response
• Platelet (Plt ct) count usually used to monitor chemotherapy and radiation conditions.
• Differential White Count (Diff) monitors changes in the appearance or quantity of specific cell types
• Mean Corpuscular hemoglobin (MCH) gives the weight of the hemoglobin in the cell.
• Mean Corpuscular volume (MCV) shows the size of the cell.
• Mean Corpuscular hemoglobin concentration (MCHC) gives information on the concentration of the hemoglobin per unit volume of RBCs.
• Red blood distribution width (RDW) measures the size differences of the RBCs
• HEMATOLOGY – blood and blood forming tissues
• COAGULATION – ability of blood to form and dissolve clots
• CHEMISTRY – performs most lab test for plasma, white blood, urine, etc.
• SEROLOGY/IMMUNOLOGY – serum and autoimmune reactions
• URINALYSIS – tests urine specimens
• MICROBIOLOGY – micro organisms in body fluids or tissues
• Stat labs- Established in the emergency room
• Reference laboratory- Large independent laboratory that receives specimen from many facilities in the area.
• Venipuncture equipment

  1. Vein-Locating Devices

  2. Tourniquet

  3. Needles

  4. Needle gauge

  5. Evacuated Tube System (ETS)
• EPA -registered sodium hypochlorite

  1:100 dilution and 1-10 dilution for spills prior to clean-up

  procedures

  contact time required is 10 minutes.
• Syringe System- used for patients as an alternative method when drawing blood from patients with small or difficult veins.
• Evacuated Tube System- closed collection system that is considered the most efficient system for collecting blood samples.
• An additive is any substance that is placed within the tube and they can be used in ETS tubes to prevent clotting
• Red- No additive

  Orange - Coagulant

  Yellow - Coagulant and Separation Gel

  Green - Heparin Sodium

  Light Green - Heparin Lithium

  Purple - EDTA Coagulant

  Light Blue - Sodium Citrate 1:9

  Black Sodium Citrate 1:4

  Grey - Potassium Oxalate Monohydrate and Sodium Flouride
• ORDER OF DRAW refers to the specific order that must be followed by a phlebotomist when collecting blood samples to prevent any cross- contamination
• BLOOD-BORNE PATHOGENS (BBP)

  -Microorganisms in the human blood
• Syringe System

  used for patients as an alternative method when drawing blood from patients with small or difficult veins.
• Evacuated Tube System

  closed collection system that is considered the most efficient system for collecting blood samples.