Stress - In Children, violent crying before a specimen is collected can increase the white blood cell count. , Fasting - if the patient is not in fasting state when fasting is required, test results may not by accurate. , Step one - Position the patient's arm lower than his or her heart., Step two - Reapply the tourniquet; it may not be tight enough. , Step three - Massage the arm from the wrist to the elbow to encourage venous return., Step four - Tap sharply at the specific vein with your fingertips. This can cause the vein to dilate. Do Not slap the antecubital space. Doing so can cause the entire area to become red and reactive. , Step five - Use a blood pressure cuff in place of the tourniquet. pump it to about 40 to 60 mm Hg. , Step six - Warm the venipuncture site with a warming device or a warm washcloth (not hotter than 100 F), Step seven - Have the patient make a fist. Do not have the patient pump the fist. , Where do you prick your finger to collect blood? - On the side of either the great or ring finger., What are the standard precautions for capillary puncture site? - Handwashing,Gloves,Goggles &Mask,No needle recapping and biohazard, What is the method used to get the specimen into the tip of the microtainer tube? - Scoop the drop into the microtainer tube., What should you do as soon as a drop is obtained on the scoop? - It should be moved into the tube,where it can mix with the additive., What happens when you agitate the tube? - It allows the additive to mix with the blood., Where must the tube be filled to? - The tube must be filled to the fill line to ensure the proper ratio of blood to additive., What does a gauze pad encourage the wound to do? - It encourages the wound to clot., Where should the scoop be put after its discarded from the microtainer? - Discard the scoop in the sharps container., What makes sure the specimen stays in the microtainer? - Securely putting the cap on the microtainer., Why do you place a microtainer in another container? - To protect it from being uncapped and lost in transport., What is the last step in obtaining a capillary specimen? - labeling the container.,
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Chapter 39
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