| Preparation
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| Introduces self to patient and explains blood tests have been ordered by physician |
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| Identifies the patient with two unique identifiers (armband |
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| ask for name & DOB). Compare patient ID information with barcode label |
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| Checks testing requirements (ie fasting) |
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| Prepares supplies and tube selection |
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| Washes hand |
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| dons gloves |
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| Getting Started
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| Positions Patient and applies tourniquet |
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| Palpates antecubital area to select venipuncture site |
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| Properly cleanses venipuncture site |
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| Sample Collection
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| Stablizes vein |
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| Inserts needle |
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| bevel up |
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| Smoothly pushes tube(s) into holder without changing needle position |
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| Adjusts needle |
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| if necessary |
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| to obtain flow then stablizes vacutainer |
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| Releases tourniquet as blood begins to flow |
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| Changes vacutubes without changing needle position |
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| Fills vacutubes in correct order |
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| Mixes anticoagulated vacutubes properly |
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| Removes last tube from needle before withdrawing needle |
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| Withdraws needle from arm smoothly |
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| Applies pressure to site after withdrawing needle |
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| Disposes of needle properly and safely |
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| Discards tourniquet |
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| Handling & Processing
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| Legibly completes label/requisition with username and date/time of collection |
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| Observe special handling requirement |
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| Checks puncture site to ascertain bleeding has stopped. Applies bandage |
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| Places tubes into biohazard bag. Label(s)/requisiton are placed in sleeve of bag |
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| Removes gloves and practice hand hygiene |
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| Transport specimens to lab via porter or pneumatic tube system. STATs are sent immediately |
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| Age Specific Competencies
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| Infant (Birth - 1 year) |
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| Preschooler (ages 2-5 years) |
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| Childhood (ages 6-12 years) |
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| Adolescents (ages 13-21 years) |
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| Young Adults (ages 22-39 years) |
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| Adults (ages 40-64 years) |
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| Older Adults (ages 65-79 years) |
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| Elderly (ages 80+ years) |
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