OSHA standards are intended to be implemented as a means to prevent occupational injuries and illnesses. In order to most effectively avoid percutaneous injuries from contaminated sharps, employees must use engineering controls, including safer medical devices.
When a blood sample Cannot be obtained what should be done?
study guide for med 273 final exam
| Question | Answer |
|---|---|
| when a blood sample cannot be obtained, which of the following should be done? | all |
| which of the following is the appropriate action when palpating for a vein in the upper arm? | Palpate the vein with the tip of your index finger |
What is OSHA’s policy about choosing the safest needle system to prevent accidental needle stick injuries?
What is OSHA’s policy about choosing the safest needle systems to prevent accidental needlestick injuries? c. The clinic administrators must select the safest equipment based on feedback from the people who are using the needles.
What is the first step in performing a successful venipuncture?
Which of the following is the first step in performing a successful venipuncture? Put the patient at ease. Which of the following best describes when a syringe is most often used for venipuncture? Which of the following is a combination system that can be used with the syringe or the vacuum tube?
Do hospitals use safety needles?
U.S. hospitals may not be using the “safest” needles to protect physicians, nurses and other health care workers from the “dangers” conventional needles may pose when contaminated with viruses, last night’s “60 Minutes” reports.
What is an example of a safer needle device?
Some examples of safety device designs include: Needleless Connector Systems: Needleless connectors for IV delivery systems (e.g., blunt cannula for use with pre-pierced ports and valved connectors that accept tapered or luer ends of IV tubing) (Figure 1).
What are 4 main requirements that employers must meet as a result of the needlestick safety and Prevention Act?
So, what are the requirements? Employers must provide and enforce the use of engineering controls such as safety needles, syringes, sharps containers, blade removers, needle recappers, etc., that have the best possible safety design available for preventing accidental sticks.
What is the correct order to end a venipuncture procedure?
- Remove the tourniquet.
- Remove the tube.
- Remove the needle.
- and apply pressure.
What is the correct way to end a venipuncture procedure?
Perform the venipuncture. Place the tube in the holder. Enter the vein in a smooth quick motion. Grasp wings of the holder with index finger and middle finger and push forward on the bottom of the tube with thumb until the needle punctures the stopper.
Are safety needles mandatory?
The nation’s first law mandating the use of safety needles went into effect July 1 in California. The law requires that healthcare institutions provide workers with needles designed with “engineered controls” to aid in protecting them from accidental needlesticks. Other states have passed needlestick legislation.
Do hospitals use retractable syringes?
Many purchasing agents at U.S. hospitals will not consider retractable needles because they are “committed to long term contracts for most items they buy, including needles,” and in exchange for price discounts, hospitals agree to buy most of their needles from BD.
What are the 7 steps for giving a safe injection?
STEP 1: Clean work space. STEP 2: Hand hygiene. STEP 3: Sterile and new syringe and needle, with re-use prevention and/or injury protection feature whenever possible. STEP 4: Sterile vial of medication and diluent.
How many times should you attempt to take blood?
4. Do not attempt a venipuncture more than twice. Notify your supervisor or patient’s physician if unsuccessful.
What is the most critical error a phlebotomist can make?
Phlebotomy Essentials 5th Edition chapter 8
| Question | Answer |
|---|---|
| Which type of inpatient is most likely to have more than one ID band? | Newborn |
| What is the most critical error a phlebotomist can make? | Misidentify the patient’s specimen |
How do I make my veins better for blood draw?
Tips and Tricks for Accessing Problem Veins
- Get warm. When the body is warm, blood flow increases, dilating the veins and making them easier to find and stick.
- Use gravity. Increase blood flow to your arm and hand by letting gravity do the work.
- Hydrate. When the body is properly hydrated, veins become more dilated.
- Relax.
How do you know if a needle is in your vein?
Once you think you’re in a vein, pull the plunger back to see if blood comes into the syringe. If so, and the blood is dark red and slow moving, you know that you’ve hit a vein.
How does a safety needle work?
The safety or retractable syringe action is similar to a traditional needle except in one aspect. Once you inject the required amount of fluid, the needle retracts protecting from accidental injuries due to needle sticks.
Which of the following is a combination system and can be used with the syringe or the vacuum tube?
study guide for med 273 final exam
| Question | Answer |
|---|---|
| which of the following is a combination system and can be used with the syringe or the vacuum tube? | butterfly collection system |
| when using safer plastic vacuum tubes, which of the following is the correct order of draw? | cultures, blue top,(citrate), red top and or SST |
Why would a phlebotomist want to avoid using the basilic vein?
When the blood oozes from the vein into the surrounding tissue a(n) __________ is formed. Why would a phlebotomist want to avoid using the basilic vein whenever possible? There is increased risk of damaging a nerve or hitting the brachial artery. A phlebotomist is having difficulty drawing blood on a patient.
What is special about a Multisample Needle?
When you insert the needle into the vein, a blood flashback will be visible in the tubing, making it easier to recognize that you’ve accessed the vein. Multisample needles are the standard choice for routine venipuncture in a patient with normal, healthy veins.
What is the correct order for drawing blood tubes?
The draw order for specimen tubes is as follows: Gold SST (Plain tube w/gel and clot activator additive) Green and Dark Green (Heparin, with and without gel) Lavender (EDTA) Pink – Blood Bank (EDTA)
What are the OSHA needle safety regulations for hospitals?
The standard requires hospitals to: • Use safety devices and needleless systems to reduce the risk of bloodborne pathogen exposures. • Maintain an exposure control plan and update it annually. The plan must document the consideration of new technology as it emerges and the involvement of frontline workers in device selection.
What should be included in an OSHA needlestick log?
The log must include detailed information such as the type and brand of device involved in the needlestick incident. (Needlesticks will become reportable injuries as required by the new record-keeping standard. See “Exposure control plan: Meeting the standard” and “Needlestick record keeping: What OSHA requires,” in this issue.)
Is the safety mechanism built into the needle?
In our needle-based safety devices, the safety mechanism is built into the needle. The needle can be manually attached to a conventional syringe or a commercially prepared pre-filled syringe. Active system. In an active system, clinicians activate the safety mechanism after the injection.
