PRC-PALM-SPC-5.51-pro1-prs1: OBTAINING BLOOD FROM BABIES AND CHILDREN PROCESS Show
PRC-PALM-SPC-5.51-pro1-prs1-stw1: OBTAINING CONSENT FOR MINORS STANDARD WORK Infant Blood Volume Determination Must be determined prior to heel stick/armdraw as removal of more than 10% of an infant’s blood volume in a short period of time can leadto serious consequences, such as iatrogenic anemia or cardiac arrest. When requested to collect blood specimens from infants, phlebotomists must be able to quickly estimate blood volume to avoid harming the patient. The parent should be asked how much baby weighs. If parent unsure, check Epic or call physician’s office for approximate weight in kilograms/ pounds. See table below:
If a request for blood collection exceeds this protocol the phlebotomist must, see below: Call the physician.
Determining site of draw on infants – newborn to 1 year Collection of blood from Neonates ages 0 through 3 months, this must be done by an experienced phlebotomist or a pediatric nurse. Heel stick is the only acceptable manner of collection for laboratory personnel in this age group unless infant weight is 21 pounds or greater than an arm draw can be performed. (Do not obtain the blood from a finger on an infant under 1 year of age).
Do not draw from heel if: Feet are edematous, injured or infected, bruised, injured by multiple previous heel sticks or if testing requires more than 1 mL of blood, refer the patient’s family to the pediatric service. Do not obtain the blood from a finger on an infant under 1 year of age Do not perform heel sticks on infants less than or equal to 5.0 pounds or 2.3kg refer to pediatric unit. Cleansing site: Alcohol wipes, 70% solution, 2% tincture of iodine, Chlorohexidine (CHG) swab or one step.
(0-3 months) blood collection:
Steps:
(4 months to 1 year old) blood collection (Heel stick or Arm draw): Conditions that may influence the choice of heel or arm draw include:
Steps:
(1-4 years old) blood collection (Arm, Hand or Finger draw)
(5-9 year old) blood collection (Arm or Hand or Finger draw):
(14-17 years old) blood collection (Arm or Hand or Finger draw):
(18 years old and above) blood collection (Arm or Hand or Finger draw): Patient will be treated as an adult Which of the following types of tests is a phlebotomist allowed to perform?Which of the following types of tests is a phlebotomist allowed to perform according to CLIA regulations? A phlebotomist has orders for the following tests: CBC, chemistry panel, lead, and a toxicology screen via capillary puncture.
When collecting a capillary specimen a phlebotomist should collect which of the following first?Order of draw. With skin punctures, the haematology specimen is collected first, followed by the chemistry and blood bank specimens. This order of drawing is essential to minimize the effects of platelet clumping.
What is the first step in the specimen collection process?The first step to the collection is to positively identify the patient by two forms of identification; ask the patient to state and spell his/her name and give you his/her birth date.
Which of the following pieces of information is a phlebotomist required to include on the label of a blood specimen tube?Which of the following is the phlebotomist required to document on a CBC specimen label? Patient's identification number.
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