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Emergency Sharps InformationWorkers Please NoteAs you work, you may experience:
If any of these occur, take the following steps:
Medical Providers Please NoteIf you have questions about proper medical treatment for workplace exposures:
Recommendations for the management of occupational exposures to blood: Updated U.S. Public Health Service Guidelines Management Occupational Exposures HIV Recommendations PEPexternal icon Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B Virus Protection and for Administering Postexposure Management Postexposure Prophylaxis to Prevent Hepatitis B Virus Infection Infographic: Exposed to HIV? The clock is ticking! Take
Action!pdf icon PRC-PALM-SPC-5.51-pro1-prs1: OBTAINING BLOOD FROM BABIES AND CHILDREN PROCESS 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 steps for a fingerstick?Perform the stick off to side of the center of the finger. NEVER use the tip or center of the finger. Avoid fingers that are cold, cyanotic, swollen, scarred or covered with a rash. Massage to warm the finger and increase blood flow by gently squeezing from hand to fingertip 5-6 times.
Which of the following actions should a medical assistant take when performing a capillary puncture on a 10 month old infant?Which of the following actions should a medical assistant take when performing a capillary puncture on a 10-month-old patient? Warm the site for a minimum of 10 min prior to puncture. A patient consistently shows up late to regularly scheduled office appointments.
Which of the following instructions should a medical assistant give to a patient about the use of a Holter monitor equipped with an event marker?Which of the following instructions should a medical assistant give to a patient about the use of a Holter monitor equipped with an event marker? "Press the marker when symptoms begin." A medical assistant has a question about the accreditation standards for the provider's office.
Which of the following should a medical assistant identify as the purpose of a Category 2 code in the procedural coding?The Category 2 CPT medical code set consists of the supplementary tracking codes that are used for performance measures and are intended to help collect information about the quality of care delivered.
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