Procedures in phlebotomy / John C. Flynn, Jr.

Format:

Book

Author/Creator:

Flynn, John C., 1958-

Language:

English

Subjects (All):

Phlebotomy.

Phlebotomy--methods.

Blood Specimen Collection--methods.

Medical Subjects:

Phlebotomy--methods.

Blood Specimen Collection--methods.

Physical Description:

xvi pages, 4 unnumbered leaves of color plates, 304 pages : illustrations (some color) ; 23 cm

Edition:

Third edition.

Place of Publication:

St. Louis, MO : Elsevier Saunders, [1999]

Summary:

No other book delivers a more current and concise introduction to the practices and procedures of phlebotomy. Not only does this text supply you with step-by-step guidance on what phlebotomists do, you'll also learn how to create a career in this exciting field.

You'll discover it all! From the techniques for taking blood to protecting yourself and patients against infection, Procedures in Phlebotomy, Third Edition covers it all. It even discusses the latest medicolegal issues (including current CLIA regulations), phlebotomy unit management, and quality assurance.

Plus, this third edition offers you the latest on safety standards and an expanded chapter on the actual equipment you'll use in the field. But that's not all, with Procedures in Phlebotomy, Third Edition you'll be able to: Select the right tube for blood collection with a quick reference color insert demonstrating evacuated tube characteristics, Check your mastery of essential skills with competency checklists, Measure your understanding with review questions in every chapter, Prepare for the certification exams with a 130-question certification practice test, Discover much-needed definitions in an expanded glossary!

Procedures in Phlebotomy, Third Edition is the easy-to-read source for the essential information you need. You'll be referring to this remarkable text for years to come!

Contents:

Part I The Practice of Phlebotomy 1

1 Introduction to Phlebotomy / John C. Flynn, Jr. 3

History 3

Current Phlebotomy Practice 4

Professional Recognition 7

2 Anatomy and Physiology / Debra Lynn Eckman 11

Body Planes and Cells 12

Tissues 14

Organ Systems 14

The Integumentary System 15

The Skeletal System 16

The Muscular System 17

The Nervous System 18

The Endocrine System 21

The Cardiovascular System 23

The Lymphatic System 35

The Respiratory System 37

The Digestive System 38

The Renal System 40

The Reproductive System 41

3 Infectious Diseases and Their Prevention / Georganne K. Buescher 45

Infection Control Practices 48

Isolation Procedures 49

Antibiotic-Resistant Organisms Precautions 56

Patient Protection Precautions 56

Blood Culture Collection and Bacteremia 58

Viral Infectious Diseases 59

Viral Hepatitis 60

HIV Infection 63

Other Viral Infectious Diseases 66

Selected Bacterial Infectious Diseases 69

Diseases Caused by Mycobacteria 69

Infection by Salmonella, Shigella, E. coli 0157:H7, and Campylobacter Species 70

Staphylococcal Infection 71

Infection by Multi-Drug-Resistant Organisms 71

4 Equipment / John C. Flynn, Jr. 74

Tubes and Anticoagulants 75

Lavender-Stoppered Tubes 75

Blue-Stoppered Tubes 76

Green-Stoppered Tubes 76

Gray-Stoppered Tubes 76

Yellow-Stoppered Tubes 76

Red-Stoppered Tubes 77

"Tiger Tops" and Gold Tubes 77

Pink Tubes 77

Tubes with Other Colored Stoppers 78

Tube Size 78

Splashguards 79

Needles 79

Needle Size 79

Multiple-Draw Needles 80

Butterfly Needles 80

Blood Lancets 80

Needle Disposal Equipment 81

Tube Holders 82

Tourniquets 84

Gloves 85

Goggles 86

Phlebotomy Trays 86

Phlebotomy Chairs 86

Training Equipment 87

Other Common Supplies 89

5 Proper Procedures for Venipuncture / John C. Flynn, Jr. 90

Patient Greeting and Identification 91

Routine Venipuncture 92

Microcapillary Blood Collection 102

Venipuncture Using a Butterfly Set 103

Order of Draw 110

Physiological and Biological Considerations 111

6 Special Collection Procedures / John C. Flynn, Jr. 120

Bleeding Time Test 121

Neonatal Blood Collection 121

Syringe Collections 124

Glucose Tolerance Test 129

Arterial Punctures 131

Cold Agglutinin Tests 133

Blood Cultures 133

Blood Donation Collections 134

Therapeutic Collections 137

Tests for Fibrin Degradation Products 137

Peripheral Blood Smears 137

7 Complications of Phlebotomy / John C. Flynn, Jr. 141

The Uncooperative Patient 142

Medical/Physiological Complications 144

Common Complications 144

Short Draw or No Blood Collected 146

Other Complications 147

Petechiae 147

Edema 147

Excessive Bleeding 147

Intravenous Lines 148

Obesity 148

Allergies 148

Damaged or Scarred Veins 148

Burned Areas 148

Convulsions 149

Mastectomy 149

Nerve Injury 149

Technical Problems 149

Specimen Rejection 150

Hemolysis 150

Hemoconcentration 151

Clots 152

Short Draw 152

Clerical Discrepancies 152

8 Multiskilling for Phlebotomists / Debra Lynn Eckman 154

Cardiopulmonary Resuscitation 156

Vital Signs 156

Temperature 156

Pulse 157

Respiration 157

Blood Pressure 160

Clia '88 Waived Testing 161

Point-of-Care Testing 161

Quality Control 161

Glucose 163

Blood Gases and Electrolytes 163

Coagulation 164

Hemoglobin and Hematocrit 164

Cholesterol 164

Electrocardiography 164

Blood Donor Center Skills 167

Part II Professional Issues 171

9 Interpersonal Communication and Professionalism / John C. Flynn, Jr. 173

Effective Communication 174

A Life Skill 174

Keys to Successful Communication 175

Obstacles to Successful Communication 175

Communication Breakdown 176

General Guidelines for Effective Communication 177

Professionalism 178

Continuing Education 181

10 Phlebotomy Department Management / Dorothy Pfender 185

Organization 186

Planning 186

Location and Facilities 187

Staffing 188

Workload Units 188

Training and Professional Attributes 190

Operational Plan 191

Processing Requests 191

Collection Schedule 192

Establishing Techniques 193

Equipment Management 193

Expendable Equipment 193

Capital Equipment 194

Inventory 195

Maintaining Quality 195

Record Keeping 196

Continuing Education 196

Communication 197

Employee Performance and Review 197

Budgeting 197

11 Total Quality in Phlebotomy Service / Mary P. Nix 200

Quality: Definition and Principles 201

Quality Applied to Health Care 202

Quality Control 202

Quality Assurance 203

Quality Improvement 203

Facts of Quality in Phlebotomy Service 205

The Procedure Manual for Specimen Collection 207

Quality Control of Supplies and Instruments 212

Perceptions of Quality in Phlebotomy Service 214

12 Medical-Legal Issues and Health Law Procedures / Shirley E. Greening 218

Sources of Laws 220

Areas of Law Applicable to Phlebotomy Practice 222

Intentional Torts 222

Unintentional Torts 223

How Is the Phlebotomy Standard of Care Determined? 226

Other Legal Doctrines and Areas of Law Applicable to Phlebotomy Practice 227

Interplay Among the Rights of Privacy, Confidentiality, and Informed Consent 227

Health Insurance Portability and Accountability Act of 1996 229

Patient's Bill of Rights 230

Medical Devices and Equipment Failures 230

Case Law 231

Defenses to Legal Claims 233

Statutes of Limitation 233

Contributory Negligence 233

Adequate and Accurate Records as the Best Defense 233

Chain of Custody in the Clinical Laboratory 234

Legal and Professional Protections for the Phlebotomist 235

Regulation of Laboratories and Laboratory Practitioners 236

Clinical Laboratory Improvement Amendments of 1988 236

Other Regulatory Agencies Governing Laboratories and Phlebotomists 241

A Animal Phlebotomy / Beth V. Dronson 255

Techniques for Obtaining Blood Samples from Animals 256

General Guidelines for Animal Venipuncture 256

Canine Venipuncture 257

Feline Venipuncture 260

Rabbit Venipuncture 262

Rat and Mouse Venipuncture 263

Guinea Pig Venipuncture 265

Handling Blood Samples 266

Hemolysis 266

Lipemia 268

Sampling Requirements 268

B Answers to Chapter Review Questions 271

C Practice Examination for Certification 277.

Notes:

Includes bibliographical references and index.

ISBN:

0721606385

OCLC:

57410041