Table of contents for Applied phlebotomy / Dennis J. Ernst.

Bibliographic record and links to related information available from the Library of Congress catalog.

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Applied Phlebotomy
Table of Contents
Chapter 1: Phlebotomy: Not Just a Procedure Anymore
I.	Introduction & Objectives
II.	Evolution of Phlebotomy in Healthcare
a.	Staffing Strategies
b.	Phlebotomy in a Multiskilled Workforce
III.	The Phlebotomist?s Role in Healthcare
IV.	Identifying and Managing the Risks
a.	Instituting a Comprehensive Training Program
b.	Drafting Safe Procedures
i.	NCCLS
ii.	OSHA 
V.	Maintaining High Standards of Performance
VI.	Inspiring Professionalism
a.	Patient?s Perception of Care
b.	Threats to Professionalism
c.	Inspiring Professionalism
i.	Step 1
ii.	Step 2
iii.	Step 3
VII.	Nurturing a Culture of Customer Service
a.	Skill and Professionalism
b.	Code of Conduct
c.	Rewarding Customer Service Excellence
d.	Scripting
VIII.	Professional Development and Behavior
a.	Personal Appearance
b.	Attitude
c.	Phone Etiquette
d.	Certification, education, and Professional Affiliation
e.	Patient Courtesies
Study Questions
Chapter 2: Selecting and Assembling Equipment
I.	Introduction & Objectives
II.	Test Orders
III.	Supplies and Equipment
a.	Tubes and Additives
i.	Citrate tubes
ii.	Serum tubes
iii.	Heparin tubes
iv.	EDTA tubes
v.	Fluoride/oxalate tubes
		b. Needle Selection
		c. Tube holders, Syringes, Winged Blood Collection Sets
IV.	Equipment Assembly
a.	Tube Holders
b.	Syringes
c.	Winged Blood Collection Sets
Chapter 3: Performing the Venipuncture
I.	Introduction & Objectives
II.	Safety
III.	Preanalytical Errors
IV.	Patient Identification
a.	Inpatient
b.	Outpatient
V.	Confirm Test Requests
VI.	Positioning the Patient
a.	Outpatient
b.	Inpatient
VII.	The Venipuncture Procedure
a.	Site Selection
b.	Vein Selection
c.	Performing the Venipuncture
i.	Using a tube holder
ii.	Using a syringe
iii.	Using a winged blood collection set
VIII.	The Order of Draw
IX.	Recovering the Failed Venipuncture
a.	When using a Tube Holder
b.	When using a Syringe
c.	When using a Winged Blood Collection Set
X.	Complications
a.	Fainting and Nausea
b.	Seizures
c.	Hematoma
d.	Pain
Study Questions
 
Chapter 4: Difficult Draws, Alternative Sites and Pediatric 
Venipunctures
I.	Introduction and Objectives
II.	Difficult Draws
a.	Needle Phobia
b.	Age
c.	Mastectomy
d.	Skin Injuries and Disorders
e.	Edema and Obesity
f.	Fistula
g.	Heparin Lock
h.	IV Therapy
i.	Drawing below an IV
ii.	Drawing above an IV
i.	Language Barriers
III.	Alternative Sites
a.	Hand and Wrist veins
b.	Draws to the Ankles and Feet
c.	Draws from Vascular Access Devices
d.	Femoral Punctures
e.	Arterial Punctures
IV.	Pediatric Venipunctures
a.	Newborns and Infants
i.	Iatrogenic Anemia
b.	1-3 years
e.	4 years to Adolescents 
Study Questions 
 
Chapter 5: Special Collections: Arterial, Capillary, and Blood Culture 
Collection
I.	Introduction and Objectives
II.	Capillary Blood Collection
a.	Equipment
b.	Site Selection
i.	Newborn
ii.	1 year to adult
c.	Procedure
i.	Prewarming
ii.	Perform the Puncture
 d. Neonatal Screening
III.	Arterial Punctures
a.	Acceptable Sites
b.	Supplies
c.	Procedure
i.	Radial
ii.	Brachial
d.	Completing the Procedure
e.	Complications
i.	Missed Artery
ii.	Nerve Involvement
iii.	Hematoma
iv.	Syncope
f.	Specimen Transport
IV.	Blood Culture Collections
a.	Preventing False Negatives
b.	Preventing False Positives
i.	Designated Blood Culture Collection Team
ii.	Commercial Skin Prep Kits
iii.	Disinfectants
iv.	Collector Feedback
c.	Preparation Procedure
i.	Step 1
ii.	Step 2
iii.	Step 3
d.	Specimen Collection Procedure
i.	Syringe Draws
ii.	Vacuum-Assisted Draws
iii.	Draws Through Vascular Access Devices 
Study Questions
 
Chapter 6: Specimen Handling, Storage and Transportation
I.	Introduction and Objectives
II.	General Considerations
a.	Preventing Glycolysis and Ion Exchange
III.	Handling
a.	Centrifugation
b.	Serum Separators
c.	Transfer Tubes
d.	Analytes Unstable After Centrifugation
e.	Handling Coagulation Specimens
f.	Handling Whole Blood Specimens
i.	Add-On Tests
ii.	Effects of Light
g.	Storage and Transportation
i.	On-Site Testing Facilities
ii.	Off-Site Testing Facilities
h.	Summary
i.	EDTA Tubes
ii.	Serum Tubes
iii.	Heparin Tubes
iv.	Sodium Citrate Tubes
 Study Questions
 
Chapter 7: Phlebotomy Liability
I.	Introduction and Objectives
II.	Phlebotomy Liability
a.	Standard of Care
b.	Injuries That Bring Lawsuits
i.	Nerve Injury
ii.	Arterial Nick
iii.	Venous Hemorrhage
iv.	Draws from Mastectomy Patients
v.	Injuries From Loss of Consciousness
vi.	Death
c.	Technical Errors
d.	Administrative Errors
Study Questions
Chapter 8: Managing Exposures to Bloodborne Pathogens
I.	Introduction and Objectives
II.	Pre-Exposure Management 
a.	Understanding Bloodborne Pathogens
b.	Prevention
c.	Pre-Exposure Immunization
III.	Post-Exposure Management
a.	Percutaneous Wound Care
b.	Exposure Evaluation
c.	Post-Exposure Prophylaxis
i.	Hepatitis B
ii.	Hepatitis C
iii.	HIV
d.	Post Exposure Testing and Counseling
i.	Testing the Employee
ii.	Counseling the Employee
iii.	Testing and Counseling the Source Patient
IV.	Summary
a.	HBV
b.	HCV
c.	HIV
V.	Elements of a Comprehensive and Functional Exposure Control 
Plan
a.	Assessing Effectiveness
VI.	Additional Resources
Study Questions
Chapter 9: Practices and Products for Exposure Prevention
I.	Introduction and Objectives
II.	Safe Practices
a.	Standard Precautions
b.	Personal Protective Equipment
c.	Accidental Spills
d.	Handling Contaminated Needles
e.	Safe Centrifuge Use
III.	Products
a.	SESIPS
b.	Sharps Containers
c.	Needle Destruction Units
d.	Laser Perforation Devices
Appendix
I.	NCCLS Standards
II.	Certification Organizations
III.	Organizations Offering Continuing Education
IV.	Phlebotomy Tip of the Month
V.	Administrative Tools
a.	Minimum Content for Phlebotomy Training Programs
b.	Scripting Sample
c.	Sample Phlebotomist Courtesy Card
d.	Sample Motivator Assessment Sheet
e.	?Traffic Jam? Team-Building Exercise
VI.	Exam Review Guides
VII.	Relative Centrifugal Force Normograph

Library of Congress Subject Headings for this publication:

Phlebotomy.
Phlebotomy -- adverse effects.
Phlebotomy -- instrumentation.
Phlebotomy -- methods.
Medical Errors -- prevention & control.
Risk Assessment.
Specimen Handling -- methods.