First, I would like to introduce myself, Hello, my name is Andrea Hernandez I am
A phlebotomy student at CWI, may I draw your blood? This is the proper way I would
Identify myself before I start the blood drawing procedure.
Patient identification is the most important part of specimen collection, after you
introduce yourself you also need to verify you have the right patient in front of you. Make Sure name and DOB match the patient requisition. If there are any mistakes with the
name or it is spelt wrong, you may not collect specimen until this issues are resolved.
identification bracelets must match the requisitions, note: patients will never have the
same record number as others. The 3 way ID, is used so that patients are properly
identified and to make sure there are no mistakes. This means there are
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A 40 year old inpatient in the CCU needs the following test done stat: CBC, PTT, and a BMP. She has an IV in her right AC, and an IV in the left forearm. How do you proceed?
For this patient, I will need to draw blood from behind the right hand which would be below the IV in her right AC.
I will first identify myself as well as the patient, and make sure the patient has the right information on ID wrist band as I do on the requisition. The butterfly ETS system is what I will be using on the patient, needle size for butterfly ETS will be 23g. The tubes in order of draw will be; Red (plain) or GOLD/brick top, Blue top(buffered sodium citrate), Lavender (EDTA).
CBC to Hematology
Transported refrigerated @ room temp 24-48 hrs
PTT to Coagulation
Plasma must be removed and frozen in plastic transport tube.
BMP to Chemistry
Allow to clot completely
Transport
The patient is a 45 year old male who was in a car accident that
The first step is to pre-register the patient's insurance information into the computer system and making a copy of their insurance cards. The patient's insurance information would then be verified. The patient would then be seen by a medical professional to examine the patient, discuss any test results or provide a diagnosis. Once the patient is ready to check out any payment due would be collected. The medical coder would then go over the patients' medical record and assign any diagnosis codes or procedural codes and then a claim form (CMS 1500) would be completed and submitted. The payment would also receive and posted at this time and document in the patient's record. The CMS 1500 will information from the patient, including the type of
In locators 1 through 13 you will find: Type of Insurance (you will write down which type of insurance the patient is using. It could be a government type of insurance, group health or other) , Insured’s I.D. Number, Patient’s Name, Patient’s Date of Birth/Sex,
If the hours are between 0800 and 1600, the provider or radiology technician calls the anti-coagulation clinic. The Lovenox protocol is then follow through via the anti-coagulation clinic. Should the diagnosis come after 1600 and before 0800, the provider much call the nursing supervisor. The provider will give an order to intiate the Lovenox protocol. It is the nursing supervisors responsibility to write the orders and enter the lab orders into the computer. A phone call to the Lead ED RN is then made by the nursing supervisor to alert that a patient will be coming to the ED for basic teaching and an injection. The nursing supervisor greets the patient in the radiology department, inquires as to which pharmacy the patient utilizes, and escorts the patient to the ED, with a patient hand-off given to the Lead ED RN. The patient has the ordered lab work drawn and waits for the results. Once the labwork is return, the first Lovenox injection is given by the Lead ED RN. The ED RN then calls the anti-coagulation clinic, leaves a voicemail with the patient information and faxes the orders received from the provider. The patient is instructed by the Lead ED RN that the clinic will call in the morning to arrange follow up lab work and appointments for injections. The anti-coagulation clinic takes over from this
"Phlebotomy." EHSL - Spencer S. Eccles Health Sciences Library Home Page. N.p., n.d. Web. 1 Oct. 2013. .
Develop plan of care that meets the needs of the patient in this particular situation.
D- The patient arrived on time for her session as she was seen outside. The patient reports, she has to see her cardiologist for 35 days at noon to monitor her blood flow sometime next month. She is also scheduled on 05/23/2016, at night to conduct her sleep apena and also, scheduled on a Tuesday for a ultrasounds, referring to her pulse to her legs to ensure there is no blockage in her legs.
The purpose of this clinical journal entry is to elaborate on the details of lab day three. On lab day three, we had check-off for blood pressure and apical pulse. In addition, we took a safety test, and learned about mobility, immobility, how to use ambulatory devices, and reposition (C#4, C#6).
Every patient's medical records are different some contain more information due to their medical history. If a patient has alot of problems and have been treated then their file would have more information . Certain records also contain history of complaints and procedure, few records have photographs with a short summary of what is present. Medical records can be electronically stored , traditioanlly handwritten and even voice recorded. Medical records that are written on paper and kepted in folders are divivided into informative sections It contains medical terminology terms that any person in the medical field can read It should be written in either black or blue ink. Each provider should always document the evaluation and results of every visit during the visit. It is prohibited to pre-date or backdate an entry. If there is to be a mistake written in a wrong patients file it should be dated and signed by the person that is revising the file; this shows proof that it was corrected..
Instruct patient to have a blood test drawn that includes CBC, kidney, liver ,lipid, and electrolyte test so baseline on patients overall status is established before initial treatment.
The Aztecs, Mayans, Egyptians, and Mesopotamians were ancient civilizations that used bloodletting (phlebotomy) as a cure for many sicknesses. The Greeks were the first who distinguished the association between the human body and phlebotomy. 1Hippocrates believed the world existed on four basic elements: earth, air, fire, and water. In humans, it was: blood, black bile, yellow bile, and phlegm. By removing unnecessary body fluids it was used to help treat sicknesses. 2“Phlebotomy is the act or practice of opening a vein for letting or drawing blood as a therapeutic or diagnostic measure; venesection; bleeding.”
The curiosity that I have with the medical practice perked my excitement for this ethnography paper. When considering which medical field I wanted to further investigate phlebotomy gained my focus. While enrolled in phlebotomy classes during summer semester at Aurora Community College I was provided mass amounts of knowledge in phlebotomy. One concern I had entering the nursing practice was venipuncture because of my past history of numerous blood draws and intravenous fluids. During these times I was often used as a pin cushion with the number of sticks to success being twelve in one visit. Never wanting to risk placing a patient of mine in this situation I enrolled into phlebotomy class. This new skill would assist me in my overall goal of
(Topic sentence) According to the Health Care, Medicine, and Science, by Deborah Porterfield (1st citation), the word phlebotomy means “obtaining blood from a vein.” (P.34) Phlebotomy came a long way, as it was one of the traditional ways of medicine. According to Jamie Cohen (2nd citation), this practice is thought to have originated from ancient Egypt. From Egypt, this practice was starting to get used in Europe. Erasistratus, a popular physician in ancient Greece, believed that illness was caused due to too much blood. A little later, the Roman Empire believed in Erasistratus’s theory and performed phlebotomy more (P.1). With these two empires rising to the top, phlebotomy was spread throughout the world, including to places like India and Arabia as well. Years later in Europe, churches were not a big fan of cutting people open and let them bleed. So, who performed this...
VI. Some individuals requiring blood are surgical patients; burn victims; accident victims; anemics'; hemophiliacs; seriously ill babies; and persons suffering from leukemia, cancer, kidney disease and liver disease.
The first part of the history-taking process is creating an appropriate environment. Ideally, the interview takes place in an area that is safe, accessible, and free from distractions and interruptions. During this initial process, the interviewer introduces themselves and states their purpose and obtains consent to proceed with the health history interview. Additionally, the initial part of the interview is the time to establish the patient’s identity, age, and preferred way of being addressed. A relationship built on trust and respect for the patient’s privacy is necessary to developing a good rapport. It is important to remain unbiased and professional and furthermore, to treat the client with dignity. After introductions are made, the patient should be given time to tell their story in their own words. Active listening is a must during this interaction and involves both verba...