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Analytical errors that occur before collection (name 9)
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- Patient misidentification- Improper time of collection- Wrong tube- Inadequate test- exercise- Patient posture- Medication interference- Improper site preparation- Poor coordination with other treatments
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Analytical errors during collection
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- extended tourniquet time- Hemolysis- Wrong order of draw- Failure to invert tubes- Faulty technique- Under filling tubes
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Analytical errors after collection
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- Failure to separate serum from cells- Improper use of serum separator- Processing delays- Exposure to light- Improper storage conditions- Rimming clots
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Hematoma
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Most common complication of phlebotomy procedure. This indicates that blood has accumulated in the tissue surrounding the vein.
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Hemoconcentration
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The increase in proportion of formed elements to plasma caused by the tourniquet being left on too long.
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Phlebitis
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Inflammation off a vein as a result of repeated venipuncture on that vein.
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Petechiae
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Tiny non-raised red spots that appear on the skin from the rupture of capillaries due to the tourniquet being left on too long
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Thrombus
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A blood clot that is usually a consequence of insufficient pressure applied after the withdrawal of the needle.
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Thrombophlebitis
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Inflammation of vein with a formation of a clot
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Septicemia
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Systemic infection associated with the presence of pathogenic organism introduced during a venipuncture
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Trauma
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Injury to underlying tissues caused by probing of the needle.
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Fainting
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Do not allow the patient to fall and get injured.
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Latex sensitivity
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Individual with a known sensitivity to latex should wear a medical alert bracelet.
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Special Venipunctures (name 8)
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Fasting specimens, timed specimens, postprandial test, Oral glucose Tolerance test (OGTT), Therapeutic Drug Monitoring, Blood Cultures (BC), Aterial Blood Gas (ABG), PKU, Dermal Punctures
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Fasting specimens
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Requires patient to be in the basal state, that is, the patient has fasted and refrained from strenuous exercise for 12 hours prior to the drawing. It is the phebotomist's responsiblity to verify if the patient indeed has been fasting for the required time.
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