Chapter 7: Blood Collection Equipment, Additives, and Order of Draw137Case StudiesCase Study 7-1: Butterfly Use and Order of DrawMaria, who was recently hired in her first job an anhlebotomist, has been sent to the ICU to collect astat hemoglobin and hematocrit (H&H) and protimeon a patient. The patient is an elderly woman whoseJeft arm has an intravenous (IV) line. Maria checksthe right arm and finds a small but suitable vein, Shedecides to use a butterfly with the evacuated tubesystem and selects the following tubes from her bloodcollectiprotime, which is a coagulation test, and a lavendertop for the H&H, which is a hematology test. Thepatient's nurse asks Maria how long she thinks it willtake because she wants to give the patient a shot inthat arm. Maria tells her that she has only two tubesto collect, so it shouldn't take long. The nurse leaves.Maria makes a successful venipuncture, fills thelight-blue-topped tube and mixes it gently by invertingit four times. Then she fills the lavender-top tube. Afterfinishing the draw, properly labeling the tubes, andchecking and bandaging her patient, she returns tothe lab. Specimen processing immediately rejects theprotime and asks her to recollecet it.QUESTIONSequipment carrier: a light-blue top for the1. Why do you think specimen processing rejectedthe protime?2. How did the way Maria collected the specimencause the problem?3. Why does the lab reject tubes with this problem?4, What can Maria do differently when she recollectsthe specimen?Case Study 7-2: Syringe Use and Order of DrawA phlebotomist named Jeff has a request to collect aCBC on a postop patient. He has drawn the patientbefore and is aware that the patient is a "difficult"draw. He elects to use a 5-ml. syringe and a 22-gaugeneedle on a small cephalic vein on the patient's rightarm. The venipuncture is successful, and Jeff is inthe middle of filling the syringe when the patient'snurse enters the room and tells him that the patient'sphysician wants to add electrolytes to the request.Jeff tells her that it is not a problem; he will collect agreen-top tube also. He finishes the draw, attaches atransfer device, and quickly grabs the smallest tubeshe can find, a 3-mL green top for the electrolytes and a3-mL lavender top for the CBC. He puts 2 mL of bloodinto the green top and then 3 mL into the lavendertop. He labels the tubes and writes "difficult draw" onthe green top. Later a chemistry technician tells himthat the patient's sodium results are off the wall andcontamination is suspected. He is asked to redrawthe specimen.QUESTIONS1. Could the problem have to do with the order ofdraw? Why or why not?2. What else could have caused the problem?3. Technically, there is another problem with thegreen top Jeff collected. What is it?

Question

Chapter 7: Blood Collection Equipment, Additives, and Order of Draw137Case StudiesCase Study 7-1: Butterfly Use and Order of DrawMaria, who was recently hired in her first job an anhlebotomist, has been sent to the ICU to collect astat hemoglobin and hematocrit (H&H) and protimeon a patient. The patient is an elderly woman whoseJeft arm has an intravenous (IV) line. Maria checksthe right arm and finds a small but suitable vein, Shedecides to use a butterfly with the evacuated tubesystem and selects the following tubes from her bloodcollectiprotime, which is a coagulation test, and a lavendertop for the H&H, which is a hematology test. Thepatient's nurse asks Maria how long she thinks it willtake because she wants to give the patient a shot inthat arm. Maria tells her that she has only two tubesto collect, so it shouldn't take long. The nurse leaves.Maria makes a successful venipuncture, fills thelight-blue-topped tube and mixes it gently by invertingit four times. Then she fills the lavender-top tube. Afterfinishing the draw, properly labeling the tubes, andchecking and bandaging her patient, she returns tothe lab. Specimen processing immediately rejects theprotime and asks her to recollecet it.QUESTIONSequipment carrier: a light-blue top for the1. Why do you think specimen processing rejectedthe protime?2. How did the way Maria collected the specimencause the problem?3. Why does the lab reject tubes with this problem?4, What can Maria do differently when she recollectsthe specimen?Case Study 7-2: Syringe Use and Order of DrawA phlebotomist named Jeff has a request to collect aCBC on a postop patient. He has drawn the patientbefore and is aware that the patient is a &#34;difficult&#34;draw. He elects to use a 5-ml. syringe and a 22-gaugeneedle on a small cephalic vein on the patient's rightarm. The venipuncture is successful, and Jeff is inthe middle of filling the syringe when the patient'snurse enters the room and tells him that the patient'sphysician wants to add electrolytes to the request.Jeff tells her that it is not a problem; he will collect agreen-top tube also. He finishes the draw, attaches atransfer device, and quickly grabs the smallest tubeshe can find, a 3-mL green top for the electrolytes and a3-mL lavender top for the CBC. He puts 2 mL of bloodinto the green top and then 3 mL into the lavendertop. He labels the tubes and writes &#34;difficult draw&#34; onthe green top. Later a chemistry technician tells himthat the patient's sodium results are off the wall andcontamination is suspected. He is asked to redrawthe specimen.QUESTIONS1. Could the problem have to do with the order ofdraw? Why or why not?2. What else could have caused the problem?3. Technically, there is another problem with thegreen top Jeff collected. What is it?

Accepted Answer

Hello. Since your question has multiple parts, we will solve first question for you. If you want…

1. Why do you think specimen processing rejected the protime! 2. How did the way Maria collected the specimen cause the problem? 3. Why does the lab reject tubes with this problem?