Collection ProceduresQuestion 27 of 100
A 4-year-old needs a CBC and a basic metabolic panel. Which approach best matches pediatric practice?
a.Use an 18 gauge needle to finish quickly
b.Use a 23 gauge winged set with small-volume tubes and secure, gentle immobilization
c.Draw from a foot vein without provider approval
d.Apply the tourniquet for three minutes to enlarge the vein
Explanation
Children have small, mobile veins and a limited total blood volume, so a 23 gauge winged set with pediatric-volume tubes reduces trauma and blood loss. A large 18 gauge needle is unnecessarily traumatic, prolonged tourniquet time causes hemoconcentration, and lower-extremity draws require provider authorization. Comforting and safely holding the child also improves success on the first attempt.
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Related questions on this topic
- A patient is told to pump the fist repeatedly while the tourniquet is on. Which result is most affected?
- A coagulation specimen is the only tube ordered and a winged blood collection set will be used. What should be done first?
- The last tube is filling. In what order should the phlebotomist complete the venipuncture?
- An 88-year-old patient has thin skin, fragile veins and takes warfarin. Which modification is most appropriate?
- A requisition lists the patient name and tests but has no ordering provider and no collection priority. What should the phlebotomist do?
- How should the needle be positioned as it enters the skin during venipuncture?
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