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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_3777_Библиотеки_им_академика_М_И_Перельмана
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Phlebotomy: From Student to
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Professional, Third Edition
Bonnie K. Davis, M.A., CLP (NCA),
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Dedication
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To my Family:
Ronnie, Rona, Ginny, Marty, Mom, and Dad with great love.
To my students and former employees with love and respect.
To my friends and colleagues:
Phyllis Austin, Susie Whitman, Jessica Nolting,
Vicki Bond, and Linda Tolan with gratitude and fond memories.
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Contents
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List of Procedures / xi
Preface / xii
PART ONE
Student Success in Phlebotomy / 1
CHAPTER 1
The Student’s Role in the
Classroom / 2
Phlebotomy in the Past / 5
Bloodletting / 8
Bloodletting Instruments and Procedures / 9
Venesection / 9
Arteriotomy / 10
Cupping / 11
Scari cation / 11
Leeching / 11
Professionalism / 13
Helpfulness / 14
Compassion / 14
Ef ciency / 15
Personal Appearance / 15
Ethics / 16
Values / 18
Patient Rights / 18
HIPAA / 20
Legal Issues / 21
Con dentiality / 21
Refusal of Treatment / 22
Risk Management and Quality Assurance / 22
Health Care Facilities That Utilize
Phlebotomists / 25
Clinical Laboratory Departments / 26
Study Skills / 28
Before the Classroom / 28
The Classroom / 28
Preparing for Exams / 30
Taking the Exam / 31
Clinical Assignment Expectations / 31
Summary / 32
Review Activities / 33
Discussion Questions / 34
CHAPTER 2
The Student’s Role in the
Clinical Environment / 36
OSHA / 38
Biological Hazards and Standard
Precautions / 40
Engineering Controls / 42
Work Practices / 44
Personal Protective Equipment / 47
Housekeeping / 50
Hepatitis B Vaccination / 50
Latex Allergies / 51
Chemical Safety / 52
Electrical Safety / 53
Radiation Safety / 54
Summary / 55
Review Activities / 55
Discussion Questions / 56
vii
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viii
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CONTENTS
PART TWO
Blood and Urine Collection / 57
CHAPTER 3
The Circulatory System / 58
The Heart / 60
Blood Vessels / 61
Arteries / 63
Capillaries / 65
Veins / 65
Blood / 66
Erythrocytes / 71
Leukocytes / 71
Thrombocytes / 73
Summary / 75
Review Activities / 75
Discussion Questions / 77
CHAPTER 4
Blood Collection Equipment / 78
Venipuncture Equipment / 80
Cotton Covering / 80
Tourniquet / 81
Disinfectant / 83
Needles / 83
Multiple-Sample Needle / 84
Hypodermic Needle / 85
Wing-Tipped (Butter y) Needle / 86
Needle Holder / 86
Syringe / 86
Blood Transfer Device / 87
Blood Collection Tubes / 88
Disposal Units / 90
Tape / 90
Gloves / 91
Capillary Puncture Equipment / 91
Lancet / 91
Blood-Collecting Devices / 91
Phlebotomy Collection Tray / 92
Summary / 94
Review Activities / 94
Discussion Question / 95
CHAPTER 5
Collection by Routine
Venipuncture / 96
Organization of Workload / 99
Prioritize Orders / 99
Review the Collection
Requisition / 99
Interacting with the Patient / 100
Greet the Patient / 100
Identify the Patient / 100
Verify Diet Restrictions and Time
Requirements / 101
Position the Client / 101
Reassure the Patient / 101
Preparing for the Venipuncture / 102
Select the Venipuncture Site / 102
Feel, Roll, Trace, Palpate / 103
Complicating Factors / 104
Assemble Collection Supplies / 105
Summary / 114
Review Activities / 114
Discussion Questions / 115
CHAPTER 6
Collection by Skin
Puncture / 116
Choosing the Skin Puncture / 118
Composition of Skin Puncture Blood / 119
Site Selection / 119
Children and Adults / 119
Infants / 120
Preparing the Site / 121
Collection Devices / 121
Lancets / 122
Copyright 2010 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).
Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.
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