A patient has difficult veins, and a winged infusion set is used to collect the blood from a small vein in the patient's hand. After successfully filling all the SST tubes, the phlebotomist proceeds to fill the light blue-top tube but is unsuccessful
She changes tubes, thinking that it might be a tube with a lost vacuum, but there is still no blood flow. She inspects the entry site and notices some bruising around it that was not present before. Discuss possibilities of the unsuccessful draw, and explain how to correct them.
What will be an ideal response?
Answer: A lost vacuum is the most common reason for unsuccessful blood flow in the Vacutainer tube. Replacing the dysfunctional tube with another tube corrects the problem, but this has already ruled out.
Not being far enough into the vein or going through the vein into the surrounding tissue will cause an absent flow into the Vacutainer tube. This is probably not the case here because there was successful blood flow in the initial tubes collected.
The best-case scenario is a collapsed vein., which causes a cessation of blood flow after initial successful blood collection.
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Name the first six sections of the CPT code book.
What will be an ideal response?
Following defibrillation with the AED, you have achieved return of spontaneous circulation (ROSC) in a 42-year-old man. However, he remains unresponsive and apneic. You insert a multilumen airway device, continue ventilations, and begin immediate transport to the hospital. En route, you reassess the patient and determine that he is in cardiac arrest. You should:
A. begin CPR, tell your partner to stop the ambulance, and analyze the patient's cardiac rhythm with the AED. B. analyze the patient's rhythm with the AED, defibrillate if indicated, and tell your partner to stop the ambulance. C. tell your partner to stop the ambulance, perform CPR for 2 minutes, and analyze the patient's cardiac rhythm with the AED. D. tell your partner to continue to the hospital, perform 2 minutes of CPR, and analyze the patient's cardiac rhythm with the AED.