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  • Phlebotomy Exam Prep 25, Mastectomy Side Restriction

    Phlebotomy Exam Prep 25, Mastectomy Side Restriction
    2026/05/22
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Why venipuncture is contraindicated on the side of a mastectomy due to lymphedema risk and potential for inaccurate results. - That the restriction against drawing on the mastectomy side is lifelong and does not change over time. - The correct protocol for patients with a bilateral mastectomy, which requires a physician's order for an alternative site. - How to handle exam scenarios involving other complications, such as an IV on the non-restricted arm. - The critical importance of documenting the reason for any alternative venipuncture site selection.
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    3 分
  • Phlebotomy Exam Prep 24, Difficult Venipuncture Strategies

    Phlebotomy Exam Prep 24, Difficult Venipuncture Strategies
    2026/05/21
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The correct first step to take when faced with difficult-to-find veins. - The protocol and risks associated with using hand or wrist veins as alternative sites. - The strict two-attempt rule and the required action after unsuccessful venipunctures. - Why a physician's order is mandatory before considering an ankle or foot draw. - A memorable mnemonic (HEAT) to recall the proper strategies for difficult draws on your exam. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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    3 分
  • Phlebotomy Exam Prep 23, Geriatric and Hard-Stick Patient

    Phlebotomy Exam Prep 23, Geriatric and Hard-Stick Patient
    2026/05/20
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Always anchor geriatric veins firmly below the puncture site to prevent rolling due to decreased subcutaneous tissue. - Use a reduced angle of insertion, typically 10-15 degrees, to avoid puncturing through fragile vein walls. - Select a smaller needle, like a 22G or 23G butterfly needle, to minimize trauma to delicate veins. - Prioritize skin integrity by using gentle adhesive removal techniques or non-adhesive wraps to prevent tears. - Adapt communication strategies for potential hearing or visual impairments to ensure patient understanding and cooperation. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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    2 分
  • Phlebotomy Exam Prep 22, Pediatric Phlebotomy Considerations

    Phlebotomy Exam Prep 22, Pediatric Phlebotomy Considerations
    2026/05/19
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The principles of atraumatic care, including parental presence and distraction techniques. - Proper application and timing for topical anesthetics like EMLA cream to minimize pain. - How to calculate maximum allowable blood draw volumes based on a child's weight to prevent complications. - The importance of using appropriate equipment, such as smaller microtainer tubes, for pediatric draws. - The risk and causes of iatrogenic anemia, especially in the NICU, from repeated blood collections. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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    3 分
  • Phlebotomy Exam Prep 21, Capillary Order of Draw

    Phlebotomy Exam Prep 21, Capillary Order of Draw
    2026/05/18
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The critical differences between the capillary and venipuncture orders of draw. - Why EDTA (lavender/pink top) tubes are collected first after blood gases in a capillary draw to prevent platelet clumping. - How an incorrect capillary draw order can lead to falsely low platelet counts and inaccurate CBC results. - That serum (red/gold top) tubes are always collected last in a capillary puncture because they are designed for clotted blood. - A mnemonic to remember the correct order: "Good Exams Always Score" (Gases, EDTA, Additives, Serum). For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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    3 分
  • Phlebotomy Exam Prep 20, Heel Stick — Newborn and Infant

    Phlebotomy Exam Prep 20, Heel Stick — Newborn and Infant
    2026/05/17
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - The only acceptable puncture sites for an infant heel stick are the medial and lateral plantar surfaces of the heel. - Puncturing the center of an infant's heel carries a high risk of injuring the calcaneus bone, potentially causing osteomyelitis. - Warming the heel for 3-5 minutes prior to puncture is a crucial step to increase blood flow and ensure a viable sample. - The first drop of blood must be wiped away because it is contaminated with tissue fluid that can invalidate test results. - Excessive squeezing or 'milking' of the foot can cause hemolysis and specimen contamination, a common reason for sample rejection. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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    2 分
  • Phlebotomy Exam Prep 19, Capillary Puncture — Fingerstick Procedure

    Phlebotomy Exam Prep 19, Capillary Puncture — Fingerstick Procedure
    2026/05/16
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Why the middle and ring fingers are the required sites for an adult capillary puncture and the risks associated with using other fingers. - The critical importance of wiping away the first drop of blood to prevent contamination from tissue fluid and alcohol residue. - The maximum standard lancet depth for an adult fingerstick (2.0 mm) and its role in preventing bone injury and osteomyelitis. - How excessive squeezing or 'milking' the finger causes hemolysis and specimen contamination, leading to inaccurate lab results. - The correct technique of puncturing perpendicular to the fingerprint lines to ensure a well-formed blood drop for easier collection. For more free exam prep tools, practice questions, and AI-powered explanations, visit https://open-exam-prep.com/ or YouTube Channel: https://www.youtube.com/@Open-exam-prep
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    3 分
  • Phlebotomy Exam Prep 18, Syringe Technique and Tube Transfer

    Phlebotomy Exam Prep 18, Syringe Technique and Tube Transfer
    2026/05/15
    This podcast is made by Ran Chen, who holds an EA license, Insurance and Securities licenses (Series 6, 63, 65), and the CFP® designation. He is passionate about opening access to high-quality exam preparation resources and helping learners prepare more effectively for professional certification exams. In this episode you will learn: - Syringe draws are the preferred method for patients with small, fragile, or easily collapsible veins. - A safety transfer device is mandatory for moving blood from a syringe to evacuated tubes to prevent needlestick injuries. - Never push the syringe plunger during transfer; allow the tube's vacuum to pull the blood to prevent hemolysis and aerosolization. - The standard order of draw must be followed when filling tubes from a syringe to prevent additive cross-contamination. - Exam questions frequently test the proper transfer procedure as a key safety and specimen integrity checkpoint.
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    2 分