click below
click below
Normal Size Small Size show me how
HTI CH 1-3
CH 1-3 Review
Question | Answer |
---|---|
Phleb Means... -tomy means... | Vein/To make an incision |
Organizations that provide accredition? | AMT, ASPT, NAACLS, NPA |
Define Certification | Evidence that an individual has demonstrated proficiency in an area of study |
What states require Licensure? | California, Louisiana, Nevada, & Washington |
Define CEU | Continuing Education Units |
Define Informed Consent | Patient must be informed of intended treatments and risks before they are performed |
Define HIPAA | Health Insurance Portability and Accountability Act, 1996 |
Define PHI | Protected Health Information |
Information considered to be PHI? | Patient's name, address, race, health status, treatments, and payment |
What is the monitoring system for institutions that train phlebotomists? | Accreditation |
What must you do to maintain certification? | CEUs |
What should you do when a patient refuses to have blood drawn? | Notify the patient's nurse to ensure that the physician is notified promptly |
What does the Clinical Laboratory do? | Analyzes samples from patients at the request of physicians; Samples include blood, urine, & other bodily fluids |
What are the divisions of the Clinical Laboratory? | Anatomical/Surgical and Clinical Pathology |
Who supervises the Clinical Lab? | A licensed physician or pathologist |
What are the 3 areas of the Anatomical/Surgical Lab? | Cytogenics, Cytopathology, Histology |
Name the departments of the Clinical Pathology Lab | Blood Bank, Chemistry, Specimen Processing, Coagulation, Hematology, Flow Cytometry, Microbiology, Molecular Diagnostics, Serology/Immunology, Urinalysis, Phlebotomy |
How is blood type determined? | By the presence of particular pathogens on the surface of RBCs |
What are the two major antigen groups used for blood type testing? | The ABO Group and the Rh Group |
Define Autologous Donation | The patient's donation of their own blood prior to a surgery or other medical procedure |
4 ways that blood is stored in the blood bank are- | Packed cells w/o plasma, fresh frozen plasma, platelets, cryoprecipitate (from fresh plasma with no clotting factors) |
List several Chemistry Panels | BMP, Lipid Panel, Electrolytes, CMP, Glucose, Liver Function Panel, Myocardial Infarction, Renal Disease |
Define Electrophoresis | The separation of the chemical components of the blood by using electricity |
What specimen is used in Chemistry Tests? | Serum/Plasma |
How is serum collected for Chem Tests? | In a tube with no anticoagulants; SST Tube or Red Top Tube |
What is an SST Tube? | A Serum Separator Tube; uses polymer gel to divide the blood into its components |
Define STAT | Short Turn Around Time |
What is the normal color of serum? | Clear or pale yellow |
Define Icteric Serum | Serum that contains high levels of bilirubin causing it to have a darker color |
Define Lipemic Serum | Serum that contains high levels of fats causing it to have a cloudy appearance |
Define Hemolyzed Serum | Serum in which RBCs have been broken causing it to have a pink appearance |
Define Hemostasis | The process by which the body stops blood from leaking out of a wound; Involves coagulation/clotting factors |
What specimen is used for Coagulation Tests? | Plasma |
aPTT Testing monitors what? | Herapin Therapy; Activated Partial Thromboplastin Time |
PT/INR Testing monitors what? | Coumadin/Warfarin Therapy; ProTime/International Normalized Ratio |
What are some of the Coagulation Tests? | aPTT, PT/INR, FDP, Fibrinogen |
What does the Hematology Department do? | Analyzes blood for evidence of diseases that affect the blood; RBCs, WBCs, Clotting of blood, platelets |
What specimen does the Hematology Department use? | Whole Blood |
What is the main anticoagulant used in the Hematology Dept? | EDTA |
What is the most common Hematology Test? | CBC/Complete Blood Count |
A CBC is made up of what tests? | Hb, Hat, WBC Count, RBC Count, & Platelet Count, MPV, MCV, MCH, MCHC, RDW, Diff |
A CBC test is looking for the prescience of what conditions? | Anemia, Leukemia, Infectious Diseases, Other conditions that affect blood cell numbers and types of blood cells |
Define Flow Cytometry | Technique used in Hematology that identifies markers on WBCs; Identifies AIDS, HIV |
What specimens are used in Flow Cytometry? | Whole Blood/Bone Marrow |
List other Hematology Tests | Bodily Fluid Analysis, Bone Marrow, ESR, Sickle Cell |
What does the Microbiology Department do? | Isolates and identifies microorganisms in patient samples; Responsible for infection control and antibiotic treatments |
What specimens are used in Microbiology Department tests? | Blood, urine, throat swabs, sputum, feces, pus, and other bodily fluids |
What are the 4 divisions of the Microbiology Department? | Bacteriology, Mycology (fungus), Parasitology, Virology |
What does the Molecular Diagnostics Department do? | Test and diagnose genetic disorders, analyze forensic evidence, & track disease |
What is the main component involved in Molecular Diagnostics Testing? | DNA |
What does the Serology/Immunology Department do? | Test patient's immune response through the detection of antibodies |
What does the Urinalysis/Clinical Microscopy Department do? | Examines urine to assess kidney function; Test for diabetes and elevated glucose and protein levels |
Define Reagents | Pads used in urine specimen collection that change colors to indicate testing results |
Define CLIA '88 | Clinical Laboratory Improvement Act of 1988; regulates all facilities that perform patient testing |
Who sets the Standards and Guidelines that phlebotomists follow? | CLSI; Clinical and Laboratory Standards Institute |
What two agencies are involved with the accreditation of clinical labs? | The Joint Commission and the College of American Pathologists (CAP) |
How often are inspections performed under the Joint Commission? | Every 2 years |
How often are inspections performed by the CAP? | Every 2 years; Within 6 months of accreditation renewal date |
Define HMO | Health Maintenance Organization; Provide full-service outpatient care |
Define PPO | Preferred Provider Organization; A group of doctors and hospitals that service large employers and healthcare workers |
Define Urgent Care Center | Provider of emergency outpatient services to those without appointments or the means to pay for their medical care |
Define POLs | Physician Office Laboratories; An On-site lab that physicians use to analyze specimens |
Define Reference Laboratory | Independent labs that analyze samples from other healthcare facilites |
What is the Fiscal Services Department responsible for? | Admitting, Medical Records, and Billing |
In addition to laboratory, which department may draw for ABGs? | Respiratory Therapy |
What department uses radioisotopes to perform tests? | Nuclear Medicine |
What department analyzes a Culture and Sensitivity Test? | Microbiology |
What specimen is used in Occult Blood Testing? | Feces |
List several safety hazard categories | Biological, Physical, Sharps, Chemical, Radioactive Reagents, Electrical, Fire or Explosive, Latex Sensitivity |
Describe some of the general safety practices for phlebotomists | Hand Hygiene, Using PPE, Avoid touching your face, Never store food or drink in the lab refrigerator, Protect feet from spills and slips |
Define Sharps Hazard | Hazards that involve needles, Accidental sticks, Contamination by BBPs |
What is the Needle Stick Safety and Prevention Act of 2001? | A mandate that requires all needles to possess a safety device to minimize accidental sticks |
3 things a phlebotomist needs to do if an accidental stick occurs | Immediately flood area with water and clean, Report the event to employer immediately, Seek immediate medical attention and testing |
What is the GHS? | Globally Harmonized System of Classification and Labeling of Chemicals; Established in 2012 |
What is contained on a GHS Label? | Chemical identity, Manufacturer, Hazard warnings, Pictograms, First Aid Measures |
What document is required by OSHA to be included with every chemical agent? | SDS (Safety Data Sheet) |
List several sections of an SDS | Identification, Hazard Ident., Ingredients, First-Aid Measures, Fire-Fighting Measures, Accidental Release Measures, Handling & Storage, Exposure Controls, Stability, Toxicological Information |
What is the NFPA? | National Fire Protection Association; Uses a diamond-shaped symbol; Higher numbers = higher risk |
What are the 4 divisions of an NFPA Label? | Blue=Health Hazards, Red=Flammability, Yellow=Reactivity Warning, White=Other |
What is a CHP? | Chemical Hygiene Plan; Describes all safety procedures, special precautions, and emergency procedures when working with chemicals |
In what order are Acid and Water mixed? | Add acid to water, never water to acid |
What are the general rules of Electrical Hazard exposure? | Avoid extension cords, Report frayed cords or damaged equipment, Know the location of the circuit breaker, Avoid any contact with electrical equipment while drawing blood |
Explain the response to a patient who has experienced an electrical shock | Turn off equipment, Break contact between patient and source, Call for medical assistance, Begin CPR |
The acronym R.A.C.E stands for- | Rescue, Alarm, Call, Extinguish |
What is the PASS Technique for putting out a fire? | Pull the pin, Aim at the base of the fire, Squeeze the handle, Sweep |
Define Fire Class A | Wood, Paper, Cloth/ Extinguisher A, ABC |
Define Fire Class B | Grease, Oil, Flammable Liquids/ Extinguisher ABC, BC, Halogenated Agents |
Define Fire Class C | Energized Electrical Equipment/ Extinguisher C |
Define Fire Class D | Flammable Metals/Extinguisher D or Special Equipment |
Define Fire Class K | Cooking Oils, Grease/Extinguisher K or Special Equipment |
How is Bleeding Aid administered? | Apply direct pressure to wound, Elevate wound unless a fracture is suspected, Maintain pressure until medical assistance arrives |
How is First Aid for Shock administered? | Call for assistance, Keep victim lying down, Elevate legs unless a fracture is suspected, Turn the victim's head to the side, Keep person warm |
Define Irritant Contact Dermatitis | Direct skin contact with materials that cause redness, swelling, and itching |
Define Allergic Contact Dermatitis | True allergic response; Body's immune system reacts to proteins absorbed by the skin |
Define Anaphylaxis | A rapid and severe immune reaction that may cause the throat to swell shut and cause a drop in blood pressure; Life Threatening |
The most common material used in surgical gloves is | Nitrile |