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Phlebotomy training

National Phlebotomy Training

Provides massage therapy Physical Therapist
Dispense medications Pharmacy
Analyze Blood and urine specimens Clinical Laboratory
Teach daily living skills to disabled persons Occupational Therapy
Perform CT scans and MRI's Radiology
Provide pulmonary therapy Respitory Therapy
Puncture or incision into a vein to obtain blood Phlebotomy
Conduct and qualities that typify a professinal Professionalism
Process by which a program or institution documents meeting established guidelines Accreditation
Performance of procedures in various locations Decentralization
Instruction to acquire additional Pt. care skills Cross-training
Documentation assuring that an individual has met certain professional standards Certification
Maintaining the privacy of information Confidentiality
Patient care that does not require transporting the Pt. to various locations Pt. Focused care
Major traditional duties and responsibilities of the phlebotomist include *Correct Labeling of all specimens w/ REQUIRED information *Collect appropriate amount of blood (venipuncture or dermal puncture) *Correct identification of the Pt. BEFORE blood or Sample collection
Additional Duties of a Phlebotomist may include *EKG *Training other health care workers to perform Phlebotomy
Examples of Non-verbal, distracting,rude behaviors *Chewing gum *Looking out windows *Watching the clock
Components of Communication *Verbal skills *Listening skills *Body language (Non-verbal)
Employment opportunities for phlebotomists include *Blood donor cntrs *Reference Labs *POL's (Dr office Lab)
Certifying organizations *ASCP *AMT *ASPT
Barriers to verbal communication *Hearing Impairment *Level of Pt. education *Age
Professional Services in Hospital *Radiology *Clinical Laboratory
Desirable personal characteristics for a Phelbotomist *Dependability *Compassion *Honesty
Dpt. of Hospital the uses High-energy X-rays or ionizing radiations to stop cancer cells Radiation Therapy
Continuing education Units CEU's required to maintain license or Certification
Nosocomial infection IS acquired by a Pt. during a hospital stay
The chain of infection includes *Source *Mode of Transmission *Susceptible Host
Sources of biologic safety hazards Infectious Agents
PPE Gloves, Masks, Gowns
Gowns are worn to. *Protect clothing and skin from contamination *to prevent transfer of microorganism between pt.'s rm. *to prevent the possibility of encountering splashes or large amount of body fluids
What is the correct order for removing PPE? Gloves, Mask, Gown
R.A.C.E Means R escue A larm C ontain E xtinguish
When is chain of infection broken? when an infection is prevented!
Which type of precaution is used for pulmonary TB (tuberculosis)? Airborn/Droplet
When should Standard Precautions be followed? With all patients at all times
What type of isolation is used on a Pt. who is on Chemotherapy and has very low Wht blood cells? Reverse/Protective
First thing to do in the event of electrical shock to a co-worker or Patient? shut off the source of electricity
What is the disinfectant of choice for blood-borne pathogens? Sodium hypochloRITE (bleach)
PPE must be provided to you by? The Employer
The body standing erect, head facing forward, and arms by the side palms facing front is called? Anatomic Position
The specimen collected by the phlebotomis is Blood
What dpt should be avoided by a pregnant phlebotomist? Radiology
Under the Needle Stick Safety and Prevention Act the following are TRUE Requires facilities to *Document evaluation and implementation of safer needle devices *Involve employees in the selection and evaluation of new devices
Vector (host) means of Transmission *Mosquitoes *Ticks *Fleas
P.A.S.S. Means? P ULL A im S queeze S weep
Support, protect, movement and mineral storage Skeletal system
Recognizes sensory stimuli Nervous system
Absorption of nutrients, and eliminates waste Digestive system
Protection, regulation, sensation, and secretion Integumentary system
Produces and regulates hormones Endocrine system
Sexual Reproduction Reproductive system
Exchanges gases, oxygen and carbon dioxide Respiratory system
Returns excess fluid/defense against disease Lymphatic system
Movement, posture, and heat production Muscular system
Removes excess water from the body Urinary system
Hazard caused by infectious organism Biohazardous
Infection acquired in the hospital Nosocomial infection
Preventive measures taken when a person is exposed to infectious disease Post-exposure PROPHYLAXIS
Guideline describing PPE Practices Standard Precautions
Isolation practices to prevent the spread of disease caused by Pt. Contact Contact Precaution
Isolation procedures based on airborne, droplet and contact disease transmission Transmission-based precautions
Isolation practices associated with airborne disease Airborne precaution
Emission of radiant energy Radioactivity
Isolation precaution to prevent the spread of microorganism carried in fluid droplets Droplet precaution
Apparel worn to prevent contact with and transmission of pathogenic microorganisms PPE Personal Protective Equipment
Excess collagen scar formation Keloid
Result of an infection caused by spirochetes carried by deer ticks Lyme disease
S shape curvature of the spine scoliosis
Fever blisters cold sore
Herpes Zoster shingles
oversecretion of sebum by sebaceous gland acne
stroke CVA
Inflammation of the stomach and intestinal track Gastroenteritis
Stones composed of calcium, uric acid, that crystallized within the kidney Renal Calculi
Inflammation of the facial nerve causing paralysis and numbness of the face Bell's Palsy
Characterized by pain and tingling in the fingers and hand Carpal tunnel syndrome
Swelling or constriction of t bronchial tubes causing wheezing Asthma
Chronic disease of the nervous system characterized by muscle tremors, loss of equilibrium Parkinson's disease
Inflammation of the urinary bladder Cyctitis
Abnormally decreased blood level Hypoglycemia
Caused by pathogen HIV AIDs
Itchy,scaly,RED patches of skin Psoriasis
Highly contagious bacterial infection caused by staphylococcus or streptococcus Impetigo
Inflammation of the appendix Appendicitis
Inflammation of the pharynx caused by group "A" strep Strep throat
Do veins have Valves? Yes, to keep blood flowing in one direction
Arteries are? Responsible for delivering Oxygen and Nutrients (can feel a pulse)
What is the blood volume of an average adult? 5 to 6 Liters
What do Arteries do Carry oxygen rich blood away from the heart
What is the largest Artery The Aorta
What is the Anticoagulant in the LAVENDER top tube EDTA
What is the RED blood cells function RBC's carry oxygen
Med Tech (CLS) Have a Bachelor degree
What is the liquid portion of blood that has not been allowed to clot? Plasma
What is Serum? An amber-colored, protein-rich liquid that separates out when blood coagulates
What are the 3 main veins in the arm used by a phlebotomist *Median Cubital *Basilic *Cephalic
Upper Chamber of the heart Atrium
When a Pt. donates their own blood for transfusion Autologous Transfusion
Medical Laboratory Tech (CLT) Have Associates Degree
Sections of a Clinical Lab *Hematology *Coagulation *Phlebotomy
Section of he laboratory the collects, preps, and stores blood for transfusion BLOOD BANK
Section of Lab that is responsible for Identification of pathogenic microorganisms and infection control MicroBIOlogy
Type of Blood Vessels that transport blood through the body *Arteries *Veins *Capillaries
Lower Chamber of the Heart Ventricle
In order to maintain hemostasis, a complex coagulation mechanism involves *Blood vessels *Platelets *Coagulation Factors
Defense mechanism is the main function of what blood cells? Leukocytes (WBC)
Clotting mechanism is the main function of what blood cells? Thrombocytes (platelets)
Chemical aspect of a routine urinalysis (UA) include? *Glucose *Ketones *Bilirubin
The preferred overall accrediting agency for hospitals JCAHO
Inspection teams, made up of Pathologists, and Med Techs visit the laboratory for inspection every ______ year(s) TWO Years
Basophils Granulocytes
Lymphocytes Agranulocytes
Eosinophis Granulocytes
Monocytes Agranulocytes
Neutrophis Granulocytes
Tiger top tube SST Chemistry section of the lab
Lavender top tube EDTA Hematology section of the lab
Gold top tube SST Chemistry section of the lab
Lt. Blue top tube Sodium Citrate Coagulation section of the lab
Pink top tube EDTA Blood Bank section of the lab
Type and screen test Blood Bank Lab
Fasting blood sugar test (FBS) Chemistry Lab
High density lipoprotein test (HDL) Chemistry Lab
Complete blood count (CBC) Hematology Lab
Urine specific gravity Urinalysis
Infectious mononucleosis (Monospot) Serology
Cholesterol test Chemistry Lab
Sputum culture Microbiology Lab
Electrolytes Chemistry Lab
Activated partial thromboplastin time (APTT) Coagulation section of the Lab
Blood urea nitrogen (BUN) Chemistry Lab
Bilirubin Urinalysis
Urine Culture Microbiology Lab
ALT alanine aminotransfrase Chemistry Lab
Prothrombin time (PT) Coagulation Section of Lab
Stoppage of blood blow from a damaged blood vessel Hemostasis
Substance that prevents blood from clotting Anticoagulant
a decrease below normal values in the number of Leukocytes caused by chemotherapy Leukopenia
An abnormal increase in the number of normal Leukocytes as seen in infection Leukocytosis
A marked increase in the number of WBC in the bone marrow and circulating blood Leukemia
A decrease in number of Erythrocytes (RBCs) or amount of hemoglobin in circulating blood Anemia
Death or Necrosis of the heart muscle caused by lack of Oxygen (O2) Myocardial infraction
Swollen peripheral veins caused by damaged valves Vericose veins
Obstruction of the blood vessel by a moving clot Embolism
A buldge formed by a weakness on the wall of blood vessel Aneurysm
Destruction of (RBC) Red blood cells *Hematology Section* Hemolysis
Liquid portion of Blood *Hematology Section* Plasma
Clear Yellow fluid that remains after clotting blood has been centrifuged and separated *Hematology Section* Serum
Instrument the spins test tubes at high speed *Chemistry Section* Centrifuge
Method of separation by electrical charge *Chemistry Section* Electrophoresis
Appearing Yellow *Chemistry Section* Icteric
Pertaining to the turbidity from lipids *Chemistry Section* Lipemic
Ions in the blood (Na, K, CI, CO2) *Chemistry Section* Electrolytes
Protein capable of producing a chemical reaction with a specific substance *Chemistry Section* Enzymes
Chemical analysis performed using antigens and antibodies *Chemistry Section* Immunochemistry
Study of Poisons *Chemistry Section* Toxicology
Substance that stimultes the formation of antibodies *Blood Bank Section* Antigen
Plasma collected from a unit of blood and immediately frozen *Blood Bank Section* Fresh Frozen Plasma
405 to 495ml. of blood collected from a donor for transfusion *Blood Bank Section* UNIT of blood
The study of blood cell antigens and their antibodies *Blood Bank Section* Immunohematology
Protein produced by exposure to antigen *Blood Bank Section* Antibody
Classification based on the presence or absence of A or B antigens on the RBCs *Blood Bank Section* Blood GROUP
Procedures that matches patient and donor blood before transfusion *Blood Bank Section* Compatibility
Blood from which Plasma has been REMOVED *Blood Bank Section* Packed Cells
Component of fresh Plasma that contains Clotting factors *Blood Bank Section* Cryoprecipitate
The study of Serum *Serology Section* Serology
The study of the immune system *Serology Section* Immunology
Another name for Antibody *Serology Section* Immunoglobulins
Condition in which a person produces antibodies that react with the persons OWN antigen *Serology Section* Autoimmunity
One-cell Microorganisms *Microbiology Section* Bacteria
Test to id microorganisms and determine antibiotic suseptibility *Microbiology Section* Culture & Sensitivity
The study of Fungi *Microbiology Section* Mycology
The study of Viruses *Microbiology Section* Virology
The study of Bacteria *Microbiology Section* Bacteriology
Stain used to classify bacteria *Microbiology Section* Gram Stain
One cell organisi such as bacterium or virus *Microbiology Section* Microorganism
The study of Parasites *Microbiology Section* Parasitology
Glucos in Urine *Urinalysis Section* Glocosuria
Blood in urine *Urinalysis Section* Hematuria
Ketones in urine *Urinalysis Section* Ketonuria
Protein in urine *Urinalysis Section* Proteinuria
Physical, chemical,microscopic analysis of Urine *Urinalysis Section* Urinalysis
First Voided Urine specimen collected upon rising *Urinalysis Section* First Morning Specimen
Chemical impregnated plastic strip used for analysis of urine (dip stick) *Urinalysis Section* Reagent Strip
What is proper order of Draw? Yellow, Lt. Blue, Red glass, Red Plastic, Red tiger or Gold, Green, Lt.Green, Lavender, Gray
Yellow top tube SPS Sodium Poly Sulfonate, used for blood culture in the Microbiology lab
Lt. Blue top tube Sodium Citrate, used for Pro-time and APTT, Coagulation Dept.
Red Top Plain Glass tube NO Additives, whole blood, used by Chemistry, Serology, and Blood Bank
Red top Plastic tube Clot Activator, used by Chemistry and Serology
Red/Gray Tiger top and Gold Top With Clot Active SST (serum separator) Chemistry Lab
Green top tube Heparin *sodium Heparin, Ammonium Heparin,Lithium Heparin* Used for Stat Lytes by the Chemistry Lab
Lt. Green top tube Lithium Heparin PST (Plasma Separator tube) used by the Chemistry Lab
Lavender top tube EDTA, used for CBC(complete blood count) by Hematology lab
Gray top tube Sodium Fluoride(3days) OR Lithium Iodoacetate (24hrs) used for blood sugar by Chemistry Lab
What are the 4 parts of a needle? *Beveled point *Shaft *Lumen *Hub
The amount of blood collected in an evacuated tube? Ranges from 1.8 to 15 MLand is determined by the size of the tube and amount of vacuum present.
Using a 23g needle with a large vacutube can produce what? Hemolysis, because RBCs are damaged when the large amount of vacume causes them to be rapidly pulled through the small needle.
What color top does a Partial fill tube have? *also called a Short draw or less vacuum tube* Translucent Color
What are the three types of blood that can be tested? Plasma, Serum, Whole blood
How many times must a tube containing Anticoagulant be mixed? Must be inverted gently 3 to 8 times
Why is K2EDTA the anticoagulant of choice It maintains cellular integrity better, inhibit platelet clumping, and does not interfere with routine staining procedures
What color tubes contain K2EDTA Lavender, Royal blue, Pink, Tan
Royal Blue top tube EDTA tests for Trace elements
Tan top tube EDTA tests for Lead
When are SST tubes not suitable for use? In Blood Bank and certain Immunology and Serology tests because the gel MAY interfere with the immunologic reactions.
Why are Sterile specimens drawn first? To prevent microbial contamination.
When is a winged infusion "butterfly" recommended Short term infusion, venipuncture on small veins,Child or Geriatric Pt.
How much blood is lost in the tube of a Winged infusion? Approximately o.5ml
Expired tubes may cause *Incompletely filled tube (short draw) *Clotted anti-coagulated specimens *Improperly preserved specimens *Insecure gel barriers
REQUISITIONS: Provide information needed to.. *Correctly Id Pt. *Organize the necessary equipment *Collect appropriate specimens *Provide legal protection
NPO Nothing by Mouth
DNR Do Not Resuscitate
when Identifying the patient by ID band The ID Band MUST BE ATTACHED TO PT.
Palpation is used to determine *Direction of the vein *Size of the vein *Depth of the vein
Two routine steps that aid in locating a suitable vein are *Applying a tourniquet *Asking Pt. to clench their fists
What solution is used to clean veinipuncture site? 70% Isopropyl Alchol (Prep pad)
For maximum Bacteriostatic action to occur how long should alcohol be allowed to dry? 30 to 60 seconds. Never wipe or blow on it to speed up dry time. This will recontaminate the site.
Performing venipuncture before alcohol has dried will? *Cause a stinging sensation to Pt. *May Hemolyze the specimen
How should the needle be facing for proper veinipuncture? Bevel up, at an angle of 15 to 30 degrees, depending on depth of target vein.
What is the primary cause of a bruise or hematoma after a blood draw Failure to remove the tourniquet before removing the needle.
Created by: sirenlilith