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