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NHCTC Phleb Quiz 1

NHCTC Phlebotomy Quiz 1

Which hospital department works with "work up" CULTURES (ie Throat, Urine..)? C&S are done by MICROBIOLOGY Dept. in Hospitals
Nonverbal communication involves which of the following? All: Pos & Neg Body Language, Distance from Pt., and Posture...
Quality Control is a catagory of what? QC is a catagory of Quality Assurance and QI programs
What does HIPPA stand for? Health Insurance Portability and Accountability Act
What do most Pt.s say they hate the most about hospitals? Being Stuck with Needles
What is a "breach" of confidentiality? Failure to keep medical information confidential
Phlebotomists are primarily involved in what phase of testing? Phlebs are primarily involved in the Preanalytical phase of laboratory testing.
What type of person makes a good Phleb? A person who enjoys working with people, in a team, reliable, careful, considerate of others, and pays attention to details.
What is Clinical Pathology? Clinical Pathology is the major area of lab services where blood, body fluids, and tissues are analyzed.
What is Acute Care? Acute Care is associated with hospital stays less than 30 days.
What does Clia 88' stand for? Clinical Lb Improvement Amendments of 1988
What is a Stackholder? Individuals, groups, or communities that have an interest in the quality of health care services being provided
What is the Pt.'s Bill of Rights? Adopted in 73' by Am Hos Asso, Pt Bill of Rights, doc helps pts and families understand their rights and responsibilities. "Pt Care Partnership" latest rev. 03' by AHA and is easier to read explanation of what patients should expect during hospital stays
What is covered by HIPPA? HIPPA covers "Protected Health Information"
What does HCWs stand for? HCWs are Health Care Workers
What are the components of Verbal Communication? "Sender", "Receiver" and when completed it involves a process called "feedback".
What is the frequent cause of miscommunication? Communication Barriers involve biases, or personalized filters, which block information. 80% of verbal language is unspoken, or body language, and the mismatch of body language and spoken word is called "kinesic Slip"
What is nonverbal commnuication called? Kinesics is name for nonverbal communication
What is persoan, social, and public space? Personal Space is considered 18 in to 4 ft, Social is 4 - 12 ft., Public is >12 feet. Intimate space is <18 inches from a person.
What is the concept of personal space called? The concept of personal space is called Proxemics
What are the two major divisions (areas) of the clinical laboratory? Clinical lab: 1.) Clinical Analysis 2.) Anatomic and Surgical Pathology
What are the departments of Clinical Labs Clinical Analysis Area? Clinical Analysis: Hematology, Chemistry, Microbiology, blood bank/Immunohematology, immunology/serology, and Urinalysis
What are the departments under Clinical Lab's Anatomic & Surgical Pathology Area? Clinical Lab's Anatomic & Surgical Pathology departments: Histology, Cytology, & Cytogenetics
What is a Fomite? Fomite is an object capable of harboring a vital (living) infectious agent that is cabible of being transmitted to a supseptible host
What is immunity? Immunity is the defensive development of antibodies against a foreign pathogen such as a virus
What is a biohazard? A biohazard is a biological mat'l or substance that is harmful to health
What is Parenteral mean? Parenteral is a route of exposure other than the digestive tract, an example is Parenteral Injection, or Parenteral Nutrition (by IV)
What is Percutaneous mean? Percutaneous means passing through the skin, an example would be medication delivery by a patch
What is an infection aquired during a healthcare encounter called? Infection during HC encounter is called Nosocomial Infection
What is a Bloodborne Pathogen? Bloodborne Pathogens are infectious Microorganisms present in the blood and body fluids or tissues
What does Polycythemia mean? Polycythemia is a disorder involving the overproduction of Red Blood Cells (RBCs)
What does Continuum of Care mean? Continuum of Care is the coordinated/intergrated system of health care services which usually involves cross-training of HC professionals to do verious jobs
What does POCT stand for? POCT stands for Point-of-Care Testing, often used at the Pt's bedside, such as Urine test strips, and involves cross-training of nurses to do this simple type of lab test under the continuum of care
What does AMT stand for? AMT stands for American Medical Technologists
What does ASCLS stand for? ASCLS stands for Am Soc for Clinical Lab Sciences
What does RPT stand for? RPT is Reg Phlebotomy Tech, cert. by AMT
What does CPT stand for? CPT stands for Cert Phlebotomy Technician, cert by Am Cert Agency (ACA)
What does NCPT stand for? Nat'l Cert Phlebotomy Tech (NCPT), cert by Nat'l Center for Competency Testing (NCCT)
What do you get when you keep your certification up to date? Training called CEUs "Continuing Education Units"
Who grants lic? The state grants lic's and Cert Agencies grant titles after having proven competency
What is Phlebotomy? Phlebotomy is the process of blood letting
What does PHS stand for? PHS stands for Public Health Services, such as DHHS (Dept of Health & Humman Services)
Where is a CBC done? CBC tests are completed by Hmatology Dept, under the Clinical Analysis area of Clinical Laboratory Services
Where is a C&S test done? C&S is done in Microbiology under the Clinical Analysis Area of Clinical Lab Services
What does MCHC, MCH, and MCV stand for? MCHC = Mean Corpuscular Hemoglobin Concentration, MCH = Mean Corpuscular Hemoglobin, MCV = Mean Corpuscular Volume (MCH is Wt of Hemoglobin, MCV is Size of Hemoglobin Cell, MCHC is Conc. per volume of RBCs)
What does Thalassemia mean? Thalassemia is a pathological condition of a deficient number of hemoglobin per unit volume ( Low MCHV )
What can Thalassemia be caused by? Thalassemia can be caused by over-hydration, too much fluid increase in blood, deficiency of RBC, Low Iron anemia, severe burns, prolonged dehydration, and hereditary spherocytosis
What does RDW stand for? RDW is RBC Distribution Width, which reveals the size differences of RBCs and can be used as an early predictor of anemia before S&Sx appear
What is a DIFF? DIFF stands for Differential White Cell Count, involves changes in appearance or number of WBCs, used w/ Chemo and Radiation Tx.s
What does Hct stand for? Hct stands for Hematocrit, and Hct tests involve values relating to RBC Count and Hemoglobin levels, a decreased amount is called anemic...
What does Hgb stand for? Hgb stands for Hemoglobin, and Hgb tests can dx anemia, and normal values are different for dif sexes, age, altitude, and hydration
What does Plt Ct stand for? Plt Ct stands for Platelet Count, and a decreased number indicates hmorrhagic dz, values may be used to monitor chemo and radiation txs
WBC stands for? WBC stands for White Blood Count, and can dx infections and malignancies when accompanied by Diff tests
What does ALT stand for? ALT stands for Alanine Amino Transferase, marked elevations point to Liver dz
What is AFP (not ALP)? AFP stands for Alpha-Fetoprotein, which is used for Hepatic (liver) Carcinoma, or if Prenatal (by expecting mother) can usually indicate Neural Tube Disorder
What is ALP (not AFP) ? ALP is Alkaline Phosphatase, elevated levels indicate liver or bone disorders such as Biliary Obstruction
What are Ammonia levels used to tell? Ammonia is used to check liver function, high levels indicates Cirrohsis/Hepatitis
What is Amylase testing used for? Amylase is an enzyme excreated by the Pancreas and liver, and high levels can indicate pancreatitis, while low levels indicate liver dz
What is AST used to test for? AST is used to test for Aspartate Amino Transferase enzyme levels, and increased levels indicate liver dysfunction, or significantly high levels indicate MI (myocardial Infarction)
What is Glycosylated Hemoglobin test for? Glycosylated Hemoglobin, or HA1C, tests for Pancreas function associated with diabetic control over several months of their sugar intake and insulin, or even exersize levels... How well they are managing their diabetes
What does GGT stand for? GGT stands for Gamma-Glutamyl Transferase, and enzyme associated with Liver function, Liver dysfunction when GGT levels are high
What does LD test for? LD is Lactate Dehydrogenase, which tests levels to confirm MI, or chronic lung, kidney, and/or liver dysfunction
What do Electrolytes test for? Electrolytes include Na, K, Cl, CO2 levels and can be used to determine Kidney, adrenal gland, and heart function
What does HBsAg stand for? HBsAg stands for Hpatitis B Surface Antigen
What does EBV stand for? EBV = Epstein-Barr Virus
What does CRP stand for? CRP = C-Reactive Protein, and Increased levels indicate Inflammatory conditions
What is HCG used to test? HCG = Human Chorionic Gonadotropin, Present in Pregnancy (Serum and Urine)
What is Anti-HIV? Anti-HIV is screening test used to test for Human Immunodeficiency Virus (HIV)
What general evaluations are used to test for UTI's ? UTI's (Urinary Tract Infections) are evaluated by Color, Clarity, Spec Gravity, Blood presence, Bilirubin, Glucose, Ketones, Leukocyte Esterase, pH, Nitrites, Urobilinogen, and presence of cells that should not be present...
What does EIA stand for? EIA stands for Enzyme Immunoassay
What does AFB stand for? AFB stands for Acid Fast Bacilli, a possitive strain culture could reveal dz states such as TB
What is a CLO test used for? CLO is a test used to test for Helicobacter Pylori, with indicates the bacteria in the stomach than can cause ulcers
What microscopic tests are done to detect intestinal parasites in stool? Ova & parasites is a term used when testing for intestinal, GI, or even tissue and blood, for parasites, or their eggs, or young stages in development
What does Ab stand for? Ab stands for antibody, and tests can be done with pts blood to see if it agglutinates
What is DAT for? DAT is Direct Antihuman Globulin Test, positive results point to Autoimmune Hemolytic Anemia, Hemolytic Dz of New Borns (HDN), and Transfusion Incompability Rxns.
What does JCAHO stand for? JCAHO stands for Joint Commission on Accreditation of Health Care Organizations, and involves Voluntary, nongovernmental, oversight assessment of tech of HC services and est. of standard operating methods/guidlines.
What does CAP stand for? CAP = College of American Pathologists which is an agency that influences quality improvements in phlebotomy
Who's standards are higher for Phlebotomy labs? CAPs standards are higher than JCAHO for Phleb labs
What does CLIAC stand for? CLIAC = Clinical Lab Improvement Advisory Committee, which developed 10 QA recommendations for COW labs (Cert of Waiver, given by CMS on-site visits), called Good Lab Practices (GLPs) which emphasizes Quality assurance when collectiong and performing labs
Which accreditation agency is our course approved by at NHCTC? NHCTC's phlebotomy course is approved by NCCLS (Nat'l Committee for Clinical Lab Standards)
What is NAACLS? NAACLS is Nat'l Accrediting Agency for Clinical Lab Sciences, recognized by US dept of Ed, non-profit group, provides accreditation or approval for clinical lab ed programs, the program must meet educational standards called "competencies"
What is definition of QA? QA is defined as a program that guarantees quality pt care by tracking outcomes through scheduled reviews, part of JCAHO. Est P&Ps fall under an overall process called QA
What is QI? QI is a Quality Assurance Indicator, which is a measurable, well defined, objective, specific and clearly realted to an important aspect of care
What are QSEs? QSEs = Quality system Essentials. A prototype of a Quality System Model for Health Care to assist in Identifying QSEs that can be applied to steps (path of workflow) in clinical lab, est by CLSI.
What is the measure of clinical indicators and what does it involve? Clinical indicators are measured by Threshold values beyond which quality of care cannot be assured.
What happens if care does not meet the Threshold value indicator for care? If Threshold Value is not achieved, then it triggers intensive evaluation to see if there is a problem than needs to be coected thru an evaluation process, data is collected, organized, and evaluated. Opportunity for improvement requires an Action Plan
What is QC? QC is quality control, which is the use of checks and controls concerning the quality of outcomes...
What is a component of a QI program? QC is a component of QI programs, and it is a form of procedure control
To ensure specimen is collected in preanalytical stage correctly which manual can be checked? The Nursing Services Manual, and the document describes patient preparation and other special instructions for specimen collection.
Created by: NHCTC