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ASCP PBT PHLEBOTOMY
| Question | Answer |
|---|---|
| AFTER BLOOD IS COLLECTED AND ANALYZED WHAT HAPPENS TO THE REQUISITION? | IT GOES IN THE PATIENT'S MEDICAL RECORDS |
| HOW ARE REQUISITIONS FOR LAB TESTS GENERATED? | MANUALLY OR BY THE HEALTH CARE FACILITY'S SYSTEM |
| A PHLEBOTOMIST IS DRAWING A BLIND PATIENT. AFTER THE DRAW IS COMPLETE THE PHLEBOTOMIST SAYS "IT WAS NICE TO SEE YOU". SHOULD THE SUPERVISOR TAKE ANY ACTION? | NO, THIS IS TOTALLY ACCEPTABLE |
| HOW SHOULD A BLIND PATIENT BE LEAD? | OFFER THE PATIENT THEIR ARM AND ALLOW THE PATIENT TO FOLLOW A HALF STEP BEHIND |
| WHAT PERCENTAGE OF COMMUNICATION IS NON VERBAL? | 80-90% |
| WHAT ETHNICITY MAY BE UNCOMFORTABLE WITH DIRECT EYE CONTACT? | ASIAN |
| WHEN DEALING WITH A CULTURALLY DIVERSE POPULATION WHAT IS THE APPROPRIATE APPROACH? | DETERMINE FAMILY'S ROLE IN TREATMENT |
| WHAT CULTURE PLACES ELDERS IN THE HIGHEST PLACE OF RESPECT? | AMERICAN INDIANS |
| WHAT CULTURE MAY LOOK DOWN AS A SIGN OF RESPECT TOWARD HEALTH CARE WORKERS? | HISPANIC |
| WHAT CULTURE VALUES RESPECT & PERSONAL RELATIONSHIP WITH HEALTH CARE WORKERS? | HISPANIC |
| WHAT CULTURE USES HIGH PITCH INTENSE VOICE TO COMMUNICATE IMPORTANCE? | MIDDLE EASTERN |
| WHAT CULTURE IS MORE LIKELY TO INVOLVE EXTENDED FAMILY IN HEALTH CARE DECISIONS? | HISPANIC |
| WHAT CAN A PHLEBOTOMIST BE CHARGED WITH IF A PAPOOSE IS USED TO RESTRAIN A CHILD? | NOTHING, AS LONG AS INFORMED CONSENT IS PRESENT |
| AN OUT PATIENT ARRIVES CHEWING GUM AND BLOWING BUBBLES. WHAT SHOULD THE PHLEBOTOMIST DO? | ASK PATIENT TO DISGUARD GUM |
| A BURN PATIENT IN A REVERSE ISOLATION ROOM HAS THEIR BRACELET ATTACHED TO THE BED. IS THIS OK? | DRAW PATIENTS BLOOD USING AVAILABLE IDENTIFICATION |
| HOW SHOULD AN OUT PATIENT BE IDENTIFIED? | VERBAL CONFIRMATION OF 1ST AND LAST NAME + 3RD IDENTIFIER |
| HOW LONG MUST A PATIENT FAST WHEN TESTING FOR TRIGLYCERIDES? | 12-14 HOURS |
| WHAT MUST A PATIENT ABSTAIN FROM INGESTING WHEN FASTING? | ALL FOOD & BEVERAGES EXCEPT WATER UNLESS OTHERWISE STATED |
| IF A PATIENT FASTS FOR MORE THAN 14 HOURS WHAT TEST MAY BE ELEVATED? | TRIGLYCERIDES |
| WHAT TEST MAY BE FALSELY ELEVATED IF A PATIENT FASTS MORE THAN 14 HOURS> | BILIRUBEN |
| WHEN FASTING MORE THAN 14 HOURS WHAT TEST MAY BE FALSELY ELEVATED? | GLUCAGON |
| WHAT TEST WILL BE FALSELY DECREASED IF A PATIENT FASTS FOR MORE THAN 14 HOURS? | GLUCOSE |
| WHAT TEST WILL FALSELY DECREASE IF A PATIENT FASTS MORE THAN 14 HOURS? | HDL CHOLESTEROL |
| WHAT IMPACT WILL RUNNING A MARATHON 24 HOURS BEFORE BLOOD WORK HAVE ON THE RESULTS ? | INCREASE IN BILIRUBEN, CREATININE, AND BUN (BLOOD UREA NITROGEN) |
| WHAT CAN BE THE RESULT OF AN EXTREMELY ANXIOUS PATIENT? | INCREASED WHITE CELL COUNT,DECREASED IRON |
| HOW MUCH WILL THE WHILE CELL COUNT BE ELEVATED ON A BABY IF IT IS CRYING? | UP TO 140% |
| WHAT ANALYTE WILL BE HIGHER IF COLLECTED IN THE AFTERNOON? | ESOINOPHIL COUNT |
| THE PATIENT CHANGES POSITIONS FROM SUPINE TO STANDING, WHAT WILL THIS CAUSE? | WATER WILL SHIFT FROM THE BLOOD STREAM TO THE TISSUES |
| WHAT ANALYTE WILL BE HIGHER IN AN 85 YEAR OLD FEMALE THAN 20 YEAR OLD FEMALE? | TRIGLYCERIDES |
| WHAT SHOULD A PHLEBOTOMIST DO IF THEY ARE REQUESTED TO DRAW FROM A PATIENT THAT IS VERY EDEMAS? | CONSULT WITH THE DR |
| WHAT WILL DRAWING FROM AN EDEMAS PATIENT RESULT IN? | DILUTED SPECIMEN |
| WHAT WILL BE ELEVATED FOR 24 HOURS AFTER EXERCISE? | CREATININE KINASE (CK) |
| WHO'S RESPONSIBILITY IS IT TO RECOGNIZE THE EFFECTS OF A PATIENT'S DRUGS ON THE RESULTS? | THE DR |
| WHAT TEST REQUIRES THE PATIENT TO EAT A BALANCED MEAL CONSISTING OF ROUGHLY 150G CARBS 3 TIMES DAILY FOR 3 DAYS BEFORE THE TEST? | 3 HOUR GLUCOSE TOLERANCE |
| WHAT TEST REQUIRES ABSTINENCE FROM EXERCISE FOR 12 HOURS BEFORE THE TEST? | 3 HOUR GLUCOSE TOLERANCE |
| PHLEBOTOMIST HAS AN ORDER TO DRAW TRIGLYCERIDES ON A PATIENT THAT HAS EATEN BREAKFAST. WHAT SHOULD THE PHLEBOTOMIST DO? | DRAW THE BLOOD & NOTIFY THE NURSE |
| WHAT TYPE OF MASK IS REQUIRED TO ENTER AIRBORNE ISOLATION? | NATIONAL INSTITUTE OF HEALTH APPROVED N95 |
| WHAT PPE SHOULD BE WORN TO ENTER A DROPLET PRECAUTION ROOM? | GLOVES & MASK |
| PATIENT IS PRESENTING WITH HYPEREMESIS. WHAT CHARACTERISTIC WILL A CBC DRAWN FROM THIS PATIENT HAVE? | HEMOCONCENTRARION |
| WHY IS A SKIN PUNCTURE PREFERRED ON INFANTS? | PREVENTS ANEMIA |
| TO EXAMINE BY TOUCH OR FEEL IS TO? | PALPATE |
| WHAT VEIN IS EASIEST TO FIND ON OBESE PATIENTS? | CEPHALIC VEIN |
| WHAT VEIN IS LEAST SUITABLE FOR A RIGHT ARM VENIPUNCTURE? | BASILIC VEIN |
| WHAT VEIN IS LEAST SUITABLE FOR A LEFT ARM PUNCTURE? | RIGHT ANTECUBITAL FOSSA |
| WHAT IS THE BEST SITE FOR SKIN PUNCTURE OF AN INFANTS HEEL? | LATERAL PORTION OF THE PLANTER SURFACE |
| WHAT SITE IS ACCEPTABLE TO USE FOR AN INFANT HEEL PUNCTURE? | MEDIAL PORTION OF THE PLANTER SURFACE |
| A HEEL STICK MUST BE USED UNTIL A CHILD IS HOW OLD? | 12 MONTHS |
| WHAT CAN BE THE RESULT OF MULTIPLE HEEL STICKS ON AN INFANT? | CELLULITIS & OSTEOMYELITIS |
| HOW FAR BELOW THE SURFACE OF THE SKIN ARE AN INFANT'S CAPILLARY BEDS? | 0.35MM-1.6MM |
| WHAT IS THE BEST FINGER TO STICK IN ADULTS? | MIDDLE FINGER |
| WHAT IS THE BEST FINGER TO STICK IN ADULTS? | RING FINGER |
| THE BEST SITE TO SELECT FOR SKIN PUNCTURE IS THE PALMER SURFACE AND DISTAL SEGMENT OF THE? | MIDDLE FINGER,PALMER SURFACE |
| A PHLEBOTOMIST ATTEMPTS TO DRAW FROM A PATIENT'S BASILIC VEIN, THE BLOOD APPEARS DARK PURPLE-RED. WHAT SHOULD THE PHLEBOTOMIST DO? | FOLLOW STANDARD PROCEDURES |
| DURING A BLOOD DRAW IN THE ANTICUBITAL FOSSA THE PATIENT'S BICEP TO FOREARM SHOULD CREATE WHAT ANGLE? | STRAIGHT LINE FROM SHOULDER TO WRIST |
| A PHLEBOTOMIST STICKS A VEIN, NO BLOOD ENTERS THE VACUTAINER. WHAT SHOULD THE PHLEBOTOMIST DO? | ROTATE THE NEEDLE ONE HALD TURN |
| WHAT VEIN IS MOST LIKELY TO ROLL WHEN YOU STICK IT? | DORSAL METACARPAL VEIN |
| VENIPUNCTURE ON WHAT VEIN CARRIES THE BIGGEST RISK OF THEROMBOSIS? | GREAT SAPHENOUS VEIN |
| DURING A VENIPUNCTURE THE NON STOPPERED END SHOULD BE POSITIONED SO THAT IT IS ? | BELOW THE PUNCTURE SITE |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | RELEASE VEIN, ENGAGE TUBE,RELEASE TOURNIQUET |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | uncap needle, anchor vein, insert needle |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | APPLY TOURNIQUET, PALPATE SITE, RELEASE TOURNIQUET |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | GLOVES ON, PREP SITE, REAPPLY TOURNIQUET, UNCAP NEEDLE |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | RELEASE TOURNIQUET, GLOVES ON, PREP SITE, REAPPLY TOURNIQUET |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | APPLY TOURNIQUET, LOCATE VEIN, RELEASE TOURNIQUET, PREP SITE |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | LOCATE VEIN IN PATIENT'S RIGHT ANTECUBITAL FOSSA, RELEASE TOURNIQUET, USE ISOPROPYL ALCOHOL TO PREP SITE |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE ? | ENGAGE EVALUATED TUBE, CONFIRM BLOOD FLOW, RELEASE TOURNIQUET, FILL SUBSEQUENT TUBES |
| WHAT IS THE CORRECT SEQUENCE OF A ROUTINE VENIPUNCTURE AFTER WITHDRAWING THE NEEDLE? | ACTIVATE SAFETY, LABEL TUBES |
| PHLEBOTOMIST STICKS BASILIC VEIN, BLOOD IS DARK RED-PURPLE HOW SHOULD PHLEBOTOMIST PROCEED? | FOLLOW STANDARD PROCEDURE |
| PHLEBOTOMIST COLLECTS 3.0 ML OF A 4.5 ML SODIUM CITRATE TUBE. WHAT SHOULD THE PHLEBOTOMIST DO? | RECOLLECT |
| WHAT SHOULD BE CHECKED ON AN EVACUATED TUBE BEFORE BEGINNING A BLOOD DRAW? | EXPIRATION DATE |
| WHAT CAN BE PREVENTED BY POSITIONING A PATIENT'S ARM DOWNWARD PRIOR TO VENIPUNCTURE? | REFLUX |
| DURING A VENIPUNCTURE ON THE ANTECUBITAL FOSSA HOW SHOULD THE ARM BE ANGLED? | STRAIGHT LINE FROM SHOULDER TO WRIST |
| CORRECT POSITIONING OF THE PATIENTS ARM IS IMPORTANT BECAUSE? | IT ANCHORS THE VEINS |
| WHEN SHOULD A PATIENT BE INSTRUCTED TO RELAX THEIR FIST? | AFTER BLOOD FLOW IS ESTABLISHED IN FIRST TUBE |
| HOW LONG CAN A TOURNIQUET REMAIN ON WITHOUT ADVERSE AFFECTS? | 1 MINUTE |
| WHERE SHOULD THE TOURNIQUET BE PLACED WHAT DRAWING FROM THE HAND? | WRIST |
| WHAT SHOULD THE PATIENT DO ONCE THE TOURNIQUET IS IN PLACE? | CLOSE THEIR HAND |
| WHAT CAN CAUSE HEMOCONCENTRATION? | PROLONGED TOURNIQUET APPLICATION |
| AFTER 3 MIN OF TOURNAQUET APPLICATION HOW DOES HEMOGLOBIN CHANGE? | 7% INCREASE |
| WHAT IS ONE OF THE ACCECPTABLE SITES FOR INFANT HEEL STICKS? | MEDIAL PORTION OF THE PLANTER SURFACE OF THE HEEL |
| BLOOD MUST BE OBTAINED VIA HEEL STICK UNTIL AN INFANT IS HOW OLD? | 12 MONTHS |
| WHAT SITE SHOULD NEVER BE USED FOR AN INFANT HEEL STICK? | CENTRAL AREA OF HEEL & GREAT TOE |
| MULTIPLE HEEL STICKS CAN CAUSE WHAT COMPLICATIONS? | CELLULITIS & OSTEOMYELITIS |
| HOW FAR ARE CAPLIIARY BEDS BELOW THE SURFACE OF THE HEEL SKIN? | 0.35-1.6MM |
| ONE OF THE BEST SITES FOR SKIN PUNCTURE IS THE PALMER SURFACE AND DISTAL SEGMENT OF WHAT? | RING FINGER |
| ONE OF THE BEST SITES FOR SKIN PUNCTURE IS THE PALMER SURFACE AND DISTAL SEGMENT OF WHAT? | MIDDLE FINGER, PALMER SURFACE |
| HOW SHOULD SKIN PUNCTURES BE MADE ON THE PATIENT'S FINGERS? | PARALLEL TO FINGER TIPS |
| WHY IS THE 5TH FINGER NOT AN IDEAL DRAW SITE? | THE TISSUE IS THINNER THAN THE OTHER FINGERS |
| WHY IS THE INDEX FINGER NOT AN IDEAL DRAW SITE? | IT HAS MORE NERVE ENDINGS |
| FOLLOWING ALCOHOL HOW LONG MUST THE SITE AIR DRY? | 30-60 SECONDS |
| WHERE IS AN ACCEPTABLE PLACE FOR THE PHLEBOTOMIST TO PLACE THEIR THUMB IN ORDER TO ANCHOR A HAND VEIN? | ACROSS THE KNUCKLES |
| DURING A ROUTINE STICK WHAT ANGLE SHOULD THE NEEDLE BE INSERTED INTO THE PATIENT'S SKIN? | 15-30 |
| DURING A ROUTINE STICK WHERE SHOULD THE NEEDLE BE JUST BEFORE THE STICK? | AN INCH BELOW PARALLEL TO THE VEIN |
| DURING A ROUTINE STICK HOW DEEP SHOULD THE NEEDLE GO? | UNTIL THE PHLEBOTOMIST FEELS A SLIGHT GIVE |
| WHAT PRESENTS THE GREATEST SAFETY RISK TO THE PHLEBOTOMIST? | WINGED INFUSION NEEDLES |
| WHAT SHOULD THE PHLEBOTOMIST DO IF A BURR IS DETERMINED TO BE PRESENT IN THE NEEDLE? | DISCARD NEEDLE AND USE ANOTHER |
| WHEN USING EVACUATED TUBE SYSTEM WHERE SHOULD THE PHLEBOTOMIST'S THUMB BE? | ON THE HOLDER AT THE TOP |
| WHAT ADVERSE EFFECT WILL INVERTING AN EDTA TUBE 8 TIMES HAVE? | NONE |
| HOW MANY TIMES SHOULD MOST TUBES BE INVERTED? | 8 |
| A PHLEBOTOMIST STICKS THE PATIENT AND NO BLOOD FILLS THE TUBE. WHAT SHOULD BE THE PHLEBOTOMIST'S NEXT STEP? | ROTATE THE NEEDLE ONE HALF TURN |
| AFTER THE VENIPUNCTURE IS COMPLETE THE PATIENT SHOULD BE INSTRUCTED THE HOLD PRESSURE WITH GAUZE AND? | KEEP THEIR ARM STRAIGHT |
| WHAT VEIN IS MOSTLY LIKELY TO ROLL? | DORSAL METACARPAL |
| WHAT VEIN CARRIES AN INCREASED RISK OF THROMBOSIS WHEN PUNCTURED? | GREAT SAPHENOUS |
| WHERE SHOULD THE NON STOPPERD END OF THE EVACUATED TUBE BE DURING A BLOOD DRAW? | BELOW THE PUNCTURE SITE? |
| WHAT ADDATITIVE CARRIES THE HIGHEST ADVERSE SIDE EFFECTS WHEN REFLUX IS EXPERIENCED? | EDTA |
| HOW SHOULD SPECIMENS BE PREPPED VIA TRANSPORT VIA PNEUMATIC TUBE SYSTEM? | WRAPPED IN ABSORBENT MATERIAL AND PLACED IN PRIMARY TRANSPORT CONTAINER |
| WHEN PREPPING SKIN FOR BLOOD CULTURE COLLECTION HOW LONG MUST CLEANSER AIR DRY? | 30 SECONDS |
| WHAT IS THE RECOMMENDED AMOUNT FOR BLOOD CULTURE COLLECTION FROM AN ADULT? | 20-30ML |
| WHEN USING A WINGED COLLECTION SET HOW MUCH WILL THE VOLUME IN THE FIRST TUBE DECREASE? | 0.5ML |
| WHEN USING A WINGED INFUSION SET SMALL VOLUME EVACUATED TUBES ARE USED TO PREVENT? | HEMOLYSIS |
| PHLEBOTOMIST SELECTED DORSAL METACARPAL VEIN AND IS USING A WINGED INFUSION SET. WHAT ANGLE SHOULD THE NEEDLE BE INSERTED? | 10-15 |
| DEVICE USED TO ALIQUOT BLOOD FROM SYRINGE INTO EVACUATED TUBES ELIMINATES THE NEED FOR? | |
| WHAT IS THE CORRECT ORDER FOR AN INFANT SKIN PUNCTURE? | ID PATIENT, SANITIZE HANDS, APPLY A HEEL WARMER, SELECT APPROPRIATE LANCET |
| WHAT IS THE CORRECT ORDER FOR AN INFANT SKIN PUNCTURE? | SANITIZE HANDS, APPLY HEEL WARMER, CLEANSE THE SKIN PUNCTURE SITE, ALLOW SITE TO AIR DRY |
| WHAT IS THE CORRECT ORDER FOR AN INFANT SKIN PUNCTURE? | CLEANSE SITE, ALLOW TO AIR DRY, VERIFY STERILITY OF LANCET, WIPE AWAY 1ST DROP OF BLOOD USING STERILE GAUZE |
| WHAT IS THE CORRECT WAY TO HOLD AN INFANT'S FOOT DURING A HEEL STICK? | THUMB AROUND BOTTOM OF FOOT, INDEX FINGER ACROSS THE ARCH, REMAINING FINGERS ACROSS THE TOP OF FOOT |
| WHAT IS THE CORRECT ORDER FOR AN INFANT SKIN PUNCTURE AFTER LANCET IS DEPLOYED? | WIPE 1ST DROP OF BLOOD WITH STERILE GAUZE, GENTLY SQUEEZE FOOT |
| WHAT COLLECTION PROCEDURE WILL YEILD A SPECIMEN CONTAINING ARTERIAL, CAPILLARY, AND VENOUS BLOOD? | SKIN PUNCTURE |
| WHAT REFERENCE RANGE WILL BE HIGHER FOR CAPILLARY BLOOD THAN VENOUS BLOOD? | GLUCOSE |
| WHAT REFERENCE RANGE WILL BE LOWER FOR CAPILLARY BLOOD THAN VENOUS BLOOD? | CALCIUM |
| A COMMERCIAL HEEL WARMER CAN INCREASE BLOOD FLOW TO A SKIN PUNCTURE SITE BY HOW MUCH? | 7x |
| WHAT PORTION OF THE CAPILLARY CIRCULATION IS INCREASED WHEN USING A COMMERCIAL HEEL WARMER PRIOR TO SKIN PUNCTURE? | ARTERIAL |
| HOW LONG SHOULD A COMMERCIAL HEEL WARMER BE ALLOWED TO WARM A SITE? | 4-6 MIN |
Created by:
STEPHANIEFORET