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Proof of participation to upgrade skills required by som agencies to renew certification is called?
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What is an example of a confirming response to a patient
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Phleb Final
| Question | Answer |
|---|---|
| Proof of participation to upgrade skills required by som agencies to renew certification is called? | Continue Education Units or CEU’s |
| What is an example of a confirming response to a patient | I understand how you must be feeling |
| What is an example of negative kinesics | A frown |
| A phlebotomist who gets the specimen for the doctor even if he or she must take shortcuts is exhibiting what type of behavior | Unproessionalism |
| Drawing a patients blood without his or her permission can result in a charge of | Assault and battery |
| Two phlebotomists in an elevator are discussing a patients condition. They are overheard by the patients daughter. This is an example of? | Invasion of privacy |
| Does sharing collection site information on a difficult patient violate that patients right to confidentiality? | No |
| Does posting patient lab reports on a bulletin board violate a patients right to confidentiality | Yes |
| A national organization that sets standards for Phlebotomy procedures is | CLIA |
| The Joint Commissions Sentinel Event QI program policy is designed to do what | Demonstrate flexibility in setting QC measures |
| Which analysts test result will be adversely affected by chilling | Potassium |
| The “standard of care” in the practice of phlebotomy is influenced by what organization | Joint Commission |
| A specimen was mislabeled on the floor. The phlebotomist is required to fill out in incident report form. Are you allowed to add suggestions for new guidelines as part of the report | No |
| According to standard first aid procedures, severe external bleeding is best controlled by | Applying direct pressure |
| Vaccination against HBV involves these 3 steps | Receive first injection, 2nd 1 month later, final injection 6 months later |
| What is the proper order for putting on the following protective clothing | Gown mask goggles gloves |
| What it’s he first thing the phlebotomist should do in the event of an accidental needlestick | Wash the site with warm soapy water for 15 mins |
| When a catheter site of a patient in ICU becomes infected, this type of infection has occured | Nonsocomial |
| If a patient suffers from severe burns, they may require this type of isolation | Protective |
| Which type of contact infection transmission involves transfer of an infective microbe to the mucous membranes of a susceptible individual by means of a cough or sneeze | Droplet |
| What does the suffix of the term glycolysis mean | Lysis means breakdown |
| The medical term for white blood cells is | Leukocyte |
| The abbreviation PP means | Post prandial - after meals |
| The abbreviation ESR means | Electrolyte sedimentation rate. (Looks for inflammation) |
| What term means “condition of clotting” | Thrombosis |
| The word elements of the term “polycythemia” means | Too many red blood cells |
| What does hyper in the word hypernatremia mean and what type of word element is it | Hyper means high or too much and element is prefix |
| Maintaining electrolyte balance is a function of which system | Endocrine |
| The ability of the body to repair and maintain itself to achieve a “steady state” defines what term | Homeostasis |
| An ABG is a test of which system | Circulatory |
| The layers of the skin containing blood vessels is/are the | Dermis and subcutaneous |
| The avascular layer of the skin is the | Epidermis |
| Which gland is often called the “master gland” of the endocrine system | Pituitary |
| Estrogen and progesterone are hormones produced in which system | Reproductive |
| The function of the left ventricle is to deliver what to where | Oxygenated blood to the aorta |
| The receiving chambers of the heart are the | Left and right atria |
| A graphic record of the hearts electrical activity during the cardiac cycle is an | EKG/ECG |
| A blood clot circulating in the bloodstream is called an | Embolism |
| The first response in the hemostasis process in Vivo is | Vaso constriction |
| How can you visually tell serum from plasma | You can not. There is no visible difference |
| Hemostasis is defined as | Stoppage of bleeding |
| What are the 3 main anticubital veins | Median, cephalic, basilic |
| Is femoral an anticubital vein | No it is an artery in the leg |
| What is the proper blood to additive ratio for a light tube collected for a coagulation test | 9:1 |
| Out of needles with gauges 18-23 which needle gauge has the largest lumen | 18 |
| A tube with a green stopper normally contains what additive | Heparin |
| The purpose of an antiglycolytic agent is to do this | Preserve glucose |
| What is the most important two factors in choosing which gauge needle to use fo venipuncture | Size and condition |
| Which additive is usually present in a tube with a lavender stopper | EDTA |
| Heparin prevents blood from clotting by doing this | Inhibiting thrombin |
| A request is given to draw a specimen from an inpatient by the name of John Doe. An acceptable way to confirm the patients identity is to do these two things | Match ID to verbal statement |
| Telling a child it won’t hurt before obtaining their blood specimen demonstrates this | |
| What is the most critical error a phlebotomist can make | Mislabeling/misidentifying a specimen |
| What would be the system of choice to identify laboratory specimens from an unconscious unidentified woman in the ER | 3 part identification system using bands and labels |
| The patient asks if the specimen about to be drawn is for a diabetes test. How should the question be answered | Please speak with your physician |
| The first step in the testing process begins when the healthcare provider does this | Creates the req/order |
| If a venipuncture site is still bleeding after 5 mins the phlebotomist should do what | Notify the nurse or health care provider |
| This could happen if you collect a CBC specimen from a screaming infant | Could falsely elevate White Blood Cells |
| You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen | Distal to hematoma (under it) |
| A phlebotomist has attempted to draw a partial thromboplastin time (PTT) specimen from a patient with difficult veins. Both times the phlebotomist has been to draw only a partial tube. What should the phlebotomist do | Ask another tech to try because you can’t not submit a partial draw for PTT as it needs to have a 9:1 ratio |
| What has possible happened when blood pulses into tube | Hematoma |
| If blood is drawn too quickly from a small vein, the vein will have a tendency to | Collapse |
| When a test requires a fasting specimen, but the serum is ______, it is a clue that the patient was not fasting | Lipemic |
| Define Lipemic | When serum is pink or non pee colored cells have burst and is hemolyzed |
| Filling the tube from the bottom up is the best way to avoid this | Reflux |
| What is the clinical and laboratory standards institute (CLSI) recommended maximum depth of a heel puncture | 2mm |
| Why are EDTA specimens obtained before other specimens when collected by skin puncture | To minimize effects of platelet clumping |
| The purpose of wiping away the first drop of blood during skin puncture is to | Avoid tissue fluid contamination |
| Capillary puncture blood reference ranges are higher for which analyte | Glucose |
| It is necessary to control the depth of lancet insertion during infant capillary puncture to avoid injuring what | The calcaneus (heel bone) |
| What causes a microhematocrit tube to fill with blood | Capillary action |
| Explain the correct capillary puncture technique | Perpendicular to fingerprint whirl |
| Which test requires strict skin antisepsis procedures before specimen collection | |
| When performing a GTT the timing should begin when | As soon as finish drink |
| When collecting a blood culture specimen directly from a butterfly into blood culture bottles, which bottle should be filled first | Aerobic |
| Skin asepsis is most critical aspect of this type of collection | |
| A 2 hour postprandial specimen should be draw when | 2 hours after eating a meal |
| Would misreporting patient results be considered a preanalytical error | |
| According to CLSI, what is the maximum time limit for separating serum or plasma from cells | 2 hours from time of collection |
| For proper centrifuge operation, how should the tubes be balanced | Place equal size & volume tubes opposite each other |
| Carefully pouring the contents into an aliquot tube is the proper way to prepare an aliquot | Yes |
| What type of specimens must be processed before routine specimens | STAT, ASAP, Timed |
| What is the recommended procedure for collecting a 24 hour urine sample | Dispose first pee, collect all others and next AM pee |
| What fluid is obtained by lumbar puncture | Cerebrospinal |
| What additional information is typically required when labeling a non blood specimen | Type and location |
| A urine C&S is typically ordered to detect the presence of what | UTI |
| Sputum samples are typically collected to diagnose what | TB |
| The first artery choice for ABG collection is this | Radial |
| When performing the Allen test, which artery is released first | Ulnar |
| Why is heparin used in ABG specimen collection | Prevent clotting |
| What is the proper needle insertion angle for radial artery puncture | 45 degrees |
| The site for radial artery puncture is located in which part of the body | 1” above the crease thumb side of the arm *___________ |
| Which test involves intravenous administration of histamine or pentagastrin | Gastric analysis |
| A first morning specimen is preferred for HCG testing because of what | More concentrated |
| Which fecal test may require a 72 hour stool collection | Urobilinogen |
| Allowing the patient to pump their fist during the vein selection process is good for the specimenf | False |
| How can you tell that you are n a vein when using a needle and a syringe | Blood in the hub |
| What is the best way for a newly trained phlebotomist to handle a venipuncture on a patient with needle phobia | Have an experience phleb do it |
| A phlebotomist starts to perform a venipuncture. As the needle touches the skin, the patient moves his arm. The phlebotomist is started and pulls the needle away from the arm. How should the phlebotomist proceed after apologizing to the patient | Replace the needle, warn the patient, continue the draw |
| With which other hospital department would the laboratory coordinate therapeutic drug monitoring | Pharmacy |
| Which department is responsible for oxygen therapy | Respiratory |
| Protecting patients who are highly susceptible to infection is the purpose of this type of isolation | |
| Poor communication, lying, does not build trust | |
| Blood culture | |
| Blood culture | |
| No. It’s post analytical | |
| PROTECTIVE |
Created by:
krishaight