Busy. Please wait.
Log in with Clever

show password
Forgot Password?

Don't have an account?  Sign up 
Sign up using Clever

Username is available taken
show password

Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Didn't know it?
click below
Knew it?
click below
Don't Know
Remaining cards (0)
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

TCC Phlebotomy


professional member of a vocation requiring special training
code of ethics list of professional standards is called
interprofessional communication applies to when healthcare professionals from different professions in an industry communicate
hard skills technical skills learned
soft skills behaviors that reflect attitudes when performing a job function, personal attributes
stereotyping Making an assumption about a group of people
acculturation When a person of a minority group changes his/her behaviors or beliefs in response to the dominant culture
stress the body's response to change
Burnout depleting a person's energy
brownout phase chronic fatigue and irritability, a lack of commitment to the job, and frustration or anger.
full scale burnout despair, depression, mental exhaustion, and physical exhaustion.
phoenix phenomenon readjust your goals and create life balance
Diversity variation within a category
scope of practice permitted procedures and processes
multiskilled trained in more than one job function
Certification two-part process-successful completion of defined academic and training requirements as well as the validation of these studies through a national examination
professionalism. behavior that exhibits the traits or features that correspond to the models of a profession
registered Healthcare professionals who are on a membership list for their respective professions
licensure mandatory process required by state governments that allows one to practice a profession in that state
Continuing education (CEU's) a life-long process for ensuring continued competence
internship or externship Training obtained in a clinical setting that is part of a phlebotomist's education for certification
calcium alginate, Dacron Swabs used in the collection of specimens from the back of the throat should be made of
back of throat, both tonsils When collecting a throat swab, rub the following areas
mouth, teeth, uvula When collecting a throat swab, avoid the following areas
sputum mucous that is coughed up from deep within the lungs is spit into a sterile cup
stool specimen used to test for several disorders including digestive problems, pathogenic bacteria, ova and parasites, and gastrointestinal bleeding.
Semen specimens should be delivered within 30 minutes of collection, at body temperature (37c)
first morning void The best urine specimen to use for general health assessment
24-hour collection The best urine specimen to use for measurement of total amount of substances
catheter if a sterile specimen is needed for culture. A catheter is used to obtain specimens on patients who cannot void urine normally
CCMS(clean catch midstream) The middle of the stream is used for a clean-catch urine collection. The best urine specimen to use for culturing bacteria is the clean-catch specimen
24-hour urine includes all urine after the first void the first day up to and including the first morning void on the second day
CLIA (Clinical Laboratory Improvement Amendments Levels of laboratory testing complexity were established by
Waived . Laboratory test kits designed for home use fall within this classification of laboratory tests
Waived Laboratory tests that can be learned on the job by persons with little training
high complexity Specialized training and experience are required of personnel performing tests that are classified as this, Lab run by a Pathologist
PPMP (physician performed microscopic procedures) Tests classified as PPMP include, among others, KOH preps, pinworm exam, urine sediment, and nasal smears
Certificate of Waiver must allow random inspections by CMS
pre-examination (pre analytical) phase of laboratory testing includes confirmation of laboratory test requests and proper patient identification.
examination ( analytical) phase of laboratory testing includes following test timing requirements, interpreting results accurately, and running required control samples.
post-examination (post analytical) phase of laboratory testing includes reporting results to the physician.
erythrocyte sedimentation rate (ESR) the distance RBCs settle in a calibrated tube after one hour. An ESR is used to screen for inflammation & arthritis
microhematocrit percent of red blood cells in a centrifuged capillary tube, screening for anemia
guaiac card occult blood test is commonly performed on stool
Throat swab used to screen for strep throat
human chorionic gonadotropin (HcG) assesses the status of pregnancy in women
reagents Chemicals that react with a particular substance in urine to produce a color change
POCT Point-of-care testing, can be performed at the patient's side
PPE Personal protective equipment
Polycythemia vera The removal of excess blood volume for patients who have too many RBC's
POL Inpatient facilities where phlebotomists can work called physician office laboratories
The College of American Pathologists (CAP) regularly inspects hospital and reference laboratories to ensure that they are performing to the standards of the organization.
The Joint Commission (TJC), responsible for hospital accreditation
OSHA Work-related injuries are reported to this regulatory organization-Occupational Safety and Health Administration
FDA Blood and blood products that are used in the treatment of patients must be labeled according to Food and Drug Administration (FDA) standards
Neonatologists diagnosis and treat disorders associated with newborns.
Endocrinology The assessment and treatment of hormone disorders
professionalism Making sure that you adhere to the required dress code and presenting a well-groomed appearance and manner
Clinical chemistry The measurement of proteins, lipids, hormones, and other substances in serum is the function of this lab department
Cytology The investigation of human cells for the presence of cancer cells
Microbiology Determining whether or not a pathogen is resistant to an antibiotic is the responsibility of this medical laboratory department
Hematology lab department that perform coagulation tests
Immunohematology also called the blood bank, performs blood typing and cross-matching for transfusion.
Histology section prepares tissue samples as well as surgical specimens for examination by pathologists
Immunology and serology laboratory department performs tests to help diagnose the body's resistance to disease and defense against foreign substances.
sender, message, receiver, and feedback The four basic elements in the communication loop
CLIA Simple tests that have minimal risk of incorrect results
NAACLS The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) is responsible for setting the standards for all approved programs
phlebotomy The Greek term means to “cut into a vein.”
Anesthesiology management of pain before, during, and after surgery
gerontologist medical doctors specializing in disorders of the elderly
feedback Clarification that is needed during communication
capillary Another name for a dermal puncture
HAIs Healthcare-associated infections (HAIs) are infections that are acquired in a healthcare setting. They were once known as nosocomial infections.
Clostridium difficile C-diff bacteria have become resistant to antibiotics ciprofloxacin and levofloxacin?
Enterococci bacteria have become resistant to antibiotics vancomycin
Pseudomonas aeruginosa bacteria have become resistant to antibiotics
Fomite inanimate object capable of carrying a disease
OSHA government agency mandates the use of PPEs
NFPA-blue quadrant The level of health risk of a chemical is shown in the blue quadrant of the NFPA label.
NFPA-red quadrant The level of fire risk of a chemical is shown in the red quadrant of the NFPA label.
NFPA-white quadrant The white quadrant of the NFPA label displays special hazard warning symbols.
NFPA-yellow quadrant The yellow quadrant of the NFPA label displays reactivity warning symbols.
“RACE” rescue-alarm(alert)-contain-extinguish
Vehicle A disease acquired through touching a contaminated object
biohazard spill kit used to clean spills of biological specimens
safety data sheets (SDS) SDS contain information regarding safety risks for every chemical in the laboratory
Needlestick injury most common bloodborne pathogen biohazard in the laboratory
N95 protect you from the smallest airborne particles
"PASS" pull-aim-squeeze-sweep
chickenpox, TB, and shingles some of the diseases that can be spread through airborne transmission
Ergonomics workplace hazard should be investigated to help eliminate the cause of the phlebotomist's pain-
Class C Fires involving electrical equipment and its wiring are classified as Class C fires.
Class A Fires involving paper, cloth or wood
Class B Fires involving, oils, grease and alcohol
Class D Fires involving combustible metals
NFPA National Fire Protection Agency
Double bagging special procedure is performed when discarding contaminated waste from an isolation room
HAZMATS hazardous materials including several chemicals used in the medical laboratory
“W" Reactive with water on NFPA white quadrant
antiseptic action the drying of the alcohol will kill the microorganisms
Reservoir site where organisms grow and multiply
20 seconds A phlebotomist should wash his or her hands for a minimum of 20 seconds between patients
CDC develops and updates standard precautions, developed respiratory hygiene standards, which are part of the standard precautions.
GHS The internationally agreed-upon system for communicating chemical hazards is known as the Globally Harmonized System (GHS).
oral refers to the mouth
oculo refers to the eyes
Otitis media Inflammation (itis) of the middle (media) ear (ot)
dactylogram fingerprint or a toe print, not a handprint or a footprint.
DNA DNA holds the genetic code that controls the processes of the human body. This process is assisted by the RNA
proximal. refers to nearest to the point of origin.
Prone lying horizontal with the face downward.
Cranial pertaining to the skull
Root word The base meaning of a word
Combining vowel The word part placed between the root word and the suffix
Supination action of placing an extremity in supine position (palms facing upward
Anterior refers to the front side of the patient
Dorsal refer to a posterior surface or backside.
medial. refers to the closest to the inside (midline) of the body
Cyanotic A bluish coloration
transverse horizontal cross sections.
phlebitis inflammation of a vein
midsagittal plane divides the body down the middle
CPR cardiopulmonary resuscitation
BMP Basic metabolic panel
NPO patient may not eat or drink anything
Molecules forms of matter and are made up of at least 2 atoms.
Cells the smallest living units in the human body
Superficial describing veins close to the top of skin.
Lateral pertaining to away from the core.
Antecubital area in front of the elbow
cyte means cell
HDL high density lipoprotein,
LDL low density lipoprotein
Cholesterol HDL, or high density lipoprotein, and LDL, or low density lipoprotein, are considered cholesterol tests.
lungs The organ where gas exchange takes place is the
bladder Liquid wastes are stored in and eliminated by the
kidneys Liquid wastes that are produced from blood are filtered through the
Skin The largest organ in the body
CBC assess the circulatory system
Antibody titers blood drawn to check for levels of antibodies to specific antigens, what test would be ordered
lactic acid tests assess the muscular system
BUN and creatinine used to assess the urinary system
ESR What blood test is used to check for types of arthritis including rheumatoid arthritis
Complete blood count A CBC is used to count all blood cells and analyze for any allergies, infections, and anemia
ABG (arterial blood gas) performed to access oxygen, carbon dioxide, pH, and bicarbonate
GTT (glucose tolerance test) performed at different time intervals—some at 2 hours, some at 3. This exam checks for type 2 diabetes and gestational diabetes
hepatic function panel test that will check for hepatitis, cirrhosis, and other liver diseases
Amylase and lipase check for pancreatic disorders.
Fecal occult blood looks for any hidden blood in stool. This is one of many colon cancer exams
intercostal muscles located between the ribs.
Creatine kinase used to check for heart trauma or MI (heart attack).
Blood cells primarily made in the bone marrow, Skeletal body system
Hemostasis the controlling of blood flow
Fibrinolysis stage of coagulation where established clots are broken down
thrombocytes clotting cells AKA platelets
Megakaryocytes In the bone marrow release fragments that are called thrombocytes
B-cell lymphocytes Antibody production is the main function
tunica intima inner layer of the blood vessel
tunica media middle muscular layer of the blood vessel
vessel lumen The inner space of a blood vessel in which blood travels
Valves keep blood from flowing backwards in the vein
Tunica adventitia The outermost layer of a blood vessel also called the tunica externa
Arterioles Larger arteries branch off into smaller arteries.
capillary The connecting bridge between arteries and veins
Venules smaller branches of veins.
.vein The blood vessel through which the blood moves with minimal force and that is used to draw blood is the
Artery firmer vessel pulsates with oxygenated blood
Capillary Gas exchange occurs
median cubital vein The vessel located in the middle of the antecubital region
Median cubital the first vein a phlebotomist should attempt to find
Cephalic The cephalic vein is in alignment with the thumb
Dorsal arch clinical term used for the back of the hand
Cephalic vein blood vessel is the most lateral and the second choice for vein selection
Myocardium the muscle layer of the heart
Stem cells beginning stage in blood cell formation
A antigen People with Type A negative blood have the A antigen on their red blood cells
B antigens People with Type B negative blood have B antigens on their red blood cells
O negative People with type O negative blood are called universal donors.
phagocytosis engulf foreign invaders in the body
TDM Therapeutic drug monitoring
CLSI clinical laboratory standards institutes sets the standards for which labs should adhere to
Postprandial after eating a meal
Hemoconcentration When a patient is dehydrated, her plasma water is decreased, causing other substances to increase.
Lipemic A serum that appears milky usually indicates a high amount of fat in the specimen, which is considered lipemic
Hemolyzed breaking down of the RBC's -Serum with a reddish color indicates hemolysis.
Accession number number assigned to each patient’s samples
STAT tests are those for which results are needed immediately, within the hour
Peak Drug level at its highest serum concentration
Trough Timing midway between doses of a drug
Law A rule of conduct or action prescribed or formally recognized as binding or enforced by a controlling authority
code of ethics A set of written rules, procedures, or guidelines that examine values, actions, and choices to help determine right from wrong
assault The perception or reasonable apprehension of bodily harm
battery Performing a procedure without proper consent , actually laying hands on someone
Respondeat superior let the master speak
direct cause If the action of a phlebotomist repeatedly probing for a vein is linked to pain or inability to use the arm
HIPAA health insurance portability and accountability act-privacy
bore When describing a needle, the gauge is referred to this
EDTA Ethylenediaminetetraacetic acid
EDTA anticoagulant additive in a lavender-stoppered evacuated blood collection tube
Sodium citrate Light-blue-stoppered tubes contain sodium citrate
Royal-blue tube tube is specially designed to be free from all trace elements
Gray tube contain sodium fluoride and potassium oxalate
potassium oxalate The anticoagulant in a gray-stoppered blood collection tube
sodium fluoride The antiglycolytic agent in a gray-stoppered blood collection tube
Tan tubes are specially designed to be free from lead
Light-green tube sodium, lithium, or ammonium heparin
Capillary tubes AKA microhematocrit tubes
Translucent tubes has less vacuum and will only fill part way/pediatric collection
White tube DNA, molecular studies
PST plasma separating tube-light green
bacteriostatic Inhibits the growth of bacteria
Light blue tube coagulation studies
PT,PTT Prothrombin timed, prothrombin timed test
INR internationally normalized rate, the rate at which blood clots
Gold tube SST-serum separating tube
Yellow tube collection for cultures
red tube AKA discard tube
BD Becton-Dickinson main manufacturer for blood & urine equipment
pink tube collection for blood bank contains EDTA spray
Lavender tube collection for CBC (complete blood count) contains EDTA
threaded hub used to connect the needle to the tube holder
syringe The barrel of the syringe measures blood in milliliters (mL). used to collect blood without vacuum
tourniquet always applied 3-4 inches above the AC (antecubital fossa)
green tube contains heparin
CLSI agency writes the standards stating that a new tourniquet must be used for every patient
Burrs imperfections at the bevel of the needle
Bevel slanted edge of needle should be faced up upon entering vessel
Butterfly needle AKA Winged infusion set
size 20 yellow double ended needle
size 21 green double ended needle
size 22 black double ended needle
transfer device transfer blood from a syringe to an evacuated tube
evacuated tube holder Holding the needle and evacuated tubes during venipuncture
Greiner Bio-One The company that manufactures the VACUETTE® and MiniCollect® tubes
white ring on tubes represents a tube used for pediatric or difficult blood draws, has less vacuum
Translucent cap tubes Becton-Dickinson tube that was designed for difficult blood draws, has less vacuum
Palpate to touch/feel action will help you to determine the size, depth, and direction of the vein
Hemoconcentration rapid increase in the ratio of blood components in plasma, may result if the tourniquet is left on too long
milk the finger forcing and scraping to obtain blood-do not do
edema increased fluids which can cause swelling
concentric circles Start the circular motion at the center of the selected site and move outward in an ever-widening circle
iatrogenic anemia The name of the condition that patients may develop if they have a large amount of blood removed over time
exsanguination 10% blood volume removed over a short period of time can be fatal
document any reaction or complication must be documented in patients chart
collapsed vein Abnormal retraction of the vessel walls, which causes blood to stop flowing into the evacuated tube
hematoma The formation of a mass (swelling) under the skin
hemoconcentration can be caused if the patient pumps (rapidly opens and closes) the fist, if the tourniquet is too tight, or if the tourniquet is left on longer than one minute
ecchymosis A large bruise
petichiae Minor hemorrhaging in underlying tissue
hematoma may form if the tourniquet is not released before the needle is removed from the vein
15-30 The correct angle for needle insertion in phlebotomy
shallow In performing phlebotomy on an older (geriatric) patient, the angle of the needle
Osteomyelitis an infection of the bone and marrow
capillary action. The force that causes fluids to flow into tubes with small diameters -gravity
Interstitial fluid fluid between cells and tissues
blood cultures & ESR A dermal puncture may NOT be used due to the large amount of blood needed
Osteochondritis an inflammation of bone and cartilage
Calcaneus AKA heelbone
Centrifuges designed to spin laboratory specimens, separating the solids from the liquid portion.
supernatant liquid portion of the urine
aliquoting Separation of blood specimens into smaller samples
pneumatic tube system move tubes with a vacuum system and allows for quick delivery of specimens to the laboratory
2 hours CLSI standards for processing specimens within this time frame
courier transports laboratory specimens to the reference laboratory
court ordered labs A patient may NOT refuse a blood collection for alcohol or drug testing when there is a court order negating the patient's right of refusal
chain-of-custody document signed by all who handle specimen before court case
TDM Therapeutic drug monitoring is performed to establish correct dosage.
iodine & alcohol not used on sample collected to test alcohol levels
Green surgical soap can be used as a disinfectant in a blood collection for alcohol testing
Hydrogen peroxide can be used as a disinfectant in a blood collection for alcohol testing
cold agglutinins Cold agglutinin test samples must be kept at body temperature (37C) until the serum or plasma can be separated from the cells within one hour
cold agglutinins Autoantibodies produced by a person's immune system mistakenly target red blood cells (RBCs). cause RBCs to clump together when a person is exposed to cold temperatures and increase the likelihood that the affected RBCs will be destroyed by the body.
Ammonia must be placed in an ice-water mixture during transport
Lactic acid must be placed in an ice-water mixture during transport
ABG must be placed in an ice-water mixture during transport
lactic acid Collecting the specimen without the use of a tourniquet
ABG Collecting the specimen without the use of a tourniquet
Vitamin A light-sensitive and should be covered in foil or placed in a container to protect them from light
Vitamin B6 light-sensitive and should be covered in foil or placed in a container to protect them from light
Beta-carotene light-sensitive and should be covered in foil or placed in a container to protect them from light
bilirubin light-sensitive and should be covered in foil or placed in a container to protect them from light
delta check when the results of the same test are compared with the previous results on the same patient
15 minutes how long blood samples are spun in centrifuged
5 minutes how long urine is spun down in centrifuge
QNS quantity not sufficient
aerosols mist that could escape a specimen tube after it is opened
ARD antibiotic removal device
splashguards on tubes to help prevent aerosol mist upon opening tube
Antibiotic removal device in culture aerobic and anaerobic bottles to strip any antibiotic patient may be on to test just blood for culture and sensitivity test
C & S culture and sensitivity test-
anaerobic bottle oxygen-free environment
allen test used to assess the arterial blood supply
aerobic bottle oxygen-rich environment
8-10ml How much blood is usually needed for each blood culture bottle for blood cultures on adults
thick blood smear used to screen for Malaria parasites
septicemia. The presence of pathogenic microorganisms in the blood is called
Venous access devices must be flushed with saline prior to collection for special coagulation studies
Guthrie card special forms used for neonatal screening tests
Polycythemia vera causes the body to produce too many red blood cells, is treated by removing large amounts of blood.
Hemochromatosis results in the body storing abnormal amounts of iron, is treated by removing large amounts of blood
Blood donors must weigh at least 110 pounds
autologous pre-drawn donation specifically for the patient’s own use.
Cystic fibrosis causes damage to the digestive and respiratory systems
biotinidase neonatal screening vitamin deficiency treated with vitamin supplements
PKU phenylketonuria
phenylketonuria neonatal screening inherited disorder that increases the levels of a substance called phenylalanine in the blood
galactosemia neonatal screening body is unable to break down the milk sugar galactose
sickle cell anemia neonatal screening were the RBC are sickle or crescent shaped
Biconcave shape of RBC's
120 days lifespan of RBC's
platelets lifespan 9-12 days
Accuracy in test results is how correct the results are
SOP (standard operating procedures) The way in which a procedure, such as blood collection, is performed is documented in this manual
quality control (QC) Checking the expiration dates on all equipment used
quality assurance Keeping nails trimmed when performing phlebotomy procedures is a part of this
Validation used to assess consistency of results
Levey-Jennings charts Results of quality control testing are recorded on special log sheets and Levey-Jennings charts
shift A sudden jump in control value results is a systematic error known as a shift
trend A gradual increase or decrease in control value results, though still in range, that continues for several days
Random error A one-time use of an outdated control material results in a random error.
corrective action Informing the nursing unit about a specimen with questionable integrity and redrawing the patient is an example of corrective action.
audit Examining records for processes and procedures that were performed
calibration procedure used to check and adjust settings on an instrument.
incident forms Forms used to document problems with specimen collection and handling, testing procedures, and equipment that affects patient safety
SPS Sodium polyanethol sulfonate
Yellow tube Cultures
Light blue tube Coagulation test
Pt/PTT Prothrombin time test
Inr International normalized rate
Light green tube PST Tube plasma separating tube
Light green tube additive Sodium, lithium, ammonia heparin
Green tube additive Heparin
Lavender tube additive EDTA
Pink tube additive EDTA spray
Gray tube test Diabetes
Gray tube anticoagulant Potassium oxalate
Gray tube antiglycolitic Sodium fluoride
Tan tube test Lead
Royal blue tube test Trace elements
White tube test DNA/molecular studies
Orange tube test STAT Thrombin
Sodium Polyanethol Sulfonate Yellow Tube
Created by: Kfoulkes
Popular Phlebotomy sets




Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
restart all cards