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Phlebotomy chapter 1
| Question | Answer |
|---|---|
| a portion of a sample | aliquot |
| one or more parts taken from a system | sample |
| portion of a body fluid or tissue taken for examination such as an aliquot of plasma or serum | specimen |
| When can you use alcohol based hand sanitizer in place of washing your hands? | when the hands are NOT visibly contaminated with blood or other body fluids |
| Legislation that guarantees the privacy of individual health information | Health Insurance Portability and Accountability Act (HIPAA) |
| Nonprofit organization that publishes standards and guidelines for clinical laboratory procedures | Clinical and Laboratory Standards Institute (CLSI) |
| The Health Insurance Portability and Accountability Act (HIPAA) primarily affects blood collectors when? | when they are reporting tests to health care providers |
| processes that occur before testing of a specimen | Preexamination phase |
| Responsibilities of the blood collector | -monitoring of sample ordering -correct patient identification -patient communication and safety -patient preparation -timing of collections -phlebotomy equipment -collection techniques |
| Under HIPAA, written consent by the patient is required to _______? | Clinical Laboratory Improvement Amendments (CLIA) |
| tests considered easy to perform by following the manufacturer's instructions and that have little risk of error. No special training or education is required. Ex: urine pregnancy test | waived testing |
| Patients who extend their arms after a blood collector has explained a venipuncture procedure are: | giving informed consent |
| microscopy tests performed by a physician, midlevel practitioner, or dentist ex: microscopic urinalysis | Provider Performed Microscopy Procedure (PPMP) |
| Infection acquired by a patient as the result of a hospital stay or an outpatient procedure | Healthcare-associated infection (HAI) |
| A blood collector could be held legally responsible for: | -nerve injury -injuries when a patient faints -misidentification of a patient |
| The needle holder that is part of the evacuated tube collection system is: | disposed of as a unit with the collection needle into a sharps container |
| documentation of handling for legal samples | chain of custody |
| When operating a centrifuge, you must make sure to do all of these things: | -make a final balancing check before closing the lid -secure the lid firmly before starting the machine -check for any excessive vibration from the machine before walking away |
| Tests that require documentation of training in a test principles, instrument calibration, periodic proficiency testing, and on-site inspections. Personnel performing these tests must have a high school diploma ex: automated complete blood count | moderate complexity tests |
| The recommended disinfectant for blood and body fluid contamination | sodium hypochlorite |
| transmission-based precautions isolation categories | -droplet -contact -airborne |
| tests that require sophisticated instrumentation and high degree of interpretation by the testing personnel. | high complexity tests |
| In addition to changing gloves between every patient, blood collectors should always do what? | sanitize or wash their hands |
| If a blood collector is accidentally stuck with a needle, what do they need to be tested for? | -HBV (Hepatitis B) -HIV -HCV (Hepatitis C) |
| Independent, not-for-profit organization that accredits and certifies health-care organizations | The Joint Commission |
| Why should samples should remain covered during processing and storage before actual testing? | reduce the chances of splashing, contamination, and evaporation |
| organization of board-certified pathologists that provide laboratory accreditation and proficiency testing for hospital laboratories | College of American Pathologists (CAP) |
| Chain of Infection | Infectious Agent ----> Reservoir ----> Portal of Exit ----> Means of Transmission ---> Portal of entry ---> Susceptible host |
| Transmission Prevention Guidelines | • wear appropriate PPE • change gloves between patients • sanitize hands after removing gloves • dispose of biohazardous material in designated containers • properly dispose of sharps in puncture-resistant containers • do not recap needles |
Created by:
matthewssmon