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Phlebotomy Final

QuestionAnswer
ICU intensive care unit
NPO nothing by mouth
BID/bid twice a day
O2 oxygen
BP blood pressure
Pt patient
Dx diagnoses
Define infection invasion of microorganisms causing disease
What is hemophiliac? blood disorder stopping the blood from clotting
Out of these gauges given which one is the largest? 21g, 16g, 23g, 26g 16g
what is an anticoagulant? a chemical preventing blood clotting
what are the three blood specimens? whole blood, serum, and plasma
Do you "waste" a tube prior to a PT/PTT or D- dimer draw? Explain yes
Tell me something special about the Lavender tube that you need to remember when drawing? to fill tube 2/3 full
what is the first thing you do when a patient refuses blood draw? record on REQ and tell nurse and OD
when do you know you are in the vein when using a butterfly? when the blood "flashes" in tube
the doctors has only allowed 5cc's of blood to be drawn a day on a patient, how would you collect a specimen for this reason? using a syringe
T or F if a patient had a mastectomy on her right side, is it ok to draw blood from her right side? False
Tell me two special handling rules for a LACTIC ACID 15 minutes to lab and placed on ice
Name two tests that require protection from. Bilirubin and Vitamin B-12
What is the most effective way to identify your patient? asking name/ DOB (using REQ)
When should you use a syringe to collect a sample? when a specific amount of blood need to be drawn
Name two common tests from a gray tube. O.G.T.T (oral glucose tolerance test) and Lactic Acid
T or F a phlebotomist should clean the venipuncture site in a circular motion until clean? False
Which fingers are you supposed to use when performing a dermal puncture? Middle and Ring finger (3rd and 4th)
How should you clean your venipuncture site when drawing a blood alcohol level? with Chloraprep (chlorohexidine)
How long do you clean venipuncture sites when drawing for blood cultures? and what do you clean the site with? clean with chloraprep for 30 seconds
Name two test the require being placed on ice after drawing? Ammonia and Lactic Acid
what is the additive in blood cultures? nutrient broth
what is the additive in a lavender tube? EDTA
what is the additive in a Dark Green tube? sodium heparin +Thixotropic Gel (T-gel)
what is the additive in a light blue tube? sodium citrate
what is the additive in a Mint Green tube? lithium heparin
what is the additive in a Pink tube? K2EDTA
what is the additive for the gray tube? Sodium fluoride + potassium oxalate
what is the additive in the red tube? NONE
what is the additive in a SST tube? Thixotropic Gel (T-Gel)
if a patient has HYPERTHYROIDISM, what is wrong with the thyroid? the thyroid is overactive
if a patient has HYPOGLYCEMIA, what does a patient the patient suffer from? low blood sugar
what is plasma? the yellow colored liquid portion of blood
what is serum? plasma without its clotting factors
CLIA Clinical Laboratory Improvement Amendments
OSHA Occupational Safety and Health Administration
JCAHO Joint Commission and Accreditation of Healthcare Organizations
HIPAA Health Insurance Portability and Accountability Act
CDC Centers for Disease Control and Prevention
how long does a tourniquet stay on a patients' arm? 60 seconds/ 1 minute
T or F a patient has the right to refuse care under Patient Bill of Rights? True
what is the purpose of the tourniquet? to impede venous blood flow allowing veins to bulge
how far up on the arm should you tie the tourniquet? 3 to 4 inches above
T of F you will yield serum from a light blue tube? False
T or F the patient gender is needed on the requisition form in order to collect. False
Name two tests that will be tested in the Hematology Department? White Blood Count (WBC) and hemoglobin A1C (HbA1C)
Name two tests that will be tested in the Coagulation Department? D-dimer and PT/ PTT
How do you prevent a hematoma after drawing? by applying pressure
when the tourniquet is too tight, capillaries rupture and causes this? petechiae
why do we collect Blood Cultures? to find fever of unknown origin (FUO)
OSHA requires all healthcare personnel exposed to blood or bother bodily fluids must receive this vaccination? Hep. B
which is the main PPE a phlebotomist will wear when performing venipuncture? Gloves and masks
what is an infection transmitted by exchange of bodily fluids with blood? blood born pathogens: HIV
what is the first thing you do when you have a needle stick? squeeze the blood out and report it
what does post-prandial mean? after eating/ after a meal
tell me something about special handling with the light blue tube? the tube must be filled completely
what is hemostasis? the process of the body stopping blood from leaking from a wound/ injury
what test is usually required performed by Respiratory Therapist or Nurse? Arterial Blood Gas (ABG)
Which needle gauge is the smallest out of these? 25g, 18g, 23g, 21g 25g
T of F can you tell a patient the tests you are drawing? True
where would you draw blood on a 2-month old infant? on the plantar surface of the foot
when inserting a needle into a vein, the bevel should be facing which way? upward
the vacuum on the vacutainer tube decreases with what? heat
what is the most critical error a phlebotomist can make? Misidentifying a patient
what are venules? small veins collecting blood from the capillaries
what are erythrocytes? Red blood cells (RBCs)
What are leukocytes? White Blood Cells (WBCs)
what is the recommended depth of an infant heel puncture should not exceed? 2.0 mm
what is Phlebitis inflammation of the vein
how many tubes do you collect for a 2- hour O.G.T.T? 3 tubes
where is the antecubital fossa? in the front of the elbow
Name the three man veins found in the antecubital fossa and list them in the order you should look for them. Median Cubital, Cephalic, and Basilic vein
T or F can you tell flick/hit your patients hand to help bring veins up to surface without permission of the patient? False
Define STAT immediately to lab
Created by: cgoines1
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