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Phlebotomy
Q&A
| Question | Answer |
|---|---|
| nonverbal, distracting behaviors | tapping a pencil, gazing outside the window, glancing at the clock |
| inappropiate during a phlebotomy procedure | "This won't hurt a bit!" "Your name is Mrs. Jones, isn't it?" "You are required to cooperate with this." |
| key elements in effective communication | active listening, nonverbal cues, verbal skills |
| main area of responsibility for phlebotomist | preanalytical process |
| what feeling does one experience when a stranger gets "too close for comfort"? | anxiety, fear |
| what are "competency statements" for phlebotomist? | entry-level skills, tasks, roles |
| Veracity | telling the truth |
| How should a phlebotomist treat a patient who my have deafness? | ask patient whether you should repeat the steps before proceeding |
| why is eye contact helpful during a phlebotomit-patient interaction? | it promotes a sense of trust |
| example of internal stakeholders for clinical laboratory services | doctors and nurses |
| nurse had a needle stick, when should she report this incident? | immediately |
| A health care worker is given voluntary permission to touch a patient for blood collection under what legal term? | informed consent |
| Specimen collection and handling is referred to as | preanalytical phase |
| federal law that regulates the Quality and Accuracy of Laboratory testing | CLIA '88 |
| Malpractice in blood collection is same as | professional negligence |
| The measuring stick representing the conduct of the average health care worker is the | national community |
| A phlebotomist forgot her password and used a colleague's, what law has she violated? | HIPPA |
| For potential lawsuits that may occur, what must be maintained in health care worker's employee file? | record of continuing education courses |
| touching of another person without permission | battery |
| Before patient's test results can legally be released, the patient must | provide written consent |
| Homeostasis | steady-state condition |
| superficial vein | close to the skin surface |
| best position patient to be in for phlebotomy procedure | supine position |
| Arteries differ from veins in which way? | blood is bright red |
| capillary blood contains | cells, plasma, arterial blood, venous blood |
| patient has severe burn on left wrist, best discription of its location relative to his fingers | proximal to his fingers |
| Venous blood is | dark red |
| what volume of blood does a normal adult have? | 4-5 liters |
| A patient is taking aspirin. How might this affect a venipuncture? | bleeding may be excessive or prolonged |
| Hemostasis | control of blood clotting |
| If a worker is caught in a fire in the health care facility, he or she should NOT | run |
| major principles of self-protection from radiation exposure | time, distance,and shielding |
| yellow quadrant of a diamond on the chemical's label is | instability hazard |
| if needlestick occurs, worker should first and immediately | cleanse the area with isopropyl alcohol and apply an adhesive bandage |
| safe working conditions must be ensured by employer and have been mandated by law under | Occupational Safety and Health Administration Act |
| Antiseptic for skin | iodine |
| isolation technique used to decrease the spread of whooping cough | droplet precaution |
| Reverse isolation is same as | protective isolation |
| proper or for removal of isolation PPE? | gloves, goggles, then gown |
| Medical records serve what purpose? | coordination of care |
| Bar codes can be used for which type of information? | patient identification numbers |
| what is the most error-free method for requesting a laboratory test? | computerized method |
| a specimen protected from light | bilirubin |
| a chilled specimen | blood gas |
| Normal body temp (in degrees Centigrade) is | 37 |
| room temp (in degrees Centigrade)is | 25 |
| Thermolabile means sensitivity to: | temperature changes |
| Photosensitivity means sensitivity to: | light |
| how long for normal blood specimen to clot? | 30-60 minutes |
| yellow tube | sodium polyanetholesulfonate (SPS) |
| butterfly frequently used needle gauge size | 23 |
| royal blue | none |
| Lithium heparin is a a suitable anticoagulant for this test | glucose level |
| blood microcollection system | RAM SAFE-T-FILL |
| CBC | lavender top |
| light blue | PT and APTT |
| blood bank | pink |
| Prefilled device used as a collection and dilution unit is the | BD Unopette |
| anticoagulant recommended for blood smear prep | EDTA |
| a cause of hemoconcentration | long-term IV therapy |
| solid mass derived from blood constituents and can block a vein or artery | thrombus |
| fasting for triglyceride-level determination | 8-12 hours |
| syncope | fainting |
| what analytes will become falsely elevated if tourniquet left on to long? | potassium |
| basal state | fast overnight |
| allergic to iodine and alcohol can use | chlorhexidine |
| small red spots on patients skin due to a blood clotting abnormality is | petechiae |
| Sclerosed veins are a result of: | inflammation |
| A hemolyzed specimen can lead to falsely increased results for: | potassium |
| an unconsious emergency patient may be identified by the following means | temporary identification label |
| identification procedures for outpatients may include asking | photo ID, birth date, address, identification by a family member |
| most common site for venipuncture | antecubital |
| Applying a tourniquet is useful for: | allowing blood to pool in the veins |
| warming site | increases localized blood flow |
| tourniquet should not be left on for | more than 1 minute |
| how many times should a patient be punctured during a procedure? | no more than twice |
| which tube should always be drawn first? | blood culture |
| when should safety devices be activated during a procedure? | immediately after withdrawl from vein |
| when should tourniquet be released? | after blood flows into tube |
| best site for capillary punture on adult | middle finger |
| controlling the depth of the skin puncture prevents | osteomyelitis |
| skin puncture is not useful for patients | healthy adults who need many lab test |
| which fingers are used most for skin puncture? | third or fourth finger |
| disinfectant of choice for capillary puncture procedure | 70% isopropyl alcohol |
| best site for capillar puncture on adult | middle finger |
| controlling depth of skin puncture prevents | osteomylitis |
| skin puncture not useful for | healthy adults who need many lab tests |
| which fingers are used most often for skin puncture? | third or fourth finger |
| disinfectant of choice fo a capillary puncture | 70% isopropyl alcohol |
| what drop of blood should be used for specimen on a fingerstick? | second |
| what drop should be wiped away before capillary collection? | first |
| what does feathered edge refer to? | edge of the blood film on a microscope slide |
| capillary blood is composed of: | venous,arterial, and capillary blood, and tissue fluids |
| microcollection tubes should be filled in what way? | allow the tubes to fill by itself using capillary action |
| preferred technique preparing child for blood collection | place child in a vertical position as parent holds him or her |
| acceptable way to prepare child for pain from venipuncture | EMLA application |
| preferred site for a skin puncture for newborn | medial or lateral plantar surface of heel |
| supply needed to collect blood for capillary blood gases from newborn | metal filing |
| disease causing tremors | Parkinson's disease |
| supply need to collect blood for a pediatric venipuncture | safety winged infusion set |
| if a neonate or child is going to receive fluid intravenously, what vein should be avoided? | veins in the dorsum of foot |
| incision too deep in infant's heel can lead to | osteochondritis |
| venipuncture in an infant or toddler is recommended for | blood cultures |
| dorsal hand vein procedure on infant, angle of needle should be | 15 degrees |
| what is a fistula? | the fusion of a vein and artery |
| first step to obtain blood for glucose monitoring | check the patient's ID according to health care facility' protocol |
| test measured through blood coagulation monitoring by point-of-care testing | PTP |
| supply not needed to test with CoagChek System | tourniquet |
| reason for collecting a 24-hour urine specimen | to test for creatine clearance |
| blood culture tube | yellow |
| during a glucose tolerance test, what procedure is acceptable? | a fasting blood collection is performed and a standard amount glucose drink is given |
| the ABG analysis preferred site | radial artery |
| for ABG the needle should be inserted | 45 degrees |
| blood culture on patient allergic to iodine can use | chlorohexidine |
Created by:
kessenich65
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