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Phleb Midterm
| Questions | Answers |
|---|---|
| What does phlebotomy mean | cut into vein |
| What do you use to clean the skin before a VP | 70% isopropyl alcohol |
| How do you look professional? | Clean, pressed laboratory coat Long hair pulled back Short, clean fingernails |
| What is assault? | threatening someone |
| What is assault? | threatening someone |
| what is battery? | actually hurting someone |
| Drawling blood without consent can result in what charge? | assault and battery |
| What makes you look like a professional? | Being clean,having pulled back hair, short fingernails, and ironed clothes |
| Why do you let the alcohol dry before you stick a patient? | Allows it to evaporate, prevents stinging, prevents hemolysis |
| What should you do first if you have an accidental needle stick | Decontaminate the site and fill out an incident report |
| Lavender top uses what additive | EDTA |
| Light green top (PST) uses what additive | Lithium heparin |
| Dark green top uses what additive | Sodium heparin |
| Green stopper tube contains what additive? | heparin |
| What are antiseptics | Benzalkonium Chloride, Isopropanol alcohol, providone iodine |
| "hardening of the artery?" | Arteriosclerosis |
| What is a Bar code? | A series of black strips and white spaces of varying widths that corresponds to letters and numbers |
| What is a bevel | the slant of the needle |
| What do you do if you could collect the specimen | Fill out a form stating that you were unable to obtain the specimen and reason why |
| Can a WBC fit through the blood vessel wall | yes |
| How do you know what size of needle to use | the size and condition of the patients veins |
| What is the worst error a phlebotomist can make | getting blood from the wrong person |
| What determines your blood type | the precence or absence of antigens on your RBC |
| How can you get blood from dorsal hand veins | To use a butterfly and small, pediatric ETS tubes |
| What is the priority for blood drawls? | Stat, Timed, ASAP, routine |
| What is contact precautions? | don't touch anything- gloves, gown, shoe protectors |
| What is airborne precautions? | don't breath their germs, wear mask if you are in their room |
| What are droplet precautions? | wear a mask if you are within 9 feet of your patient |
| Why should your patient not pump their fist | It will hemoconcentrate the patient's blood |
| Why should you use sodium fluoride for an Alcohol specimen | it stops the alcohol from breaking down |
| How can you get a blood born pathogen at work? | Human bites, dried blood, or blood splashes into eys, mouth, or cuts |
| The first thing you should do if your patient is bleeding to death is use | dirrect pressure |
| Heparin stops blood clotting b y | shuting down thrombin |
| Hep B vaccination should happen within | 10 days of starting your job |
| Hep B series includes? | A dose of vaccine, another 1 month later, and a final dose 6 months later |
| What do you do if the door is closed | knock open the door slowly and ask if it is okay to enter the room |
| Don't leave a tourniquett on for more than? | 1 minute |
| With a butterfly needle how do you know if you are in the vein | You should see blood appear in the hub of the needle |
| What do you do if your patient is non identifiable? | Use a three-part identification band and labels |
| WBC names? | white blood cell, leukocyte |
| Light blue top is used to preform what type of lab test? | PT/PTT |
| A major differences between arteries and veins is that veins | thinner, have valves take blood to the atrial cavity of the heart |
| Muscle pain | myalgia |
| Lumen size | the bigger the number the smaller the lumen |
| What to do about needle phobia | have them lie down, use ice at insertion site, have your best worker do it |
| If you don't put your needles in the sharps box you are | negligent |
| What to do if your patient is missing their ID band and is asleep | Ask the nurse to apply an ID band before you draw the blood |
| What are nocosomial infections | infections you get at the hospital or some medical facility |
| What does parental mean? | you didn't get this through the GI tract |
| What do you do if the patient is supposed to be fasting for their blood work but isn't | Check with the patient's nurse first; if the specimen is collected, write "nonfasting" on the laboratory slip |
| What do you do if you are drawling blood from a fainter | put theirm in a phlebotomy chair for the blood drawl |
| Are you violating confidentialy to share collection site information | no |
| What is reverse isolation | AKA protective isolation, you are protecting the patient from the germs of others, these patients have severe burns or no immune system |
| What is a lab requisition form | the form on which lab work is ordered |
| Why does RSV matter | Is a major cause of respiratory distress in infants and young children |
| What do you do if your dispoable tourniquette becomes soiled with blood | throw it away |
| Why don't you submit a potassium specimen on ice | it wll be rejected for hemolysis |
| What is thrombosis | a clotting condition |
| What happens if you shake blood | hemolysis |
| What is hemolysis | the break down of RBC |
| What should you do get blood from a child | estabolish repport with parent and child by greating them and give realistic expectations |
| How much blood do we have | 5 liters |
| What section/s would be a part of the anatomical and surgical pathology area of a laboratory | Histology and cytology |
| What is anatomical position | facing forward, feet should width apar, and palms facing forward |
| Back injuries are what percentage of work place injuries | 20% |
| What does the striped pole of barber surgeons represent? | the rod squeezed by the patient, blood, bandages, and tourniquett |
| What is the chain of infection | the cycle of how germs are spreed and includes: reservior, means of exit, mode of transmission, means of entry, suspectable host |
| To be a hospital you need | 24 hour nursing, inpatient beds, diagnostic and therapeutic services, and an organized medical staff |
| What are clinical analysis areas? | hematology, checmistry, immunohematology NOT histology |
| What is a combining vowel | a vowel added between 2 parts of a word to make the word easier to pronounce |
| what does polycythemia mean | too many cells in your blood condition |
| What is a prefix | precedes the root and adds to or modifies the meaning of the term |
| What does poly mean | many |
| What does tachy mean | fast |
| What does proximal mean | closer to the trunk or point of attachment |
| What is a suffix | follows the root and adds to or modifies the meaning of the root |
| What is a root? | the subject of the medical term upon which the rest of the word is built |
| What is a delta check | see how much lab work has changed since the last time that lab was run |
| A phlebotomist should not? | advise the patient on what their diagnosis is |
| What is something that you can feel in an artery | a pulse |
| How did George Washington die | he was bleed to death |
| What is implied consent | the patient acts in a way that it is obvious that he consent even though he doesn't say do it |
| What are some abbreviations on the do no use list | U, MS, IU |
| What does the infection control manual include? | how to wash hands, decontaminate, how to avoid accidents, and what to do in an accidental exposure |
| What is an infectious agent | A pathogenic micro-organism |
| What does it mean to be a pathogenic micro-organism | This germ can make someone sick |
| What are the layers of the heart | endocardium, myocardium, and epicardium |
| What are phases of litigation | A complaint is filed, depositions are given, it goes to trial and a jury decision is made, an appeal is made |
| What form should be filled out if you realize that you mislabeld a tube that you just sent out? | Near Miss/Occurrence Report form |
| Under the patient care partnership what are your rights | high quality care, involvement in your care, a clean and safe environment, and help with your billing |
| What is assessed in the physical exam of urine | color, clarityi, and specific gravity |
| what is specific gravity | how many mls of distilled water is equal to 1 ml of pee |
| how to prevent or minimize a lawsuit | get informed consent, be as safe a possible, and document |
| What is proximetics | what your comfort zone is in terms of physical space |
| Quality assurance seeks to | gaurentee quality care by reviewing appropriateness and timeliness of care |
| What type of checks are used in the lab | quality control |
| What is a reference lab | a large lab that receives blood work from many different cities and do specialized testing |
| What is a reservoir | a place were germs can grow |
| What are skeletal disorders | arthritis, gout, and osteoprosis |
| Suppine | you are lying on your spine |
| What is a universal precaution | you pretend that all bodily fluids are potentially infectious |
| What is a vector | some animal moves the germs |
| When do you use a butterfly needle to drawl blood? | Extremely small, fragile, or weak veins |
| Why do we wear gloves when dealing with blood | to prevent cross contamination and stop us from getting ill or making other ill |
| Why does the JC have a do not use list | to reduce eorrs by eliminating dangerous abbreviations and incorrect interpretations |
| What does the "Do not use list" apply to? | Anything hand written doesn't apply to electronic forms |
| What does the basal sate look like | You have been fasting and resting for 12 hours |
| What is another name for the blood bank | immunohematology |
| What is the order of drawl | Blood cultures (yellow SPS), light blue, red (no additives), Clost activators SST (red, tiger top, gold), heparin tubes (green), EDTA tubes (lavender, pink, purkile, pearl/white), oxalate/fluroide (gray) |
Created by:
ericmichaelperkins