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My Study Questions 2


Speeds up clotting by adding glass,silica gel clot activators
Keeps blood from clotting anticoagulants
Basal state Body's resting state early in morning after a 12 hr fast
Reference range normal laboratory values for healthy person
Hemoconcentration The decrease in fluid content of the blood with an increase of RBC. Tourniquet left on to long
Hemolysis RBC are damaged. The hemoglobin goes in the fluid portion of the blood. Hemoglobin is what makes RBC red in color.
Problem sites with impaired circulation Burns, scars, tattoo's
Arterial lines catheter that goes in artery
How many bones are in a human body 206
How many muscles are in a human body 700
How many liters of blood are in a human body 5 liters
How many cells are in a human body 30 trillion
How many miles of blood vessels are in a human body 25 miles
Anatomy is Structural composition of the body
Physiology is function
What are Body Cavities Large hollow space where your organs are housed
What is in the Dorsal cavity Pertains to the back of the body that includes the cranial and spinal cavity
Cranial Cavity holds The brain
Spinal Cavity holds the spinal cord
What is the Ventral Cavity Pertains to the front of the body that includes thoracic,heart and lungs
Abdominal Cavity holds Houses stomach, liver, pancreas, gallbladder, kidneys, pelvic cavity
Pelvic cavity holds urinary, bladder, reproduction organs
Homeostasis is Body's normal state and balance for equilibrium
Metabolism is physical and chemical reaction to food, alcohol,drugs etc.
Catabolism is Destructive process, breaks down and uses what it needs for energy and gets rid of the rest
Anabolism is Constructive process breaks down & converts to where you need it and keeps it there.
Cells are Basic structure of all life
Tissue is groups of cells that join together for a specific function
Connective tissue does what supports and connects all parts of the body, fat, cartilage, bone, blood
Epithelial tissue is what covers and protects your body, lines organs/vessels/cavities
Muscles do what contract to produce movement
Nerves do what sent electrical impulses to our brain
Organs are groups of tissue that group together for a specific function
Skeletal System does what bones, protects organs,storage for calcium and minerals
Muscular System does what gives your body ability to move, produces heat, cushion for bones
Integumentary System is the skin, largest organ in the body. protects your body from infection, and dehydration
Nervous System does what sends electrical impulses to the brain and controls activities
Endocrine System consists of and does what thyroid and pituitary gland, regulates hormones and metabolism
Digestive System consists of and does what includes stomach, mouth, intestines, breaks down food to absorb and eliminate it. Has more organs then any other system in the body
Reproductive System consists of and does what only system that is gender separate. to create life. ovaries, testes, penis. uterus
Urinary system consists of and does what bladder, kidney. filters waste and eliminate it
Respiratory System consists of and does what lungs, delivers constant supply of oxygen and carry's away co2 (carbon dioxide) away
Vascular system consists of and works with what blood and blood cells work with the heart
Lymphatic system lives in what body organ and does what WBC live in spleen and protect body from microorganisms and impurities
Sensory system consists of eyes, ears, nose
Plaintiff is who Patient that is injured
Defendant is who Complaint is filed against
Discovery is what Taking a deposition and investigate parties involved
Deposition is what One party questions another under oath while a court reporter records
Civil Action means what Injured party sues for monetary (money) damages
Tort means what Wrongful act against property, person, reputation, other legally protected rights. Individual intitled for damages awarded by court
Assault is Act or threat causing another to be in immediate fear
Battery is Putting hands on others, offensive touching, use of force w/o consent
Consent is Implied expressed, informed, parental, refusal of consent to perform
Fraud is Deceitful practice or false portrayal by words or conduct
Invasion of privacy Violation of ones right to be left alone. Physical intrusion, unauthorized publishing, release of private information
Breach of confidentiality Failure to keep medical info private
Malpractice Negligence committed by a professional
Res Ipsa Loguitor (Latin) Let the thing speak for itself. Always cover your actions and document
Respondent Superior Let the master respond
Standard of Care Normal level of skill you as medical professional would be expected to follow
Statute of Limitations Sets a length of time after the injury that the injured party can sue
Vicarious Liability Liability imposed by law on one person for acts committed by another
Lab Identifications are Labels, requisition, verbal name
Hospital Identifications are Labels, bracelet, verbal name
Identification Most important aspect of specimen collection, wrist band, verbal name
Equipment Needles, lancet, safety seals, check bevels, use everything one time
Evacuated Tubes check for Check expiration dates, rubber stoppers, make sure glass not broken or cracked
Labeling should be Must be EXACT
Technique is known as Proper instruction
STAT means what Do now, always important, by Doctors request
Therapeutic drug monitoring means On scheduled intervals
Delta checks means Current test results checked with a previous test that is compared
QA Quality Assurance, making sure that you are giving quality care and proper phone skills
QC Quality Control, over QA making sure they are going their jobs
Threshold Values Normal level of acceptability, a level that can't be assured
Bio Hazard Trash cotton balls, gauze, prof. towels, tourniquets, gloves
Regular Trash Packing materials, plastic cups
Sharps containers trash needles, ETS, butterfly, syringes, tubes, hubs, hemo tubes.
Describe the Heart Fist size, thoracic cavity, beats 1000 times a day, basil state 60-100 beats per minute
Physiology of the heart transports oxygen and nutrients to the cells, electrical conduction system
4 main parts of the heart left and right atria and left and right ventricles
Describe septum and what it prevents muscular wall that divides heart in left and right sides and keeps O2 from mixing with CO2
CO2 di-oxygenated blood carbon dioxide
O2 oxygenated blood
Name the 5 types of blood vessels Arteries, arterioles, capillaries,venules, veins
Arteries purpose carry blood away from heart
Arterioles what are they very small arteries
Capillaries what do they do exchange
Venules what are they small veins
veins purpose brings blood back to heart
Largest artery aorta
Largest vein vena cava
Exceptions for arteries all arteries carry O2 blood except the pulmonary artery it carries CO2
Exceptions for veins all veins carry CO2 blood except the pulmonary veins they carry O2
Pericardium what is it protective sack surrounding the heart
3 layers of the heart epicardium - outside myocardium - middle endocardium - inside
Cardiac cycle is One complete contraction and relaxation of the heart
SA Node does what structure that generates the electrical impulse that initiates heart contraction
Pacemaker SA Node
Murmurs are what abnormal heart sounds due to faulty valve action
Heart rate number of heart beats per minute the average is 60-100 (You do not die from)
Arrhythmia heart not making a complete beat and you can die from this
Bradycardia slow heart beat less that 60 per minute
Tachycardia fast rate over 100 beats per minute
Fibrillation vibrate uncoordinated contractions
Systolic pressure in your arteries during a contraction of your ventricles
Diastolic arterial pressure during relaxation of your ventricles
Sphygmomanometer blood pressure cuff
Thrombocytes are platelets, smallest of your formed eliminates
Buffy coat WBC & platelets layer of cells in a anticoagulant tube, the middle of red cells and plasma
Plasma fluid portion of the blood when no clotting has taken place
Serum processed in centrifuged fluid portion of your blood after the clotting has taken place, no longer fibrin in it and pulls it to the bottom
Names of sticks capillaries stick, finger sticks, dermal, heel sticks
Lancet Sterile, disposable,sharp pointed or blade, range of debth & length, age, draw site
What is in Capillary Blood arterial, venous, capillary and tissue fluid
3rd and 4th fingers should be used for finger sticks middle and ring finger only 2 sites on each finger. 1st finger usually callisted. Can not have air bubbles, must be filled to line. Cold hands will make it hard to draw
Microcollection containers are also called bullets
Microhemotocrit tubes and sealant clay are also called microcollection container
Flea-Stirrers-Mixer do what Mixes anticoagulant and blood. They are small metal filing
Warming helps Warm where ever you draw if fingers are cold you will have 7x better chance of success
Indications for capillary puncture Only need a small amount of blood, WIC, Diabeties (Glucose), No good veins (burn victum) perform for under age 2
Osteomyelitis Inflamation of bone marrow and bone if you puncture to deep
Osteochondritis Inflamation of the bone and the cartledge
Cancaneus is Heel bone
You should never stick a Posterior curvature why never stick the bottom of the U of the heel
Do Not Puncture ears, big toes, site that was prevoiusly punctured, arch of foot, infants no deeper than 2.0mm,massectomy side, thumb, pinky finger (not fat)
HDN is what Blood disease in new borns. Jaundice, bileruben levels high. Death, brain damage, mental retardation
Phenylketonuria PKU genetic disorder.
High Amino acids could cause brain damage & die
Hypothyroidism Not enough thryroid hormones, effects brain, developement and growth
Galactosemia Lactose intolerant, inherited disorder, sugar
Blood spot collection filter paper
Neutrophils WBC
Lymphocytes WBC
Monocytes WBC
Basophils WBC
Eosinophils WBC
Blood film or smear drop of blood that is spread very thin on a microscope slide
Differential check WBC for type and amount
Feather 1 dot smeared between 2 slides. The thinnest part of the smeared edge. Most tests done this way
Thick blood smear is and test for Testing for Malaria, destruct RBC and eat each other causes anemia and die.
Negative smears Absence of feather, holes in the smear, ridges or uneven thickness, smear too thick, too short, too long, too thin, streaks or tails in feathered edge
Blood Bank Specimens are for transfusions-pink tube, lavendar tube, red tube, ID is very strict
Typenex Bracelet with carbon copy for tube/file/sample labels. Red/white tube
Blood Donor get medical exam, sometimes get paid, phleb. are mobile.
Look Back Program Red Cross, Carter Blood, Planned Parenthood clinics. Any transmitted disease has to call donor and find out who their partners are and let them all know that they are infected.
Blood Cultures-SPS Broth (dark brown liquid) alway use butterfly needle
Bacteremia Bacteria in blood
Septicemia microorganisms or toxins in blood
Autologous self donated blood
Aerobic bottle collect this bottle 1st, because butterfly tube has air in it
Anaerobic bottle collect this bottle 2nd because there is no air in this bottle and butterfly tube has left air in 1st bottle
Type screen & cross match antigen + & - mix, the mother will become very ill and the baby will die
Skin antiseptics in blood cultures do what Destructs microorganisms, critical in culture bottles (benzalkonum chloride need to be used)
ARD is what Anti microbiotic removal device
Fas-Fest charcoal neutralizes, drug overdose
D-Xylose absorption - pintose body can not break down sugar in citrus fruit
2 hours postprandial means after meal, glucose test for disease
Glucose Tolerance Test tests for what GTT body can not break down sugar, test for diabetes
Hyperglucemia to much glucose
hypoglycemia to little glucose
Lactose Tolerance Test what Enzymes can not convert milk sugar into energy
Paternity Test what color tube test include blood of mother (lavender tube) DNA of father (cheek swab)
Amneocentisis how performed and tests for what Needle inserted in pregnant mother through belly button. Test for down syndrome, spinal bifida
Therapiutic Drug Montoring tests for what TDM test for to much/little drugs in a times test (example tyroid meds)
Peak level test maximum levels w/o being toxic
Through level test on lowest levels w/o being toxic
Theraputic Phlebotomy Over production of RBC phebl. will use a cupping device to remove blood. Usualy donor phlebotomist will perform
Polycythemia To many RBC
Hemochromatosis Excess iron in blood (Asian culture very prevalent)
Toxicology test for what Tox screen. Used for legal purposes.Follow Chain of Custody. Test for poison etc. Test on hair, urine, blood
Forensic Specimens test for what Result will go to court. Test on breath BAC, urine, DNA. Phlebotomist should have at lease 2 years experience, can refuse to perform test.
Blood Alcohol Test You can not use alcohol wipes. must use BAC or soap and water
Point of care Testing test what Bring lab to patient, glucose , heart, cumaden hand held monitor divices.
Bleeding Time- BT Forearm superficial and get capillary blood, platelet disorder, before surgeries
PT Monitor medications (blood thinner)
PTT Monitor clotting or thinning disorder before surgery (blood thinner)
HMT High heparin in alot of medications
ABG who performs test and checks for what Arterial Blood Gas - Respiratory therapist performs and checks for oxygen in blood
Cardia Troponin T is what Protein specific to the heart muscle
Lipid Testing test for Fat Cholesterol (Bad LDL low density) (Good HDL high density)
B-Type Natriuretic Peptide (BNP) Heart hormone
Glycose testing POCT Point of care testing
Glycosylated Hemoglobin monitors what Tool that monitors diabetes
Hematocrit (HCY) H&H Test for what PCV-Packed cell volumn (anemia)
Hemoglobin (Lgb) H&H test for what Monitors iron for anemia
Occult blood (Guaiac)test for what Hidden blood in stool (fecus) test for digestive disorder/ulcer/cancer
Pregnancy test what chemical test HCG (placenta fluid) in urine and serum. can be tested 8-10 days after concemption Red Tube
Skin Test tests for what Intradermal injection within the skin. Test for mold/fungus, TB
Strep test how tested for Test with Huge Qtip for strep throat
Urinalysis tests for what Test for chemicals, physical and microscopic blood bacterial, glucose. proteins, alcohol. Use reagent strips to test for PH levels on acid and alcholine
Phlebotomist Responsibilities Draw blood, and non-blood specimens, instruction, transport, label, computer. Treat non-blood with universal precautions (treat all test like they are all diseased
Urine test who test for what Most common test. Nurse will perform on inpatients, phelb. will perform on outpatients
Routine urine test tests for what physical, clarity, color, order strong (dehydrated), specific gravity (small pieces)
Chemical urine test tests for what test for bacteria, WBC blood protein, glucose
Microscope urine test looks for looks at cells, crystals, microorganisms
CNS Culture and Sensitivity urine test tests for Clean catch, test urine to see what antibiotic will effectively cure UTI, collect in amber tube, if out more than 1 hr refrig.
Random type of urine specimens collect anytime
Time type urine specimens how is test performed 1st morning urine void, timed tolerance, 24 hour, double voided void 1sr morn. urine
Cytetology tests for what Clean catch of urine. test for PAP test, cancer, virus, inflammation
Urine drug screen tests for Test for chemicals, recreational drug use, steriods, drug overdoses including perscriptions. Collect in a covered chemical free container.
Pregnancy urine test HCG test at what time of day 1st morning void (most concentrated), no special collection. Test for melanoma, tumors, cancer
Regular Urine collection method urinate in clean cup
Midstread Urine collection method start to void in toilet stop collect urine in container stop and void remainder in toilet
Catherized urine collection method Infants just born, or after surgery procedures
Supra pubic urine collection method Inject needle above pubic bone and extract urine
Pediactric urine collection method adhesive urine (condom like) devise that attaches to the genitals of children
What is Amniotic fluid Fluid that surrounds fetus inside the uterius.
Cerebrospinal Fluid Test how is test done and what is tested for Fluid that surrounds the brain and spinal cord. A needle is injected into spine to collect spinal fluid to test for meningitis
Gastric Fluid is found where Stomach fluids, gastric acids
Nasopharyngeal Secretions test tests where on body and tested for what Nasal, larynx. test with a long Qtip for diptheria,H1N1
Saliva test how is test performed and what do you test for mouth swab sponge. Test for hormones, alcohol, drug abuse, DNA
Semen test how is test performed and what do they test for collect semen in a steril container. Test for fertility, sterility after vasectomy
Serous Fluid test is found on what body part and what do they test for Surrounds and lubricates lungs and heart. Test for inflammation or infection
Sputum test on what and for what mucus, phlem, test for respitory infection, TB
Sweat test how tested and tested for what Test electrodes for cystic fibrosis
Synoval Fluid found where and tested for what Lubrication for joints. Increase of fluid indicates inflammation from, arthritis/gout etc
Buccal Swabs use where and test for what Long stick with sponge on end to swab inside of cheek for DNA
Bone Marrow how is is extracted and what do they test for Withdrawl marrow with a 14-18 ga. needle. Test for blood disease, cancer, chromosome, bacterial culture. Extracted from hip and chest bone
Lactose-C-urea test how is test performed and what do they test for breath samples taken after drinking a thick drink mixture
H-Pylori Test how is test performed and what do they test for breath samples taken to test for hydrogen, bacteria, peptic ulcers
Feces (stool) test tests for what Test for gastrointestinal disorder, parasites (ova-eggs), pinworms, hook worms, keep at room temp. Fat Uro test checking for fats in liver needs refrig.
Hair testing detects what Test for heavy metals, lead poison, drug abuse, chronic drug use but not recent use
Throat swabs used for what test Used for strep throat
Tissue Specimens are tested for Biopsy for cancer
Cerner is a what Commonly used computer system in medical field
Accession number is patient hopital number that in on file forever. Labels, test, bracelet all have same number
Handling of tubes should be inverted how many times Invert tubes at least 5 times
Transporting tube specimen protocal Stopper on top (tube upright)
Transporting biohazard liquid Make sure to put liquid in a leak proff container with secure lid. Place in a leak proof container or bag with paper work in pocket of bag
Transporting vacume tubes Place tube in plastic bag and put paper work in pocket of bag then place in a shock resistant container
Currier-mail service follows what guide lines Follow DOT & FAA quide lines
Timed Delivery & Specimens should be back in lab in how many minutes Draws need to be back in lab within 45 min. to be centrifuged or tested, also STAT needs to be in lab ASAP
Body Temp. Specimens should not be colder than how many degrees or what will happen if blood is colder than 98 deg. use a warmer or blood will clump
Chilled Specimens keep ? rate lower. never chill ? Crushed ice and water to keep metabolic rate lower. (never chill potassium)
Light sensitive specimens should be put in what Use amber tube/cup/foil. Used for bilirubin (liver)testing
Centrifuge does what and how many times can you centrefuge a tube Machine that separates blood. Only centrifuge tubes once.
What test is most likely to result in fatal consequences for the patient if the specimen is misidentified? Type and crossmatch
What test requires special chain of custody documentation when collected? Drug Screen
The most critical aspect of blood culture collection? Skin antisepsis
A 2 hours postprandial specimen should be drawn when? 2 hours after the person has had a meal
When a specimen is collected for legal reasons a strict ? method of tracking the specimen must be performed? Chain of Custody
What test specimen is collected from patients with FOU to rule out spticemia? Blood culture
What should be avoided during a GTT? Chewing sugarless gum, drinking sugar-free tea, smoking
Which tube is used to collect blood for a type and crossmatch? Nonadditive red top
TDM is used by physicians to? Determine a beneficial drug dosage for a patient
Which test requires strict skin antisepsis procedures before specimen collection? Blood culture
Which artery is typically the easiest to access during low cardiac output? Femoral
The artery of choice for ABG collection is? radial
The normal needle size for a ABG is? 25-26
A proper cleaning solution for preparing an arterial puncture is? Povidone-iodine
What is the best way to tell that a speciman is arterial? Blood appears bright cherry red
What is the proper needle insertion angle for radial artery punture? 45
What is the proper needle insertion angle for femoral artery punture 90
Heparin is used in ABG specimen collection to? Prevent clotting of the specimen
What is the most common arterial punture complication even when proper technique is used? Hematoma
The measure of the acidity and alkalinity of a patient's blood is know as? PH
The most common local ansthetic used to ease a patient during an ABG procedure? Lidocaine
When blood leaks into the surrounding tissue after an ABG prodecure a ? may form? Hematoma
What artery is released 1st in an allen test? Ulnar
What hormone is detected within 8-10 days after conception? HCG
What is the fluid called around the heart? peritoneal
The fluid found around the fetus is? Amniotic
Urine collected directly from the bladder through a tube is called? Catherter
Urine specimen is aspirated directly through the wall of the bladder using a needle and syringe? Suprapubic
Sputum is collected to diagnose what? Tuberculosis
Does amniotic fluid need to be protected from light? Yes
Drugs of abuse can be detected how? hair, saliva, urine, blood
A first morning specimen is preferred for HCG testing because it is? more concentrated
An NP culture swab is collected to detect the presence of orgainisms the cause? Whooping cough
A urine C&S test is typically ordered to detect Presence of UTI
A refrigerated stool sample would NOT be suitable for this test? Ova and parasites (O&P)
Which of the following tests requires a 24 hr urine specimen? Creatinine clearance
Which test is used to diagnose cystic fibrosis? Sweat chloride for ages 17 and under
What additional information is required when labeling a nonblood specimen? Specimen type and source, military time and initials
What fluid is obtained by lumbar puncture cerebrospinal
Does ASAP or Med Emerg specimens need to be attended to before routine specimens Yes
Ideally, should routine blood specimens arrive at the lab within 2 hours? Yes
The handling of a specimen before it is actually tested is known as the ? phase? Preanalytical phase
Should creatinine in an SST tube be centrifuged immediately upon arrival in specimen processing? Yes
If a patient is taking heparin, would the specimen take longer or a shorter time to clot? Longer
Placing tubes of equal size and volume opposite one another is the proper centrifuge operation? Yes or no yes
Should potassium specimen be put on ice? No
Does an ammonia specimen need to be chilled? what tube Yes and drawn in a green tube
Can a hemolyzed specimen with magnesium, most enzyme test, and potassium test be performed? No
Transporting tubes with the stopper up minimizes what? aerosol formation upon stopper removal
You have a requisition for a test with which you are unfamiliar. How do you determine what tube to use and how to collect and handle the specimen? Refer to the user manual
What is used by the laboratory to identify a specimen thoughout the testing process? Accession number (MRN #)
The forearm vein most commonly used for venipuncture is the? Median cubital
The smallest veins in the human body are? Venules
The aorta branches into smaller divisions called arteries, which in turn branch into even smaller divisions called? Arterioles
Characteristics of capillaires include? Having thin walls, forming microscopic pathways, and connecting arterioles with venules
Within the capillaires, blood cell function include? releasing oxygen, binding carbon dioxide, and eliminating waste
The heart, lymphatic organs, and blood vessels are in the ? system? cardiovascular
The suffix -URIA at the end of a medical term refers to what body location? Urine
The study of blood is known as? Hematology
The liver, stomach, mouth and pancreas are in the ? system? Digestive
The most important step to ensure accuracy in sample collection is? Identifying the patient properly
The bladder, urethra, kidneys, and ureters are in the ? system? Urinary
The trachea, nose, lungs and pharynx are in the ? system? Respiratory
The sebaceous glands, skin hair and nails are in the ? system? Integumentary
Neutrophils, eosinophils, basophils, lymphocytes and monocytes are types of? White blood cells
The common name for the thrombocyte is the? Platelet
The liquid portion of an anticoagulated blood sample is known as? Plasma
The instrument that measures blood pressure is called? Sphygmomanometer
An artery can be distingushed from a vein because an artery wil be? Pulsating
Lancets are used to collect blood samples by? Capillary or skin puncture
The abbreviation VAD is commonly used in hospitals to refer to? Venous access devices
To determine the size of the needle, remember that the higher the gauge, the? Smaller the needle bore
Adult capillary punctures most often involve the ? fingers? Third and fourth (middle and ring)
A centrifuge is in a clinical laboratory setting to? separate liquid from cells in blood
The oral glucose tolerance test is used for detection of? Diabetes
What tube color top is used to collect CBC test? Lavendar
What tube color top is used to collect for electrolyte test? Red
What tube color top is used to collect for cholesterol test? Red
Sodium citrate is an additive of choice for coagulation studies because it protects? Clotting factors
When preparing a blood smear directly from a skin punture, it is best to? Whip away the 1st drop of blood .
Order of draw by the NCCLS? Yellow - SPS - Blood culture - Micro Lab/ Lt. Blue - Sodium citrate - Coagulation Dept/ Red - No Additive - Chem Dept /Green - Sodium/Lithum Heprin - Chem Dept /Lavendar - EDTA - Hemotology Dept /Grey - Sodium Floride/Potassium oxl.ChemDept
Steps 10 in the collection order Greet and identify the patient Explain the procedure to the patient Assemble equipment Clean the venipuncture site Anchor vein Insert needle Collect blood in vacuume tubes Remove tourniquet Dispose of needle Label tubes
The purpose of doing a blood culture is to detect? Septicemia
Anticoagulants are used to? Prevent blood from clotting
White blood cells help the body by? Defending against foreign invaders.
Platelets help the circulation by? Participating in hemostasis
When blood seeps into the surrounding tissue during a venipuncture a ? may form? Hematoma
In a patient with a clotting disorder, pressure should be applied to the punture site for at least ? minutes after venipunture to insure blood stoppage? 5 minutes
What are some reasons why a skin punture might be necessary? Infant, toddler, preschooler, small amount of blood is required, patients veins need preserved for IV therapy
All specimens should be labeled with what? Patients name, date and time the specimen was drawn, and collectors initials
When performing a skin punture, squeezing the finger too tightly may dilute the blood with ? and ruin the test? Tissue fluid
One test often used to assess hemostasis before surgery is? Bleeding time
One possible cause of unexpected clotting in an anticoagulated blood tube might be? Insufficient mixing
When performing a venipuncture, position the bevel of the needle? Facing up
If blood does not appear in a evacuated tube upon venipuncture, a phlebotomist's first course of action should be to? Slightly reposition or turn the needle
What would be some of the reasons to redirect a needle during venipuncture? Vein not properly anchored, patient moves, blood flow starts then stop
A vein might be prone to collapse if? Vacuum tube is to large for vein, syringe plunger was pulled back too quickly
Hemolysis would cause rejection of a sample collected for ? testing? Potassium
If a patient is prone to syncope during venipuncture, the phlebotomist should? Watch in case of fainting
A tube of blood that arrives in the lab without a label should be? Rejected automatically
If a blood sample should be collected 2 hours post-pradial, the phelb. should collect the sample when? 2 hours after a meal
Knowing when to collect peak and trough levels is important when drawing what? Therapeutic drugs
A pre-warming technique may be used to what? Increase patient's tendency to bleed
The role of all anticoagulants is ultimately to prevent formation of what? Fibrin
The anticoagulant EDTA works by? Binding calcium
If the tourniquet is not released befoe the needle is withdrawn from the arm during venipuncture, this will most likely result to? Bleeding from the site.
Is bilirubin light sensitive? Yes
The ?what must be followed exactly whenever drawing patient test samples that may be used in a legal preceeding? Chain of custody
The anticoagulant SPS is recommended for use in blood cultures because it? Does NOT inhibit bacterial growth
Before entering an inpatient room if the door is closed, the phelb. should always what? Knock, ask permission to enter, and check for isolation signage
Before entering designated isolation rooms, the phelb. should always? Check requirement on signs
The single most important means of preventing the spread of infection in a hospital is by? Hand washing
The mos prevalent type of nonsocomial infections are those of the? Urinary tract
Phleb. have a statistically greater chance of contracting ? in a work-related indicent then they do of contracting AIDS? Hepatitis
Aids is caused by? HIV virus
When performing heelsticks on infants in a hospital nursery, it is important never to? Share supplies from one infant to another
When delivering blood samples to a lab, they should always be transported? Inside sealed plastic bags
If a biohazard spills in the lab, a phleb. should first try to? Contain the spill safely
OSHA required a contaminated needle to be safely discarded into a? Sharps container
In most hospitals, a phelb. with a cough may draw blood from a patient provided the phelb.? wears a mask, does not have a fever, patient is not in reverse isolation
When drawing from pediatric inpatients, a phelb. can increase safety by doing what? Getting help to control the patient securely, using a smaller bore needle and smaller collection tubes, making sure bedrails remain up
To eliminate bacteria from the skin of a bacterial culture venipuncture site a ? is sometimes used in addition to alcohol in the skin cleansing process. Iodine
The term that refers to right and wrong conduct is? Ethics
An unlawful threat or attempt to do bodily injury to another is? Assault
Law protects the health worker if it can be determined that he or she acted reasonably as compared with fellow workers; this is called? Reasonable care
Negligence by a professional person is called? Malpractice
The ability to see things through another persons point of view is called? Empathy
A violation of a persons right not to have their name, photograph, or private affairs made public without giving consent is? Invasion of privacy
Information given by a patient to medical personnel that cannot be disclosed without consent constitutes? Privileged commnication
Failure to do something or not do something that a reasonable person would to under ordinary circumstances thereby causing them harm to another person is called? Negligence
Permission granted by a person voluntarily (and in his right mind) is Consent
A phleb. who attempts to draw blood without sufficient traning could be accused of ? if the prodedure is performed incorrectly, causing harm to the patient? Incompetence
Forcing venipuncture on a patient who has refused it would be considered? Battery
The branch of study of moral issues, questions, and problems arising in the practice of medicine and biomedical research is called? Bioethics
Conduct, courtesy, and manners, customary in the medical profession, is called? Medical etiquette
Each and every patient is entitled to ? as part of his/her patient rights? Respect and complete care
Some suggested methods for controlling on the job stress during phlebotomy might include? Taking deep breaths if anxious
An appropriate means of communicating with a patient who is profoundly hearing impaired might include? Using written communication
What are some of the ways to handle children when performing a phlebotomy? Talk softly and gently, enlist the help of a parent, tell the truth if asked.
In approaching an elderly patient, it is appropriate to call the patient by name using Mr. Mrs. Ms.? Yes
A patient who is making a fist and frowning is exhibiting ? body language? Uncooperative
A rubber or plastic tube used to drain or inject fluid through a body opening is called? Catherter
A 24 hour urine specimen must be kept? Refrigerated
A chronic disease in which the pancreas fails to secrete enough insulin is called? Diabetes mellitus
The purpose of the bleeding time test is to access? Platelet plug formation in the capillaires
Diurnal rhythms refer to variations in the bodys functions or fluids that occur during? Every 24 hours
EMLA is an emulsion of lidocaine and prilocaine that be used to? Topically anesthetize a draw site
Another name for red blood cells is? Erythrocytes
The artery located in the groin, lateral to the femur bone, which is used as an alternative site for ABS collection is the? Femoral
The federal law that was expanded in 2000 to protect the confidentiality of electronically stored health information is abbreviated as? HIPPA
The study of all aspects of disease in the body is known as? Pathology
The phase of laboratory testing that refers to test orders, test collection and test sample preparation are all part of the ? phase? Pre-analytical
A patient in reverse isolation has been so placed because s/he? Needs protection from others carrying infection
EDTA is in what tube? Anticoagulant in lavender top tube
NaCitrate is in what tube? Sodium citrate in a lt. blue top tube
ABG meaning? Arterial blood gases
FUO meaning? Fever of unknown origin
STD meaning? Sexually trasmitted disease
H&H meaning? Hemoglobin and hematocrit
CBC meaning? Complete blood count
Electrolytes are tested in what tube top color? Red top or speckled tube
QC meaning? Quality control
CDC meaning? Center for disease control
? are contaminated objects that can penetrate the skin including, but not limited to needles, sclpels, broken glass, broken capillary tubes, and exposed ends of dental wires Contaminated sharps
Resonable possibility of skin, eye, mucous membrane, or parenteral contact with blood or other potentially infectious materials that may result from the performance of an employee's regular duties is termed? Occupational exposure
Is a uniform part of PPE? No
To use a physical-chemical procedure to destroy all microbial life including highly resistant bacterial endospores is to? Sterilize
What is the single most important source of HIV and HBV in the workplace? Blood
OSHA requires that training and educational information on bloodborne pathogens be provided to hospital or clinical employees at who's cost? Employers
All workers whose jobs involve participation in tasks or activities with exposure to blood or other body fluids, to which universal precautions apply, should be vaccinated with a what? vaccine? Hepatitis B
After they are used, disposable syringes and needles, scalpel blades andother sharp items, shoul be placed in what? containers for disposal? Puncture-resistant
Broken glassware that may be contaminated should be picked up by ?what? Mechanical means (broom/dustpan)
Contaminated laundry should be ? where it was soiled? Bagged or containerized at the location
A specific eye, mouth, other mucous membrane, non-intact skin, or parenteral contact with blood or other potentially infectious materials that results from the performance of an employees duties is called? Exposure incident
In the health care field when all evaluated services and the results compare with accepted standards, principles of what? have been used? Quality assurance
The federal government requires that specimens are transported or shipped in what? Watertight containers
The classification the physician's office lab (POL) falls into will be determined by what? Complexity of lab tests performed
Test that basically poses insignificant risks to patients if errors occur in the test performance are called what? Waived tests
When you send blood tubes by mail for analysis in a watertight container, they should be enclosed in what? A second durable watertight container
When you send a specimens in the mail, the lable should state what? Biohazardous materials, in case of breakage, send to CDC and address of lab
Yellow Tube Top Micro Dept./ACD Additive/Blood Culture, DNA, Paternity
Lt. Blue Tube Top Coagulation Dept./Sodium Citrate/PT Protime, PH, PTT Prothrombin Time
Red Tube Top Chem Dept./No Additive/Electrolites, Imm.& Serology, Blood Bank, Crossmatch
Green Tube Top Chem. Dept./Sodium & Lithium Heparin/Check for Heparin dosage, amonia,
Lavander Tube Top Hemotology Dept./EDTA/CBC, Blood bank,crossmatch
Grey Tube Top Chem. Dept/Sodium Fluoride-Potasim Oxalate/Glusoce testing
Intermuscular injection needle gauge 25
Burtterfly or syringe collection needle gauge 23
ETS or syringe needle gauge 20-22
IV's or blood donation needle gauge 16-18
P.A.S.S. means what in fire safety pull pin/aim nozzel at base of fire/squeeze handle/sweep side to side
Principles of radiation safety distance time shielding
Class A fire Ordinary combustibles:wood, paper, cloth Exting. ABC or A
Class B fire Flammable: liquids, grease, gas, paint, oil Exting. ABC BC
Class C fire Electrical/Equipment: motors, switches Exting. ABC BC Halon
Class D fire metals: magnesium Cover with metelX
R.A.C.E. in fire safety Rescue, Alarm, Confine and close doors, Extinguish
Color code blue in safety means health hazard left side of diamond
Color code red in safety means Fire hazard flammability top of diamond
Color code yellow in safety means reactivity/stability of materials under heat or water right side of diamond
Radioacive sign or water sign on safety diamond Special hazard on bottom of diamond
VAD's Vascular access devices
VAD arterial lines catheter that goes in artery
VAD arteriovenous shunt or fistula rule do not draw or tourniquit. must draw distal/lower or opposite site
What do heparin or saline lock's do they are catheters that administer fluids
Intravenous sites are IV that administers fluids
If there previously was an active IV site what do you do when you have to draw Use other arm
What does CVAD mean Central vascular access device
Latrogenic anemia procedure done several times and more than 10% of blood removed
Created by: pbreland
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