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PhlebFinal
| Question | Answer |
|---|---|
| Which lab department may require special patient identification? | Blood Bank |
| Reasons for specimen recollection include? | inadvertent puncture of an artery |
| Conditions that may alter the quality of a specimen or cause harm to the patient during a blood draw include | edematous, mastectomies, and hematomas |
| When performing a butterfly draw using a hand vein, place the tourniquet; | on the patient's arm below the antecubital fossa |
| Povidone iodine is not recommended for | dermal punctures |
| These to things are Incorrect | more blood may be needed from newborns to provide enough serum or plasma for testing and Newborns have higher proportion of plasma compared with adults |
| Which gauge needle is best to use for a draw on a child younger than 2 years? | 23 or 25 |
| Which lab test assays jaundice? | bilirubin |
| Jaundice means | yellowing of the skin |
| Neonatal screenign test fro which disorders are mandated by the United States? | PKU and hypothyroidism |
| Samples for PKU testing are typically collected | on special filter paper |
| Blood should never be collected from the area of a patient containing? | an AV shunt |
| An arm containing _________ is never used for phlebotomy procedures? | a fistula |
| Timed specimens are most frequently collected to monitor? | medication levels |
| Hyperglycemia means | increased glucose |
| For a 3 hour OGTT, how many samples will be collected? | 4 |
| Blood cultures collection invovles | an aerobic and anaerobic sample |
| Which specimen requires chilling during transfer to the lab? | ammonia |
| It is neccesary for a patient to fast for 12 hours befores | glocose tolerance test |
| Specimens that are sensitive to light include | vitamin A, beta-carotene, and bilirubin |
| Which urine test is most commonly used to determine pregnancy? | First morning |
| Which of the following samples may not be used for a C&S? | Random |
| A 72 hour stoll specimen is collected to determine? | fat quantities |
| The following specimens are always collected be a physician except | NP cultures |
| Hemolysis can be minimized by: | immediate separation of cells from plasma or serum |
| Infant bilirubin are transported | in amber-colored microtubes |
| Once a cap is removed from a blood tube, the pH: | may increase |
| Which of the following can be centrifuged immediately after collection? | sodium citrate tubes |
| What is the 1st thing when ID the Pt? | check arm band |
| All of the following are assigned to a specimen | name of collector of the specimen, specimen type, name of person deposting specimen in the lab. |
| Fasting specimens should be collected | 8-12 hours after eating |
| The phlebotomist usually has complete control over all of the following variables except | patient preparation |
| No more than ______ should elapse between the time a specimen is collected and the time the serum or plasma is separated from formed elements | 2 hours |
| Four elements of negligence are | duty, dereliction, injury, direct care |
| the phlebbotomist's duties and performance level should be outlined in the: | policies and procedure manual |
| When a phlebotomist breaches the duty of care to a patient, this is known as | dereliction |
| _________ are the basis for most medical malpractice suits. | unintentional torts |
| The phlebotomist has a legal responsibility to | maintain the integrity of the doctor-patient relationship, maintain patient confidentiality, follow standard of care. |
| What point of care test can be used to monitor heparin therapy? | ACT or APTT |
| What test can provide valuable information regarding whether a patient has experienced a myocardial infarction? | Cardiac troponin T |
| Determination of HCG is used to evaluate | prenancy |
| What type of specimen is used for the occult blood test? | Feces |
| For a POCT program to be successful which of the following must be incorporated? | adherence to the manufactur's insturctions, use of quailty assurance and quality control procedures, proper and adequate training of all personnel |
| As written in the patient's bill of right, the patient has the right to | refuse treatment, not participate in experimental procedures, know the name of the phlebotomist |
| Certification is evidence that | the phlebotomist has demonstrated proficiency in the area of blood drawing |
| personal protection equipment must be provided by the | employer |
| What PPE must a phlebotomist wear when performing a skin or venipuncture? | Gloves |
| Under HIPPA, protected health information is defined as | Any part of a patient's health information that is linked to information that identifies the patient. |
| Employers must provide vaccinations against_______ free of charge | Hep-b |
| Which of the following would be a reason for rejection of a specimen by the lab? | AN ESR has been collected in a red topped tube |
| A specimen may be rejected be the lab if | the tube was not initaled, the blood is hemolyzed, the tube was not transported properly |
| ________ is the most important step in phlebotomy and other testing procedures | Properly ID the Pt |
| When an admitted patient is not wearing an ID band the phlebotomist must | contact the nursing station and request an ID band be placed on the patient. |
| Most tubes containing additieves should be inverted | 5-8 times |
| The additive within the lavender-topped tube is | EDTA |
| the green topped tube contains | Heparin |
| the glass red tube contains | no additive |
| Which of the following tubes would hold a glucose specimen for 24 hours? | Gray tube |
| In which tube would a phlebotomist collect an erythrocyte sedimentation rate? | lavender tube |
| Coagulation studies includes all of the following | prothrombin time, partial thromboplastin time, and platelet function |
| a blood donation given be a pt for use during thier own surgical procedure is called | autologous donation |
| Why should a glass red topped tube be drawn before a green topped tube? | Since there are no additives in the red topped tube, it cannot contaminate the green topped tube. |
| which of the following is false for blood culture collection? | must be collected in the red and marbled topped tube, tourniquet is not used for blood culture collection |
| chilling a specimen will | maintain the stability of the specimen during transport |
| Specimens for which of the following test must be kept chilled? | Ammonia, pyruvate, and lactic acid |
| When labeling tubes all of the following information must be placed on them | pt name, date, time of draw, phleb's initials |
| the depth of a heel puncture cannot exceed | 2.0 mm |
| The tourniquet is placed________above the site of draw | 3-4 inches |
| A phlebotomist must inspect the needle for | burrs, expiration date, bevel facing up |
| which of the following are correct for ending the phlebotomy procedure? | Remove the tourniquet, remove tube, place gauze,remove needle, apply pressure, discard needle in sharps container. |
| The most commonly occuring complication in phlebotomy is | hematomas |
| When collecting blood from a child, the phlebotomy should | consider the psychological aspect of the draw, log the amount of blood collected to avoid depletion, and collect dermal punctures whenever possible. |
| What does the phlebotomist look for when identifying a newborn? | The first and last name on the ID band and the hospital identification number and the last name. |
| when a pt has a highly contagious disease they are placed in | strict isolation |
| an infection is | the invasion and growth of a pathogen |
| The primary function of a RBC is to | carry hemoglobin |
| the liquid protion of blood is | plasma and serum |
| The vein most subject to venipuncture is | the median cubital |
| The aorta is | the major artery |
| anatomy is | the structure of the human body |
| the main function of the kidney is | the filtering of waste from blood |
| compared to arteries,veins | have thinner walls, carry blood under low pressure, and may be closer to the surface of the skin |
| What are the three veins most used when doing a venipuncture? | median, cephalic, basilic |
| what are the materials and equipment needed to do a venipuncture? | needles, needle disposal containers, needle holder, collection tube, syringe, winged infusion set, marking pen, tourniquets, antiseptic cleaning solution, gauze pads,bandages, gloves |
| What order are the tubes without blood cultures | red, blue, green, lavender, gray |
| What is the definition of Phlebotomy? | to draw blood |
| PPE | Personal protection equipment |
| OSHA | occupational safety and health administation |
| HIPAA | health insurance and portablility and accountibility act |
| JCAHO | Joint commission on accredation of healthcare organization |
| CEU | continuing education units |
| What is the number on word that describes what we need to work with sick people? | compassion |
| If a pt has an IV in the midforarms of both arms where would you draw the blood? | below the IV |
| If you were in the ER and a trama comes inand they need lab to draw the blood with out ID on what would you do? | draw blood and keep all collection in hand until pt is ID |
| How many times are you allowed to attemped a venipuncture? | 2 |
| are you allowed to recap a needle | no |
| what is a hematoma | dry blood collecting under the skin |
| what is the charge if you force a pt to have blood drawn against thier will? | assault and battery |
| how many time do you wash your hands during a procedure | 2 times |
| accreditation | certificate cources |
| hemophiliac | bleeding disorder |
| petechiaie | red spot caused by tourniquet |
| burr | hook, jagged edges |
| chain of infection | source, means of tranmission, susceptible host |
| hematology dept | lavender CBC |
| chemistry | Green CMP and BMP |
| Mircobiology | blood cultures aerobic and anarobic |
| blood bank | 2 red 2 lrg lavender |
| how long do you leave a tourniquet on | 1 minute |
| do you introduce yourself when you enter a room | yes |