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Phlebotomy training
National Phlebotomy Training
| Question | Answer |
|---|---|
| Provides massage therapy | Physical Therapist |
| Dispense medications | Pharmacy |
| Analyze Blood and urine specimens | Clinical Laboratory |
| Teach daily living skills to disabled persons | Occupational Therapy |
| Perform CT scans and MRI's | Radiology |
| Provide pulmonary therapy | Respitory Therapy |
| Puncture or incision into a vein to obtain blood | Phlebotomy |
| Conduct and qualities that typify a professinal | Professionalism |
| Process by which a program or institution documents meeting established guidelines | Accreditation |
| Performance of procedures in various locations | Decentralization |
| Instruction to acquire additional Pt. care skills | Cross-training |
| Documentation assuring that an individual has met certain professional standards | Certification |
| Maintaining the privacy of information | Confidentiality |
| Patient care that does not require transporting the Pt. to various locations | Pt. Focused care |
| Major traditional duties and responsibilities of the phlebotomist include | *Correct Labeling of all specimens w/ REQUIRED information *Collect appropriate amount of blood (venipuncture or dermal puncture) *Correct identification of the Pt. BEFORE blood or Sample collection |
| Additional Duties of a Phlebotomist may include | *EKG *Training other health care workers to perform Phlebotomy |
| Examples of Non-verbal, distracting,rude behaviors | *Chewing gum *Looking out windows *Watching the clock |
| Components of Communication | *Verbal skills *Listening skills *Body language (Non-verbal) |
| Employment opportunities for phlebotomists include | *Blood donor cntrs *Reference Labs *POL's (Dr office Lab) |
| Certifying organizations | *ASCP *AMT *ASPT |
| Barriers to verbal communication | *Hearing Impairment *Level of Pt. education *Age |
| Professional Services in Hospital | *Radiology *Clinical Laboratory |
| Desirable personal characteristics for a Phelbotomist | *Dependability *Compassion *Honesty |
| Dpt. of Hospital the uses High-energy X-rays or ionizing radiations to stop cancer cells | Radiation Therapy |
| Continuing education Units | CEU's required to maintain license or Certification |
| Nosocomial infection | IS acquired by a Pt. during a hospital stay |
| The chain of infection includes | *Source *Mode of Transmission *Susceptible Host |
| Sources of biologic safety hazards | Infectious Agents |
| PPE | Gloves, Masks, Gowns |
| Gowns are worn to. | *Protect clothing and skin from contamination *to prevent transfer of microorganism between pt.'s rm. *to prevent the possibility of encountering splashes or large amount of body fluids |
| What is the correct order for removing PPE? | Gloves, Mask, Gown |
| R.A.C.E Means | R escue A larm C ontain E xtinguish |
| When is chain of infection broken? | when an infection is prevented! |
| Which type of precaution is used for pulmonary TB (tuberculosis)? | Airborn/Droplet |
| When should Standard Precautions be followed? | With all patients at all times |
| What type of isolation is used on a Pt. who is on Chemotherapy and has very low Wht blood cells? | Reverse/Protective |
| First thing to do in the event of electrical shock to a co-worker or Patient? | shut off the source of electricity |
| What is the disinfectant of choice for blood-borne pathogens? | Sodium hypochloRITE (bleach) |
| PPE must be provided to you by? | The Employer |
| The body standing erect, head facing forward, and arms by the side palms facing front is called? | Anatomic Position |
| The specimen collected by the phlebotomis is | Blood |
| What dpt should be avoided by a pregnant phlebotomist? | Radiology |
| Under the Needle Stick Safety and Prevention Act the following are TRUE | Requires facilities to *Document evaluation and implementation of safer needle devices *Involve employees in the selection and evaluation of new devices |
| Vector (host) means of Transmission | *Mosquitoes *Ticks *Fleas |
| P.A.S.S. Means? | P ULL A im S queeze S weep |
| Support, protect, movement and mineral storage | Skeletal system |
| Recognizes sensory stimuli | Nervous system |
| Absorption of nutrients, and eliminates waste | Digestive system |
| Protection, regulation, sensation, and secretion | Integumentary system |
| Produces and regulates hormones | Endocrine system |
| Sexual Reproduction | Reproductive system |
| Exchanges gases, oxygen and carbon dioxide | Respiratory system |
| Returns excess fluid/defense against disease | Lymphatic system |
| Movement, posture, and heat production | Muscular system |
| Removes excess water from the body | Urinary system |
| Hazard caused by infectious organism | Biohazardous |
| Infection acquired in the hospital | Nosocomial infection |
| Preventive measures taken when a person is exposed to infectious disease | Post-exposure PROPHYLAXIS |
| Guideline describing PPE Practices | Standard Precautions |
| Isolation practices to prevent the spread of disease caused by Pt. Contact | Contact Precaution |
| Isolation procedures based on airborne, droplet and contact disease transmission | Transmission-based precautions |
| Isolation practices associated with airborne disease | Airborne precaution |
| Emission of radiant energy | Radioactivity |
| Isolation precaution to prevent the spread of microorganism carried in fluid droplets | Droplet precaution |
| Apparel worn to prevent contact with and transmission of pathogenic microorganisms | PPE Personal Protective Equipment |
| Excess collagen scar formation | Keloid |
| Result of an infection caused by spirochetes carried by deer ticks | Lyme disease |
| S shape curvature of the spine | scoliosis |
| Fever blisters | cold sore |
| Herpes Zoster | shingles |
| oversecretion of sebum by sebaceous gland | acne |
| stroke | CVA |
| Inflammation of the stomach and intestinal track | Gastroenteritis |
| Stones composed of calcium, uric acid, that crystallized within the kidney | Renal Calculi |
| Inflammation of the facial nerve causing paralysis and numbness of the face | Bell's Palsy |
| Characterized by pain and tingling in the fingers and hand | Carpal tunnel syndrome |
| Swelling or constriction of t bronchial tubes causing wheezing | Asthma |
| Chronic disease of the nervous system characterized by muscle tremors, loss of equilibrium | Parkinson's disease |
| Inflammation of the urinary bladder | Cyctitis |
| Abnormally decreased blood level | Hypoglycemia |
| Caused by pathogen HIV | AIDs |
| Itchy,scaly,RED patches of skin | Psoriasis |
| Highly contagious bacterial infection caused by staphylococcus or streptococcus | Impetigo |
| Inflammation of the appendix | Appendicitis |
| Inflammation of the pharynx caused by group "A" strep | Strep throat |
| Do veins have Valves? | Yes, to keep blood flowing in one direction |
| Arteries are? | Responsible for delivering Oxygen and Nutrients (can feel a pulse) |
| What is the blood volume of an average adult? | 5 to 6 Liters |
| What do Arteries do | Carry oxygen rich blood away from the heart |
| What is the largest Artery | The Aorta |
| What is the Anticoagulant in the LAVENDER top tube | EDTA |
| What is the RED blood cells function | RBC's carry oxygen |
| Med Tech (CLS) | Have a Bachelor degree |
| What is the liquid portion of blood that has not been allowed to clot? | Plasma |
| What is Serum? | An amber-colored, protein-rich liquid that separates out when blood coagulates |
| What are the 3 main veins in the arm used by a phlebotomist | *Median Cubital *Basilic *Cephalic |
| Upper Chamber of the heart | Atrium |
| When a Pt. donates their own blood for transfusion | Autologous Transfusion |
| Medical Laboratory Tech (CLT) | Have Associates Degree |
| Sections of a Clinical Lab | *Hematology *Coagulation *Phlebotomy |
| Section of he laboratory the collects, preps, and stores blood for transfusion | BLOOD BANK |
| Section of Lab that is responsible for Identification of pathogenic microorganisms and infection control | MicroBIOlogy |
| Type of Blood Vessels that transport blood through the body | *Arteries *Veins *Capillaries |
| Lower Chamber of the Heart | Ventricle |
| In order to maintain hemostasis, a complex coagulation mechanism involves | *Blood vessels *Platelets *Coagulation Factors |
| Defense mechanism is the main function of what blood cells? | Leukocytes (WBC) |
| Clotting mechanism is the main function of what blood cells? | Thrombocytes (platelets) |
| Chemical aspect of a routine urinalysis (UA) include? | *Glucose *Ketones *Bilirubin |
| The preferred overall accrediting agency for hospitals | JCAHO |
| Inspection teams, made up of Pathologists, and Med Techs visit the laboratory for inspection every ______ year(s) | TWO Years |
| Basophils | Granulocytes |
| Lymphocytes | Agranulocytes |
| Eosinophis | Granulocytes |
| Monocytes | Agranulocytes |
| Neutrophis | Granulocytes |
| Tiger top tube SST | Chemistry section of the lab |
| Lavender top tube EDTA | Hematology section of the lab |
| Gold top tube SST | Chemistry section of the lab |
| Lt. Blue top tube Sodium Citrate | Coagulation section of the lab |
| Pink top tube EDTA | Blood Bank section of the lab |
| Type and screen test | Blood Bank Lab |
| Fasting blood sugar test (FBS) | Chemistry Lab |
| High density lipoprotein test (HDL) | Chemistry Lab |
| Complete blood count (CBC) | Hematology Lab |
| Urine specific gravity | Urinalysis |
| Infectious mononucleosis (Monospot) | Serology |
| Cholesterol test | Chemistry Lab |
| Sputum culture | Microbiology Lab |
| Electrolytes | Chemistry Lab |
| Activated partial thromboplastin time (APTT) | Coagulation section of the Lab |
| Blood urea nitrogen (BUN) | Chemistry Lab |
| Bilirubin | Urinalysis |
| Urine Culture | Microbiology Lab |
| ALT alanine aminotransfrase | Chemistry Lab |
| Prothrombin time (PT) | Coagulation Section of Lab |
| Stoppage of blood blow from a damaged blood vessel | Hemostasis |
| Substance that prevents blood from clotting | Anticoagulant |
| a decrease below normal values in the number of Leukocytes caused by chemotherapy | Leukopenia |
| An abnormal increase in the number of normal Leukocytes as seen in infection | Leukocytosis |
| A marked increase in the number of WBC in the bone marrow and circulating blood | Leukemia |
| A decrease in number of Erythrocytes (RBCs) or amount of hemoglobin in circulating blood | Anemia |
| Death or Necrosis of the heart muscle caused by lack of Oxygen (O2) | Myocardial infraction |
| Swollen peripheral veins caused by damaged valves | Vericose veins |
| Obstruction of the blood vessel by a moving clot | Embolism |
| A buldge formed by a weakness on the wall of blood vessel | Aneurysm |
| Destruction of (RBC) Red blood cells *Hematology Section* | Hemolysis |
| Liquid portion of Blood *Hematology Section* | Plasma |
| Clear Yellow fluid that remains after clotting blood has been centrifuged and separated *Hematology Section* | Serum |
| Instrument the spins test tubes at high speed *Chemistry Section* | Centrifuge |
| Method of separation by electrical charge *Chemistry Section* | Electrophoresis |
| Appearing Yellow *Chemistry Section* | Icteric |
| Pertaining to the turbidity from lipids *Chemistry Section* | Lipemic |
| Ions in the blood (Na, K, CI, CO2) *Chemistry Section* | Electrolytes |
| Protein capable of producing a chemical reaction with a specific substance *Chemistry Section* | Enzymes |
| Chemical analysis performed using antigens and antibodies *Chemistry Section* | Immunochemistry |
| Study of Poisons *Chemistry Section* | Toxicology |
| Substance that stimultes the formation of antibodies *Blood Bank Section* | Antigen |
| Plasma collected from a unit of blood and immediately frozen *Blood Bank Section* | Fresh Frozen Plasma |
| 405 to 495ml. of blood collected from a donor for transfusion *Blood Bank Section* | UNIT of blood |
| The study of blood cell antigens and their antibodies *Blood Bank Section* | Immunohematology |
| Protein produced by exposure to antigen *Blood Bank Section* | Antibody |
| Classification based on the presence or absence of A or B antigens on the RBCs *Blood Bank Section* | Blood GROUP |
| Procedures that matches patient and donor blood before transfusion *Blood Bank Section* | Compatibility |
| Blood from which Plasma has been REMOVED *Blood Bank Section* | Packed Cells |
| Component of fresh Plasma that contains Clotting factors *Blood Bank Section* | Cryoprecipitate |
| The study of Serum *Serology Section* | Serology |
| The study of the immune system *Serology Section* | Immunology |
| Another name for Antibody *Serology Section* | Immunoglobulins |
| Condition in which a person produces antibodies that react with the persons OWN antigen *Serology Section* | Autoimmunity |
| One-cell Microorganisms *Microbiology Section* | Bacteria |
| Test to id microorganisms and determine antibiotic suseptibility *Microbiology Section* | Culture & Sensitivity |
| The study of Fungi *Microbiology Section* | Mycology |
| The study of Viruses *Microbiology Section* | Virology |
| The study of Bacteria *Microbiology Section* | Bacteriology |
| Stain used to classify bacteria *Microbiology Section* | Gram Stain |
| One cell organisi such as bacterium or virus *Microbiology Section* | Microorganism |
| The study of Parasites *Microbiology Section* | Parasitology |
| Glucos in Urine *Urinalysis Section* | Glocosuria |
| Blood in urine *Urinalysis Section* | Hematuria |
| Ketones in urine *Urinalysis Section* | Ketonuria |
| Protein in urine *Urinalysis Section* | Proteinuria |
| Physical, chemical,microscopic analysis of Urine *Urinalysis Section* | Urinalysis |
| First Voided Urine specimen collected upon rising *Urinalysis Section* | First Morning Specimen |
| Chemical impregnated plastic strip used for analysis of urine (dip stick) *Urinalysis Section* | Reagent Strip |
| What is proper order of Draw? | Yellow, Lt. Blue, Red glass, Red Plastic, Red tiger or Gold, Green, Lt.Green, Lavender, Gray |
| Yellow top tube | SPS Sodium Poly Sulfonate, used for blood culture in the Microbiology lab |
| Lt. Blue top tube | Sodium Citrate, used for Pro-time and APTT, Coagulation Dept. |
| Red Top Plain Glass tube | NO Additives, whole blood, used by Chemistry, Serology, and Blood Bank |
| Red top Plastic tube | Clot Activator, used by Chemistry and Serology |
| Red/Gray Tiger top and Gold Top | With Clot Active SST (serum separator) Chemistry Lab |
| Green top tube | Heparin *sodium Heparin, Ammonium Heparin,Lithium Heparin* Used for Stat Lytes by the Chemistry Lab |
| Lt. Green top tube | Lithium Heparin PST (Plasma Separator tube) used by the Chemistry Lab |
| Lavender top tube | EDTA, used for CBC(complete blood count) by Hematology lab |
| Gray top tube | Sodium Fluoride(3days) OR Lithium Iodoacetate (24hrs) used for blood sugar by Chemistry Lab |
| What are the 4 parts of a needle? | *Beveled point *Shaft *Lumen *Hub |
| The amount of blood collected in an evacuated tube? | Ranges from 1.8 to 15 MLand is determined by the size of the tube and amount of vacuum present. |
| Using a 23g needle with a large vacutube can produce what? | Hemolysis, because RBCs are damaged when the large amount of vacume causes them to be rapidly pulled through the small needle. |
| What color top does a Partial fill tube have? *also called a Short draw or less vacuum tube* | Translucent Color |
| What are the three types of blood that can be tested? | Plasma, Serum, Whole blood |
| How many times must a tube containing Anticoagulant be mixed? | Must be inverted gently 3 to 8 times |
| Why is K2EDTA the anticoagulant of choice | It maintains cellular integrity better, inhibit platelet clumping, and does not interfere with routine staining procedures |
| What color tubes contain K2EDTA | Lavender, Royal blue, Pink, Tan |
| Royal Blue top tube | EDTA tests for Trace elements |
| Tan top tube | EDTA tests for Lead |
| When are SST tubes not suitable for use? | In Blood Bank and certain Immunology and Serology tests because the gel MAY interfere with the immunologic reactions. |
| Why are Sterile specimens drawn first? | To prevent microbial contamination. |
| When is a winged infusion "butterfly" recommended | Short term infusion, venipuncture on small veins,Child or Geriatric Pt. |
| How much blood is lost in the tube of a Winged infusion? | Approximately o.5ml |
| Expired tubes may cause | *Incompletely filled tube (short draw) *Clotted anti-coagulated specimens *Improperly preserved specimens *Insecure gel barriers |
| REQUISITIONS: Provide information needed to.. | *Correctly Id Pt. *Organize the necessary equipment *Collect appropriate specimens *Provide legal protection |
| NPO | Nothing by Mouth |
| DNR | Do Not Resuscitate |
| when Identifying the patient by ID band | The ID Band MUST BE ATTACHED TO PT. |
| Palpation is used to determine | *Direction of the vein *Size of the vein *Depth of the vein |
| Two routine steps that aid in locating a suitable vein are | *Applying a tourniquet *Asking Pt. to clench their fists |
| What solution is used to clean veinipuncture site? | 70% Isopropyl Alchol (Prep pad) |
| For maximum Bacteriostatic action to occur how long should alcohol be allowed to dry? | 30 to 60 seconds. Never wipe or blow on it to speed up dry time. This will recontaminate the site. |
| Performing venipuncture before alcohol has dried will? | *Cause a stinging sensation to Pt. *May Hemolyze the specimen |
| How should the needle be facing for proper veinipuncture? | Bevel up, at an angle of 15 to 30 degrees, depending on depth of target vein. |
| What is the primary cause of a bruise or hematoma after a blood draw | Failure to remove the tourniquet before removing the needle. |