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Exam I
Chapters 1-4
| Question | Answer |
|---|---|
| What does the term phlebotomy mean? | Incision of a vein |
| Which of the acronyms is not a certification agency for phlebotomists: ASCP, ASPT, AMT, NAACLS | NAACLS - National Accreditation Agency for Clinical Laboratory Sciences |
| This term is evidence of an individual's proficiency in a particular area of practice | Certification |
| What is Informed Consent | Patient's understanding and agreement of procedure to be done |
| HIPAA | Health Insurance Portability and Accountability Act of 1996 |
| HIPAA regulates what area? | Privacy of health information |
| What step does one take if a patient refuses to have blood drawn? | Notify patient's physician according to institution's policy |
| A phlebotomist must ensure what process before drawing a patient's blood? | Informed Consent |
| True or False: Phlebotomy is an ancient profession dating back at least 3500 years | True |
| What state has led the way in state regulation of phlebotomy? | California |
| Hospital Laboratory falls under what administrative category? | Professional |
| Which department of the hospital dispenses drugs? | Pharmacy |
| Most phlebotomists are employed by what type of health care org? | Hospital |
| CLS | Clinical Laboratory Scientists |
| Clinical Laboratory Scientists represents? | A certified laboratory professional |
| SST | Serum Separator Tube |
| SST stands for what type of blood collection vaccuum tube? | Serum Separator Tube |
| JC (Joint Commission) or JCAHO (Joint Commission Association of Health Orgs does what? | Accredits and inspects clinical laboratories |
| What department of a lab processes Pap smears | Cytology |
| Which anticoagulant is used most often in collection tubes for hematology studies | EDTA |
| Hgb does what? | Measures the blood's capacity to carry oxygen |
| What lab department would normally perform a prothrombin time (PT) test? | Coagulation |
| Which color tube may be used to obtain serum for a lab test? | Red |
| What term is used to describe serum that is darker yellow than normal? | Icteric |
| What term is used to describe serum that is cloudy or milky? | Lipemic |
| What term is used to describe serum that is pink-tinged? | Hemolyzed |
| Sodium, Potassium & Chloride are all part of which panel tests? | Electrolytes |
| Culture & Sensitivity (C&S) tests are performed by which lab dept? | Microbiology |
| What term is used when a patient donates their own blood for future use? | Autologous |
| Which lab dept uses genetic and biochemical techniques to analyze DNA in speciments | Molecular diagnostics |
| Who is usually the director of a hospital lab? | Pathologist |
| Which lab dept performs blood typing? | Immunohematology |
| What dept dips paper strips into specimens? | Urinalysis |
| Reference lab is what kind of lab? | An independent lab that analyzes samples from other health care facilities |
| What professional service in a hospital may perform arterial blood gases | Respiratory therapy dept |
| CBCs is performed in what dept? | Hematology |
| Unknown drugs within specimens are identified within what Chemistry lab? | Toxicology |
| OSHA (Occupational Safety and Health Administration) | Is a government agency responsible for workplace safety |
| Infectious agents such as bacteria and viruses represent which type of safety hazard? | Biological |
| Needles and lancets are which type of safety hazard? | Sharps |
| First action to take if you are stuck with a used needle? | Flush area with water and clean wound with soap and water or disinfectant |
| Written information about a chemical and its hazards is available in what documents? | MSDS |
| MSDS stands for? | Material Safety Data Sheet |
| What first action to take if chemical splashes in your eyes? | Flush the eyes for 15min at an eyewash station |
| A red label area is represented by what square? | Flammability |
| What first steps should take if you see smoke or flames in a lab? | Pull the fire alarm |
| Anaphylaxis refers to? | Rapid, severe and life-threatening immune reaction |
| A wet floor is which type of safety hazard | Physical |
| While working in a lab, what is one of the safety protocols action may be peformed? | Wearing a watch |
| What acronym identifies the UN hazard class and Identifying number? | DOT |
| DOT stands for? | Department of Transportation |
| According to safety stds, the following is an acceptable action | Adding acid to water |
| Define infection | Invasion and growth of a disease-causing microorganism in the human body |
| What term is used for an object that is contaminated by bacteria? | Fomite |
| What does reservoir mean? | A person who carries a disease agent but is not sick |
| What is the term for infections contracted by patients in a hospital? | Nosocomial infections |
| HEPA stands for? | High-Efficiency Particulate Air |
| High-Efficiency Particular Air prevents which type of disease transmission? | Airborne diseases |
| West Nile virus is carried by? | Mosquitoes |
| What type of disease transmission does a mosquitoe carry? | Vector |
| What most frequent and important transmission route for infection is contracted by hospitalized patients? | Contact |
| Ingestion of contaminated food is transmitted by what route? | Common vehicle |
| To prevent the spread of infection, what is the most single important action? | Hand washing |
| This acronym refers to barriers used to protect skin, mucous membranes and clothing from infectious agents | PPE |
| PPE stand for? | Personal Protective Equipment |
| How long is the proper technique to wash hands? | 15 seconds |
| Respirators must be certified by which agency? | NIOSH |
| NIOSH stands for? | National Institute for Occupational Safety and Health |
| When donning PPE, which item should be put on last? | Gloves |
| Standard Precautions term is used for? | Infection control measures that use barrier protection |
| When removing PPE, which item should be removed first? | Gloves |
| When removing PPE, what is the last thing one should do? | Remove gloves |
| Bloodborne Pathogens Stds (BBPS) requires am employer to provide what vaccine? | Hepatitis B |
| According to BBPS, who is responsible for providing PPE to an employee? | The employer |
| According to the Bloodborne Pathogen Std rules, which specimens are considered to be potentially infectious? | All blood and body fluid specimens |
| A diluted solution of which the following can be used as a disinfectant against bloodborne pathogens on countertops and work spaces? | Bleach |
| Which of the following is the term for separatiuon of an infectious source from it's susceptible hosts? | Isolation |
| In addition to std precautions, what type of precautions should also be used for patients with such diseases as tuberculosis and measles? | Airborne |
| In addition to std precautions, what type of precautions should also be used for pts with such diseases as herpes or wound infections? | Contact |
| In addition to std precautions, what type of precautions should be used for pts with such diseases as HIV or hepatitis B? | Bloodborne |
| For a phlebotomist, what is the principal occupational risk for infection? | Infection from an accidental needle stick |
| A small blood spill from a specimen you are handling occurs on a lab countertop, what is the usual procedure you should use to handle the spill? | Wearing gloves and using 10% bleach as a disinfectant, clean up visible blood |
| In which of the following situations is it acceptable to skip washing your hands? | After eating lunch |
| Lancets are used to collect blood samples by..? | Capillary or skin puncture |
| According to NCCLS, a pediatric lancet should be engineered to penetrate how many mm? | 2.0 mm |
| Which of the following would be useful in routine venipuncture? | Tourniquet, dry gauze pad or cotton and needle |
| The most important step to ensure accuracy in sample collection is? | Identifying the patient properly |
| To determine the size of the needle, remember that the higher the gauze, the | Smaller needle bore |
| A centrifuge is used in a clinical lab setting to | Separate liquid from cells in blood |
| The oral glucose tolerance test is used for detection of | Diabetes |
| To collect blood for a CBC test, what color tube is used? | Lavender |
| For electrolyte testing, use what color of tube? | Red |
| For cholesteral blood testing, use what color of tube? | Red |
| Sodium citrate is an anticoagulant of choice for coagulation studies because it protects? | Clotting factors |
| The purpose of doing blood cultures is to detect? | Septicemia |
| When preparing a blood smear directly from a skin puncture, it is best to? | Wipe away the first drop of blood |
| Anticoagulants are used to? | Prevent blood from clotting |
| APTT | Activated Partial Thromboplastin Time |
| BMP | Basic Metabolic Panel |
| FBS | Fasting Blood Sugar |
| GTT | Glucose Tolerance Test |
| HCT | Hematocrit |
| CCU | Cardiac Care Unit |
| C&S | Culture and Sensitivity |
| ICU | Intensive Care Unit |
| HGB | Hemoglobin |
| BUN | Blood Urea Nitrogen |