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ASCP EXAM Phlebotomy

phlebotomy essentials review

Certification Evidence that an individual has mastered fundamental competencies in a particular technical area.
ClIA'88 Clinical Laboratory Improvement Amendments of 1988
AHCCS Arizona Health Care Containment System
APC Ambulatory Patient Classification
Communication Barriers Biases or personalized filters that are major obstructions to verbal communication
Continuum of care Holistic, coordinated system for health care services
CPT Current procedural terminology codes
DRGs Diagnosis-related groups
Exsanguinate Remove all blood
Gatekeeper Primary Physician who serves as the patients' advocate and advises the patient on healthcare needs
HIPAA Health insurance portability and accountability act
HMOs health maintenance organization
ICD-9-CM International Classification of Diseases, Ninth Revision, Clinical Modification
IDS Integrated healthcare delivery system
Kinesic slip verbal and nonverbal messages do not match
Which of the following is the responsibility of the phlebotomist: Analyze specimens Obtain vital signs Collect urine drug screen specimens Transport Patients Analyze Specimens
A healthcare facility that provides ambulatory services is a Surgical center
The histology department in the lab performs Processing of tissues
the abbreviation for the routine chemistry test that detects colorectal cancer is called CEA
PBT Certified by the American Society of Clinical Pathologist
Assault Act or threat causing another to be in fear of immediate battery
Battery Intentional harmful or offensive touching of or use of force on a person without consent or legal justification
Breach of confidentiality failure to keep privileged medical information private
CLSI Clinical and laboratory standards institute, formerly NCCLS
Informed consent implies voluntary and competent permission for a medical procedure, test or medication
Establishes standards for the operation of hospitals and other healthcare facilities and services Joint Commission (JCAHO)
Agency that manages the federal healthcare programs of medicare and medicaid Center for medicare and medicaid services (CMS)
These measurable, objective guides are established to monitor all aspects of patient care indicators
All consequences of a medical procedure have been given to the patient Informed Consent
A national organization that develops guidelines and sets standards for laboratory procedures Clinical and laboratory standards institute, formerly NCCLS (CLSI)
A phlebotomist hired by a hospital as a temporary employee commits a negligent act for which the hospital is liable. This is an example of Vicarious Liability
A comparison of current test results with previous results for the same test on the same patient is called a Delta Check
A type of negligence committed by a professional is called Malpractice
Form that states the concern and describes the corrective action when a problem occurs internal report
implies voluntary and competent permission informed consent
required before surgery or high-risk procedures Expressed consent
consent is implied by actions implied consent
HIV consent state laws specify what type of information must be given
Minor Consent parental/guardian consent required for medical treatment
Refusal of consent a constitutional right to refuse a medical procedure
Chain of infection A series of components or events that lead to an infection
engineering controls devices with safety features that isolate or remove a BBP (blood born pathogen) hazard from the workplace
HBV Hepatitis B Virus
HCV Hepatitis C Virus
HIV Virus that causes acquired immunodeficiency syndrome (AIDS)
Procedures that separate patients with certain transmissible infections from others Isolation procedures
Document containing general, precautionary, and emergency information for a hazardous product Material Safety Data Sheet
an example of a blood born pathogen is cytomegalovirus
Class C fires occur with Electrical Equipment
Normally the most effective means of controlling external hemorrhage is direct pressure and elevation
Droplet Transmission Can occur from a coughing patient
Airborne Transmission Can occur by entering a TB patients room without an N95 respirator
Vehicle Transmission Can occur from filling a TB test syringe with antigen without first cleaning the top of the antigen vial
Vector Transmission Can occur from handling a dead rodent
Direct Contact Transmission Can occur from kissing someone with mononucleosis
Indirect contact Transmission Can occur from rubbing your eye after touching a contaminated blood tube
Five things to break the chain of infection: effective hand hygiene insect and rodent control isolation procedures use of gloves and other PPE Use of needle safety engineers
Airbone Pathogens Rubeola virus, TB microbe, Varicella virus
Bloodborne Pathogens CMV,HBV, HCV, HIV, HAV, Malaria microbe, Syphilis microbe
Medical term for fainting syncope (sin'ko-pea)
Alveoli Air sacs in the lungs where exchange of gases takes place
Anabolism Conversion of simple compounds into complex substances
Anatomic position Standing erect with arms at the side and eyes and palms facing forward
Anatomy Study of the structural composition of living things
Anterior Referring to the front
Avascular Without blood or lymph vessels
Hollow body spaces that house body organs body cavaties
Body plane flat surface of a real or imaginary cut through the body
Cartilage type of hard, non vascular connective tissue
breakdown of complex substances into simple ones catabolism
diaphragm muscle that separates the thoracic and abdominal cavities
distal farthest from the point of attachment
means to the back of the body or body part dorsal
glands that secrete substances directly into the bloodstream endocrine glands
glands that secrete substances through ducts exocrine glands
frontal plane real or imaginary cut that divides the body vertically into front and back portions
a person who is supine is lying face up
the creation of a hormone is an example of anabolism
an appendage of the integumenary system sebacceous gland
Muscle cell types Smooth, cardiac and skeletal
large vein on the inner side of the arm in the antecubital fossa Basilic vein
Vein located in the lateral aspect of the arm in the antecubital fossa Cephalic vein
Epicardium the thin membrane lining the heart that is continuous with the lining of the blood vessels
What is the function of the right ventricle deliver blood to the pulmonary artery
a fast heart rate is called tachycardia
the pressure in the arteries during ventricular relaxation diastolic pressure
pulmonary artery carries oxygenated or deoxygenated blood deoxygenated blood
a vein is defined as a blood vessel that carries blood away from the heart
while selecting a vein for venipuncture you feel a distinct pulse. what you are feeling is an artery
A major difference between veins and arteries is arteries have a thicker external layer
which veins are most commonly used for venipuncture median cubital and cephalic
a blood clot circulating in the blood stream is called a embolism
additive that prevents the breakdown of glucose by the cells ACD
Substance added to a blood collection tube Additive
what tube would typically be used to collect plasma for a STAT chemistry specimen Green
EDTA is a Anticoagulant
A light blue top is most often associated with tests in this department coagulation
For which tube is the blood-to-additive ratio most critical Light Blue
a PST contains Heparin and gel
which tube contains anticoagulant that works by binding calcium Light blue
what is the purpose of a royal blue top tube prevent the specimen from clotting
Gray tube additive Sodium fluoride and potassium oxalate, sodium fluoride and EDTA, sodium fluoride
Green tube additive Sodium heparin
lavender (pink) tube additive EDTA
Light Blue tube additive sodium citrate
SST (gold) tube additive Clot activator and gel seperator
Red glass tube additive NONE
Royal Blue tube (red label) additive NONE
Light Green tube additive Lithium heperin and gel for plasma seperation
Yellow tube (Bloodbank) additive ACD
Yellow tube (Microbiology) additive SPS
Orange tube additive Thrombin
Royal blue tube (lavender label)additive EDTA
Royal blue tube (green label) additive sodium heparin
Tan glass tube additive sodium heparin
Tan plastic tube addtive EDTA
Red plastic tube additive Clot activator
Green tube additive Lithium heparin, Sodium heparin
Record in the order received accession
secure firmly as in holding a vein in place by pulling the skin taut with the thumb anchor
two other names for an identification band/bracelet arm/wrist band
A vein that has patency has bounce or resilience to it
what is the most critical error a phlebotomist can make misidentifying a patient specimen
Test to detect inflammation; identify collagen vascular diseases ESR *Note* lavender hematology
Test to determine hemoglobin levels, detect infection, and identify blood disorders CBC
Basal State Resting metabolic state of the body early in the morning after a 12-hour fast
Hematoma swelling or mass of blood caused by blood leaking from a blood vessel
Hemoconcentration decrease in blood fluid content with an increase in non filterable components such as like RBCs
Hemolysis destruction of RBCs and release of hemoglobin into the fluid portion of a specimen
Hemolyzed term used to describe a specimen affected by hemolysis
It is best if drugs that interfere with blood tests are stopped (how many hours prior to testing) 4 to 24 hours
the results of this test will be affected the most if collected from a crying infant white blood count
Creatine Clearance test results are correlated with the patient's... age
lipid or fat in the serum would lead you to believe the patient did not do what Fast
a patients arm is in anatomic position. there appears to be a loop under the skin between the wrist and the elbow. you feel a buzzing sensation when you touch it. what you are feeling is a fistula
if a patient starts to faint during venipuncture what should you do first release the tourniquet and remove the needle
the serum or plasma of a hemolyzed specimen would most likely look pink to red
a specimen that is abnormal yellow brown in color is Icteric
a specimen that is fatty/cloudy white is lipemic
a specimen that is slightly pink is mild hemolysis
a specimen that is pink to red is moderate hemolysis
a specimen that is red is gross hemolysis
a specimen that is yellow to clear is normal
An inherited metabolic disorder detected through newborn screening PKU or phenylketonuria
equipment needed for a malaria test glass slide
a plasma specimen for this type of test cannot be collected by capillary puncture coagulation
capillary blood composition more closely resembles arterial blood
the concentration for this analyte is normally lower in capillary specimens than in venous specimens calcium
capillary collection is the preferred method of blood collection in infants because infant can be injured by restraining,venipuncture can lead to anemia,venipuncture of infants is difficult and may damage veins and surrounding tissues
If using capillary puncture to collect the following bullets from a patient, which one would be collected first? Gray, green, lavender or SST SST
what is the recommended site for finger puncture in adults proximal segment of the ring finger
the medial plantar surface of the heel is located in the middle of the bottom of the heel
it is necessary to control the depth of lancet insertion during heel puncture to avoid bone injury
the primary purpose of warming a capillary puncture site is to increase blood flow
do not use povidone-iodine to clean skin puncture sites because it interferes with uric acid, phosphorus and potassium results
amber bullets do what for the specimen protect it from light
Aerobic with air
without air anaerobic
GTT - glucose tolerance test test used to diagnose carbohydrate metabolism problems
HCG human chorionic gonadotropin
the fasting specimen for a GTT is drawn before the test has begun
which tube additive is preferred for the collection of a blood culture specimen sodium polyanethol sulfate
Trough means lowest
when performing a glucose tolerance test the fasting specimen is drawn at 6:15am and the patient finishes the glucose beverage at 6:30am when should the two hour specimen be collected? 8:30am
a stool sample is needed for what test Guaiac
Autologous donation is performed to avoid transfusion reaction
GTT is performed to evaluate the production of _____ in the pancreas Insulin
before performing a bleeding time, the phlebotomist should ask the patient about recent ingestion of aspirin
Peak and trough specimens are collected for therapeutic drug monitoring
Peak means highest
one of the most common errors when collecting blood culture specimens improper cleansing of the arm
postprandial refers to after eating
Specimen is collected a specific length of time after a meal has been eaten 2-hour PP
Skin antisepsis is critical to accurate test results blood culture
often requires serial collections of blood specimens at specific times GTT glucose tolerance test
patient ID procedures are extra strict blood type and screen
requires a nine to one ratio of blood to anticoagulant ration in the collection tube PT prothrombin time
test performed to assess collateral circulation to the hand Allen Test
Ulnar Artery location artery located in the little finger side of the wrist
radial artery location artery located in the thumb side of the wrist
the number one choice site for arterial puncture is radial artery
when performing radial artery puncture the needle should enter the skin distal to where the pulse is felt
an ABG specimen may be rejected if it is QNS
arterial blood is what color bright cherry red
cerebrospinal fluid abbreviation CSF
clean catch means method of obtaining an uncontaminated urine sample
C&S is culture and sensitivity
type of bacteria that can cause chronic gastritis and lead to peptic ulcer disease H. pylori
term applied to specimen obtained during the middle of the urination midstream
sputum specimens are used to detect tuberculosis
synovial fluid is aspirated from the joints
pilocarpine is used in this test procedure sweat chloride
urine cytology studies can be performed to detect cytomegalovirus
this specimen requires STAT handling and is typically collected by a physician in three sterile tubes CSF (spinal fluid)
this test requires a 24 hour urine specimen Creatinine clearance
a urine sensitivity test determines antibiotic susceptibility
bone marrow samples are typically evaluated in hematology and histology
Results of a bilirubin test specimen exposed to light for an hour can be decreased up to 50%
Normal body temperature is 37'C
the specimen for this test should not be chilled. potassium
CBC specimens should not be centrifuged
How many mls are typically required for one set of adult blood cultures 10-20mls
for a set of blood cultures how long do you clean the venipuncture site? 30-60 seconds
Created by: sweetand1337
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