Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
ASCP EXAM Phlebotomy
phlebotomy essentials review
| Question | Answer |
|---|---|
| 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
Popular Phlebotomy sets