Phlebotomy Essentials Chapter 7 & 8
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| What is CMP? | Comprehensive Metabolic Panel
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| What is BMP? | Basic Metabolic Panel
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| Examining by touch and feel is? | Palpate
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| Name 5 departments in the Lab | Hemotology, Chemistry, Microbology, Coagulation, Blood Bank, Urinalysis, Immunology, Histology, Cytology
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| When do you draw out of order? | Never
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| Lavender stopper tube is commomly used to collect? | Whole blood specimens for hemotology
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| What gauge needle is used primarily for infant, child or difficult veins for adults? | 23 guage butterfly
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| Name 10 things on a phlebotomy cart. | Gloves, alcohol swabs, needles, evacuated tubes, sharps container, tourniquet, gauze pads, biohazard bags, tape, bandages, antiseptic, hand sanitizers, pen, watch
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| Slanted tip of the needle is called? | bevel
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| A tourniquet should not be left on any mnore than? | 1 minute
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| The part of the syringe that shows cc or ml is called? | Graduated barrel
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| Which liquid is acceptable to drink when fasting? | Water
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| What is the most critical error a Phlebnotomist can make? | Misidentifying a patient or specimen
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| Where is the best place to apply the tourniquet? | 3 to 4 inches above the intended venipuncture site
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| What is the type of care for patients that are terminally ill? | Hospice
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| When are you allowed to give out patients test results? | Never
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| What can happen when you mix a tube too vigorously? | Can cause hemolysis
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| What is the CLSI required way to clean a venipuncture? | Concentric Circles
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| What requisition informnation must match on the patients armband? | Name, Medical Record number and Date of Birth, room #, bed destigination, physician name
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| Venipuncture needle entry angle is? | Between 15 and 30 degrees
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| Butterfly needle entry angle is? | Between 10 and 15 degrees
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| What number is assigned to a specimen? | MR number
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| If you need and order right away it is called? | STAT
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| POCT testing is done at? | Patient's Primary Care facility
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| Name the oder of draw and tests associated with each. | Blood Culture fevers of unknown origins
Light Blue d-dimer, PTT, PT, fibrinogen
Red Creatinine, B-12,BNP, folate, Cholesterol,
Green electrolytes, amonia
Lavender CBC, ESR, Hem A1c, sickle cell
Gray GTT
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| Intense fear of needles is called? | Needle phobia
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| What is the order of draw for the following examples of tests? | PTT(light blue, coagulation)
CMP (red, chemistry)
Amonia (green, heparin)
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| Specimen hemolyzing can result from? | Usin a needle smaller than 23, Shaking or vigorously mixing the specimen
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| Additives should be mixed.. | immediately after collection
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| Additive | A substance placed in the a tube or collection container, which can be liquid, powder or spray dried
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| Anticoagulant | Substance that prevents blood from clotting
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| Bevel | Point of the needle that is cut on a slant for ease of skin entry.. determins size of needle
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| Butterfly Needle | Another term for a winged infusion set
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| Clot Activator | A substance that enhances the coagulation factors
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| EDTA | Ethylenediaminetetraacetic Acid- an anticoagulant that prevents coagulation by binding or chelating calcium; used in hemotology
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| Hub | the end of the needle that attaches to the blood collection device; also the threaded end of a tube holder where the needle attaches
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| Lumen | The inner space of a blood vessel or tube
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| Multisample Needle | type of needle that allows multiple tubes to be collected with a single venipuncture
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| Order of Draw | A special sequence in the tube collection that is intended to minimize additive carryover or cross-contamination problems
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| Sharps Container | A specail puncture-resistant, leak proof, disposal container used to dispose of used needles, lancets and other sharp objects
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| Thixotropic Gel | a nonreacting gel substance in EDTA tubes
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| Winged Infusion Set | A 1/2 to 3/4 inch needle connected to tubing with a luer for use with a syringe or multisample adapter (butterfly needle)
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| Accession | process of recording in the order received
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| Anchor | to secure firmly, as in holding a vein in place by pulling the skin tight with the thumb
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| ASAP | as soon as possible
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| Bedside Manner | the behavior of a healthcare provider toward or as preceived by a patient
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| Concentric Circles | starting from the center and movinvg outward in ever-widening arcs
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| Fasting | No food or drink (except water) for approximately 12 hours
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| MR Number | Medical Record Number used fro patient ID
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| Needle Phobia | Intense fear of needles
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| NPO | Nothing by mouth
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| Palpate | examine by feel or touch
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| Patency | State of being freely open, as in the normal condition of a vein
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| Requisition | the form on which tests are ordered and sent to the lab
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| STAT | Right now
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| Why should adhesive bandages not be used on babies younger than 2 years of age? | because of the danger of aspiration and suffication
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| Sharps container should not be filled more than? | 3/4th full
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| What can be used in place of a tourniquet? | A blood pressure cuff (no greater than 40 mm HG)
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| Most common and efficient system preferred by the CLSI for collecting blood samples | ETS (Evacuated Tube System)
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| 3 basic components of the all ETS systems | special blood drawing needles, tube holder, and various types of evacuated tubes
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| ETS needles are called? | Multisample needles because they are allow multiple tubes of blood to be collected during a single venipuncture
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| Tube Holder | A clear plastic disposable cylinder with a small threaded opening at one end where the needle screws in and a large opening at the other end where the collection tube is placed
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| Gauge of green needle | 21
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| Gauge of black needle | 22
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| Multisample needles comes in what lengths? | 1 in. or 1 1/2 in.
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| Components of the ETS | bevel, shaft, hub, sleeve over needle, tube holder, evacuated tube, flange
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| ETS needles with out safety features | must be used with tube holders that have safety features
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| Syringe System components | graduated barrel, plunger
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| An additive tube must be inverted | 3 to 10 times
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| Most common reason for using an additive | Is to prevent clotting of the specimen
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| Most common anticoagulants | EDTA, citrates, heparin, oxalate
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| Citrate prevents | coagulation by binding calcium
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| Heparin prevents | cloting by inhibiting thrombin formation
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| Oxalate prevents | coagulation by precipitating calcium
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| Oxalate inversions | 8 to 10 times
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| Heparin inversions | 5 to 10 times
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| Citrate inversions | 3 to 4 times
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| EDTA inversions | 8 to 10 times
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| Which tube is the source of more carryover problems than any other additive? | EDTA
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| Venipuncture | process of collecting or drawing blood from a vein and the most common way to collect blood specimens for lab testing
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| When reviewing a Requisition you must | Check to see all information is correct and complete
verify test to be collected and time and date of collection
Identify diet restriotions or special circumstance that must be met
determine test status or collection priority
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| CBC can be affected by | Pumping of hand
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| # of Liters in the human body | 5L
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| Challenges frawing generic blood | skin changes, hearing, vision, mobility
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| Wha t do you do once tourniquet is in place? | ask to make a fist
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| What tube is the least to cause carryover problems | Heprin/green
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