ASCP EXAM Phlebotomy Word Scramble
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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 |
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