Safety & Compliance
What solution should a phlebotomist use when cleaning up a cerebral spinal fluid spill?
soduim hypochlorite (Chlorine bleach)
A phlebotomist is instructing a patient on how to collect a 24-hour urine sample. When should the patient start collecting their urine?
What may be a cause of a vein collapsing during a venipuncture
Tourniquet to tight or too close to site
What additive should a phlebotomy technician use when performing a WBC peripheral blood smear?
EDTA
Where should a blood sample for a lactic acid test be kept before transportation?
The refrigerator
Ensuring equipment works properly
Quality Control
What information is required to confirm a patient's identity?
full name, and DOB
A phlebotomy technician is performing a venipuncture through a hematoma. What should you expect to see in the specimen?
Hemolysis
What blood type is compatible with type O blood?
Only type O.
What action must be taken in front of the patient after filling the blood collection tubes?
tech must initial the specimen
When documenting maintenance of a centrifuge, where should the info be documented on the quality control log?
maintenance
A phlebotomy technician is processing a blood sample of a patient who informed them that they had meat and cheese the day prior to the blood draw. What should the phlebotomist expect to see after the blood has been centrifuged?
The specimen is lipemic (appears cloudy)
Bilirubin should be protected from this
light
You are instructing a patient on how to collect a sputum sample. When should the patient collect this sample?
In the morning before eating and drinking
What is important to remember when performing serum cortisol testing?
time of day
What bloodborne pathogen are you most at risk for contracting during a needle stick injury?
Hepatitis B
What position would you place a patient who has advised of prior syncope when having their blood drawn?
Supine position
A phlebotomy technician accidentally punctures the patient's artery. What action should you take?
Apply pressure to the area for at least 5 minutes.
When is the optimal time for a phlebotomist to perform a neonatal screening?
before newborn is 72 hours old
A phlebotomy technician receives six filled evacuation tubes, but one of them is missing a label. What action should the phlebotomist take?
keep it and create a label
What antiseptic should be used when performing a blood alcohol test?
Chlorhexidine gluconate
What type of urine specimen is used to take a urine pregnancy test?
First morning void
A phlebotomy technician is performing a venipuncture for a bilirubin test, cold agglutinin titer, CBC, and PTT. What tubes should you select and what is the order in which they should be drawn?
One light blue, 2 SST, and one lavender.
What blood type is known as the universal recipient?
Type AB
A phlebotomist receives a urine drug screen that reads a temp of 85.0 F. What must be done for this sample?
The sample needs to be re-collected under observation