Order Of Draw
What is Hematology?
Study of the blood
Blocked
What is a nosocomial infection?
health care associated infection.
What does PHI stand for?
Personal Health Information
What is quality service?
superior professional attention and assistance to customers' needs.
What is interstitial fluid?
Fluid located between the cellular components of tissue
What is the appendicular skeleton?
Skeletal system that provides an anchor for muscles.
What does palpate mean?
to search for a vein with a pressure-and-release touch.
What is an aliquot tube?
used to pour off part of a whole sample that has been taken off for use or storage.
An associate is hired as a phlebotomist and completes the initial training and competency certification. When will the next competency certification be needed?
6 months
What is Phlebotomy?
The process of collecting blood.
What is a CBC?
Complete Blood count
What is the first thing you need to do before you touch the patient?
Wash hands and put your gloves on.
Chemistry
Name the different types of cells in blood.
white blood cells (leukocyte), red blood cells (erythrocyte), platelets (thrombocyte)
What is a local infection?
an infection affecting only one area of the body.
What is the OIG?
Office of the Inspector General
What are the three rules of customer service?
2. Determine whether or not the customer is getting the service
3. Continuously take action to satisfy the customer.
When would a capillary puncture be the safest choice on an adult?
severely burned patient, cancer patient with bad veins, obese patient with difficult veins, geriatric patients with fragile veins
What is cardiology?
The basic study of the heart
You need to draw three specimen tubes. Your instructor wants you to use a syringe. What size syringe will you use?
10 ml
What is an arteriospasm?
Reflex condition of the artery in response to pain or anxiety.
To demonstrate competency, a phlebotomist must verify the ability to collect blood samples from what age group?
all age groups
What does a radiologist do?
In charge of taking x-rays and CT scans
What department does a Chem7 go to?
Chemistry
What is an autoclave?
Instrument for sterilizing that uses steam under pressure
Gold
Name the four main superficial veins used in phlebotomy.
basilic, cephalic, median cubital, median
What is the fluid surrounding the heart?
Pericardial
Remuneration with the purpose of inducing services
Antikickback law
The phlebotomist who tends to smooth over a conflict is known as?
accommodator.
alcohol used to clean the skin was not allowed to dry, the finger or heel was squeezed too vigorously, blood was scraped off.
Blood flows from the right atrium to the ________?
Right ventricle
collection device with wings
butterfly
You are drawing a patient and notice they are getting a large hematoma. What do you do?
Gently pull the needle out and apply pressure with gauze. Ensure the patient has stopped bleeding before you leave the room.
The competency assessment check-off form must include what information?
all the steps involved in completing the procedure
A patient is in the hospital with cancer. What department will the patient be staying in?
Oncology
The doctor orders a Vitb6 level. You look it up and realized this test must be protected from light. What do you do?
Transfer the specimen into an amber tube with an amber bag or wrap it in tinfoil.
What is a communicable disease?
Disease that is spread from person to person.
dark green, lavender
What does Blood bank do?
Determines compatibility of blood and blood products that are to be administered to patients.
Fluid from the lungs.
Pleural
Prohibits a physician from referring business to a laboratory in which the physician has a financial interest.
Stark Law
When two people are communicating, they understand each other and have a common ground. this common ground is based on which three frames of reference?
Background, education, experience
If the blood is drawn too quickly from a small vein, the vein has a tendency to?
collapse
What is Homeostasis?
Occurs when all parts of the body work together to form a steady state.
A coworker stuck a patient with a vacutainer. She pops the tube on and gets no blood return. She pulls the needle out with the tube on it and sticks the patient again with the same needle. What do you do?
Immediately stop them and tell them it is not okay to re-stick the patient with the same needle. Also explain to her that the vacuum is now gone from the initial tube.
A coworker draws an ammonia and lactic. They insist that they do not need to be on ice. What do you do?
Explain to them that these two tests have special requirements, and that they must be put on ice immediately.
In most health care facilities, the phlebotomist would NOT be authorized to?
Start an IV
Who runs all the specimens once they reach the lab?
Medical Laboratory Technician
The doctor ordered an ammonia level, what color tube does it go in and what does it require?
Lavender on Ice
Sharps Container
The doctor orders two sets of blood cultures. How many times does the patient need stuck?
Twice
Surgery brings down an amputated arm. What department does this belong in?
Pathology
What bladder is a reservoir that can hold _____ milliliters of urine?
500 ml
Civil Monetary Penalties Law
The ________ works to find a mutually acceptable compromise that partially satisfies all parties.
Compromiser
Why must the first drop of blood from a capillary puncture be wiped away?
To remove the interstitial fluid
Name the largest artery in the body.
Aorta
Which needle is bigger, a 16 gauge or a 23 gauge?
16 gauge
As a general rule, you should not stick the patient more than ___?
twice
A competency program should verify the competency of a phlebotomist in the area(s) of?
customer service, safety, computer use
What is CAP?
College of American Pathologists
What tube is a testosterone and PSA drawn in?
Gold
Name three transmissions of infection
Direct contact, indirect contact, droplet, vehicle, airborne, vector
What additive does a grey top contain?
Sodium fluoride and potassium oxalate
The study of deficiencies related to genetic diseases.
Name the four types of tissues?
Epithelial, connective, muscle, nervous tissue
Knowingly billing the government for services not medically necessary
False Claims Act
You walk into a pediatric patients room. The patient is there along with his mother and father. How many customers do you have?
Three. Each person in the room is a customer and you need to make sure that all of their needs are satisfied.
Children ages 2 to 5 experience pain but cannot always pinpoint its source or location. At this age, reactions to pain can include what?
belief that pain is a punishment
belief in the magical disappearance of pain
resistance during painful procedures
requires less practice with relaxation
What blood flows from the aorta into the ____?
arteries
What are your trace element tubes?
Heavy metal tubes, navy blue. they are metal free. One contains EDTA while the other contains nothing.
You go to draw a middle aged woman and she tells you she had a mastectomy on her right side. What do you do?
Go to her left arm, you are unable to use the right arm.
Phlebotomists certified with ASCP after January 2004 must maintain their certification through?
certification maintenance program
What is OSHA?
Occupational Safety and Health Administration
What test is used to check heart function?
Cardiac TPNT
What is an exposure control plan?
A plan that identifies those tasks and procedures in which occupational exposure may occur and identifies the positions whose duties include those task or procedures.
You have a STAT cbc with diff in OB, STAT blood cultures in the ER which comes first?
There is a trauma alert in the Er. The patient is bleeding out and they need an emergency transfusion. They ask you to call the lab and let them know. What department do you call?
Blood Bank
What does the Endocrine system do?
The endocrine system is composed of glands that manufacture and secrete hormones needed in the body.
Provides guidelines to keep a patient's medical information private and secure.
HIPAA
You go into labor and delivery to draw blood cultures from a newborn baby. The patient has already been stuck several times. The parents are irate. What do you do?
Explain to the parents that the test is necessary for the patient's care and that you will do your best to be gentle and caring.
What does postprandial mean?
After a meal.
Name the four heart chambers.
Right and Left atrium. Right and left ventricle
Leaving the tourniquet on a patient's arm for an extended length of time before drawing blood may cause?
Hemoconcentration
Which two arteries are occluded when performing the Allen test?
radial and ulnar
For a phlebotomist to be fully competent, they must be competent in?
obese, psychiatric, and different age patients
What is Quality Assurance?
Program that strives to have the health care facility guarantee that all areas are providing the highest quality and most appropriate level of care.
Which test can be elevated with a capillary draw?
Potassium
What is the chain of infection?
Means of Transmission-Portal of Entry-Susceptible Host-Source-Portal of Exit