A
Purpose of BT Test
Bleeding Time Test measures how fast small blood vessels in the skin stop bleeding
Define Battery
intentional harmful or offensive touching of, or use of force on, another person without consent or legal justification
Example: A phlebotomist who attempts to collect a blood specimen without the patient’s consent can face a criminal charge of assault and battery as well as a civil suit for damages.
What are Standard Precautions?
For ALL patients: use of PPE, hand hygiene (before and after contact with patient) and safe & proper disposal of used equipment
Define Basal State
resting metabolic state (early in the morning) after fasting for approximately 12 hours
(no food or exercise)
Which of the following can be used more than once?
a) tube holder
b) tourniquet
c) butterfly needle
d) gloves
b - tourniquet
Are there restrictions for a Mastectomy patient?
Yes! You should NOT do a venipuncture or capillary puncture on the adjacent side of a mastectomy.
Risk of Lymphoedema
The oldest and largest healthcare standards-setting body in the nation:
a. American Medical Society
b. Center for Medicare and Medicaid
c. College of American Pathologists
d. Joint Commission
D - Joint Commission
Which blood type has no antigens?
Type O-
(no precense of A, B or D/Rh Factor)
What is Point of Care Testing?
brings laboratory testing to the location of the patient
benefits: convenience to patient, short turnaround time (TAT) allowing healthcare providers to address crucial patient needs, deliver prompt medical attention, and expedite patient recovery
What is the first thing you must do after every finger stick?
Wipe away first drop of blood
What type(s) of antigen does AB+ blood type have?
Antigen A, Antigen B & Rh Factor
Why is it important to let alcohol dry completely at venipuncture site? (3 reasons)
1) to assure proper disinfecting
2) to prevent specimen from hemolyzing
3) avoid possibility of patient discomfort
What does OSHA stand for?
Occupational Safety & Health Administration
How many WBC's per uL of blood?
4,500 to 11,000 per uL of blood
What is Chain of Custody?
detailed documentation that tracks the specimen from the time it is collected until the results are reported; used for forensic specimens, drug testing, etc.
What is used during Airborne Precautions?
Bonus: Identify Three (3) Airborne Diseases
N95 mask
Varicella, Tuberculosis & Measles
What does PPE stand for?
Give three (3) examples of PPE
Personal Protection Equipment
Gloves, Face Mask/N95, Gown
How do you remove PPE properly?
1) Gloves
2) Gown
3) Mask/Shield
Which anticoagulant prevents clotting by inhibiting thrombin formation?
Bonus: identify the tube color
Heparin
Green Tube / Chemistry
Identify two (2) examples of Waived CLIA tests
1) HcG Urine Pregnancy Test
2) Glucose Blood Test
Identify the six (6) links of Chain of Infection
1) Infectious Agent
2) Reservoir
3) Portal of Exit
4) Mode of Transportation
5) Portal of Entry
6) Susceptible Host
How many RBC's per uL?
4.5 to 5 million per mL of blood
What is a AV fistula?
Bonus: Where do you perform a venipuncture?
permanent surgical connection of an artery and vein
On the opposite arm (NEVER do a venipuncture on an arm with a fistula)
What tests can be affected by povidone–iodine?
BURPP
(bilirubin, uric acid, phosphate & potassium)
How do you take a blood specimen from an arm with an IV line?
Below IV; tourniquet applied between the IV site and venipuncture site; document that venipuncture was performed proximal to an IV site