HIPAA
What does HIPAA stand for?
Health Insurance Portability & Accountability Act
What is the order preference for arm veins?
Median cubital, Cephalic, Basilic
The larger the gauge of the needle the ______ the size.
Smaller
How many times can you poke a patient before you need to get another Phlebotomist?
Two
What do the following stand for:
S/PO/F
WB/A
Spin/Pour over/Freeze
Whole Blood/Ambient
Name the tests in a CBC? CMP?
Hematocrit, Hemoglobin, red and white blood cells, platelets
K, Na, Ca, Cl, HCO3, BUN, Creatinine, Glucose, AST, ALT, Alkaline Phosphatase, Total Protein, Total bilirubin, Albumin
Any information about a patient or individual that may identify them is known as ____.
PHI (Protected Health Information
What is the difference between arteries and veins.
Arteries are muscular, and they pulse with the heart. They carry oxygen rich blood away from the heart. Veins are elastic, they carry deoxygentated blood back to the heart.
What type of cleaning agent is used to clean the skin in preparation for venipuncture? Give an Example.
Antiseptics are safe for use on people, Alcohol, Chloro-prep, and Iodine.
The single most important means of preventing the spread of infection is:
Hand washing
Name the additives in the following tubes:
Light Blue
Grey
Dark Green
Light Green
Na Citrate
Potassium Oxalate
Na Heparin
Lithium Heparin
How do you make a CAP acceptable correction in the QA logs?
Place a single line through the incorrect value so the original value remains visible and write the correct temperature beside it.
HIPAA allows caregivers to use PHI without patient authorization for TPO. What does TPO stand for?
Treatment: care/referrals/orders
Payment: billers, coders, collection
Operations: QA, recertification, process improvement
Where should you draw if a patient has had a double mastectomy?
You may ask the patient where they are normally drawn but should always contact the physician to confirm of a proper collection site. You may have to draw from a foot and will need to obtain a proper order.
Name several of our PPEs?
Gloves, masks, gowns, goggles, lab coats
A hematoma is a:
Swelling near the venipuncture site caused by blood leaking into the tissue
If your label has: 17269BWH00063 what is the location?
For 17269BLC00100 what is the department?
Location = Butterworth
Department = Chemistry
If you have to call in what steps should be taken? How early should you be trying to call in?
Call the call in line. At least 2 hours prior to start of your shift.
There are 18 different identifiers considered PHI. Name 3.
Names (including initials), All geographical subdivisions, Dates (birth, admission, discharge), Phone #s, Fax #s, Emails, SSN, Med Recs, Health plan beneficiary, Acct #s, Certificate #s, VIN/license, Device #s, URLs, IP addresses, biometric, full face photos, any other unique identifying # or code
What is the difference between plasma and serum?
Both are a form of liquid from whole blood after it has been centrifuged. Plasma is from a tube with anticoagulants and does not clot. Serum is not combined with anticoagulants and is desired to clot.
In a successful venipuncture, evacuated tubes fill automatically as soon as the tube stopper is pierced because...?
The premeasured vacuum in each tube decides the amount of blood.
Why is it critical to invert the tubes immediately after a blood draw?
To ensure proper mixing of the additives in the tubes
If your label has an HSC-### ID or a ###-A ID what type of specimen is this? Think Medical Cytology...
Anatomical Pathology (AP Specimen)
You are drawing Blood cultures on an adult patient, you only get 8cc’s of blood, what would you do with it.
Put all of the blood in the aerobic bottle
This most used electronic device can be detrimental to the protection of PHI and should be kept with personal belongings.
Cell Phone
Tourniquets should not exceed 1 minute before accessing the vein in order to prevent _____.
Hemoconcentration
List the order of draw.
BC/fungal - nutrient broth
Clearing Tube - N/A
Verify Now - Na Citrate
Coag Tubes (Light Blue) - Na Citrate
Royal Blue (no additive) - N/A
Royal Blue Red Stripe - Clot activators (silica/silicone)
Red - Clot activators (silica/silicone)
Gold - Clot activators (silica/silicone)
Light Green (4.5/10) - LiHep
Dark Green No Gel (4) - LiHep
Dark Green (2/6) - NA Hep
Pink - EDTA
Lavender - EDTA
Royal Blue Lavender - EDTA
Tan - EDTA(lead free)
Gray - NaFlouride KOxalate
ACDs - Citric Acid/NaCitrate/Dextrose
Blood Gas - LiHep
What steps do you take if a patient faints?
Lay PT down, Check airway, Tactile stimuli (Are you ok), Ice pack(neck/forehead), if it lasts longer call 911
Can you use a pipette for a pour over for a selenium test? Why or Why not?
No - metal free must pour off and not use pipette or wood stick.
Your patient has a ref misc. test ordered in Epic, you see the test name but are not sure what tube to draw or how to process it, who would you contact?
Referrals; if not available - check the referrals guide in the Lab Catalog