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AMCA Study Guide Phlebotomy > AMCA Stud Guide with New Questions > Flashcards

AMCA Stud Guide with New Questions Flashcards

(95 cards)

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1
Q

If asked to draw a red, light blue, blood cultures and lavender. Which is last?

A

Lavender

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2
Q

What is the recommended disinfection to clean up blood, or other bodily fluid contamination?

A

Sodium Hypochlorite (bleach)

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3
Q

Informed consent is required for ____?

A

Invasive surgery and biopsy

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4
Q

Red top is used for the following tests ….

A

Blood pregnancy and hepatic panel

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5
Q

Which vein is the first choice for a routine venipuncture?

A

Median Cubital

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6
Q

Tiger top is used for a ______ .

A

Thyroid panel

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7
Q

After the needle is withdrawn, what is the NEXT step?

A

Activate the safety device

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8
Q

Is it okay to use 70 % isopropyl alcohol for cleansing the site when drawing blood for ethanol testing?

A

No

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9
Q

What is the first thing you will do in a case o an accident needle stick?

A

Wash the site for 30/60 seconds with soap and water

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10
Q

When drawing from a patient who has had a mastectomy where is the appropriate place to draw?

A

Opposite side in the hand

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11
Q

What is the best site for a dermal puncture on an adult?

A

Middle finger

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12
Q

If the processing lab is backed up on resulting, what will you do with your samples?

A

Send them anyway

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13
Q

When drawing from an HIV patient, what extra precautions do you need to take?

A

None, always wear gloves

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14
Q

What would be a reason for a light blue top to be rejected for processing?

A

QNS (quantity not sufficient)

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15
Q

What is the proper blood to additive ratio for a light blue top tube?

A

9:1 (The blood to additive ratio is 9 parts blood to 1 part sodium citrate)

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16
Q

When should a phlebotomist wash their hands?

A

Before and after the draw

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17
Q

What PPE is required when drawing blood and handling blood products?

A

Gloves

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18
Q

What is the additive in a dark green tube?

A

Sodium Heparin

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19
Q

How do you explain a phlebotomy procedure to a young child?

A

In simple terms

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20
Q

What uses heat, steam, and chemicals?

A

Sterilization

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21
Q

What can be caused by leaving the tourniquet on too long?

A

Hemoconcentration

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22
Q

What are the special handling requirements for an ammonia sample?

A

Place on ice

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23
Q

If a hematoma starts to form and the patient says it hurts, what should the Phlebotomist do?

A

Stop the draw, apply pressure, and reassess

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24
Q

What Blood Born Pathogen can remain on surfaces for up to 7 days, if not properly disinfected?

A

HBV (hepatitis B)

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25
If a Dr. orders a CMP, CBC, PT, and blood cultures what is the correct order of draw?
Blood cultures, Lt Blue, SST (Gold), and Lavender (EDTA)
26
Where is the proper place for the tourniquet to be placed during a venipuncture?
3-4 inches above the site
27
What is the appropriate equipment used for a hand draw?
23-gauge Butterfly
28
What does warming the site do?
Increase localized blood flow
29
What is the proper needle angle for a routine ETS drawn?
15-30 degrees
30
Where does FDP (fibrin degradation products) go for processing?
Coagulation department
31
What is the purpose of checking the arm band of an inpatient who was lab orders?
Avoiding patient identification errors
32
If a patient extends his or her arm, this is an example of what type of consent?
Implied consent
33
What is the number one way to prevent cross contamination of microorganisms from one patient to another?
Hand washing (hand decontamination)
34
How long should a specimen drawn in an SST tube be allowed to sit and clot before centrifugation?
30-60 minutes
35
According to CLSI standards what is the maximum time a specimen (plasma or serum) can be left at room temp. before centrifugation?
2 hours
36
What is it that states that a patient has the right to refuse medical procedures and be inform of all consequences in doing so?
Patient bill of rights
37
If a patient is on blood thinners or in an aspirin regimen what should be used after the blood drawn?
Coban wrap
38
Out of red, green, light blue, and lavender top tubes which will produce serum?
Red
39
What agency is responsible for the health and safety of workers?
OSHA
40
Once the blood drawn is complete what is the next step?
Dispose of the needle into a puncture resistant container (sharps container)
41
Why is it important to ask for feedback when communicating with the patient?
To make sure they understand what is being said
42
What type of isolation requires special handling and ventilation?
Airborne isolation
43
If a specimen is lipemic, what can this be an indication of?
Patient not fasting
44
What is used to collect DNA samples by swabbing the inside of the cheek?
Buccal Swab
45
What is the purpose of patient ID numbers being on the tube labels?
Avoiding confusing patients with the same first and last name
46
When drawing multiple tubes, when would the tourniquet be released?
As soon as blood flow is established
47
What department is responsible for sterile supplies?
Central Supply
48
What is the most important part of blood culture collection?
Aseptic procedure (cleansing of the site)
49
If you have an order to collect a Prothrombin Time (PT) specimen from a patient with IV's in both arms, where would you draw?
The hand
50
At what age and weight will you no longer perform a heel puncture?
Older than 12 months and more than 21 pounds
51
What can happen if you draw a EDTA tube before a serum tube?
Cross contamination resulting in high potassium levels, and false low calcium levels
52
What does the term hematoma mean?
Blood leaking from the vessel under the skin
53
What are the social handling requirements for a Vitamin B12?
Protect from light
54
When performing a bleeding time test, how high should the blood pressure cuff be inflated to?
40mmHg
55
Sweating, looking pale, and complaining of blurry vision can be signs of what?
Vasovagal Syncope
56
Which coagulation test can be performed at bed site using a point of care instrument?
PTT and INR
57
What tube is a CBC collected in?
Lavender
58
What tube is an Erythrocyte Sedimentation Rate drawn in?
Lavender
59
According to OSHA why do we activate the safety feature on a needle?
To prevent accidental needle sticks
60
What does FBS stand for?
Fasting blood sugar
61
What is the normal range for a fasting glucose for an adult?
Anything under 100
62
What two analyses are included in an electrolyte panel?
Sodium and potassium
63
If you draw blood from a patient without his or her consent what can the Phlebotomist be charged with?
Battery
64
What is the substance at the bottom of a serum separator tube?
Thixotropic gel
65
What color top would an aluminum be drawn in?
Royal blue
66
How many tubes are needed for a 3-hour GTT?
4 tubes
67
when do you change out the sharps container?
3/4 full
68
What color tubes are used to draw hemoglobin A1C, and a PT/PTT, and what is the correct order of draw?
1. Light blue 2. Lavender
69
What is the special handling required for paternity testing?
Chain of custody
70
What would be the appropriate equipment to use for drawing from a patient with small, thing, fragile veins?
Butterfly with syringe
71
How much urine would an adult female patient need to produce for STD testing?
20/30 ml
72
If a patient is being drawn for a PT/INR test, what medication are they on?
Warfarin
73
If a patient comes in asking for results, what should you do?
Advise them to mane an appt. with their Dr.
74
When instructing a patient to collect a stool sample, make sure that you instruct the patient to do...
Do not mix stool and urine
75
When drawing blood from a hemophilic patient, instruct them to .....
Hold pressure on the site for 2 minutes
76
How often does a centrifuge need to be calibrated?
Every 6 months
77
What test do you draw without tourniquet?
Lactic Acid
78
If a patient faints during a blood draw, what is the vital sign that must be checked before you let them leave?
Pulse
79
How long can plasma sit at room temp.?
8 hours
80
How long do you rotate a NP saw in each nostril when collecting a COVID screening test?
15 seconds
81
How do you collect a POC glucose test?
Strip and drop of blood
82
If a patient presents to the lab for a fasting glucose blood draw but indicated he or she is NOT fasting, what should the Phlebotomist do?
Draw anyway and document "non-fasting"
83
If you suspect child or elder abuse or neglect, what should you do?
Notify your supervisor
84
What step is NO LONGER recommended for patients who pass out?
Ammonia inhalants
85
How long should a patient fast for a fasting blood sugar?
8 hours
86
What contains documentation of chemical safety and precautions?
SDS log
87
What equipment is needed for a urine C&S?
Sterile cup and alcohol wipe (towelette)
88
What kind of checks need to be performed on POC equipment in a Dr.'s office?
Quality Control Checks
89
What agency mandates a written exposure plan?
OSHA
90
What is the normal BP for an adult?
120/80
91
What is outside of the normal range for BP on an adult?
130/94 (high)
92
If a coworker comes back late from lunch and asks you to cover for him or her, what will you do?
Tell them you cannot cover for them
93
What test will you collect in an amber colored tube?
Bilirubin
94
Abbreviations need to know 1. FBS 2. QID 3. PP 4. HS
1. fasting blood sugar 2. 4 times daily 3. Post Prandial (after meal) 4. Hours of sleep
95
Some tips to help students remember some of these using word associates are 1. Pepsi Can 2. Bili and amber have a great relationship 3. Salty Banana 4. Who's your daddy?
1. Aluminum in a royal blue tube 2. Amber colored tube 3. 2 ananlytes in an electrolyte panel (sodium, potassium) 4. Chain of custody for paternity testing

AMCA Study Guide Phlebotomy (1 decks)

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