final Flashcards
(163 cards)
1
Q
phlebomoty is a necessary aid in the _____ _________ of disease
A
diagnosis and treatment
2
Q
phleb
A
vein
3
Q
tomy
A
to cut into
4
Q
depending where you work, a phlebotomist can preform a EKU, blood pressure, and therapeutic phlebomy
A
true
5
Q
the paramount in any progression but even more so in the healthcare profession
A
ethical behavior
6
Q
purposes of certification for phlebomist
A
to show that you have minumime knowledge to do the job and get hired earily
7
Q
chain of infection
A
infectection agent (covid), reservoir (humans), portal of exit (sneezing), mode of transmission (airborne), portal of entry (nose), susceptible host
8
Q
what is a ex of reservior
A
anywhere where germs would stay on to
9
Q
what is a ex of portal of exit
A
sneezing
10
Q
________ _________ is the single more thing a healthhcare worker can do to prevent the spread of disease
A
washing hands
11
Q
air born precaution
A
mask - N95, face shield, gloves, goggles, gown
12
Q
contact room
A
gown, gloves
13
Q
removal for ppe for NHA
A
gloves, gown, goggle, mask
14
Q
when is it important to wash or sanitize your hands
A
before and after blood draw or handily bloody fluild
15
Q
why is it important to disinfect the patient environment and patient care equipment
A
so germs aren’t spred
16
Q
______ carry oxygenated blood away from the heart
A
artries
17
Q
______ receive the flow of blood from the arteries
A
capillaries
18
Q
veins ____ blood flow from the capillaries
A
receive
19
Q
the basilic vein is not easy to locate. it is located on the ______ of the arm
A
inward/inside
20
Q
plasma is approixmately ____ water
A
90%
21
Q
after spinning down clotted sample, you will have _____ separated on top of the erythrocytes
A
serum
22
Q
_______is the process of spinning tubes quickly, to separate plasma or serum from red blood cells
A
centrifuge
23
Q
a ____ is an element that is places in front of a word
A
preflix
24
Q
what is abbreviation for speciman that falls short of required volume
A
Quantity Not Sufficient
25
what does CBC mean and what does it test for
completele blood count, test for full blood count
26
the additive in a light blue tube
sodium citrise
27
the addictive ______ in gold top tube
clot activator
28
edta is used an _____ meaning the blood doesnt clot
anti- cougaliant
29
explain the order of draw
so you dont contaminate the tubes, changing/ making false results
30
what is the purpose of a tourniquet
to make the veins larger to feel vein
31
maximum length of time a tournqiet should be left on
1 min
32
best way to clean site
with alcohol, up and down vigorously
33
first choice of vein is
medium
34
when feeling for a vein use your
index or middle finger on non-dominate hand
35
remove ____ and ___ before you remove needle
touniquent and tube
36
always ______ _____ _____ prior to letting your pateint exit the drawing chair
show the tube to verfify correct
37
order of draw
Blood culture , light blue, red, gold, light green, dark green, lavender, gray, yellow
38
doctor orders a chemistry panel, cbc, pt/inr what is order of draw
pt/inr (light blue), chemistry panel ( gold), cbc (lavender
39
veinpuncture needle are inserted at ____ deggre angle
15-30
40
hitting a patient on top of the draw site to pop vein is considered
batterie
41
can you have a patient pump their fist before a draw
no
42
butterfly needles are used only on young children, elderly, and hard veins
yes
43
damage to the heel bone of a infant is called
osteomyelitis
44
a test done on all infants
PKU and galactosmia
45
the addivite in the ____ and ___ and ____ tubes are edta
lav, dark blue, pink
46
there is clot activator and gel separator in the red tubes
false
47
_____ is the destruction of red blood cells
hemolsis
48
venipuncture should be avoided on the arm with a
MASACTOMY, fistula,
49
if pateint has iv on arm you should
go to the other arm or below iv
50
pateint is hard draw and iv is still running what would you do
tell nurse to remove the iv then wait 2-5 mins
51
patient has fistula on right arm where to draw
on left arm
52
best way to avoid mislabeled tubes
double check tubes before and after
53
hemolysis can be caused by _____ and ____
not letting the alcholah dry, dropping tubes before spinned, PULLING TOO HARD ON SYRINGE AND USING WRONG GAGE
54
patient fasts for atleast 12 hours, blood is collected, drinks glucola and timer for half hour draw is started. they return half hour later and draw at 1 hr mark and 2 hr make what is test name
glucose tolerance test
55
the volume of blood usally collected during blood donation is
450-500mL
56
what tube is a peripheral blood smear collection technique is generally used for which text what tube do you use
WBC, lav
57
when collecting blood culture you must use ____ to clean site
chlor prep
58
_____ another word for bruise
hematoma
59
small red dots that appear on the skin as a result of capillary hemorrhage
petechiae
60
_____ is a result of many venipuncture that form tissue around the area you plan to use for phlebotomy
Sclerosiotic
61
never draw blood from the same side as a mastectomy bc
they can't fight a infection
62
______ is blood accumulation when the tourniquet is on too long
hemoconcentration
63
a short ____ is a speciman that doesn't contain enough blood also known as ___
draw, qns
64
________ is being able to proficient at more than one job
cross trained/multiskilled
65
the collection and testing of blood sample at the site of a patients care is called ____ and is done to reduce the ____
point of care, result time
66
______ are preformed on a hemoglobinometer to screen for anemia
hematrocirt and hemoglobin
67
____ is the ability to see and understand other persons perprecties or to walk in someones else's shoes
empathy
68
the importance of being a ____ cannot be overlooked it means that you re capable of repeating back___
good listener, what you heard/said
69
if you didn't write it down, ____
it didn't happen
70
____ is the process that validates final results and quantifies variations it enables labs to confidently report _____ and ____ results
quantity control, accurately and reproducible
71
____ is the process of ensuring that standards of care has been maintained
quantily assurance
72
_____ is the constant search for ways to improve product, service, performance
quantity improvement
73
you must document the expiration date of your control and your testing device on __
QC log
74
what organization requires annual updating of procedure manuals
joint commiser
75
accreditation from this organization maintains accuracy of test results and ensures accurate patient diagnosis
CAP
76
all labs no matter the size must have quality assureaxne program as required by
CLIA
77
_____ is the institute that created the standard for the order of draw rules of verifying patient ID
CLSI
78
an act that outlines the steps and measures to be taken to ensure that confidential medical info is kept confidential
HIPAA
79
the document which very phlebotomist must be familiar with
specimen manual collection
80
what tests go one ice
lactic acid, ammonia, arterial blood gas
81
phlebomotmist is giving instructing a pateint how to collect fetal specimen at home what should they include
do not mix with urine with fecal sample
82
microorganisms that cause disease and present in human blood called
blood borne pathogens
83
where is the median, basilica, and cephalic veins located
antecubical fossa
84
patient need blood culture what to clean with
chlorhexidine gluconate
85
veins that feel hard or cordlike caused by disease, inflammation, chemo, or venipuncture
sclerosed veins
86
facts and perception of quality
making sure you do the right thing the right way the first time and on time
87
what is quality assurance
ensuring that the standard of care has been maintained
88
how does phlebotomist record quality assurance
by the whole department
89
what is QA indicator
specific, measurable variable, improve healthcare
90
what is QA threshold
point or values promoting study of aspect of care
91
ex of pre analytical error
wrongly labeled tube, improper patient identification
92
____ created the template for organizing the content necessary for procedure manuals
CLSI
93
what can specimen collection tell you about specimen
test name, time requirements, type of container for specimen
94
implied consent
patient rolling up sleeve
95
informed consent
telling patient about risks about blood draw and the benefits
96
involuntary breathing is controlled by ___
medulla
97
purpose of point of care testing
to get faster results
98
point of care tests
drug, blood gas, urine pregnancy
99
importance of quality control
patients results and outcomes depend on the machines
100
roles phlebotomist can fill
cpr, eg, patient care, blood donor, point of care testing,
101
cpr refresher course is done every ___ yr
2 yr
102
respiration
exchanging gasses by inhaling and exhaling
103
glucometer
views glucose levels
104
calibration
knowing the accuracy of the testing device
105
pulse
num of time heart beats per min
106
waived testing
tests simple, low-risk tests that pose little chance of error or harm if performed incorrectly
107
electrocardiography
hearts electric signs
108
what is a gtt
you arrive fasting then get blood drawn , drink glucola, and then having blood samples taken at different times to measure blood sugar levels, don't leave the whole time
109
what is a 2 hr pp
arrive fasting then, follow a measured meal plan then come back after 2 hrs to get blood drawn
110
iv is still running what do you do
check other arm or locations on different body parts, then go below iv, if not tell nurse to turn off iv and wait 2-3 mins then go above the iv
111
antiseptic in blood alcohol specimen kit
chlorhexidine gluconate
112
inflammation of vein
phlebitis
113
why is the first drop of capillary blood not tested
bc it may be diluted with blood with tissue fluid
114
what ppe should be worn when collecting for a newborn
gloves and mask, so it doesn't get infection
115
why is a bandage not used on infants
may cause damage in skin and cause pain when removed
116
what may make phlebotomy more challenging in patient
vision, hearing, skin, mental and emotional
117
Body planes
S = Sagittal → Side to side
F = Frontal (Coronal) → Front and back
T = Transverse → Top and bottom
118
low blood volume referres as
hypovolemia
119
why can't blood donors leave the chair for 10 mins
syncope
120
edema
excessive fluid collects in the tissues, causing swelling
121
hematoma
when the needle is improperly placed in the vein
122
hemolysis
destructions of red blood cells
123
mastectomy
removal of lymph nodes within the breast
124
activities as maintaining ones health, self evaluation and decision making are expanse of
life skills
125
ability to walk in someones eyes shoes
empathy
126
when background and environment is different from the ones we communicate with known as __
reference gap
127
why is continuing education important
so that we can stay up to date with the new Changes and techniques
128
what does HIPAA stand for
Health Insurance Portability and Accountability Act
129
tbv - kilograms to pounds
kg x 2.2
130
tbv - pound to kilos
lbs x 0.45
131
how to find total blood volume
kg x 100 = tbv
132
max amount of blood taken in 30 days
10%
133
patient -1
kg - n/a
lbs - 7
tbv - n/a
kg - 3.15
tbv - 315 ml
134
patient 2
kg - 22
lbs - n/a
tbv - n/a
lbs - 48.8
tbv - 2200
135
patient 3
kg - n/a
lbs - 5.5
tbv - n/a
kg - 2.475
tbv - 247.5
136
what is iatrogenic anemia
blood loss due to repeated blood draw
137
tests on light blue mostly
pt/inr
138
tests on red
mostly for medication, dilantin, lithium, depakane
139
gold/ set
chem panel, hiv, hepatitis, thyrold, renal, lipid, bmp, preg, V D
140
tests on light green
lipid, renal, ammonia,
141
tests on dark green
chromosome testing, HLA testing ammonia
142
test on lavender
CBC, WBC, A1C, sed rate, hemoglobin
143
tests on gray
lactic acid, glucose, GTT, 2hrPP
144
blood culture for a syringe which bottle goes first
anaerobic ( a syringe has no air)
145
blood culture for a butterfly which bottle goes first
aerobic (butterflies fly in the air)
146
if blood culture cannot be contain from different sets of arms then what happens
wait 10 mins then choose a different site on the same arm
147
what should infants be prep with for blood culture
iodine prep
148
how much blood is contained in therapeutic phlebotomy
500 ml
149
what temp is cold agglutinin
normal body temp = 97°F (36.1°C) - 99°F (37.2°C)
150
what is speciel about a lactic acid
no tourniquet and then placed on ice
151
what is swab collection
swab from the nasal cavity (nose) to check for flu and infections
152
what is a buccal swab
swab from the inside of the check used for dna
153
what is a Helicobacter pyloria
type of bacteria found in stomach, drink then blow into bag
154
how to do a urinalysis
clean the area, then catch mid stream then finish once the line is reached
155
24 hr urine collection
female will get hat while male will pee in a jug
156
document every phlebotomist must be familiar with
Specimen collection manual
157
order calls for a coagulation test, wbc, pregnancy, random glucose what tubes are needed
light blue, sst, lav
158
phlebotomist observes a glucose reading of 250 after secound test it reads within normal range why would first range be wrong
too much blood was on the strip
159
phlebotomist recives a splash of blood to eyes what should be done first
rinse eye with water
160
phlebomist gets needlestick injury what should be on the injury log
department this occurred
161
correct cpr on infant
30 compressions, 3.8 deep
162
centrifuge catches on fire what class
class c
163
