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Phlebotomy 170 > Final Review > Flashcards

Final Review Flashcards

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1
Q

Professional qualities

A

Appropriate attire
effective communication
self-care

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2
Q

Nosocomial infections

A

healthcare-associated infections

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3
Q

First thing to do in the event of an accidental needlestick?

A

Remove the needle and report it

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4
Q

What is the purpose of The Joint Commission’s Office of Quality Monitoring?

A

evaluate and track complaints related to care

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5
Q

What is kinesics?

A

the study of the way in which certain body movements and gestures serve as a form of nonverbal communication.

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6
Q

National Fire Protection Association’s colors and meanings

A

blue: health hazard
red: flammability
yellow: reactivity
white: special precautions

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7
Q

Should you rapidly perform venipunctures?

A

no

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8
Q

Is the promotion of good public relationships a part of a phlebotomist’s role?

A

yes

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9
Q

Specimen labeling must be exact

A

yes

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10
Q

Phlebotomy’s derived translation means

A

vein incision

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11
Q

What is quality assurance?

A

the total process which guarantees that the final results reported by a laboratory are as accurate as possible.

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12
Q

The Joint Commission’s Sentinel Event QI program policy is designed to

A

protect the patient, improve systems, and prevent further harm.

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13
Q

What coding system do out patient lab’s use?

A

CPT

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14
Q

What is a class C fire

A

involve electrical equipment, such as appliances, wiring, circuit breakers and outlets.

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15
Q

Implied consent

A

the agreement given by a person’s action (even just a gesture)

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16
Q

Chain of infection

A

Infectious agent, reservoir, exit pathway, means of transmission, entry pathway, susceptible host

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17
Q

Protective or reverse isolation purpose

A

to prevent at-risk patients from getting sick

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18
Q

What is HIPAA?

A

Health Insurance Portability and Accountability Act
protect sensitive patient health information from being disclosed.

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19
Q

What to do in an event of a problem from QA?

A

Corrective action

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20
Q

What is continuing education?

A

Accountability to stay up to date on current information to maintain certification and licensure.

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21
Q

Safety data sheets

A

The SDS includes information such as the properties of each chemical; the physical, health, and environmental health hazards; protective measures; and safety precautions for handling, storing, and transporting the chemical.

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22
Q

What is diversity awareness

A

Understanding differences that make people unique and being conscious of them

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23
Q

What is another name for blood bank?

A

immunohematology

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24
Q

What can you get charged with if you draw without consent?

A

assault and battery

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25
How often do lab manuals update?
yearly
26
what is invasion of privacy
looking into information you do not need to see
27
What are TJC's QA goals?
reduce CUTI Patient identification improve communication
28
Puncture of skin?
capillary or fingerstick
29
Is taking short cuts showing integrity?
no
30
What is on an incident report form?
What happened, how to prevent it, corrective action
31
When placing a patient, what organism would cause airborne precautions to be taken?
TB
32
Define malpractice
improper, illegal, or negligent professional activity or treatment
33
Is hand sanitizer as efficient as hand washing?
no
34
How can you be exposed to blood?
body fluids
35
What area of the lab focuses on blood clotting?
coagulation
36
Effective communication barriers?
background language age
37
Standard of care is influenced by
The Joint Commission
38
Do accidental lawsuits happen to phlebotomists?
yes
39
what is CLIA 88'
allows regulation of all sites performing lab testing in US Personnel requirements Mandates all labs use same standards Clinical Laboratory Improvement Act
40
Telephone protocols
answer within four rings speak clearly identify yourself and your department be able to put lines on hold and to also transfer calls
41
Do gloves need to be worn when handling specimens?
yes
42
Do phlebs do IVs?
No
43
Radiation exposure
Time, distance, shielding
44
Where do you find test info?
Procedure catalog
45
National Fire Protection Association code words?
Pull Aim Squeeze Sweep Rescue Alarm Contain Extinguish
46
CLSI
Clinical and Laboratory Standards Institute a volunteer-driven, membership-supported, not-for-profit, standards development organization. CLSI promotes the development and use of voluntary laboratory consensus standards and guidelines within the health care community.
47
What carries blood to the heart?
veins
48
Does the reproductive system make hormones?
Yes
49
Does the pulmonary artery provide oxygen-rich blood to the heart?
no
50
What gland is called the master gland
the pituitary gland
51
What two systems is the pancreas a part of?
Digestion as an accessory and endocrine organ
52
Is the glomerulus a tuft of capillaries that help filter urine?
yes
53
What makes up the peripheral nervous system
consists of the nerves that branch out from the brain and spinal cord
54
Can you write .4
no, needs the leading zero
55
erythrocyte diameter and size
6–8 µm in diameter
56
Do you write 3 or 3.0
3.0 (more exact)
57
left ventricle function
brings oxygenated blood to the aorta
58
what metabolism breaks complex substances down into simpler ones
catabolism
59
Steady-state
homeostasis
60
what does lymphatic fluid stem from
excess tissue fluid
61
what plane is anatomic position facing
frontal
62
what is the most common type of cell
erythrocyte
63
what plane divides the body into equal proportions
midsaggital
64
antecubital veins
cephalic, median cubital, and basilic
65
muscles under voluntary control
skeletal
66
what blood vessel is not a part of systemic circulation
pulmonary vein
67
what is produced from a specimen that needs to clot before centrifugation
serum
68
proper blood flow direction
arteries, arterioles, capillaries, venules, veins
69
Pulmonary artery enters
left atrium
70
artery v veins
veins include one-way valves
71
distal
away
72
avascular skin layer
epidermis
73
urinary system function
electrolyte balance
74
what tissue covers organs, vessels, and cavities
epithelial
75
what cell has a 120 day life span
reb blood cells
76
what layers of skin have blood
dermis and subcutaneous
77
autologous blood donation
donation of blood to yourself
78
prefix
before the root
79
name prefix
Ms.
80
WBC name
leukocyte
81
cystitis
bladder inflammation
82
atrium plural
atria
83
hepat
liver
84
lysis
breakdown
85
hemat
blood
86
penia
deficiency
87
leukocytosis
WBC condition
88
glycolysis
the breakdown of glucose
89
platelet
thrombocyte
90
condition of too many blood cells
polycythemia
91
small cell
microcyte
92
basophil
granular WBC
93
elevated glucose
hyperglycemia
94
cessation of blood
hemostasis
95
What is the most common needle size
21 gauge
96
Order of draw
blood culture, light blue, gold or red, green, purple, gray, royal blue
97
What tube has the most problems with carry over?
EDTA
98
How do tubes fill in venipuncture
vacuum
99
What tube do you draw first when using a butterfly?
discard
100
Can you pour two blue tops together?
No
101
What factors cause reference ranges to vary?
age sex
102
Can you draw above an IV site?
No
103
What kills bacteria on surfaces?
disinfectant
104
Where do soiled tourniquets go?
Biohazard or trashcan depending on how gross they are
105
Purple additive
EDTA
106
green top additive
heparin
107
What do glass or silica particles do?
enhance clotting
108
what do you consider when deciding what needle gauge to use?
Veins, ages, size
109
What will a clotted specimen give?
serum
110
CBCs are drawn in?
lavender
111
What do you use to cleanse before venipuncture?
70% isopropyl alcohol
112
BMPs can be drawn in
green, gold, or red
113
What needle should you use on a small vein?
butterfly
114
antiglycolytic does what
preserves glucose
115
How do lumen sizes work?
The smaller the number, the bigger the needle
116
Light blue tops go where
coag
117
what tube should electrolytes be drawn in
lithium heparin
118
Coag tube ratio
9:1
119
gray top additives
NaF K oxalate
120
Blood culture additive
SPS
121
The phase before testing
preanalytical
122
Reference intervals are
normal values
123
what to use if the patient has an iodine allergy?
2 alcohol wipes
124
Panic value
abnormal result
125
do you stick mastectomys?
no
126
Do you stick the big fat fleshy part of a baby's toe?
no
127
What do you do with the first drop of a capillary stick?
wipe it
128
What can you not draw via capillary
ESR blood cultures coagulation
129
capillary order of draw
purple, green, gold
130
blood specimen to protect from light?
bilirubin
131
Are drug levels collected in gel tubes?
No, the gel can absorb it and give false results
132
What bottle do you collect first in a blood culture?
aerobic
133
can semen be collected from a condom?
no, contamination
134
When do you draw capillaries?
old, bad veins, multiple failed venipunctures
135
Which fingers are best to draw from?
middle or ring
136
which test has a special filter paper?
PKU/ newborn screenings
137
what value is higher in capillary blood than venous?
glucose
138
where do you stick on a baby?
lateral plantar heel surface
139
Capillary blood composition?
venus, arterial, and interstitial fluid
140
lancet size is based on
baby size
141
results are sent via
middleware/interface
142
What do you use to clean when drawing blood alcohol?
iodine
143
Most important part of blood culture collection besides identification
antisepsis
144
GTT collection times
1 hour, 2 hour
145
Removing a unit of blood for disease
therapeutic phlebotomy
146
Chain of custody
the order someone must follow to keep the integrity of evidence. Used in law
147
when are troughs collected?
Before the drug is administered (30 minute timeframe)
148
When is therapeutic drug monitoring necessary
narrow window
149
How are crossmatch collected
Include name of collector
150
What do trace metals detect
iron, copper, and zinc, as well as toxic heavy metal pollutants like lead, mercury and cadmium.
151
Fever of unknown origins order what
blood culture
152
When do blood glucose levels peak?
30-60 minutes
153
If your glucose is elevated after two hours, you have
diabetes
154
diabetes therapy long-term test
a1c
155
Body fluids also require
type and source
156
UTI type
clean catch
157
24 hour urine
void first morning
158
arsenic poisoning can be detected through
hair
159
DNA noninvasive easy collection
buccal swab
160
amniotic fluid is to be
on ice
161
semen
kept warm needs to be completed in 45 minutes to an hour

Phlebotomy 170 (15 decks)

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