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CPT > Mod 2 - Safety & Compliance > Flashcards

Mod 2 - Safety & Compliance Flashcards

1
Q

list regulatory bodies

A
  • OSHA
  • Joint Commission
  • College of American Pathologists
  • Clinical Laboratory and Standards Institute
  • CDC
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2
Q

define BLOOD BORNE PATHOGEN STANDARD

A

OSHA mandated set of requirements concerning protection against pathogenic microorganisms transmitted via blood causing human disease

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3
Q

what does the blood borne pathogen standard require

A
  • implementation of work practice & engineering controls to prevent exposure incidents
  • exposure control plan
  • plan of action after exposure
  • use of PPE
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4
Q

define STANDARD PRECAUTIONS

A

basic level of infection-control practices health care workers must perform before, during, and after pt encounter

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5
Q

after accidental to bodily fluids, you administer first aid. after, you and the pt must get blood testing done to determine if any of you have which diseases?

A

HIV, Hep B, & Hep C

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6
Q

what information needs to be included in sharps injury log?

A
  • date & time of incident
  • type of sharps
  • parties involved
  • location
  • detailed description of how injury occurred
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7
Q

describe the Joint Commission

A

independent, non-government, and nonprofit organization accredits & certifies health care organizations

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8
Q

describe the National Patient Safety Goals (NSPGs) Program

A
  • sets requirements for issues including accurate ID, communication of test results, and training of professionals to increase pt safety
  • requires 2 factor ID of pts
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9
Q

What do CLSI guidelines cover that is pertinent to phlebotomists?

A
  • venipuncture
  • dermal puncture
  • Phelbotomist’s safety
  • equipment
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10
Q

What is the proper order of draw?

A
  1. yellow top/blood culture
  2. light blue
  3. serum tubes w/or without activator and w/or without gel
  4. heparin w/or without gel plasma separator
  5. purple
  6. grey
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11
Q

what are yellow-top tubes

A

sodium polyanethol sulfate (SPS)

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12
Q

what are the light blue top tubes

A

sodium citrate (coagulation)

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13
Q

what are red-speckled top tubes

A

serum tubes

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14
Q

what are green top tubes

A

heparin

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15
Q

what are purple/lavender top tubes

A

EDTA

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16
Q

what are grey top tubes

A

sodium fluoride or potassium oxalate

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17
Q

after getting a needlestick injury, what should you immediately do

A

wash area with soap & water

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18
Q

t/f: only implied consent is required

A

false; verbal and implied consent are required

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19
Q

what is considered the limit number of attempts

A

2

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20
Q

if a hematoma appears at venipuncture site during blood draw, what should you do

A

stop venipuncture

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21
Q

if pt shows any difficulties during venipuncture, what should you do

A

stop venipuncture

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22
Q

define QUALITY ASSURANCE

A

laboratory standards the CDC established to help maintain highest level of test accuracy possible

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23
Q

differentiate between quality control and quality assurance

A
  • quality control: reliability
  • quality assurance: accuracy
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24
Q

what is usually the problem when the centrifuge is making unusual noises/vibrating more than it should

A

balancing

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25
Q

what can happen if a centrifuge is not balanced

A

tube breakage & improper centrifuging of specimens

26
Q

what should be checked if the centrifuge is making unusual noises/vibrating and it’s not a balance issue

A

calibration

27
Q

how should tubes be placed in centrifuge

A

put tubes of same size & volume in centrifuge directly across from one another or in balanced pattern

28
Q

what does the Bloodborne Pathogen Standard identify as sharps

A

any item that can easily break skin and therefore potentially transmit disease

29
Q

sharps container must have what

A
  • leak & puncture resistant
  • durable for transport
  • appropriate size & shape
  • secure closure
  • upright & accessible
  • fill level & clear biohazard symbol
  • easy to operate
30
Q

when are droplet precautions required

A

pts who have infections that spread via droplets that are larger than 5 microns in diameter

30
Q

what diseases have droplet precautions

A

rubella, meningitis, influenza, pertussis, diphtheria, mumps

30
Q

when are contact precautions required

A

pts who have infections that spread via direct/indirect contact

31
Q

what diseases have contact precautions

A

diphtheria, herpes simplex, scabies, hep A, respiratory syncytial virus, wound & skin infections, exposure to MRSA/VRE/C diff.

32
Q

what ppe should be worn when going into a pt room that has contact precautions

A

gown and gloves

33
Q

when are airborne precautions required

A

pts who have infections that spread via droplets smaller than 5 microns in diameter

34
Q

what diseases require airborne precautions

A

varicella (chicken pox), TB, rubeola (measles)

35
Q

how is airborne transmission different from droplet transmission

A

airborne spans larger distance & longer virility

36
Q

what kind of room does a pt with airborne precautions need to be in

A

negative-pressure room

37
Q

list standard precautions regarding gloves

A
  • wash hands before donning & after removing
  • wear when handling body fluids
  • replace them between each pt encounter
  • replace when performing different procedures for same pt
  • use only nitrile/vinyl gloves
  • well fitting
  • check for holes/rips
38
Q

rubella, meningitis, diphtheria, mumps, pertussis, and influenza require

A

droplet precautions

39
Q

class A fires involve

A

flammable solids (wood, paper, and cloth)

40
Q

class B fires involve

A

flammable liquids (paints, oils, and gasoline)

41
Q

class C fires involve

A

electrical appliances

42
Q

class D fires involve

A

metals

43
Q

testing a pt for streptococcal pharyngitis requires

A

droplet precautions

44
Q

a glucose reading of 250 mg/dL but normal after a second reading may be explained bc the during the first test

A

too much blood was used

45
Q

what is the minimum PPE when preparing to aliquot a blood specimen

A

gloves and face shield

46
Q

A CPT COLLECTS A SPECIMEN IN A MICROCOLLECTION CONTAINER AFTER 2 FAILED VENIPUNCTURES. WHY SHOULD THE CPT WRITE ON THE MED REQUISITION FORM THAT BLOOD WAS COLLECTED THIS WAY

A

to alert the lab of presence of capillary blood

47
Q

what info should a cpt put in the online sharps injury log if they accidentally get a needle stick

A

department where injury occurred

48
Q

pts with diphtheria, herpes simplex, scabies, hep A, RSV, wound & skin infections, MRSA, VRE, and C. diff require

A

contact precautions

49
Q

contact precautions include

A

gowns and gloves

50
Q

PPE should be removed

A

before leaving the room

51
Q

droplet precautions include wearing a

A

mask

52
Q

pts with varicella, TB, rubeola (measles) require

A

airborne precautions

53
Q

airborne precautions include wearing a

A

N95 or N99

54
Q

when wearing PPE to draw blood from a pt who is immunocompromised, when should the PPE be doffed

A

after leaving

55
Q

what is the minimum PPE for aliquoting specimens

A

face shield and gloves

56
Q

household bleach is also called

A

sodium hypochlorite

57
Q

how long should the 1:10 solution sit on the spill

A

20 mi

58
Q

entries on a sharps injury log require the following info

A
  • date event happened
  • type of equipment involved and brand name
  • where exposure took place
  • brief description of how exposure occurred
59
Q

what does OSHA require on accidental exposure log

A
  • how exposure happens
  • by what means it occurred
  • type of equipment involved
  • safety measures on equipment
  • type of PPE CPT was wearing
  • where incident occurred
  • type of procedure CPT was performing
  • situation surrounding exposure
60
Q
A

CPT (8 decks)

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