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CPT > Mod 2 - Safety & Compliance > Flashcards

Mod 2 - Safety & Compliance Flashcards

(62 cards)

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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
what can happen if a centrifuge is not balanced
tube breakage & improper centrifuging of specimens
26
what should be checked if the centrifuge is making unusual noises/vibrating and it's not a balance issue
calibration
27
how should tubes be placed in centrifuge
put tubes of same size & volume in centrifuge directly across from one another or in balanced pattern
28
what does the Bloodborne Pathogen Standard identify as sharps
any item that can easily break skin and therefore potentially transmit disease
29
sharps container must have what
- leak & puncture resistant - durable for transport - appropriate size & shape - secure closure - upright & accessible - fill level & clear biohazard symbol - easy to operate
30
when are droplet precautions required
pts who have infections that spread via droplets that are larger than 5 microns in diameter
30
what diseases have droplet precautions
rubella, meningitis, influenza, pertussis, diphtheria, mumps
30
when are contact precautions required
pts who have infections that spread via direct/indirect contact
31
what diseases have contact precautions
diphtheria, herpes simplex, scabies, hep A, respiratory syncytial virus, wound & skin infections, exposure to MRSA/VRE/C diff.
32
what ppe should be worn when going into a pt room that has contact precautions
gown and gloves
33
when are airborne precautions required
pts who have infections that spread via droplets smaller than 5 microns in diameter
34
what diseases require airborne precautions
varicella (chicken pox), TB, rubeola (measles)
35
how is airborne transmission different from droplet transmission
airborne spans larger distance & longer virility
36
what kind of room does a pt with airborne precautions need to be in
negative-pressure room
37
list standard precautions regarding gloves
- 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
rubella, meningitis, diphtheria, mumps, pertussis, and influenza require
droplet precautions
39
class A fires involve
flammable solids (wood, paper, and cloth)
40
class B fires involve
flammable liquids (paints, oils, and gasoline)
41
class C fires involve
electrical appliances
42
class D fires involve
metals
43
testing a pt for streptococcal pharyngitis requires
droplet precautions
44
a glucose reading of 250 mg/dL but normal after a second reading may be explained bc the during the first test
too much blood was used
45
what is the minimum PPE when preparing to aliquot a blood specimen
gloves and face shield
46
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
to alert the lab of presence of capillary blood
47
what info should a cpt put in the online sharps injury log if they accidentally get a needle stick
department where injury occurred
48
pts with diphtheria, herpes simplex, scabies, hep A, RSV, wound & skin infections, MRSA, VRE, and C. diff require
contact precautions
49
contact precautions include
gowns and gloves
50
PPE should be removed
before leaving the room
51
droplet precautions include wearing a
mask
52
pts with varicella, TB, rubeola (measles) require
airborne precautions
53
airborne precautions include wearing a
N95 or N99
54
when wearing PPE to draw blood from a pt who is immunocompromised, when should the PPE be doffed
after leaving
55
what is the minimum PPE for aliquoting specimens
face shield and gloves
56
household bleach is also called
sodium hypochlorite
57
how long should the 1:10 solution sit on the spill
20 mi
58
entries on a sharps injury log require the following info
- date event happened - type of equipment involved and brand name - where exposure took place - brief description of how exposure occurred
59
what does OSHA require on accidental exposure log
- 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

CPT (8 decks)

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