Need To Know Information

Question 1

Battery

Answer 1

Unpriveledged touching
Lack of consent

Question 2

Patients can know what tests are being performed and can decline medical treatment

Question 3

Expressed Consent

Answer 3

Permission given by the patient VERBALLY or in writing

Question 4

Informed Consent

Answer 4

Competent person gives voluntary permission for medical procedure after receiving adequate information about the risk of the procedure’s methods and consequences

Question 5

Implied consent

Answer 5

Patients action permit the procedure without verbal or written consent.
Ie patients going into the ER or holding out an arm when told they need blood drawn

Question 6

Where must the ID band be and can it be in their pocket?

Answer 6

Physically on the patient and not in their pocket(VOID)

Question 7

ID band holds what information

Answer 7

Prescription drugs issued, test ordered, and test results given to the patient

Question 8

How do you identify a patient? By asking what?

Answer 8

First and Last name
Spell it
DOB
State issued ID

-allergies
-fasting
-mastectomy

Question 9

OSHA

Answer 9

Works hard to prevent safety issues by investigating hazardous workplaces or on the job injuries

Question 10

3 main OSHA rules

Answer 10

NO eating, drinking, smoking or chewing gum
Always wear a fully buttoned lab coat in the lab
Always wear PPE when working the lab

Question 11

Contact and transmission
Agents are infectious microorganisms classified into 4 groups

Answer 11

Virus
Bacteria
Fungi
Parasite

Question 12

Most common nosocomial infection

Answer 12

Respiratory

Question 13

OSHA requires hepatitis B vaccines

Answer 13

Within 10 days of starting employment or declination statement

Question 14

Easiest most effective way to break the chain of transmission of bloodborne pathogens

Answer 14

Washing you hands

Question 15

DOFF PPE order

Answer 15

Gloves
Goggles
Gown
Mask

Question 16

Contact Isolation what do you wear and what two modes are there?

Answer 16

Gown and Gloves

-Direct: skin to skin and physical xfer of microorganism to a susceptible host from infected person
*gloves first to be removed

-Indirect: contact with contaminated intermediate object in patients environment ie clothing, lice, scabies, rsv, diarrhea, herpes, impetigo

Question 17

Airborne precaution

Answer 17

N95 and special ventilation required
Gown and gloves

Tuberculosis, measles, chickenpox, shingles, norovirus

Question 18

Droplet precaution

Answer 18

Gown, gloves, mask (surgical)

*happens primarily during COUGHING sneezing or talking
strep, rubella, pneumonic plague, mumps, Flu A, pneumonia

Question 19

Coughing and sneezing etiguette

Answer 19

Cough into elbow
Wash and sanitize hands and the bend of your elbow

Question 20

If blood splashes in eyes or mucous membranes how long do you flush with running water

Answer 20

15 minutes

Question 21

If exposed to blood via needle stick or any other potentially infectious material?

Answer 21

Immediately wash the exposed area

Question 22

Dilution for body fluid spills

Answer 22

1:10 (strong) with bleach
Pour over the blood and leave for at least 10 minutes

Question 23

Sharps container use

Answer 23

No recapping needles
Containers locked and disposed at 2/3 full

Question 24

What if the sharps container is full when you come on duty?

Answer 24

Immediately report it to your supervisor

Question 25

Whole blood consists of

Answer 25

55% plasma 45% elements or cells

Question 26

The higher the number gauge of the needle means

Answer 26

The smaller the bore 23 is smaller than a 16 No smaller than 23 for blood draw-can cause hemolysis 18 gauge is used for donor units of blood

Question 27

What is the angle of entry in hand vein for butterfly or winged infusion set

Answer 27

5 degrees

Question 28

When drawing from the hand, what veins and angle of entry to use?

Answer 28

Lower Basillic vein, lower Cephalic vein, lower Dorsal vein **5 degrees

Question 29

Where to perform venipuncture in forearm or elbow area of patient and angle of entry?

Answer 29

Basillic Vein, Cephallic Vein**easiest to palpate in obese pts, Median Cubital Vein**most commonly used *between 15-30 degrees

Question 30

Venipucture where to place the tourniquet

Answer 30

3-4 inches above the draw site

Question 31

Venipucture procedure steps

Answer 31

Tourniquet Tube Pressure with gauze Safety cap

Question 32

How old does a person need to be to get a capillary puncture? And which finger to use?

Answer 32

At least 2 years of age 3 or 4th fingers non dominant hand

Question 33

Capillary puncture order of draw

Answer 33

EHAS EDTA Heparin Any other additive Serum

Question 34

A PKU screening test ordered

Answer 34

For infants within first 72 hours

Question 35

Arterial Blood Gas (ABG)

Answer 35

Respiratory therapist, nurse or physician also does this test Sample must be run with 15 minutes of collection Needle inserted vertically at 90 degrees

Question 36

What tubes are used to collect ABG

Answer 36

Heparin tubes

Question 37

Where to draw difficult draws on bariatric

Answer 37

Cephalic or hand

Question 38

Where to draw difficult draws on combative, impaired, or psychologically unstable

Answer 38

Release tourniquet Safety needle Apply pressure Protect yourself

Question 39

Where to draw difficult draws on pediatric patients

Answer 39

Approach, positioning, and equipment Dry run, no counting down, restrained by people Heel sticks If heel stick unsuccessful, MEDIAL CUBITAL Vein

Question 40

IV therapy draws

Answer 40

Wait 15 minutes once charge has stopped the IV for the solution to clear the vascularity Climb down the IV ladder

Question 41

POCT testing

Answer 41

Glucose Cholesterol Strep Flu Pregnancy

Question 42

Stool specimen test is looking for

Answer 42

Stool guaiac test Occult (hidden) blood

Question 43

Patient has diarrhea most likely needs

Answer 43

O&P ova and parasite test

Question 44

Capillary puncture when the patient is

Answer 44

Over 2 years old Can’t find a vein Burns, scars Small amt of blood save vein integrity

Question 45

Things that can go wrong with specimen quality

Answer 45

QNS quantity not sufficient Inadequate inversion Interic (jaundice) high bilirubin Lipemic-high lipids Hemolyzed-pink or reddish tint vibration in the tube is felt

Question 46

4 stages of Homostasis

Answer 46

Vascular and platelet phase comprised the primary stages of hemostasis Vascular-injury to blood vessel causes constrict, slowing blow flow Platelet-injury to endothelial lining causes platelets to adhere Coagulation-cascade of interactions convert temporary platelet plug to stable fibrin clot Fibrinolysis-breakdown and removal of the clot