ORGS

Question 1

HIPAA

Answer 1

Health Insurance Portability and Accountability Act

providers need written permission before disclosing info outside of provider team

Question 2

Hemostasis

Answer 2

1. vascular phase; injury to vessel causes it to constrict
2. platelet phase; platelets adhere
3. coagulation phase; convert plug to fibrin clot
4. fibrinolysis phase; breakdown and removal of clot

Question 3

PHI

Answer 3

protected health information

• treatment
• test results
• meds
• procedures
• appt times
• appt dates

Question 4

TJC

Answer 4

The Joint Commission
- founded 1951
- oldest watchdog group
- establish standards and practices
- solely look out for patients

Question 5

CLSI

Answer 5

Clinical and Laboratory Standards Institute
- develops standards

Question 6

CLSI mission statement

Answer 6

to develop clinical and laboratory practices and promote their use worldwide

Question 7

Informed Consent

Answer 7

competent person gives voluntary permission after receiving adequate info about risk and consequences

Question 8

Expressed Consent

Answer 8

permission is given in writing or verbally for a procedure

Question 9

Implied Consent

Answer 9

Patients actions permit the procedure w/o written or verbal consent

(going to the ER or holding out an arm)

Question 10

HIV

Answer 10

special permission is needed to administer

Question 11

parental consent for a minor

Question 12

OSHA

Answer 12

occupational safety and health administration

• oversees the:

occupational safety and health act

Question 13

torniquet timing

Answer 13

<1 min
- hemoconcentration and blood infiltration into tissue

Question 14

venipuncture needle

Answer 14

21 gauge, 1.25”, 15-30 degrees bevel up

Question 15

butterfly needle

Answer 15

23 gauge, 5 degrees

Question 16

AC vein anatomy order

Answer 16

1. mc
2. c
3. b

Question 18

Plasma

Answer 18

Liquid of unclotted blood

Question 19

Serum

Answer 19

Liquid of coagulated blood

Question 20

Tubes with anti-coagulates

Answer 20

Lavender, green, pink, royal blue with lavender, light blue, grey

(Ladies, greet, people, royal with, (small) babies, good)

Question 21

Tubes without anticoagulants

Answer 21

Clear, red glass and plastic, tiger top, royal blue with red

(Classy, regals, teach, royals with red)

Question 22

CLSI order of draw

Answer 22

Page 52

Question 23

First drop of blood

Answer 23

Wipe off because of thromboplastin contamination (clotting factor)

Not with alcohol because of hemolysis

Question 24

Fingerstick site

Answer 24

3rd or 4th finger of non-dominant hand, slightly to the side of the center in the fleshy part

Question 25

Heel Stick

Answer 25

Medial and lateral portions Middle of the great toe to the heel and between fourth and fifth toes Infants <2mm Premises <.85mm Heel warmer 2-t min before

Question 26

Bilirubin Testing

Answer 26

2-3 days after birth presenting with jaundice Caused by a lack of conversion of bilirubin conversion to bile Treatment is phototherapy Draw into amber tubes, or clear ones that you wrap in foil or place in a dark bag

Question 27

Capillary Draw Order

Answer 27

EDAS-Ed Has A Sandwich EDTA (pink/purple), Heparin (light and dark green), Any other additive, Serum (red, Gold, Tiger top, Marble)

Question 28

thrombosis

Answer 28

never draw on the same side

Question 29

Needlestick Safety and Prevention Act

Answer 29

- 2000 - stick log (type of instrument, department, explanation of how) - pursuant of safer devices

Question 31

Postprandial

Answer 31

After a meal

Question 32

Basal state

Answer 32

Nothing by mouth and refraining from strenuous exercise 8-12 hours prior