PMLS Flashcards

1
Q

The first people to utilize Bloodletting.

A

Barbers

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2
Q

Modern Phlebotomy purposes

A

-Diagnosis and Management of diseases
-Remove Blood for Transfusions

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3
Q

Thick blood

A

Polycythemia

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4
Q

Abnormal Iron Storage

A

Hemochromatosis

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5
Q

ROLES OF PHLEBOTOMIST

A

-Collect blood samples for laboratory testing or transfusions
-Proper specimen labelling
-Delivery, Transportation, and Processing
-May even collect other non-blood specimens

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6
Q

The Phlebotomist is a part of the laboratory team and dispatched to hospital units to collect blood samples.

A

CENTRALIZED

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7
Q

All members of the healthcare team share responsibility to collect blood samples

A

DECENTRALIZED

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8
Q

A PHELOBOTOMIST MUST HAVE:

A
  • Good manual dexterity
  • Special Communication Skills
  • Good Organizational Skills
  • Thorough Knowledge of Laboratory Specimen Requirements
  • Sufficient training in phlebotomy skills and standard practice
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9
Q

Everyone must follow professional code of conduct in treatment of patients includes ______________________ to all aspects of the job and ________________________________________.

A

Professional Approach, Professional grooming and dress

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10
Q

COMPONENT OF GOOD COMMUNICATION SKILLS

A
  • Verbal
  • Non-verbal
  • Active listening
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11
Q

Types of Healthcare Facilities

A
  • Inpatient
  • Outpatient
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12
Q

Levels of Health Care Facility

A
  • Primary
  • Secondary
  • Tertiary
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13
Q

Services of Health Care Facility

A
  • Ambulatory Care
  • Homebound Services
  • Public Services
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14
Q

AREAS OF LABORATORY

A
  • Phlebotomy
  • Chemistry
  • Hematology
  • Coagulation
  • Histology
  • Urinalysis
  • Microbiology
  • Immunology
  • Immunohematology
  • Cytology
  • Molecular Diagnostics
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15
Q

LABORATORY STAFF

A
  • Pathologist
  • Medical Laboratory Scientist
  • Medical Laboratory Technician
  • Phlebotomy Technician
  • Cytotechnologist
  • Histotechnologist
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16
Q

Rights of Patients

A
  • Patient has right to considerate and respectful care
  • Patient has right to receive understandable information
  • Patient has right to make decisions about plan of care and refuse treatment
  • Patient has right to have an advanced directive
  • Patient has right to privacy
  • Patient has the right to confidentiality on his/her medical records
  • Patient has the right to expect that within its capacity and policies, a hospital will make reasonable response to the request of a patient for appropriate and medically indicated care services
  • Patient has the right to information regarding hospital business relationships that might impact his/ her care
  • Patient has the right to consent or decline to participate in proposed research studies
  • Patient has the right to expect continuity of care
  • Patient has the right to be informed of hospital policies and practices that relate to patient care, treatment, and responsibility.
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17
Q

Functions of Blood

A
  1. supplies nutrients to tissues
    (O2, hormones, glucose)
  2. removes end products of metabolism
    (CO2, urea, creatinine)
  3. provides defense mechanism
    (WBC, Antibiotics)
  4. prevents blood loss
    (platelets, coagulation proteins)
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18
Q

Blood composition (%)

A

> Formed Elements (45%)
[RBC, WBC, Platelets]
Fluid component (55%)
[Water (92%), protein (7%), etc.]

19
Q

Coagulation of the Body

A

> In vivo (inside the body)
In vitro (outside the body)

20
Q

description of “In vivo”

A
  • Blood is fluid
  • Clot is formed to protect injured vessels
21
Q

description of “In vitro”

A
  • Spontaneous reaction
  • Triggered by glass or poor drawing technique
22
Q

Plasma is the liquid portion that is _____________

A

anticoagulated

23
Q

Serum is the liquid portion that is _______________

A

coagulated

24
Q
  • Clotting is prevented and reversible
  • Mix: completely, 8x- 10x
  • Centrifuge= plasma (has fibrinogens)
A

Blood with Anticoagulant

25
Q
  • Spontaneous clotting occurs and is irreversible
  • Fibrinogen -> Fibrin Strands
  • Centrifuge = serum
A

Blood without Anticoagulant

26
Q

Abnormal Serum/ Plasma Appearance:
- Pink to red, ruptured RBCs

A

Hemolyzed

27
Q

Abnormal Serum/ Plasma Appearance:
- Dark orange to yellow, abundance of bilirubin

A

Icteric

28
Q

Abnormal Serum/ Plasma Appearance:
- Cloudy, turbid, fat & triglycerides

A

Lipemic

29
Q

Characteristics of Blood Collection Tubes

A
  • Contains a vacuum
  • Used with a vacutainer & syringe system
  • Stoppers universal color coded; indicates content
  • Have an expiration date
  • Anticoagulant sprayed at the sides of the tube
30
Q

Type & amount of Specimen is dependent upon:

A
  • Test
  • Whole Blood; EDTA (hematology) or Heparin (arterial blood gas)
  • Plasma; EDTA or Heparin?
  • Serum: Trace free? Separator gel interference
  • Amount of sample needed to perform test
  • Multiple labs needing the same specimen at the same time
31
Q

Validity Test Results Require:

A
  • Trained Personnel
    > Causes of pre- analytical error
    > Invalid Test Result
  • Quality Control
  • Quality Assurance
  • Sophisticated instruments
32
Q

Requirements for Infection to Spread

A
  1. Infectious substance
  2. Mode of transmission
  3. Susceptible Host
33
Q

Mode of transmissions

A

-Parenteral ( Intramuscular, Intravenous, Subcutaneous, Mucosal)
-Ingestion

34
Q

Any other route other than the digestive tract

A

Parenteral

35
Q

Not-intact skin, chapped hands, cuts, cuticles

A

Intramuscular

36
Q

Percutaneous: needles, sharps

A

Subcutaneous

37
Q

Permucosal: mouth, nose, eyes

A

Mucosal

38
Q

Primary means of preventing spread of infection (especially nosocomial)

A

Handwashing

39
Q

Required for Handwashing

A

> Minimum 15 seconds, soap, friction
Wash hands before and after each blood draw

40
Q

Safety Engineering Controls

A
  • PPE
  • Sharps Container
  • Safer Medical Devices
41
Q

Characteristics of Sharp Container

A
  1. Biohazard Marking
  2. Puncture Resistant
  3. Leak- proof
42
Q
  • Method of fishing out the cap using the needle to close the cap onto the needle without possibly hurting yourself
A

FISHING METHOD

43
Q
A