Question | Answer |
---|---|
Provides massage therapy | Physical Therapist |
Dispense medications | Pharmacy |
Analyze Blood and urine specimens | Clinical Laboratory |
Teach daily living skills to disabled persons | Occupational Therapy |
Perform CT scans and MRI's | Radiology |
Provide pulmonary therapy | Respitory Therapy |
Puncture or incision into a vein to obtain blood | Phlebotomy |
Conduct and qualities that typify a professinal | Professionalism |
Process by which a program or institution documents meeting established guidelines | Accreditation |
Performance of procedures in various locations | Decentralization |
Instruction to acquire additional Pt. care skills | Cross-training |
Documentation assuring that an individual has met certain professional standards | Certification |
Maintaining the privacy of information | Confidentiality |
Patient care that does not require transporting the Pt. to various locations | Pt.
Focused care |
Major traditional duties and responsibilities of the phlebotomist include | *Correct Labeling of all specimens w/ REQUIRED information*Collect appropriate amount of blood (venipuncture or dermal puncture)*Correct identification of the Pt. BEFORE blood or Sample collection |
Additional Duties of a Phlebotomist may include | *EKG*Training other health care workers to perform Phlebotomy |
Examples of Non-verbal, distracting,rude behaviors | *Chewing gum*Looking out windows*Watching the clock |
Components of Communication | *Verbal skills*Listening skills*Body language (Non-verbal) |
Employment opportunities for phlebotomists include | *Blood donor cntrs*Reference Labs*POL's (Dr office Lab) |
Certifying organizations | *ASCP*AMT*ASPT |
Barriers to verbal communication | *Hearing Impairment*Level of Pt. education*Age |
Professional Services in Hospital | *Radiology *Clinical Laboratory |
Desirable personal characteristics for a Phelbotomist | *Dependability*Compassion*Honesty |
Dpt. of Hospital the uses High-energy X-rays or ionizing radiations to stop cancer cells | Radiation Therapy |
Continuing education Units | CEU's required to maintain license or Certification |
Nosocomial infection | IS acquired by a Pt.
during a hospital stay |
The chain of infection includes | *Source*Mode of Transmission*Susceptible Host |
Sources of biologic safety hazards | Infectious Agents |
PPE | Gloves, Masks, Gowns |
Gowns are worn to. | *Protect clothing and skin from contamination*to prevent transfer of microorganism between pt.'s rm. *to prevent the possibility of encountering splashes or large amount of body fluids |
What is the correct order for removing PPE? | Gloves, Mask, Gown |
R.
A.C.E Means |
R escueA larm C ontainE xtinguish |
When is chain of infection broken? | when an infection is prevented! |
Which type of precaution is used for pulmonary TB (tuberculosis)? | Airborn/Droplet |
When should Standard Precautions be followed? | With all patients at all times |
What type of isolation is used on a Pt. who is on Chemotherapy and has very low Wht blood cells? | Reverse/Protective |
First thing to do in the event of electrical shock to a co-worker or Patient? | shut off the source of electricity |
What is the disinfectant of choice for blood-borne pathogens? | Sodium hypochloRITE (bleach) |
PPE must be provided to you by? | The Employer |
The body standing erect, head facing forward, and arms by the side palms facing front is called? | Anatomic Position |
The specimen collected by the phlebotomis is | Blood |
What dpt should be avoided by a pregnant phlebotomist? | Radiology |
Under the Needle Stick Safety and Prevention Act the following are TRUE | Requires facilities to *Document evaluation and implementation of safer needle devices*Involve employees in the selection and evaluation of new devices |
Vector (host) means of Transmission | *Mosquitoes*Ticks*Fleas |
P.
A.S.S. Means? |
P ULLA imS queeze S weep |
Support, protect, movement and mineral storage | Skeletal system |
Recognizes sensory stimuli | Nervous system |
Absorption of nutrients, and eliminates waste | Digestive system |
Protection, regulation, sensation, and secretion | Integumentary system |
Produces and regulates hormones | Endocrine system |
Sexual Reproduction | Reproductive system |
Exchanges gases, oxygen and carbon dioxide | Respiratory system |
Returns excess fluid/defense against disease | Lymphatic system |
Movement, posture, and heat production | Muscular system |
Removes excess water from the body | Urinary system |
Hazard caused by infectious organism | Biohazardous |
Infection acquired in the hospital | Nosocomial infection |
Preventive measures taken when a person is exposed to infectious disease | Post-exposure PROPHYLAXIS |
Guideline describing PPE Practices | Standard Precautions |
Isolation practices to prevent the spread of disease caused by Pt.
Contact |
Contact Precaution |
Isolation procedures based on airborne, droplet and contact disease transmission | Transmission-based precautions |
Isolation practices associated with airborne disease | Airborne precaution |
Emission of radiant energy | Radioactivity |
Isolation precaution to prevent the spread of microorganism carried in fluid droplets | Droplet precaution |
Apparel worn to prevent contact with and transmission of pathogenic microorganisms | PPE Personal Protective Equipment |
Excess collagen scar formation | Keloid |
Result of an infection caused by spirochetes carried by deer ticks | Lyme disease |
S shape curvature of the spine | scoliosis |
Fever blisters | cold sore |
Herpes Zoster | shingles |
oversecretion of sebum by sebaceous gland | acne |
stroke | CVA |
Inflammation of the stomach and intestinal track | Gastroenteritis |
Stones composed of calcium, uric acid, that crystallized within the kidney | Renal Calculi |
Inflammation of the facial nerve causing paralysis and numbness of the face | Bell's Palsy |
Characterized by pain and tingling in the fingers and hand | Carpal tunnel syndrome |
Swelling or constriction of t bronchial tubes causing wheezing | Asthma |
Chronic disease of the nervous system characterized by muscle tremors, loss of equilibrium | Parkinson's disease |
Inflammation of the urinary bladder | Cyctitis |
Abnormally decreased blood level | Hypoglycemia |
Caused by pathogen HIV | AIDs |
Itchy,scaly,RED patches of skin | Psoriasis |
Highly contagious bacterial infection caused by staphylococcus or streptococcus | Impetigo |
Inflammation of the appendix | Appendicitis |
Inflammation of the pharynx caused by group "A" strep | Strep throat |
Do veins have Valves? | Yes, to keep blood flowing in one direction |
Arteries are? | Responsible for delivering Oxygen and Nutrients (can feel a pulse) |
What is the blood volume of an average adult? | 5 to 6 Liters |
What do Arteries do | Carry oxygen rich blood away from the heart |
What is the largest Artery | The Aorta |
What is the Anticoagulant in the LAVENDER top tube | EDTA |
What is the RED blood cells function | RBC's carry oxygen |
Med Tech (CLS) | Have a Bachelor degree |
What is the liquid portion of blood that has not been allowed to clot? | Plasma |
What is Serum? | An amber-colored, protein-rich liquid that separates out when blood coagulates |
What are the 3 main veins in the arm used by a phlebotomist | *Median Cubital *Basilic*Cephalic |
Upper Chamber of the heart | Atrium |
When a Pt. donates their own blood for transfusion | Autologous Transfusion |
Medical Laboratory Tech (CLT) | Have Associates Degree |
Sections of a Clinical Lab | *Hematology*Coagulation*Phlebotomy |
Section of he laboratory the collects, preps, and stores blood for transfusion | BLOOD BANK |
Section of Lab that is responsible for Identification of pathogenic microorganisms and infection control | MicroBIOlogy |
Type of Blood Vessels that transport blood through the body | *Arteries *Veins*Capillaries |
Lower Chamber of the Heart | Ventricle |
In order to maintain hemostasis, a complex coagulation mechanism involves | *Blood vessels*Platelets*Coagulation Factors |
Defense mechanism is the main function of what blood cells? | Leukocytes (WBC) |
Clotting mechanism is the main function of what blood cells? | Thrombocytes (platelets) |
Chemical aspect of a routine urinalysis (UA) include? | *Glucose*Ketones*Bilirubin |
The preferred overall accrediting agency for hospitals | JCAHO |
Inspection teams, made up of Pathologists, and Med Techs visit the laboratory for inspection every ______ year(s) | TWO Years |
Basophils | Granulocytes |
Lymphocytes | Agranulocytes |
Eosinophis | Granulocytes |
Monocytes | Agranulocytes |
Neutrophis | Granulocytes |
Tiger top tube SST | Chemistry section of the lab |
Lavender top tube EDTA | Hematology section of the lab |
Gold top tube SST | Chemistry section of the lab |
Lt. Blue top tube Sodium Citrate | Coagulation section of the lab |
Pink top tube EDTA | Blood Bank section of the lab |
Type and screen test | Blood Bank Lab |
Fasting blood sugar test (FBS) | Chemistry Lab |
High density lipoprotein test (HDL) | Chemistry Lab |
Complete blood count (CBC) | Hematology Lab |
Urine specific gravity | Urinalysis |
Infectious mononucleosis (Monospot) | Serology |
Cholesterol test | Chemistry Lab |
Sputum culture | Microbiology Lab |
Electrolytes | Chemistry Lab |
Activated partial thromboplastin time (APTT) | Coagulation section of the Lab |
Blood urea nitrogen (BUN) | Chemistry Lab |
Bilirubin | Urinalysis |
Urine Culture | Microbiology Lab |
ALT alanine aminotransfrase | Chemistry Lab |
Prothrombin time (PT) | Coagulation Section of Lab |
Stoppage of blood blow from a damaged blood vessel | Hemostasis |
Substance that prevents blood from clotting | Anticoagulant |
a decrease below normal values in the number of Leukocytes caused by chemotherapy | Leukopenia |
An abnormal increase in the number of normal Leukocytes as seen in infection | Leukocytosis |
A marked increase in the number of WBC in the bone marrow and circulating blood | Leukemia |
A decrease in number of Erythrocytes (RBCs) or amount of hemoglobin in circulating blood | Anemia |
Death or Necrosis of the heart muscle caused by lack of Oxygen (O2) | Myocardial infraction |
Swollen peripheral veins caused by damaged valves | Vericose veins |
Obstruction of the blood vessel by a moving clot | Embolism |
A buldge formed by a weakness on the wall of blood vessel | Aneurysm |
Destruction of (RBC) Red blood cells*Hematology Section* | Hemolysis |
Liquid portion of Blood*Hematology Section* | Plasma |
Clear Yellow fluid that remains after clotting blood has been centrifuged and separated*Hematology Section* | Serum |
Instrument the spins test tubes at high speed*Chemistry Section* | Centrifuge |
Method of separation by electrical charge*Chemistry Section* | Electrophoresis |
Appearing Yellow*Chemistry Section* | Icteric |
Pertaining to the turbidity from lipids*Chemistry Section* | Lipemic |
Ions in the blood (Na, K, CI, CO2) *Chemistry Section* | Electrolytes |
Protein capable of producing a chemical reaction with a specific substance*Chemistry Section* | Enzymes |
Chemical analysis performed using antigens and antibodies*Chemistry Section* | Immunochemistry |
Study of Poisons*Chemistry Section* | Toxicology |
Substance that stimultes the formation of antibodies*Blood Bank Section* | Antigen |
Plasma collected from a unit of blood and immediately frozen*Blood Bank Section* | Fresh Frozen Plasma |
405 to 495ml. of blood collected from a donor for transfusion*Blood Bank Section* | UNIT of blood |
The study of blood cell antigens and their antibodies*Blood Bank Section* | Immunohematology |
Protein produced by exposure to antigen*Blood Bank Section* | Antibody |
Classification based on the presence or absence of A or B antigens on the RBCs*Blood Bank Section* | Blood GROUP |
Procedures that matches patient and donor blood before transfusion*Blood Bank Section* | Compatibility |
Blood from which Plasma has been REMOVED*Blood Bank Section* | Packed Cells |
Component of fresh Plasma that contains Clotting factors*Blood Bank Section* | Cryoprecipitate |
The study of Serum*Serology Section* | Serology |
The study of the immune system*Serology Section* | Immunology |
Another name for Antibody*Serology Section* | Immunoglobulins |
Condition in which a person produces antibodies that react with the persons OWN antigen*Serology Section* | Autoimmunity |
One-cell Microorganisms*Microbiology Section* | Bacteria |
Test to id microorganisms and determine antibiotic suseptibility*Microbiology Section* | Culture & Sensitivity |
The study of Fungi*Microbiology Section* | Mycology |
The study of Viruses*Microbiology Section* | Virology |
The study of Bacteria *Microbiology Section* | Bacteriology |
Stain used to classify bacteria*Microbiology Section* | Gram Stain |
One cell organisi such as bacterium or virus*Microbiology Section* | Microorganism |
The study of Parasites*Microbiology Section* | Parasitology |
Glucos in Urine*Urinalysis Section* | Glocosuria |
Blood in urine*Urinalysis Section* | Hematuria |
Ketones in urine*Urinalysis Section* | Ketonuria |
Protein in urine*Urinalysis Section* | Proteinuria |
Physical, chemical,microscopic analysis of Urine*Urinalysis Section* | Urinalysis |
First Voided Urine specimen collected upon rising*Urinalysis Section* | First Morning Specimen |
Chemical impregnated plastic strip used for analysis of urine (dip stick)*Urinalysis Section* | Reagent Strip |
What is proper order of Draw? | Yellow, Lt.
Blue, Red glass, Red Plastic, Red tiger or Gold, Green, Lt.Green, Lavender, Gray |
Yellow top tube | SPS Sodium Poly Sulfonate, used for blood culture in the Microbiology lab |
Lt. Blue top tube | Sodium Citrate, used for Pro-time and APTT, Coagulation Dept. |
Red Top Plain Glass tube | NO Additives, whole blood, used by Chemistry, Serology, and Blood Bank |
Red top Plastic tube | Clot Activator, used by Chemistry and Serology |
Red/Gray Tiger top and Gold Top | With Clot Active SST (serum separator) Chemistry Lab |
Green top tube | Heparin *sodium Heparin, Ammonium Heparin,Lithium Heparin* Used for Stat Lytes by the Chemistry Lab |
Lt.
Green top tube |
Lithium Heparin PST (Plasma Separator tube) used by the Chemistry Lab |
Lavender top tube | EDTA, used for CBC(complete blood count) by Hematology lab |
Gray top tube | Sodium Fluoride(3days) OR Lithium Iodoacetate (24hrs)used for blood sugar by Chemistry Lab |
What are the 4 parts of a needle? | *Beveled point*Shaft*Lumen*Hub |
The amount of blood collected in an evacuated tube? | Ranges from 1.8 to 15 MLand is determined by the size of the tube and amount of vacuum present. |
Using a 23g needle with a large vacutube can produce what? | Hemolysis, because RBCs are damaged when the large amount of vacume causes them to be rapidly pulled through the small needle. |
What color top does a Partial fill tube have?*also called a Short draw or less vacuum tube* | Translucent Color |
What are the three types of blood that can be tested? | Plasma, Serum, Whole blood |
How many times must a tube containing Anticoagulant be mixed? | Must be inverted gently 3 to 8 times |
Why is K2EDTA the anticoagulant of choice | It maintains cellular integrity better, inhibit platelet clumping, and does not interfere with routine staining procedures |
What color tubes contain K2EDTA | Lavender, Royal blue, Pink, Tan |
Royal Blue top tube | EDTA tests for Trace elements |
Tan top tube | EDTA tests for Lead |
When are SST tubes not suitable for use? | In Blood Bank and certain Immunology and Serology tests because the gel MAY interfere with the immunologic reactions. |
Why are Sterile specimens drawn first? | To prevent microbial contamination. |
When is a winged infusion "butterfly" recommended | Short term infusion, venipuncture on small veins,Child or Geriatric Pt. |
How much blood is lost in the tube of a Winged infusion? | Approximately o.5ml |
Expired tubes may cause | *Incompletely filled tube (short draw)*Clotted anti-coagulated specimens*Improperly preserved specimens*Insecure gel barriers |
REQUISITIONS: Provide information needed to.
. |
*Correctly Id Pt.*Organize the necessary equipment*Collect appropriate specimens*Provide legal protection |
NPO | Nothing by Mouth |
DNR | Do Not Resuscitate |
when Identifying the patient by ID band | The ID Band MUST BE ATTACHED TO PT. |
Palpation is used to determine | *Direction of the vein*Size of the vein*Depth of the vein |
Two routine steps that aid in locating a suitable vein are | *Applying a tourniquet*Asking Pt.
to clench their fists |
What solution is used to clean veinipuncture site? | 70% Isopropyl Alchol (Prep pad) |
For maximum Bacteriostatic action to occur how long should alcohol be allowed to dry? | 30 to 60 seconds. Never wipe or blow on it to speed up dry time. This will recontaminate the site. |
Performing venipuncture before alcohol has dried will? | *Cause a stinging sensation to Pt.
*May Hemolyze the specimen |
How should the needle be facing for proper veinipuncture? | Bevel up, at an angle of 15 to 30 degrees, depending on depth of target vein. |
What is the primary cause of a bruise or hematoma after a blood draw | Failure to remove the tourniquet before removing the needle. |
National Phlebotomy Training
National Phlebotomy Training. (2018, Oct 23). Retrieved from https://artscolumbia.org/national-phlebotomy-training-31502-61017/