What is an appropriate introduction to a patient
hello, my name is __ I am a phlebotomy technician and I am here to draw your blood
An example of proper patient identification
compare the wristband to the lab order sheet and ask the patient to spell his last name
Implied consent
when a patient extends arm and looks away when the phlebotomist enters the room
The patient has never had his blood drawn before. Explain the venipuncture procedure
It may hurt, tell me if it does.
What location should you draw blood on a five month old infant
heels
Antiseptic of choice for venipuncture
isopropyl alcohol
1st step in patient care process is
assessment
To inform a patient on preparations for a test in basal state
the test should be performed first thing in the morning
The appropriate angle to hold the slide when preparing a peripheral blood smear
30 to 35
A blood culture is primarily used to check for
bacteria
Which testing of newborns is required in all states of the United States
phenylketonuria pku
An infants capillary blood is done -what must occur
the circles on the filter paper must be totallysaturated
For which condition is therapeutic phlebotomy commonly used
polycythemia vera
A patient can donate blood if he or she
donated blood 9 weeks ago
Term used to describe a blood donation from a patient for later use in a surgical procedure
autologous
A hospitalized patient whose blood may be drawn every day or every few hours what type of anemia is commonly seen
iatrogenic
Blood glucose, pregnancy, and fecal blood testing are examples of which of the following types of test
waived tests
Fecal specimen collection is used to detect which of the following
colorectal cancer
Urine collection is required for culture and sensitivity testing
clean-catch midstream specimen
Which test would a first voided morning urine specimen be collected
pregnancy
Be very careful during sputum samples for tb test for which reason
the container have a poisionous preservative inside them
Tubes needed for culture and sensitivity tests may be kept at toom temp for up to how many hours
72
Sealed or locked speciment transfer bags are used for
chain of custody
Required for all speciments shipped to reference lab
watertight secondary containers
Protective measures that should be taken when working with a chemical will be in
material safety data sheet
Most common occurring lab acquired infection
hepatitis b
A written exposure control plan must be maintained by
employer
Operational standards are established by the _____ agency
CLSI
Under which circumstances should you place a patient into the recovery position
If the patient is breathing and you do not suspect a spinal injury
In order to properly identify a patient a phlebotomy technician must ask the patient
To state his name
Another method for properly identifying a patient is
Checking the patients wristband
Knowing the patient had a stroke and seeing he is an older adult the technician should
Ask the patient if he needs assistance with walking
If a patient is taking aspirin or warfarin
An extra gauze pad should be placed on the venipuncture site
If a patient is taking any drugs that decreases the ability of the blood to clot the patient should
Be advised to return if there is excessive bruising
Standard precautions involve
Treating all body fluids as if they were infected
Povidine-iodine should be used for blood specimen collection
When collecting blood cultures
Handwashing should be done before performing venipuncture
In every situation
It is important to correctly perform the order of draw because
An incorrect order of draw can affect the accuracy of tests
Phlebotomy technicians should not ask about the patients HIV status because
The information isn't needed to perform care or prevent disease transmission
Laboratory results are not used for
Improve quality control
An example of how clinical laboratory results are used is
Monitoring cholesterol levels
All of the following are regulatory agencies that oversee clinical labs
FDA, CMS, OSHA
In the clinical laboratories workflow pathway assessment of the patient's occurs in which phase
Pre-examination phase
Which of the following is a main area of responsibility for every phlebotomist
Pre-analytical process
The CLIA of "waved tests" are laboratory procedures that
Are the lowest risk to the patient
All of the following are examples of things that can have a negative impact on phlebotomy and adversely affect patients
Rude behavior, misidentification of a patient, not washing hands properly, poor venipuncture technique
This statement is appropriate during a phlebotomy procedure
Could you please spell your last name for me?
What is the most error-free method for requesting a laboratory test
Computerized method
What is the legal term for improper or unskillful care of a patient by a member of the healthcare team
Malpractice
The standard care currently used in malpractice legal cases involving healthcare providers is based on the conduct of the average healthcare provider in which area
National community
Which legal concept refers to the voluntary permission by patient to allow touching, examination, and or treatment by healthcare provider
Implied consent
When should incident reports involving accidental HIV exposures be reported
Immediately
In national organization that develops guidelines and sets national standards for laboratory procedures is the
Joint commission
The following is designed to reduce the risk of transmission of organisms from both recognized in unrecognized sources of infection in healthcare facilities
Standard precautions
_____ is an agency of the US Department of labor that requires employers to provide measures that will protect workers exposed to the biological hazards
OSHA
If an accident such as a needlestick occurs the injured healthcare worker should immediately
Cleanse the area with alcohol and apply an adhesive bandage
_____ would require airborne precautions
Tuberculosis
Principles of self protection from radiation exposure are
Shielding, time, distance
_____ is a main objective in treating a shock victim
Improve circulation
A differential count refers to
Specific types of WBCs
Which vein is most commonly used for venipuncture
Median cubital
Hemoglobin content is assessed in the lab by analyzing
Erythrocytes
Another name for leukocytes is
White blood cells
Polycythemia is a condition in which there is a
High red blood cell count
SPS tubes are used in the collection of
Microbiology specimens
Lithium Heparin is a suitable anti-coagulant for which of the following studies
Glucose levels
The yellow tops blood collection tube has which of the following additives
Sodium PolyaneTholesUlfonate
The safety butterfly by collection system is frequently used with a needle gauge size of
21 gauge
For newborns the penetration depth of safety lancets for blood collection must be
2 mm or less
The smallest needle gauge has a diameter of
23 diameter
Is the phlebotomist collects only venipuncture specimens, ______ would not be needed on specimen collection tray
Tenderletts (ITC Corp, Edison NJ)
Blood cell count requires whole blood to be collected in
Lavender top tube
This test usually requires blood to be collected in a tan top tube
Lead
The color coding for needles indicates the
Gauge
Which anticoagulants is found in the green top tube
Sodium heparin
Which blood collection tube is most appropriate for the stair blood collection of trace elements and nutritional study
Royal blue top tube
How many time should the lavender talked blood collection to be inverted after blood collection
8 times
A solid mass derived from blood constituents that occludes a blood vessel is a
Thrombus
If the Turnock it is applied to the arm for longer than two minutes, ______ Will most likely become falsely elevated
Potassium
When blood is to be collected for a glucose tolerance test the patient should fast for
8 to 12 hours
Which laboratory test results is affected most if the patient is not fasting
Triglycerides
What is another term for fainting
Syncope
When the phlebotomist collect blood from the patient ,the patient was in a supine position, meaning the patient was
Lying
Swelling in the area around a venipuncture site leads to
Hematoma formation
________ should stop the healthcare worker from collecting blood from a patient's arm vein
Mastectomy on the same side
When the hemoglobin is released from RBCs and serum becomes tinged as a pink or red this condition is referred to as
Hemolysis
Hemolysis in collected blood can cause a falsely decreased in value for
Hemoglobin
What additive destroys the enzymes in the blood when gray top tube is used to collect blood
Sodium fluoride
If a patient is obese, what special equipment, if any, would be helpful in the specimen collection process
A large blood pressure cuff
When the patient has "difficult veins" what strategies, if any, can be used to improve the likelihood of a successful puncture
Slight rotation of the patient's arm to a different position, palpitating the entire antecubital area to trace vein path, warming the site
If arm veins cannot be used for venipuncture the preferred alternative means light in the
Dorsal side of the hand or wrist
During venipuncture the needle should be inserted at what angle to the skin
30� or less
During the venipuncture procedure what should the phlebotomist do after the needle is inserted in the blood begins to flow
Release the tourniquet
If the patient is frail and has a tendency to faint, what equipment, if any, would be helpful to the specimen collection process
A recliner
One reason for hematoma formation during venipuncture is that the
Needle is partially inserted in the vein
______ is identical for venipuncture in capillary puncture procedures
Greeting, identification, and hand hygiene
Blood smears for elevation of cells must be made carefully. What type of features should be present?
A feathered edge
Generally speaking what should the phlebotomist do with the first drop of blood after the fingerstick is performed
Wipe it off with gauze
What is the best angle for spreading a blood smear by using two glass slides
30�