Chapter 1 - Healthcare Settings and the Role of the Phlebotomy Technician Flashcards
Define Facility
A place where health care is delivered or administered.
Define Provider
A person or organization that provides health care, including doctors, nurses, clinics, and agencies.
What places could be considered a facility?
Hospital, doctor’s office, clinical laboratory, or treatment center.
What is a payer?
A person or organization paying for healthcare.
Define Diagnose
To make a medical determination of illness.
What is considered inpatient?
Medical care of patients who are staying overnight.
Who would be considered outpatient?
A patient receiving medical care who does not need to stay overnight.
What is the term used when a patient is to be released from a medical facility?
Discharge.
Define Acute
A short-term condition, typically related to an illness requiring immediate care.
What does a long-term care facility do?
Provides skilled care 24hrs a day to live-in patients.
What does it mean to admit a patient?
Check in a patient for inpatient care.
What facility collects and analyzes patient specimens in order to provide diagnostic information for doctors or healthcare professionals?
Clinical Laboratory
What is a specimen?
A portion or sample of something larger that is collected to be studied or analyzed.
What is a reference laboratory?
A facility that analyzes specimens sent-in from external locations.
What does CLIA stand for, and what does it do?
CLIA- Clinical Laboratory Improvement Amendments
Federal regulations that mandate staffing and operations clinical laboratories.
What does it mean to be accredited?
To be officially approved through a specific process.
What independent, non-profit organization evaluates and gives accreditation?
The Joint Commission
Which department in a clinical laboratory is concerned with analyzing specimens for the presence of particular chemicals?
Chemistry
In a clinical laboratory, this department specializes in analyzing blood specimens related to diseases and disorders.
Hematology.
What is coagulation?
The process of blood clotting.
What is the study of microorganisms, including bacteria, viruses, and fungi?
Microbiology
Define Culture
To cause multiplication of microorganisms for medical use.
Which department is concerned with analyzing specimens to study the body’s response to a disease?
Immunology
This protein produced in the body protects it (the body) against foreign substances.
Antibody
Which facility/department collects and prepares blood for transfusions?
Blood bank
Which department focuses on studying both the cause and effects of diseases?
Pathology
Define Cytology
A department that studies the function and structure of cellular specimens.
Define Urinalysis
Testing the visual, chemical, and microscopic properties of urine specimens.
A term used to designate urgency.
Stat
Define Licensure
A legally required process that must be completed to practice a profession.
Define Chain of Command
a structure that outlines how healthcare professionals report to each other and make decisions. It’s used to address patient safety issues, clinical concerns, and administrative issues.
Define Liability
Deals with the issue of damage sustained by patients (and third parties) during medical diagnostic and treatment, or as a consequence of medical advice.
What is the term used to describe the range of tasks a healthcare worker is allowed to perform according to state/federal law and facility policy?
Scope of Practice
What does venipuncture mean?
To puncture a vein with a hollow needle for the purpose of extracting a blood specimen.
What is a vein?
A blood vessel that carries blood towards the heart.
This blood vessel is the smallest. They transport O2 and nutrients throughout the body, as well as help remove CO2 and waste from cells.
Capillary
What is a capillary (dermal) puncture?
The puncturing skin in order to collect a blood specimen from capillaries below.
Define Policy
A course of action taken every time a specific situation occurs.
What is a procedure?
A method or way of doing something
What term is used for the order of a diagnostic test?
Requisition
What is Quality assurance?
Ensuring care that not only meets expectations but complies with a facility’s policies and procedures.
What is the term used when describing practices that seek to improve care in a way that can be measured?
Quality Improvement
What is quality control?
Processes put into place to ensure standards are met.
What is the CLSI?
A non-profit organization that develops standards of practice for laboratories worldwide.
What is the process used in healthcare to ensure skills are mastered for a specific area of expertise?
Certification
Define Clinical Experience
Experience gained by working with patients in a healthcare facility.
In health care, what is considered “Continuing Education” ?
Education that provides health care workers with up-to-date changes in medicine that may impact their job. This can include policies and/or procedures, equipment. Sometimes it is a review of past material.
What does the Sinoatrial Node (SA) do?
Uses electrical signals to help regulate cardiovascular function.
Which heart valve is between the left atrium and left ventricle?
The bicuspid valve.
What does the atrioventricular node do?
Transmits signals to the Bundle of His following an atrial contraction.
ETS stands for
EVACUATED TUBE SYSTEM
Needle Guage for routine venipuncture
21 - 23 Guage. 1-1.5 inches long
Anticoagulant (plasma tubes) are used:
For tests where it is required that the blood does not clot.
Sodium polyanethole suffocate (SPS) is used for
Bacterial studies
Light blue tubes are used for _____ and contain _____
Coagulation tests and contains sodium citrate
Green tubes are used to test chemical levels in the blood and may contain
Sodium, lithium, or ammonia heparin
Purple/lavender tubes are used for whole blood. What acid is used in these?
EDTA - ethylendiamentetraacetic acid
Think Grey for Glucose. What do these tubes contain?
Oxalate/sodium fluoride
Royal blue tubes are used for ______ and contains _____
Trace element testing and uses a clot activator or EDTA
Light yellow tubes are used for _______ and contain _____
Blood bank studies/DNA testing and contain Acid citrate dextrose (ACD)
What tubes are used when blood clotting is required?
Serum tubes
Red, gold, and orange tubes are
Serum tubes
Which serum tubes do not need an activator?
Glass, not plastic.
Which three veins are used for venipuncture?
Cephalic
Median cubical
Basilic - last choice
What are some issues that can affect a venipuncture?
Tattoos, hematoma, mastectomy, edema, scars, sclerosis veins, and IV
When performing an antecubital venipuncture, which position should the bevel be?
Up
What angle should a needle be inserted for a venipuncture?
15-30°
What is the proper angel used for a dorsal hand collection?
10°
What is the lumen?
The middle of the vein
What does it mean to transfix?
Go through a vein and not yield blood.
What method is used when a patient has fragile or easy-to-collapse veins?
Syringe method
List Order of Draw
Blood cultures or light yellow
Light blue
Serum tubes
Rapid Serum tubes (RST)
Green
Lavender/purple
Pink
Gray
Light yellow
Royal/Dark Blue