Chapter 1 - Healthcare Settings and the Role of the Phlebotomy Technician Flashcards

1
Q

Define Facility

A

A place where health care is delivered or administered.

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2
Q

Define Provider

A

A person or organization that provides health care, including doctors, nurses, clinics, and agencies.

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3
Q

What places could be considered a facility?

A

Hospital, doctor’s office, clinical laboratory, or treatment center.

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4
Q

What is a payer?

A

A person or organization paying for healthcare.

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5
Q

Define Diagnose

A

To make a medical determination of illness.

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6
Q

What is considered inpatient?

A

Medical care of patients who are staying overnight.

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7
Q

Who would be considered outpatient?

A

A patient receiving medical care who does not need to stay overnight.

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8
Q

What is the term used when a patient is to be released from a medical facility?

A

Discharge.

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9
Q

Define Acute

A

A short-term condition, typically related to an illness requiring immediate care.

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10
Q

What does a long-term care facility do?

A

Provides skilled care 24hrs a day to live-in patients.

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11
Q

What does it mean to admit a patient?

A

Check in a patient for inpatient care.

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12
Q

What facility collects and analyzes patient specimens in order to provide diagnostic information for doctors or healthcare professionals?

A

Clinical Laboratory

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13
Q

What is a specimen?

A

A portion or sample of something larger that is collected to be studied or analyzed.

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14
Q

What is a reference laboratory?

A

A facility that analyzes specimens sent-in from external locations.

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15
Q

What does CLIA stand for, and what does it do?

A

CLIA- Clinical Laboratory Improvement Amendments
Federal regulations that mandate staffing and operations clinical laboratories.

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16
Q

What does it mean to be accredited?

A

To be officially approved through a specific process.

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17
Q

What independent, non-profit organization evaluates and gives accreditation?

A

The Joint Commission

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18
Q

Which department in a clinical laboratory is concerned with analyzing specimens for the presence of particular chemicals?

A

Chemistry

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19
Q

In a clinical laboratory, this department specializes in analyzing blood specimens related to diseases and disorders.

A

Hematology.

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20
Q

What is coagulation?

A

The process of blood clotting.

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21
Q

What is the study of microorganisms, including bacteria, viruses, and fungi?

A

Microbiology

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22
Q

Define Culture

A

To cause multiplication of microorganisms for medical use.

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23
Q

Which department is concerned with analyzing specimens to study the body’s response to a disease?

A

Immunology

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24
Q

This protein produced in the body protects it (the body) against foreign substances.

A

Antibody

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25
Q

Which facility/department collects and prepares blood for transfusions?

A

Blood bank

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26
Q

Which department focuses on studying both the cause and effects of diseases?

A

Pathology

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27
Q

Define Cytology

A

A department that studies the function and structure of cellular specimens.

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28
Q

Define Urinalysis

A

Testing the visual, chemical, and microscopic properties of urine specimens.

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29
Q

A term used to designate urgency.

30
Q

Define Licensure

A

A legally required process that must be completed to practice a profession.

31
Q

Define Chain of Command

A

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.

32
Q

Define Liability

A

Deals with the issue of damage sustained by patients (and third parties) during medical diagnostic and treatment, or as a consequence of medical advice.

33
Q

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?

A

Scope of Practice

34
Q

What does venipuncture mean?

A

To puncture a vein with a hollow needle for the purpose of extracting a blood specimen.

35
Q

What is a vein?

A

A blood vessel that carries blood towards the heart.

36
Q

This blood vessel is the smallest. They transport O2 and nutrients throughout the body, as well as help remove CO2 and waste from cells.

37
Q

What is a capillary (dermal) puncture?

A

The puncturing skin in order to collect a blood specimen from capillaries below.

38
Q

Define Policy

A

A course of action taken every time a specific situation occurs.

39
Q

What is a procedure?

A

A method or way of doing something

40
Q

What term is used for the order of a diagnostic test?

A

Requisition

41
Q

What is Quality assurance?

A

Ensuring care that not only meets expectations but complies with a facility’s policies and procedures.

42
Q

What is the term used when describing practices that seek to improve care in a way that can be measured?

A

Quality Improvement

43
Q

What is quality control?

A

Processes put into place to ensure standards are met.

44
Q

What is the CLSI?

A

A non-profit organization that develops standards of practice for laboratories worldwide.

45
Q

What is the process used in healthcare to ensure skills are mastered for a specific area of expertise?

A

Certification

46
Q

Define Clinical Experience

A

Experience gained by working with patients in a healthcare facility.

47
Q

In health care, what is considered “Continuing Education” ?

A

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.

48
Q

What does the Sinoatrial Node (SA) do?

A

Uses electrical signals to help regulate cardiovascular function.

49
Q

Which heart valve is between the left atrium and left ventricle?

A

The bicuspid valve.

50
Q

What does the atrioventricular node do?

A

Transmits signals to the Bundle of His following an atrial contraction.

51
Q

ETS stands for

A

EVACUATED TUBE SYSTEM

52
Q

Needle Guage for routine venipuncture

A

21 - 23 Guage. 1-1.5 inches long

53
Q

Anticoagulant (plasma tubes) are used:

A

For tests where it is required that the blood does not clot.

54
Q

Sodium polyanethole suffocate (SPS) is used for

A

Bacterial studies

55
Q

Light blue tubes are used for _____ and contain _____

A

Coagulation tests and contains sodium citrate

56
Q

Green tubes are used to test chemical levels in the blood and may contain

A

Sodium, lithium, or ammonia heparin

57
Q

Purple/lavender tubes are used for whole blood. What acid is used in these?

A

EDTA - ethylendiamentetraacetic acid

58
Q

Think Grey for Glucose. What do these tubes contain?

A

Oxalate/sodium fluoride

59
Q

Royal blue tubes are used for ______ and contains _____

A

Trace element testing and uses a clot activator or EDTA

60
Q

Light yellow tubes are used for _______ and contain _____

A

Blood bank studies/DNA testing and contain Acid citrate dextrose (ACD)

61
Q

What tubes are used when blood clotting is required?

A

Serum tubes

62
Q

Red, gold, and orange tubes are

A

Serum tubes

63
Q

Which serum tubes do not need an activator?

A

Glass, not plastic.

64
Q

Which three veins are used for venipuncture?

A

Cephalic
Median cubical
Basilic - last choice

65
Q

What are some issues that can affect a venipuncture?

A

Tattoos, hematoma, mastectomy, edema, scars, sclerosis veins, and IV

66
Q

When performing an antecubital venipuncture, which position should the bevel be?

67
Q

What angle should a needle be inserted for a venipuncture?

68
Q

What is the proper angel used for a dorsal hand collection?

69
Q

What is the lumen?

A

The middle of the vein

70
Q

What does it mean to transfix?

A

Go through a vein and not yield blood.

71
Q

What method is used when a patient has fragile or easy-to-collapse veins?

A

Syringe method

72
Q

List Order of Draw

A

Blood cultures or light yellow
Light blue
Serum tubes
Rapid Serum tubes (RST)
Green
Lavender/purple
Pink
Gray
Light yellow
Royal/Dark Blue