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Phlebotomy > Chapter 3 > Flashcards

Chapter 3 Flashcards

1
Q

define syncope

A

the medical term for fainting

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2
Q

what is the medical term for fainting?

A

syncope

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3
Q

define cyanotic

A

skin that is blue or grey

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4
Q

define phlebitis

A

inflammation of a vein

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5
Q

what does the prefix “phleb” mean?

A

vein

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6
Q

define anticoagulant

A

a substance that stops blood from clotting

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7
Q

define hemostasis

A

the stopping of a flow of blood

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8
Q

when speaking with patients, do we use medical terms?

A

No, we should not use medical terms when speaking with patients. We only do so with the care team and use abbreviations with the care team.

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9
Q

define CBC

A

complete blood count, which is a common blood test

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10
Q

define Hgb

A

Hemoglobin, an oxygen-carrying protein in red blood cells

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11
Q

what does the term ‘stat’ mean?

A

immediately or urgently

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12
Q

define NBO

A

nil per os, AKA nothing by mouth. This is used when patients are ordered to not consume any food or liquids

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13
Q

define documentation

A

The creation of a record of care given to a patient

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14
Q

what is an incident report?

A

It is a report that documents the incident and the response to it. The report is a factual and objective account of what happened.

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15
Q

incident reports contain objective accounts of what happened. what does this mean?

A

Objective info is based on what a person sees, hears, touches, or smells. It doesn’t include opinions or assumptions about causes. Do NOT place blame on an incident report. Do NOT write anything from the incident on the patient’s medical record.

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16
Q

what are other names for incident reports?

A

AKA occurrence, accident/incident, or even report

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17
Q

should you include whose fault the incident is on an incident report?

A

NO

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18
Q

define pediatrics

A

the branch of medicine dealing with patients under the age of 18

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19
Q

define geriatrics

A

the branch of medicine dealing with elderly patients

20
Q

combative patients are…

A

angry and hostile

21
Q

what is a developmental disability?

A

refers to disabilities that are present at birth or emerge during childhood, up to age 22. Intellectual disability is the most common developmental disability.

22
Q

define impairment

A

a loss of function or ability; it can be a partial or complete loss

23
Q

what are patient populations?

A

particular groups of patients that may require special attention.

24
Q

define hemoglobin

A

an oxygen-carrying protein in red blood cells (Hgb_

25
Q

what does the prefix “phleb” mean and the suffic “otomy” mean?

A

phleb = vein
otomy = to cut
phlebotomy = to cut a vein

26
Q

what is 2:00 PM in military time?

A

1400
(+12)

27
Q

what is 5:10 AM in military time?

A

0510
(same thing as regular time just make it this format)

28
Q

what is 1700 in regular time?

A

5:00 PM
(-12)

29
Q

what is 2330 in regular time?

A

11:30 PM
(-12)

30
Q

what is midnight in military time?

A

either 2400 or 0000

31
Q

what is 12 PM noon in military time?

A

1200

32
Q

what is 7 PM in military time?

A

1900
(+12)

33
Q

which of these describes the correct order of the 3-step form of communication?
a. Sender sends a message, the receiver receives a message, receiver responds
b. sender sends a message, receiver sends a message, sender responds
c. sender receives a message, sender responds, receiver responds

A

a. Sender sends a message, the receiver receives a message, receiver responds

34
Q

What is an example of nonverbal communication?
a. A doctor writes an order for a blood test on a piece of paper.
b. A pt paces back and forth and does not sit down at the drawing station.
c. A pt speaks to the PBT through the hospital’s translation program on the tablet
d. a pt gives one-word answers

A

b. A pt paces back and forth and does not sit down at the drawing station.

35
Q

“The doctor ordered a CBC, stat”. This sentence would be most appropriate when spoken by the…
a. Clinic coordinator to a phlebotomist
b. PBT to a minor pt’s parent
c. PBT to an adult pt
d. Clinic coordinator to an adult pt

A

a. Clinic coordinator to a phlebotomist

36
Q

the military time notation 2135 can also be expressed as…

A

9:35 PM

37
Q

What must happen after a doctor orders a blood test orally in an emergency situation?
a. The PBT must wait until the order is placed electronically or in writing before performing the blood draw.
b. A nurse of other licensed medical professional must confirm the order before the PBT draws blood.
c. The PBT draws the blood right away, but a written or electronic order must be created at some point.
d. The PBT draws blood right away; doctors’ orders do not need to be documented in emergency situations.

A

c. The PBT draws the blood right away, but a written or electronic order must be created at some point.

38
Q

Which of the following is the most appropriate statement to put in an incident report?
a. “Mrs. Johnson is scared of needles and the sight of the needle made her pass out and bump her head”
b. “Mrs. Johnson lost consciousness as the PBT was preparing the needle to perform a blood draw. Her head struck the supply cart. She did not bleed and there was no bruising”
c. “Mrs. Johnson passed out and knocked her head. It
is my fault because she told me she was scared of needles and I didn’t really listen”
d. “Mrs. Johnson passed out when she saw the needle before a blood draw. Her head struck the supply care but I don’t think she has a concussion. No blood or bruising”

A

b. “Mrs. Johnson lost consciousness as the PBT was preparing the needle to perform a blood draw. Her head struck the supply cart. She did not bleed and there was no bruising”

39
Q

How should a PBT approach a pt known to have a hearing impairment?

A

From the front, making sure the pt sees her.

40
Q

Which of the following is true of pts with cognitive impairment?
a. They will always have a legal representative accompanying them.
b. Because they cannot understand the procedure, there is no need to explain or seek consent.
c. Limiting smiling and nonverbal communication will reduce misunderstandings.
d. Nonverbal cues from patients with cognitive impairment can be especially important.

A

d. Nonverbal cues from patients with cognitive impairment can be especially important.

41
Q

Written words are considered _____ communication?

A

A form of verbal communication

42
Q

A pt who is pressing her lips together and not making eye contact is communicating by means of…

A

Body language

43
Q

Just before a PBT begins a blood draw, the pt says “Wait! I don’t want to do this!”. Which of the following responses is most likely to make the pt feel defensive?
a. “Why not?”
b. “Can I answer any questions for you”?
c. “Do you need a little bit more time?”
d. “I won’t do this until you are ready, but it will be over quickly once we start”.

A

a. “Why not?”

44
Q

Which of these would be considered an incident and require the completion of an incident report?
a. A blood draw is performed 10 minutes later than the time on the requisition.
b. A patient taking anticoagulants continues to bleed lightly for five minutes after a blood draw.
c. A set of specimens is labeled with the wrong patient’s identifying information.
d. A pt accidentally drops a valuable piece of jewelry at a drawing station and has to be called back to retrieve it.

A

c. A set of specimens is labeled with the wrong patient’s identifying information.

45
Q

A pt having surgery receives the incorrect type of blood due to an identification error. The official term for this type of event is:
a. Sentinel event
b. Fireable offense
c. Warning event
d. Reportable occurrence

A

a. Sentinel event

46
Q

A blood culture is ordered for a hospital pt who does not speak English. When the PBT gets to the pt’s room, she finds that the pt’s 18-year-old grandson, who speaks fluent English, is visiting. Which of the following best describes how the PBT should ensure that the pt understands and consents to the procedure?
a. The PBT should ask the grandson to translate.
b. The PBT should ask the grandson to get permission from the patient for the grandson to translate.
c. The PBT should tell the patient, through his grandson, that she will return soon with an interpreter.
d. The PBT should ask the grandson to translate, but watch closely to make sure nobody seems confused by the medical terminology.

A

c. The PBT should tell the patient, through his grandson, that she will return soon with an interpreter.

Phlebotomy (12 decks)

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