ETOH Flashcards
1
Q
ETOH
A
Alcohol Test
2
Q
LIS
A
Lap Info System
3
Q
TTCC
A
end of the venipuncture
4
Q
Most common cause for blood culture contamination
A
Not cleaning the site properly
5
Q
CBC
A
never centrifuged
6
Q
MSDS
A
medical safety data sheet
7
Q
5 White blood cells
A
monocytes, lymphocytes, neutrophils, eosinophils, basophils
8
Q
SST
A
Serum seperator tubes
9
Q
Accession #
A
unique tracking number different from each sample
10
Q
Needle Adaptor
A
hub, tube holder
11
Q
ICD10 Code
A
diagnosis code
12
Q
What goes on Requisition
A
PT name/DOB
sex
room #
bed #
date/time
tech performing draw
tests required
special considerations
original test date
diagnosis
ordering physician
13
Q
Hand Washing Technique
A
14
Q
Legal Behavior
A
arise in healthcare it is possible that laws have been violated
- performing duties haphazardly
15
Q
Ethical Behavior
A
ethic branches will not get a fine or jail time from the location jurisdiction. can result in dismissal or revocation of certificate or licensure
16
Q
PPE all of it
A
gloves, gown, mask, googles
17
Q
Collect stool sample
A
wear gloves and wash hands after
18
Q
Process for glucose
A
3 hours= 4 draws
5 hours = 6 draws
19
Q
How to collect/prep blood culture supplies
A
clean w chloraprep
20
Q
Urin test
A
24 hour collection
21
Q
VBG Process
A
set down on ice stat
22
Q
Basal state
A
fasting 8-12 hours
23
Q
OSHA
A
Occupational Safety and health act
for employees
24
Q
Stat Draw
A
Collect blood right now
25
QNS
Quantity Not Sufficient
26
FUO
Fever of Unknown Origin
27
Layperson terms
talking to someone that is outside medical field and explain conditions
28
HIPPA
Health Insurance Portability and Accountability Act
1996
29
POCT
Point of Care Testing
30
LIS
Lab information system
31
PHI
Protected Health Information
32
CDC
Center for disease control
33
CLSI
Clinical and Lab standards institute
overseer of phlebotomy approval
5%unsucessful
34
CLIA
Clinical Laboratory Improvement amendments
35
Hemolysis
cause?
breaking down red blood cell membrane
cause= too little needle prolongs tourniquet
36
Hemostasis
blood vessels repair
37
What goes on ICE
VBG, ABG, Lactic Acid
38
What tube can NOT go in light
bilirubin
39
How to locate different veins
median cubital, cephalic, basilic
common, challenging, least forming
40
Antiseptic
preventing disease spread through decontamination
41
Different forms of communication
Active listening -->Active response
Sent - Received - Processed - Understood
42
Order of draw
Blood culture Bottles
discard tube (clear/red)
Light blue top
Red Top
Gold/tiger/marble top
light green top
dark green top
pink top
lavender top
gray top
dark blue
43
What top does NOT go in the centrifuge
lavender top
44
Failure to invert tubes
inverting too little cause blood too clock
45
Angle of draw Hand and Arm
Hand --> 5% Arm --> 15-30%
46
Protocol on PT fainting
Take out the needle Immediately
47
Contact Procausions
airborne, droplet, standard
48
Venipuncture steps
1. verify requisition
2. proper identification
3. intro yourself to pt
4. wash hands and put gloves
5.DO NOT label tubes before venipuncture
6. gather equ
7. assess appropriate site
8. palpate vein
9. clean w alcohol wipe
10. assemble needle
11. taunt the skin
12. bevel up 15-30 degree angle
13. when needle in vein insert tube
14. tourniquet should never be left on more than 1 min
15. fill tubes according to draw of order
16. remove last collection tube from hub
24 steps total
49
Reasons for POCT and why
to gather results rapidly
50
importance of a waste tube
to allow test to be more accurate
51
Universal precautions
bloodborne pathogen enter system through cuts sores
52
Vibration in needle
bevel placed against the vein wall
53
different biohazards
Bloodborne and HBV
54
reasons for vein collapse
small fragile veins for needle tend to collapse
55
Types of Hazards
Environmental and Bio
56
Environmental Hazards
- Biological
- Sharps
- Chemical
- Electrical
- Physical
- fire/explosive
- Allergic RXN
57
Environmental Hazards
- Biological
- Sharps
- Chemical
- Electrical
- Physical
- fire/exposive
- Allergic RXN
58
TJC
The Joint Commission
- oldest watch dog in healthcare facility oversite
59
types of consent
informed, expressed, implied, hiv testing, parental
60
Informed Consent
A competent person gives voluntary permission
61
Expressed Consent
permission is given by pt verbally or in writing for procedure
62
implied consent
patients' actions permit without verbal or written consent
- sent to the ER
63
HIV Consent
special permission is needed to administer a test that detects HIV
64
parental consent for minors
parents/ guardians for 18 and under
or 18-21
65
types of OSHA inspections
Complaint, Fatality/Accidents, programmed, imminent danger
66
Complaint Inspection
occurs after employee files a formal compliant w OSHA
67
Fatality/Accidents inspection
occurs after OSHA receives notice from employer of workplace fatality/accident resulting in three or more employees hospitalized
68
programmed inspection
conducted on randomly chosen workplaces determined to be engaged in particularly hazardous work types according to their SIC codes
69
SIC
Standard Industry Classifications
70
Imminent danger inspections
Occurs when OSHA receives a report that condition of imminent danger exist at workplace
71
Different types of Transmissions
Direct Contact, Indirect Contact, Droplet, Airborn, Vehicle, Vector-born, Parenteral
72
Direct contact
when a pathogen is transmitted directly from an infected person to another or culture
ex: skin to skin contact w infected person
73
indirect contact
when a fomite servers a temporary reservoir for the infectious agent
ex: contact with a contaminated intermediate object such as clothing
74
Droplet
when the infectious agent is traveling in saliva or mucous as it leaves the reservoir
ex: sneezing , coughing
75
airborn
when the infectious agent is so small that it can suspend in air and travel across vast space
ex: TB, covid
76
vehicle
when the agent is contained in the bodily fluid that the susceptible host contacts
ex: doorknob, faucet, public phone
77
vector-borne
when a pathogen transmits through an invertebrate, such as an insect
ex: Lyme disease, malaria, pen in mouth
78
parenteral
when disease or infection is transmitted to other than by mouth, nose, eyes
79
Asepsis/Aseptic Technique
the destruction of a pathogenic microorganism after leaving the body
environmental hygiene measures --> hand washing, equip cleaning, disinfection procedures
80
Isolation Procedures
keeps PT safe from world around them
used with immune compromised pt and burn pt
81
Different types of precautions
Standard and transmission
82
Standard Precaution
Measures are taken to prevent direct contact w blood, other bodily fluids and tissue using barrier protection
Blood and Non-intact skin
83
Transmission Based Precaution
2nd tier precaution is used when PT is known to be/suspected infected w a contagious disease -->isolation or precaution techniques
Contact, Airborn, Droplet
84
Contact precaution
to reduce risk of transmission of microorganisms by direct/indirect contact
85
Airborn Precaution
reduce risk of airborne transmission of infectious agent
86
Droplet Precaution
sneezing, coughing, talking w someone that is infected
87
Decontamination
pour 10% bleach solution over blood and leave for 10 min
Bleach diluted with water
Lysol or another EPA registered disinfectant can also be used
88
4 stages of hemostasis
1. vascular
2. platelet
3. coagulation
4. fibrinolysis
89
Plasma
liquid fluid portion of the unclotted blood and still contains the clotting factors
90
serum
liquid portion of blood that has been allowed to clot
91
tubes w anticoagulants
lavender
green (light/dark)
pink
royal blue w lavender stripe
light blue
gray
92
Tubes w/out anticoagulant
clear- used as a discard tube
red- glass
red- plastic (will have clot activator)
tiger tube/marble top/Gold top
Royal blue w red stripe
93
Blood Cultures
performed to determine the presence of pathogenic or infectious microorganisms in the bloodstream
The nutrient broth will promote the rapid growth of microorganisms
94
Clear top tube
Discard
95
what to do if PT is experiencing pain, itching, or hurting during draw
remove needle immediately this is caused by aggravation of nerve
96
heel stick
does not exceed 2.0 mm for infants
preemies no more than 0.85mm
97
newborn screening
cystic fibrosis
bilirubin
toxoplasmosis
hiv
sickle cell
galactosemia
hypothyroidism
pku
brotianides deficiency
98
CLSI order of draw
E.H.A.S
EDTA tubes- pink/purple
Heparin- green
Any other additive
Serum - gold/red/marble/tiger
99
Specimens that Required chilling
ammonia
lactic acid
ABG
gastrin
glucagon
parathyroid hormone
partial thromboplastin time
prothrombin time
100
specimens that required warm collection and transportation
cryoglobulin
cryo fibrinogen
cold agglutinin
101
specimens that require protection from light
bilirubin
vitamin B12
urine porphyrins
carotene
red cells
folate serum
folate
vitamin B6
102
specimens drawn wout stasis
lactic acid
103
glucose tolerance test
3 hours = 4 draws
5 hours = 6 draws
104
Types of Tests
Blood pH levels = BPH
Blood Carbon Dioxide levels = CO2
Blood Oxygen Levels = O2
Blood Bicarbonate = Bicarb
105
Raised spots on skin
Allergy
106
Flat spots on skin
articular or petechiae
107
Lab Request Form
PT name and DOB
types of tests ordered and ordering physicians name
ICD-10-CM code used for diagnosis and disease
line where physician may sign after reviewing results
108
Nation Fire Protection Association
red = flammability
yellow = reactivity
blue = health
109
Dealing W fire
R = Rescue
A = Alarm
C = Confine
E = Extinguish
110
Fire Extinguishers
P = Pull the pin
A = Aim at fire
S = Squeeze the trigger
S = Sweeping base of fire
111
Classes of Fire
A = ordinary combustible material
B = flammable liquids
C = Electrical Fires
D = combustible metals
112
What tube contains paservitive and anticouagulent
gray top
113
iso tropic gel
a separator that creates a barrier
114
which vein is commonly used for venipuncture
median cubital
obese pt - cephalic
angered - phacilic
115
another name for BP cuff
sphygmonometer
116
critical error a phlebotomist can make
improper identification of PT
117
PKU
heal stick for baby
118
collect alcohol sample
use chloyroprep
