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Phlebotomy 170 > Final Review > Flashcards

Final Review Flashcards

1
Q

Professional qualities

A

Appropriate attire
effective communication
self-care

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2
Q

Nosocomial infections

A

healthcare-associated infections

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3
Q

First thing to do in the event of an accidental needlestick?

A

Remove the needle and report it

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4
Q

What is the purpose of The Joint Commission’s Office of Quality Monitoring?

A

evaluate and track complaints related to care

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5
Q

What is kinesics?

A

the study of the way in which certain body movements and gestures serve as a form of nonverbal communication.

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6
Q

National Fire Protection Association’s colors and meanings

A

blue: health hazard
red: flammability
yellow: reactivity
white: special precautions

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7
Q

Should you rapidly perform venipunctures?

A

no

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8
Q

Is the promotion of good public relationships a part of a phlebotomist’s role?

A

yes

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9
Q

Specimen labeling must be exact

A

yes

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10
Q

Phlebotomy’s derived translation means

A

vein incision

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11
Q

What is quality assurance?

A

the total process which guarantees that the final results reported by a laboratory are as accurate as possible.

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12
Q

The Joint Commission’s Sentinel Event QI program policy is designed to

A

protect the patient, improve systems, and prevent further harm.

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13
Q

What coding system do out patient lab’s use?

A

CPT

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14
Q

What is a class C fire

A

involve electrical equipment, such as appliances, wiring, circuit breakers and outlets.

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15
Q

Implied consent

A

the agreement given by a person’s action (even just a gesture)

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16
Q

Chain of infection

A

Infectious agent, reservoir, exit pathway, means of transmission, entry pathway, susceptible host

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17
Q

Protective or reverse isolation purpose

A

to prevent at-risk patients from getting sick

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18
Q

What is HIPAA?

A

Health Insurance Portability and Accountability Act
protect sensitive patient health information from being disclosed.

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19
Q

What to do in an event of a problem from QA?

A

Corrective action

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20
Q

What is continuing education?

A

Accountability to stay up to date on current information to maintain certification and licensure.

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21
Q

Safety data sheets

A

The SDS includes information such as the properties of each chemical; the physical, health, and environmental health hazards; protective measures; and safety precautions for handling, storing, and transporting the chemical.

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22
Q

What is diversity awareness

A

Understanding differences that make people unique and being conscious of them

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23
Q

What is another name for blood bank?

A

immunohematology

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24
Q

What can you get charged with if you draw without consent?

A

assault and battery

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25
Q

How often do lab manuals update?

A

yearly

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26
Q

what is invasion of privacy

A

looking into information you do not need to see

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27
Q

What are TJC’s QA goals?

A

reduce CUTI
Patient identification
improve communication

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28
Q

Puncture of skin?

A

capillary or fingerstick

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29
Q

Is taking short cuts showing integrity?

A

no

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30
Q

What is on an incident report form?

A

What happened, how to prevent it, corrective action

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31
Q

When placing a patient, what organism would cause airborne precautions to be taken?

A

TB

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32
Q

Define malpractice

A

improper, illegal, or negligent professional activity or treatment

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33
Q

Is hand sanitizer as efficient as hand washing?

A

no

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34
Q

How can you be exposed to blood?

A

body fluids

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35
Q

What area of the lab focuses on blood clotting?

A

coagulation

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36
Q

Effective communication barriers?

A

background
language
age

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37
Q

Standard of care is influenced by

A

The Joint Commission

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38
Q

Do accidental lawsuits happen to phlebotomists?

A

yes

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39
Q

what is CLIA 88’

A

allows regulation of all sites performing lab testing in US
Personnel requirements
Mandates all labs use same standards
Clinical Laboratory Improvement Act

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40
Q

Telephone protocols

A

answer within four rings
speak clearly
identify yourself and your department
be able to put lines on hold and to also transfer calls

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41
Q

Do gloves need to be worn when handling specimens?

A

yes

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42
Q

Do phlebs do IVs?

A

No

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43
Q

Radiation exposure

A

Time, distance, shielding

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44
Q

Where do you find test info?

A

Procedure catalog

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45
Q

National Fire Protection Association code words?

A

Pull
Aim
Squeeze
Sweep

Rescue
Alarm
Contain
Extinguish

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46
Q

CLSI

A

Clinical and Laboratory Standards Institute
a volunteer-driven, membership-supported, not-for-profit, standards development organization. CLSI promotes the development and use of voluntary laboratory consensus standards and guidelines within the health care community.

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47
Q

What carries blood to the heart?

A

veins

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48
Q

Does the reproductive system make hormones?

A

Yes

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49
Q

Does the pulmonary artery provide oxygen-rich blood to the heart?

A

no

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50
Q

What gland is called the master gland

A

the pituitary gland

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51
Q

What two systems is the pancreas a part of?

A

Digestion as an accessory and endocrine organ

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52
Q

Is the glomerulus a tuft of capillaries that help filter urine?

A

yes

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53
Q

What makes up the peripheral nervous system

A

consists of the nerves that branch out from the brain and spinal cord

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54
Q

Can you write .4

A

no, needs the leading zero

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55
Q

erythrocyte diameter and size

A

6–8 µm in diameter

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56
Q

Do you write 3 or 3.0

A

3.0 (more exact)

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57
Q

left ventricle function

A

brings oxygenated blood to the aorta

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58
Q

what metabolism breaks complex substances down into simpler ones

A

catabolism

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59
Q

Steady-state

A

homeostasis

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60
Q

what does lymphatic fluid stem from

A

excess tissue fluid

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61
Q

what plane is anatomic position facing

A

frontal

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62
Q

what is the most common type of cell

A

erythrocyte

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63
Q

what plane divides the body into equal proportions

A

midsaggital

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64
Q

antecubital veins

A

cephalic, median cubital, and basilic

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65
Q

muscles under voluntary control

A

skeletal

66
Q

what blood vessel is not a part of systemic circulation

A

pulmonary vein

67
Q

what is produced from a specimen that needs to clot before centrifugation

A

serum

68
Q

proper blood flow direction

A

arteries, arterioles, capillaries, venules, veins

69
Q

Pulmonary artery enters

A

left atrium

70
Q

artery v veins

A

veins include one-way valves

71
Q

distal

A

away

72
Q

avascular skin layer

A

epidermis

73
Q

urinary system function

A

electrolyte balance

74
Q

what tissue covers organs, vessels, and cavities

A

epithelial

75
Q

what cell has a 120 day life span

A

reb blood cells

76
Q

what layers of skin have blood

A

dermis and subcutaneous

77
Q

autologous blood donation

A

donation of blood to yourself

78
Q

prefix

A

before the root

79
Q

name prefix

A

Ms.

80
Q

WBC name

A

leukocyte

81
Q

cystitis

A

bladder inflammation

82
Q

atrium plural

A

atria

83
Q

hepat

A

liver

84
Q

lysis

A

breakdown

85
Q

hemat

A

blood

86
Q

penia

A

deficiency

87
Q

leukocytosis

A

WBC condition

88
Q

glycolysis

A

the breakdown of glucose

89
Q

platelet

A

thrombocyte

90
Q

condition of too many blood cells

A

polycythemia

91
Q

small cell

A

microcyte

92
Q

basophil

A

granular WBC

93
Q

elevated glucose

A

hyperglycemia

94
Q

cessation of blood

A

hemostasis

95
Q

What is the most common needle size

A

21 gauge

96
Q

Order of draw

A

blood culture, light blue, gold or red, green, purple, gray, royal blue

97
Q

What tube has the most problems with carry over?

A

EDTA

98
Q

How do tubes fill in venipuncture

A

vacuum

99
Q

What tube do you draw first when using a butterfly?

A

discard

100
Q

Can you pour two blue tops together?

A

No

101
Q

What factors cause reference ranges to vary?

A

age
sex

102
Q

Can you draw above an IV site?

A

No

103
Q

What kills bacteria on surfaces?

A

disinfectant

104
Q

Where do soiled tourniquets go?

A

Biohazard or trashcan depending on how gross they are

105
Q

Purple additive

A

EDTA

106
Q

green top additive

A

heparin

107
Q

What do glass or silica particles do?

A

enhance clotting

108
Q

what do you consider when deciding what needle gauge to use?

A

Veins, ages, size

109
Q

What will a clotted specimen give?

A

serum

110
Q

CBCs are drawn in?

A

lavender

111
Q

What do you use to cleanse before venipuncture?

A

70% isopropyl alcohol

112
Q

BMPs can be drawn in

A

green, gold, or red

113
Q

What needle should you use on a small vein?

A

butterfly

114
Q

antiglycolytic does what

A

preserves glucose

115
Q

How do lumen sizes work?

A

The smaller the number, the bigger the needle

116
Q

Light blue tops go where

A

coag

117
Q

what tube should electrolytes be drawn in

A

lithium heparin

118
Q

Coag tube ratio

A

9:1

119
Q

gray top additives

A

NaF
K oxalate

120
Q

Blood culture additive

A

SPS

121
Q

The phase before testing

A

preanalytical

122
Q

Reference intervals are

A

normal values

123
Q

what to use if the patient has an iodine allergy?

A

2 alcohol wipes

124
Q

Panic value

A

abnormal result

125
Q

do you stick mastectomys?

A

no

126
Q

Do you stick the big fat fleshy part of a baby’s toe?

A

no

127
Q

What do you do with the first drop of a capillary stick?

A

wipe it

128
Q

What can you not draw via capillary

A

ESR
blood cultures
coagulation

129
Q

capillary order of draw

A

purple, green, gold

130
Q

blood specimen to protect from light?

A

bilirubin

131
Q

Are drug levels collected in gel tubes?

A

No, the gel can absorb it and give false results

132
Q

What bottle do you collect first in a blood culture?

A

aerobic

133
Q

can semen be collected from a condom?

A

no, contamination

134
Q

When do you draw capillaries?

A

old, bad veins, multiple failed venipunctures

135
Q

Which fingers are best to draw from?

A

middle or ring

136
Q

which test has a special filter paper?

A

PKU/ newborn screenings

137
Q

what value is higher in capillary blood than venous?

A

glucose

138
Q

where do you stick on a baby?

A

lateral plantar heel surface

139
Q

Capillary blood composition?

A

venus, arterial, and interstitial fluid

140
Q

lancet size is based on

A

baby size

141
Q

results are sent via

A

middleware/interface

142
Q

What do you use to clean when drawing blood alcohol?

A

iodine

143
Q

Most important part of blood culture collection besides identification

A

antisepsis

144
Q

GTT collection times

A

1 hour, 2 hour

145
Q

Removing a unit of blood for disease

A

therapeutic phlebotomy

146
Q

Chain of custody

A

the order someone must follow to keep the integrity of evidence. Used in law

147
Q

when are troughs collected?

A

Before the drug is administered (30 minute timeframe)

148
Q

When is therapeutic drug monitoring necessary

A

narrow window

149
Q

How are crossmatch collected

A

Include name of collector

150
Q

What do trace metals detect

A

iron, copper, and zinc, as well as toxic heavy metal pollutants like lead, mercury and cadmium.

151
Q

Fever of unknown origins order what

A

blood culture

152
Q

When do blood glucose levels peak?

A

30-60 minutes

153
Q

If your glucose is elevated after two hours, you have

A

diabetes

154
Q

diabetes therapy long-term test

A

a1c

155
Q

Body fluids also require

A

type and source

156
Q

UTI type

A

clean catch

157
Q

24 hour urine

A

void first morning

158
Q

arsenic poisoning can be detected through

A

hair

159
Q

DNA noninvasive easy collection

A

buccal swab

160
Q

amniotic fluid is to be

A

on ice

161
Q

semen

A

kept warm
needs to be completed in 45 minutes to an hour

Phlebotomy 170 (15 decks)

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