Final Review Flashcards
Professional qualities
Appropriate attire
effective communication
self-care
Nosocomial infections
healthcare-associated infections
First thing to do in the event of an accidental needlestick?
Remove the needle and report it
What is the purpose of The Joint Commission’s Office of Quality Monitoring?
evaluate and track complaints related to care
What is kinesics?
the study of the way in which certain body movements and gestures serve as a form of nonverbal communication.
National Fire Protection Association’s colors and meanings
blue: health hazard
red: flammability
yellow: reactivity
white: special precautions
Should you rapidly perform venipunctures?
no
Is the promotion of good public relationships a part of a phlebotomist’s role?
yes
Specimen labeling must be exact
yes
Phlebotomy’s derived translation means
vein incision
What is quality assurance?
the total process which guarantees that the final results reported by a laboratory are as accurate as possible.
The Joint Commission’s Sentinel Event QI program policy is designed to
protect the patient, improve systems, and prevent further harm.
What coding system do out patient lab’s use?
CPT
What is a class C fire
involve electrical equipment, such as appliances, wiring, circuit breakers and outlets.
Implied consent
the agreement given by a person’s action (even just a gesture)
Chain of infection
Infectious agent, reservoir, exit pathway, means of transmission, entry pathway, susceptible host
Protective or reverse isolation purpose
to prevent at-risk patients from getting sick
What is HIPAA?
Health Insurance Portability and Accountability Act
protect sensitive patient health information from being disclosed.
What to do in an event of a problem from QA?
Corrective action
What is continuing education?
Accountability to stay up to date on current information to maintain certification and licensure.
Safety data sheets
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.
What is diversity awareness
Understanding differences that make people unique and being conscious of them
What is another name for blood bank?
immunohematology
What can you get charged with if you draw without consent?
assault and battery
How often do lab manuals update?
yearly
what is invasion of privacy
looking into information you do not need to see
What are TJC’s QA goals?
reduce CUTI
Patient identification
improve communication
Puncture of skin?
capillary or fingerstick
Is taking short cuts showing integrity?
no
What is on an incident report form?
What happened, how to prevent it, corrective action
When placing a patient, what organism would cause airborne precautions to be taken?
TB
Define malpractice
improper, illegal, or negligent professional activity or treatment
Is hand sanitizer as efficient as hand washing?
no
How can you be exposed to blood?
body fluids
What area of the lab focuses on blood clotting?
coagulation
Effective communication barriers?
background
language
age
Standard of care is influenced by
The Joint Commission
Do accidental lawsuits happen to phlebotomists?
yes
what is CLIA 88’
allows regulation of all sites performing lab testing in US
Personnel requirements
Mandates all labs use same standards
Clinical Laboratory Improvement Act
Telephone protocols
answer within four rings
speak clearly
identify yourself and your department
be able to put lines on hold and to also transfer calls
Do gloves need to be worn when handling specimens?
yes
Do phlebs do IVs?
No
Radiation exposure
Time, distance, shielding
Where do you find test info?
Procedure catalog
National Fire Protection Association code words?
Pull
Aim
Squeeze
Sweep
Rescue
Alarm
Contain
Extinguish
CLSI
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.
What carries blood to the heart?
veins
Does the reproductive system make hormones?
Yes
Does the pulmonary artery provide oxygen-rich blood to the heart?
no
What gland is called the master gland
the pituitary gland
What two systems is the pancreas a part of?
Digestion as an accessory and endocrine organ
Is the glomerulus a tuft of capillaries that help filter urine?
yes
What makes up the peripheral nervous system
consists of the nerves that branch out from the brain and spinal cord
Can you write .4
no, needs the leading zero
erythrocyte diameter and size
6–8 µm in diameter
Do you write 3 or 3.0
3.0 (more exact)
left ventricle function
brings oxygenated blood to the aorta
what metabolism breaks complex substances down into simpler ones
catabolism
Steady-state
homeostasis
what does lymphatic fluid stem from
excess tissue fluid
what plane is anatomic position facing
frontal
what is the most common type of cell
erythrocyte
what plane divides the body into equal proportions
midsaggital
antecubital veins
cephalic, median cubital, and basilic
muscles under voluntary control
skeletal
what blood vessel is not a part of systemic circulation
pulmonary vein
what is produced from a specimen that needs to clot before centrifugation
serum
proper blood flow direction
arteries, arterioles, capillaries, venules, veins
Pulmonary artery enters
left atrium
artery v veins
veins include one-way valves
distal
away
avascular skin layer
epidermis
urinary system function
electrolyte balance
what tissue covers organs, vessels, and cavities
epithelial
what cell has a 120 day life span
reb blood cells
what layers of skin have blood
dermis and subcutaneous
autologous blood donation
donation of blood to yourself
prefix
before the root
name prefix
Ms.
WBC name
leukocyte
cystitis
bladder inflammation
atrium plural
atria
hepat
liver
lysis
breakdown
hemat
blood
penia
deficiency
leukocytosis
WBC condition
glycolysis
the breakdown of glucose
platelet
thrombocyte
condition of too many blood cells
polycythemia
small cell
microcyte
basophil
granular WBC
elevated glucose
hyperglycemia
cessation of blood
hemostasis
What is the most common needle size
21 gauge
Order of draw
blood culture, light blue, gold or red, green, purple, gray, royal blue
What tube has the most problems with carry over?
EDTA
How do tubes fill in venipuncture
vacuum
What tube do you draw first when using a butterfly?
discard
Can you pour two blue tops together?
No
What factors cause reference ranges to vary?
age
sex
Can you draw above an IV site?
No
What kills bacteria on surfaces?
disinfectant
Where do soiled tourniquets go?
Biohazard or trashcan depending on how gross they are
Purple additive
EDTA
green top additive
heparin
What do glass or silica particles do?
enhance clotting
what do you consider when deciding what needle gauge to use?
Veins, ages, size
What will a clotted specimen give?
serum
CBCs are drawn in?
lavender
What do you use to cleanse before venipuncture?
70% isopropyl alcohol
BMPs can be drawn in
green, gold, or red
What needle should you use on a small vein?
butterfly
antiglycolytic does what
preserves glucose
How do lumen sizes work?
The smaller the number, the bigger the needle
Light blue tops go where
coag
what tube should electrolytes be drawn in
lithium heparin
Coag tube ratio
9:1
gray top additives
NaF
K oxalate
Blood culture additive
SPS
The phase before testing
preanalytical
Reference intervals are
normal values
what to use if the patient has an iodine allergy?
2 alcohol wipes
Panic value
abnormal result
do you stick mastectomys?
no
Do you stick the big fat fleshy part of a baby’s toe?
no
What do you do with the first drop of a capillary stick?
wipe it
What can you not draw via capillary
ESR
blood cultures
coagulation
capillary order of draw
purple, green, gold
blood specimen to protect from light?
bilirubin
Are drug levels collected in gel tubes?
No, the gel can absorb it and give false results
What bottle do you collect first in a blood culture?
aerobic
can semen be collected from a condom?
no, contamination
When do you draw capillaries?
old, bad veins, multiple failed venipunctures
Which fingers are best to draw from?
middle or ring
which test has a special filter paper?
PKU/ newborn screenings
what value is higher in capillary blood than venous?
glucose
where do you stick on a baby?
lateral plantar heel surface
Capillary blood composition?
venus, arterial, and interstitial fluid
lancet size is based on
baby size
results are sent via
middleware/interface
What do you use to clean when drawing blood alcohol?
iodine
Most important part of blood culture collection besides identification
antisepsis
GTT collection times
1 hour, 2 hour
Removing a unit of blood for disease
therapeutic phlebotomy
Chain of custody
the order someone must follow to keep the integrity of evidence. Used in law
when are troughs collected?
Before the drug is administered (30 minute timeframe)
When is therapeutic drug monitoring necessary
narrow window
How are crossmatch collected
Include name of collector
What do trace metals detect
iron, copper, and zinc, as well as toxic heavy metal pollutants like lead, mercury and cadmium.
Fever of unknown origins order what
blood culture
When do blood glucose levels peak?
30-60 minutes
If your glucose is elevated after two hours, you have
diabetes
diabetes therapy long-term test
a1c
Body fluids also require
type and source
UTI type
clean catch
24 hour urine
void first morning
arsenic poisoning can be detected through
hair
DNA noninvasive easy collection
buccal swab
amniotic fluid is to be
on ice
semen
kept warm
needs to be completed in 45 minutes to an hour
