MOD 1 Flashcards

1
Q

Act of drawing or removing blood from the circulatory system through a cut (incision) or puncture in order to obtain a sample for analysis and diagnosis.

A

Phlebotomy

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2
Q

Phlebotomy derivation

A

phlebos “vein”
tome “incision”

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3
Q

also done as part of the patient’s treatment
for certain blood disorders.

A

Phlebotomy

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4
Q

the collection of blood from a vein which is usually done for laboratory testing.

A

Venipuncture

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5
Q

Goals of Phlebotomy

A
  • Obtain blood for diagnostic purposes and monitor treatment
  • Collect blood for transfusion
  • Phlebotomy that is part of treatment (therapeutic phlebotomy) is performed to treat polycythemia vera, a condition that causes an elevated red blood cell volume (hematocrit)
  • Prescribed for patients with disorders that increase the amount of iron in their blood to dangerous levels, such as hemochromatosis, hepatitis B, and hepatitis C
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6
Q

help to distend the veins for
phlebotomy

A

Torniquet

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7
Q

the light yellow fluid when separated
from blood and the largest part of our blood.

A

Plasma

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8
Q

most prominent superficial
vein in the body, can easily be seen in most
people at the inner fold of the elbow, and the
most used vein for phlebotomy due to its
accessibility.

A

Median cubital vein

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9
Q

assists in patient care in the hospital but does not reside there.

A

Extern

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10
Q

smallest blood vessels in your vascular (blood vessel) system

A

Capillaries

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11
Q

fainting or passing out and happens if
you have a sudden drop in blood pressure, a drop
in heart rate, or changes in the amount of blood
in areas of your body.

A

Syncope

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12
Q

inflammation of the vein because
there’s blood clotting inside it or the vein walls
are damaged.

A

Phlebitis

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13
Q

needle used to draw blood from
superficial veins or administer medications or
intravenous (IV) fluids.

A

Butterfly

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14
Q

clear liquid that can be separated from
clotted blood

A

Serum

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15
Q

caused by an injury to the wall of
a blood vessel, prompting blood to seep out of
the blood vessel into the surrounding tissues.

A

Hematoma

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16
Q

along with the cephalic vein, is one of
the primary superficial veins that drain the
upper limb

A

Basilic vein

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17
Q

Usual site for blood collection; folds of arms

A

Antecubital fossa

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18
Q

a person responsible for drawing blood from patients for laboratory tests, transfusions, or donation.

A

Phlebotomist

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19
Q

Types of Phlebotomy

A
  • venipuncture - via veins
    *arterial puncture - via artery
    *capillary puncture - via finger prick
    *heel puncture - infants
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20
Q

Work environment of Phlebotomists

A

Hospitals
Medical offices
Clinics
Diagnostic Laboratories
Blood donation centers

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21
Q

Duties and Responsibilities of a Phlebotomist

A

Prepare patients for collection procedures associated with laboratory samples
✓ Collect routine skin puncture and venous specimens for testing as required
✓ Prepare specimens for transport to ensure stability of sample
✓ Maintain patient confidentiality
✓ Perform quality-control checks while carrying out clerical, clinical, and technical duties
✓ Transport specimens to the laboratory
✓ Comply with all procedures instituted in the procedure manual
✓ Promote good relations with patients and hospital personnel
✓ Assist in collecting and documenting monthly workload and recording data
✓ Maintain safe working conditions
✓ Perform appropriate laboratory computer operations
✓ Participate in continuing education programs
✓ Collect and perform point-of-care testing (POCT)
✓ Perform quality-control checks on POCT instruments
✓ Perform skin tests
✓ Prepare and process specimens
✓ Collect urine drug screen specimens
✓ Perform electrocardiography
✓ Perform front-office duties, current procedural terminology coding, and paperwork

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22
Q

Official Recognition of Phelobotomist

A

Certification
Licensure
Continuing Education (CE)

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23
Q

voluntary process by which an agency grants recognition to an individual who has
met certain prerequisites in a particular technical area.

A

Certification

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24
Q

Certification indicates the completion and attaintment of?

A

defined academic and training requirements
AND
satisfactory score on examination

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25
Certification is confirmed by?
awarding of a title or designation
26
International US agencies that certify phlebotomists
American Medical Technologists (AMT) American Certification Agency (ACA) American Society for Clinical Pathology (ASCP) National Center for Competency Testing (NCCT) National Healthcareer Association (NHA)
27
Certification Agency: Certification Title
American Medical Technologists (Registered Phlebotomy Technician) American Certification Agency (Certified Phlebotomy Technician) American Society for Clinical Pathology (Phlebotomy Technician) National Center for Competency Testing (National Certified Phlebotomy Technician) National Healthcareer Association (Certified Phlebotomy Technician)
28
In the Philippines, phlebotomy trainings are usually provided by certified organizations such as the
Philippine National Red Cross
29
Act of granting license
Licensure
30
official document or permit granted by a state agency that gives legal permission for a person to work in a particular health profession
Licensure
31
The license indicates competency only at the time of
Examination
32
. As a demonstration of continued competency, states normally require periodic license renewal, by either
reexamination or proof of continuing education
33
designed to update the knowledge or skills of participants and is generally geared to a learning activity or course of study for a specific group of health professionals, such as phlebotomists.
Continuing Education
34
Organizations that sponsor workshops, seminars, and self-study programs that award continuing education units (CEUs) to those who participate.
AMT ASCLS ASCP
35
Widely accepted CEU standard is developed by
International Association for Continuing Education and Training (IACET)
36
1 CEU =
10 contact hours
37
Traits Expected of a Phlebotomist as a Professional
Professionalism Confidentiality
38
conduct and qualities that characterize a professional person
Professionalism
39
The public’s perception of the phlebotomy profession is based on the image created by the phlebotomist’s conduct and appearance.
Professionalism
40
Factors that contribute to a professional appearance
Appropriate clothing, proper personal hygiene, and physical well-being
41
Under professionalism, what characteristics are included
Self- confidence Integrity compassion Self- motivation Dependability Ethical Behavior Personal Grooming
42
ability to trust his or her own personal judgment.
Self- confidence
43
factors affect being perceived as self-confident
erect posture, professional appearance, courage, tactfulness in communication.
44
personal feeling of “wholeness” deriving from honesty and consistency of character
Integrity
45
require a person to do what is right regardless of the circumstances and in all situations and interactions
Integrity
46
sensitive to a person’s needs and willing to offer reassurance in a caring and humane way
Compassion
47
finds the workplace stimulating no matter what the tasks may entail.
Self- motivation
48
direct reflection of a person’s attitude toward life.
Self- motivation
49
initiative to follow through on tasks, consistently strives to improve and correct behavior, and takes advantage of every learning opportunity that may come along.
Self- motivation
50
makes every effort to provide excellence in all aspects of patient care in which he or she is involved.
Self- motivation
51
_____ & _____ go hand in hand
Dependability & work ethic
52
takes personal responsibility for his or her actions
Dependability
53
shows constant, reliable effort and perseverance
Dependability
54
making the right personal choices that help to maintain a high level of respect for the phlebotomist.
Ethical behavior
55
system of policies and principles followed by those who work in the healthcare setting
Code of Ethics
56
leads to uniformity and defined expectations for the members of that profession.
Code of Ethics
57
"first do no harm"
Primum non nocere
58
primary objective in any healthcare professional’s code of ethics
safeguard the patient's welfare
59
directly affect the patient’s perception of trust.
personal grooming
60
situational examples of Personal Grooming
*ironed scrubs *tied pull-back hair *nail care- no long nails & polished nails
61
serves to protect both the patient and the practitioner
Patient confidentiality
62
Unauthorized release of information concerning a patient is considered
invasion of privacy
63
Surgical technique used in the process of bloodletting
Venesection
64
Venesection from what Latin words
vena "vein" sectio "cutting"
65
Venesection is cutting into a vein with a sharp instrument and releasing blood in an effort to
rid the body of evil spirits, cleanse the body of impurities, * Hippocrates’ time, bring the body into proper balance.
66
Another word for phlebotomy
Venesection
67
crude tools were used to puncture vessels and allow excess blood to drain out of the body
Stone age
68
Flourished in the Middle Ages
Barber-surgeons
69
What was formed when it was 1210
Guild of Barber–Surgeons
70
Division of Guild of Barber–Surgeons
Surgeons of the Long Robe & Surgeons of the Short Robe
71
What type of surgeons were forbidden by law to do any surgery except
Short Robe bloodletting, wound surgery, shaving, cupping, leeching, tooth extraction, enema administration
72
To distinguish their profession from that of the Long Robe surgeon, barber–surgeons placed a
striped pole
73
Components of the striped pole in the era of Barber-Surgeons
pole - promote bleeding & squeezed by patient white part of pole - Bandages &/or torniquets
74
Doubled as Shaving bowls
Ceramic bleeding bowls
75
Bowls usually had a ________ area cut out on one side to facilitate placement of the bowl under the chin
semicurcular
76
Phlebotomy is considered a major therapeutic process
17- 18 th century
77
a tool used for cutting the vein during venesection,
Lancet
78
The usual amount of blood withdrawn was approximately
10 mL
79
required a great deal of practice to maintain the high degree of dexterity necessary to avoid appearing clumsy and thus frighten the patient away.
Cupping
80
heated section apparatus of cupping
cup
81
Skin draw the blood to the surface
Cupping
82
Cupping is making a series of parallel incision with a ______ or ______
lancet; fleams
83
wide double-edged blade at right angles to the handle
Fleam
84
multiple fleams were attached and folded into a __ for easy carrying
Brass case
85
the blades of fleams were wiped by a
rag
86
Fleams were used for general phlebotomy to open?
artery or vein
87
material for Localized bloodletting
leeches
88
This procedure involved enticing the _________ to the spot needing bloodletting with a drop of _______
Hirudo medicinalis, a European medicinal leech milk or blood on the patient’s skin.
89
How many hours the leeches are allowed to drop off
about 1 hour
90
Leeching was widely practiced in ______ in the year ________
Europe (France) mid-18th century
91
Early leech jars
Glass
92
Now leech jars
ceramic
93
Phlebotomy at present which is performed to
› Obtain blood for diagnostic purposes and to monitor prescribed treatment › Remove blood for transfusions at a donor center › Remove blood for therapeutic purposes, such as treatment for polycythemia, a disorder involving the overproduction of red blood cells
94
Phlebotomy is primarily accomplished by one of two procedures:
* Venipuncture, which involves collecting blood by penetrating a vein with a needle and syringe or other collection apparatus * Capillary puncture, which involves collecting blood after puncturing the skin with a lancet
95
Evolution of Phlebotomy
* Venesection * Stone Age *Barber surgeons * 17 - 18th century *Cupping & Leeching *Fleam *Leeching *Phlebotomy at Present
96
Legal Issues in Phlebotomy
*Informed consent *assault *battery *confidentiality * negligence * Malpractice
97
the patient has the right to an explanation of what medical procedure is being performed and why.
Informed consent
98
defined as making someone fear that you will use force to harm them.
Assault
99
involve in causing someone to fear that bodily harm will come to them
battery
100
intentionally holds a patient down or uses more force than necessary
battery
101
use of a contaminated needle.
assault & battery
102
personal information will not be spread by the medical professionals who are in charge of their care.
Confidential
103
T or F:
A patient has a right to confidentiality regarding any identifying information, including their diagnosis, treatment, and even birthday.
104
this legal issue involves 4 elements:
negligence: duty, breach, cause, harm
105
civil lawsuits that patients generally bring against medical practitioners who have failed to follow the standard of care.
Malpractice
106
a jury may award the injured party a significant financial reward.
Malpractice
107
2 general categories of facilities
Inpatient (non-ambukatory) Outpatient (ambulatory)
108
Usually requires that patients stay overnight or longer
Inpatient
109
Serve secondary care physicians who perform routine surgery, emergency treatments, therapeutic radiology, and so on in same-day service centers
Outpatient
110
Serve primary care physicians who assume ongoing responsibility for maintaining patients’ health
Outpatient
111
Serve tertiary care practitioners
Inpatient
112
offer routine care in physician’s office to specialized care in a freestanding ambulatory setting
Outpatient
113
Offer specialized instrumentation and technology to assist in unusual diagnoses and treatments
Inpatient
114
according to ______, healthcare facilities are hospitals, primary healthcare centers, isolation camps, burn patient units, feeding centers and others.
WHO