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Phlebotomy > Need To Know Information > Flashcards

Need To Know Information Flashcards

1
Q

Battery

A

Unpriveledged touching
Lack of consent

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2
Q

Patients can know what tests are being performed and can decline medical treatment

A
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3
Q

Expressed Consent

A

Permission given by the patient VERBALLY or in writing

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4
Q

Informed Consent

A

Competent person gives voluntary permission for medical procedure after receiving adequate information about the risk of the procedure’s methods and consequences

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5
Q

Implied consent

A

Patients action permit the procedure without verbal or written consent.
Ie patients going into the ER or holding out an arm when told they need blood drawn

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6
Q

Where must the ID band be and can it be in their pocket?

A

Physically on the patient and not in their pocket(VOID)

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7
Q

ID band holds what information

A

Prescription drugs issued, test ordered, and test results given to the patient

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8
Q

How do you identify a patient? By asking what?

A

First and Last name
Spell it
DOB
State issued ID

-allergies
-fasting
-mastectomy

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9
Q

OSHA

A

Works hard to prevent safety issues by investigating hazardous workplaces or on the job injuries

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10
Q

3 main OSHA rules

A

NO eating, drinking, smoking or chewing gum
Always wear a fully buttoned lab coat in the lab
Always wear PPE when working the lab

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11
Q

Contact and transmission
Agents are infectious microorganisms classified into 4 groups

A

Virus
Bacteria
Fungi
Parasite

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12
Q

Most common nosocomial infection

A

Respiratory

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13
Q

OSHA requires hepatitis B vaccines

A

Within 10 days of starting employment or declination statement

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14
Q

Easiest most effective way to break the chain of transmission of bloodborne pathogens

A

Washing you hands

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15
Q

DOFF PPE order

A

Gloves
Goggles
Gown
Mask

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16
Q

Contact Isolation what do you wear and what two modes are there?

A

Gown and Gloves

-Direct: skin to skin and physical xfer of microorganism to a susceptible host from infected person
*gloves first to be removed

-Indirect: contact with contaminated intermediate object in patients environment ie clothing, lice, scabies, rsv, diarrhea, herpes, impetigo

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17
Q

Airborne precaution

A

N95 and special ventilation required
Gown and gloves

Tuberculosis, measles, chickenpox, shingles, norovirus

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18
Q

Droplet precaution

A

Gown, gloves, mask (surgical)

*happens primarily during COUGHING sneezing or talking
strep, rubella, pneumonic plague, mumps, Flu A, pneumonia

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19
Q

Coughing and sneezing etiguette

A

Cough into elbow
Wash and sanitize hands and the bend of your elbow

20
Q

If blood splashes in eyes or mucous membranes how long do you flush with running water

A

15 minutes

21
Q

If exposed to blood via needle stick or any other potentially infectious material?

A

Immediately wash the exposed area

22
Q

Dilution for body fluid spills

A

1:10 (strong) with bleach
Pour over the blood and leave for at least 10 minutes

23
Q

Sharps container use

A

No recapping needles
Containers locked and disposed at 2/3 full

24
Q

What if the sharps container is full when you come on duty?

A

Immediately report it to your supervisor

25
Q

Whole blood consists of

A

55% plasma
45% elements or cells

26
Q

The higher the number gauge of the needle means

A

The smaller the bore
23 is smaller than a 16
No smaller than 23 for blood draw-can cause hemolysis

18 gauge is used for donor units of blood

27
Q

What is the angle of entry in hand vein for butterfly or winged infusion set

A

5 degrees

28
Q

When drawing from the hand, what veins and angle of entry to use?

A

Lower Basillic vein, lower Cephalic vein, lower Dorsal vein

**5 degrees

29
Q

Where to perform venipuncture in forearm or elbow area of patient and angle of entry?

A

Basillic Vein, Cephallic Veineasiest to palpate in obese pts, Median Cubital Veinmost commonly used

*between 15-30 degrees

30
Q

Venipucture where to place the tourniquet

A

3-4 inches above the draw site

31
Q

Venipucture procedure steps

A

Tourniquet
Tube
Pressure with gauze
Safety cap

32
Q

How old does a person need to be to get a capillary puncture? And which finger to use?

A

At least 2 years of age
3 or 4th fingers non dominant hand

33
Q

Capillary puncture order of draw

A

EHAS

EDTA
Heparin
Any other additive
Serum

34
Q

A PKU screening test ordered

A

For infants within first 72 hours

35
Q

Arterial Blood Gas (ABG)

A

Respiratory therapist, nurse or physician also does this test

Sample must be run with 15 minutes of collection
Needle inserted vertically at 90 degrees

36
Q

What tubes are used to collect ABG

A

Heparin tubes

37
Q

Where to draw difficult draws on bariatric

A

Cephalic or hand

38
Q

Where to draw difficult draws on combative, impaired, or psychologically unstable

A

Release tourniquet
Safety needle
Apply pressure
Protect yourself

39
Q

Where to draw difficult draws on pediatric patients

A

Approach, positioning, and equipment
Dry run, no counting down, restrained by people
Heel sticks

If heel stick unsuccessful, MEDIAL CUBITAL Vein

40
Q

IV therapy draws

A

Wait 15 minutes once charge has stopped the IV for the solution to clear the vascularity
Climb down the IV ladder

41
Q

POCT testing

A

Glucose
Cholesterol
Strep
Flu
Pregnancy

42
Q

Stool specimen test is looking for

A

Stool guaiac test
Occult (hidden) blood

43
Q

Patient has diarrhea most likely needs

A

O&P ova and parasite test

44
Q

Capillary puncture when the patient is

A

Over 2 years old
Can’t find a vein
Burns, scars
Small amt of blood
save vein integrity

45
Q

Things that can go wrong with specimen quality

A

QNS quantity not sufficient
Inadequate inversion
Interic (jaundice) high bilirubin
Lipemic-high lipids
Hemolyzed-pink or reddish tint vibration in the tube is felt

46
Q

4 stages of Homostasis

A

Vascular and platelet phase comprised the primary stages of hemostasis

Vascular-injury to blood vessel causes constrict, slowing blow flow
Platelet-injury to endothelial lining causes platelets to adhere
Coagulation-cascade of interactions convert temporary platelet plug to stable fibrin clot
Fibrinolysis-breakdown and removal of the clot

Phlebotomy (2 decks)

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