phlebotomy Flashcards

1
Q

informed consent

A

gives voluntary permission after knowing about risks of procedure

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2
Q

expressed consent

A

verbal permission

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3
Q

implied consent

A

patients actions permit the procedure without verbal or written consent (going to ER)

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4
Q

parental consent for minors

A

parent or legal guardian gives permission for underage patient

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5
Q

Biggest mistake phlebotomist can make and how to avoid it

A

misidentifying patient, check the ID band and ask for first, last and DOB

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6
Q

layperson terms

A

easy to understand terms

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7
Q

PPE

A

personal protective equipment

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8
Q

what is person protection equipment

A

mask, goggles, face shield, gloves, respirator (N-95)

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9
Q

what should you not do if working in the lab

A

eat, drink, smoke, handle cell phone, handle contact lenses, apply cosmetics

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10
Q

what is the dilution ratio

A

1:10 household bleach (sodium hypochlorite) to water

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11
Q

is exposed to blood what should you do

A
  1. wash exposed area thoroughly
  2. report exposure to supervisor
  3. refer to MSDS (material safety data sheet)
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12
Q

how many types of OSHA inspections are there

A

4

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13
Q

what are the 4 types of OSHA compliance inspections

A
  1. complaint inspection
  2. fatality/accidents inspection
  3. programmed inspection
  4. imminent danger inspection
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14
Q

what are the 3 main arm veins that are used to for blood draws and where are they

A
  1. cephalic , on the top outside of the arm
  2. median cubital (most common), in the middle crossing over the inner elbow
  3. basilic, lower inner arm
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15
Q

what is the most common vein

A

median cubital

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16
Q

what size needle is usually used for venipuncture in the arm

A

21 gauge needle

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17
Q

how many times do tubes with additives need to be inverted

A

light blue top 3-4x and others 8-10x

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18
Q

why are needles smaller than 23 gauge not recommended for drawing blood

A

they can cause hemolysis (destruction of red blood cells)

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19
Q

what is the degrees for an arm blood draw vs. a hand stick

A

15-30º for median cubital and cephalic and 5º for basilic and hand stick

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20
Q

what is the most common injury that leads to litigation

A

nerve damage

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21
Q

what is ICD10 code

A

diagnosis code

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22
Q

what info should be labeled on the tube

A

patients first and last name, DOB, time, date, phlebotomists initials

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23
Q

2 things to make drawing less difficult

A

pre-warm the area with a warm towel or heal warmer and make sure patient is hydrated 15-20 minutes prior to drawing

24
Q

what vein is used in infants under 2 yrs old

A

median cubital

25
vasovagal syncope
fainting
26
another word for fainting
vasovagal syncope
27
1st thing to do if patient faints
remove tourniquet and needle
28
when would you do a finger stick
if you can't find a vein, patient has burns or scars, patient is severely obese, only a small amount of blood is needed
29
do you wipe away the first drop of blood from a capillary puncture with alcohol
no, it can cause contamination
30
why are heel sticks used
on infants less than 1-2 yrs old and on the lateral and medial portions of the sole of the foot
31
PT/INR
1. prothrombin time test, used to evaluate extrinsic pathway | 2. also monitors anticoagulant therapy
32
INR
international normalized ratio
33
PTT
1. partial thromboplastin time, used to evaluate intrinsic pathway 2. for PT or PTT a light blue tube is filled, has to be filled all the way
34
what is post prandial and what tube is it drawn in
lipid panel should be drawn in an SST tube when patient is fasting
35
trough levels are collected ____ minutes before scheduled pharmeceutical dose
15
36
what specimens are warmed
cold agglutinins cold agglutinins are antibodies produced in response to mycoplasma pneumonia infection collected in red top tubes and warmed to 37º C fro 30 minutes
37
without stasis
without tourniquet
38
specimens that require chilling
ammonia, lactic acid, arterial blood gas (ABG)
39
specimens that need protection from light
bilirubin and vit. B6
40
aseptic technique
blood cultures (BCX) using chlorhexidine gluconate or chloraprep
41
ABG, when should the sample be run
within 15 minutes of collection, its important that nothing else happen between collection and testing
42
what do the tubes with additives yield
plasma
43
what do the tubes without additives yield
serum
44
what is plasma
liquid portion of unclotted blood, still with clotting factors
45
what is serum
liquid portion of blood that has been allowed to clot, clotting factors are no longer present
46
order of draw
1. blood cultures (BCX) 2. light blue top (draw a discard tube prior to remove thromboplastin) 3. red top 4. tiger top 5. mint green 6. dark green 7. lavender 8. pink 9. grey 10. dark blue
47
common blue top tests, additives and yield
1. activated partial thromboplastin time (aPPT) 2. sodium citrate 3. plasma
48
red top common tests, additives and yield
plain vacuum tube (discard tube), none, serum
49
tiger top common tests, additives and yield
complete metabolic panel (CMP), serum pregnancy test, silica and thixotropic gel, yields serum
50
mint green common tests, additives and yield
STAT electrolytes, hCG, (plasma) pregnancy test, lithium heparin and thixotropic gel, plasma
51
dark green common tests, additives and yield
ammonia, sodium heparin, plasma
52
lavender/light or dark purple common tests, additives and yield
erythrocyte sedimentation rate (ESR) and complete blood count (CBC), EDTA, plasma
53
pink common tests, additives and yield
type and screen ratio, must be 2/3 full, potassium EDTA, plasma
54
grey common tests, additives and yield
lactic acid, ethanol levels, sodium fluoride, plasma
55
royal blue common tests, additives and yield
not actual last in order of draw royal blue with red stripe: lead poisoning, no additive, yield serum royal blue with lavender stripe is drawn after lavender tube, has EDTA and will yield plasma