Phlebotomy Final Flashcards

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1
Q

Define “Quality Control”

A

QC is a system of tasks that are performed to monitor processes in our lab for quality all the time.

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2
Q

Define “Quality Assurance”

A

QA is a process of establishing ongoing policies, protocols and procedures to ensure that samples are collected and handled correctly all the time.

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3
Q

What is the difference between plasma and serum?

A

Plasma is the liquid portion of Whole Blood. Serum is basically just plasma without the clotting
factors.

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4
Q

What is the medical term for a Red Blood Cell?

A

Erythrocyte

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5
Q

What does the acronym CLSI stand for?

A

Clinical Laboratory Standards Institute

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6
Q

Who requires that laboratories have current procedural manuals that are reviewed annually?

A

Joint Commission on Accreditation of Health Care Organizations. JCAHO, Joint Commission.

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7
Q

When a lavender tube is spun, what is the liquid that remains?

A

Plasma

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8
Q

These bottles contain special resins inside that serve to inactivate antibiotic action, allowing the microorganism to grow if present.

A

Antimicrobial Removal Device, ARD

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9
Q

The doctor has ordered a Bilirubin sample, how should the sample be prepared?

A

If the bilirubin sample is exposed to light, the bilirubin level will decrease, so the tubes must be protected from light.

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10
Q

What does the acronym PHI stand for?

A

Private Health Information

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11
Q

Drug levels may be ordered at what point of concentration in the blood?

A

Peak Level

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12
Q

On the National Fire Protection Association (NFPA) warning label, what do the four colors represent?

A

Blue Health Hazard
Red Fire Hazard
Yellow Reactivity Hazard
White Specific Hazard

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13
Q

The doctor orders a CBC. What sample is needed? What tube would be used for the draw?

A

The plasma would be needed from a Lavender tube once it’s been spun.

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14
Q

What are the preferred sites for venipuncture, in order of preference?

A

Median Cubital
Cephalic
Basilic

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15
Q

This blood contains liquid and cell components.

A

Whole Blood

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16
Q

What are the clotting factors?

A

1)Fibrinogen 2)Prothrombin 3)Tissue factor, thromboplastin 4)Calcium 5)Labile factor,; proaccelerin 6)Serum Prothrombin conversion activator, proconvertin 7)Anti hemophilic factor 8)Plasma Thromboplastin component 9) Stewart-Prower Factor 10) Plasma Thrombplastin Antecedent 11)Hageman factor 12)Fibrin Stabilizing Factor. Platelet Factor-Cephalin

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17
Q

This blood sample is cloudy or milky in appearance.

A

A Lipemic sample. High Lipids

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18
Q

What is the medical term for fainting?

A

Syncope.

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19
Q

How do we know that the Microtainer or Micro tubes aren’t vacuum sealed?

A

The top cap is removable.

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20
Q

What is the maximum depth for a heel stick on an

infant?

A

2.0 mm or less.

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21
Q

How is the venipuncture site cleaned?

A

Scrub the site using an alcohol wipe for 20 seconds using an up and down motion

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22
Q

CLIA waived tests = POCT. Where are these tests performed?

A

At the patient’s bedside.

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23
Q

What can affect a Potassium (K+) test?

A

Hemolysis

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24
Q

What is it called when a person threatens to do bodily harm to someone else?

A

Assault

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25
Q

The doctor orders an ammonia test. How should the sample be handled?

A

It needs to be put on ice and immediately delivered to the lab marked “STAT”.

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26
Q

How should a blood spill be cleaned?

A

Using a 90% water to 10% chlorine bleach solution, or a Spill Kit.

27
Q

In what part of the body is blood produced?

A

RBCs are produce in the bone marrow. WBCs are produced in the Yellow bone marrow.

28
Q

What additive is in the Green tube?

A

Heparin

29
Q

What is the new formation of new blood cells called?

A

Hematopoiesis

30
Q

What system is used to prevent the spread of infection?

A

Isolation system.

31
Q

In microsampling, which finger(s) are used in a capillary puncture?

A

The middle and ring fingers would be used. The puncture would be performed on the pinky side of those fingers.

32
Q

Where would a blood draw be performed at the site of an IV?

A

Below the IV or on the other arm.

33
Q

What does the color cap on a tube indicate?

A

The additive in the tube.

34
Q

Once a blood draw has been performed, when are the tube(s) inverted?

A

Immediately.

35
Q

What organization oversees laboratories?

A

JCHAO. The Joint Commission.

36
Q

What is the life span of a red blood cell?

A

120 days.

37
Q

What does the acronym FBS stand for?

A

Fasting Blood Sugar

38
Q

Why is the PKU test performed?

A

To discover if inborn errors of metabolism exist.

39
Q

What does the acronym FUO stand for?

A

Fever of unknown origin.

40
Q

What 5 things are written on tube?

A

1) Name of patient 2)Date of draw 3)Time of draw

4) Pt date of birth 5)CPT1 initials

41
Q

What can cause hemolysis?

A

Trauma, moving the needle, alcohol, a small needle

42
Q

What studies are performed in the Light Blue tube?

A

PT for Coumadin and (A)PTT for Heparin

43
Q

A lipid panel goes to which department in the lab?

A

Chemistry

44
Q

What is the most common occurrence after a blood draw has been performed?

A

Hematoma

45
Q

Which person has the highest level of education in the lab?

A

The Pathologist

46
Q

What is the blood volume of an infant weighing 3.3 kg at birth?

A

240 to 330 ml, ml=cc

47
Q

In a blood draw, why do we avoid the arm on the same side as a mastectomy?

A

Lymph nodes have been removed in the arm on the side of a mastectomy and a blood draw could cause an serious infection.

48
Q

What is the medical term for a fluid build up in the arms or legs?

A

Edema

49
Q

What is the amount of blood drawn for a donation?

A

450 ml or 1 pint

50
Q

Is logging refrigerator and freezer temperatures a Quality Control or Quality Assurance?

A

Quality Control

51
Q

The doctor has ordered a PT or PTT test. What is the question you would ask the patient?

A

When did you last take your medication?

52
Q

What is the reason you would centrifuge an anticoagulant tube?

A

In order to get plasma.

53
Q

What is the angle of draw for an evacuated tube?

A

15 to 30 degrees

54
Q

Name three types of isolation.

A

Airborne
Contact
Droplets

55
Q

How is the N95 mask worn?

A

It should fit tight and securely over the face.

56
Q

Define Septicemia.

A

Poisoning of the blood caused by bacteria or other

toxins.

57
Q

The doctor has ordered 4 blood culture draws. How many tubes will be drawn for the tests?

A

8

58
Q

Which bottle is drawn first in a blood culture study?

A

The aerobic bottle.

59
Q

Which tubes give you whole blood?

A

Red, Gold and Tiger tops.

60
Q

The PKU (Guthrie Card) test dries after what period of time?

A

3 hours.

61
Q

Which tube has trace elements?

A

Royal Blue. 1st in the order of draw. Use a Red “discard” tube after the Royal Blue tube in order to clean the sheathed needle.

62
Q

What is the maximum amount of blood drawn for a donation?

A

450 ml. ml =cc

63
Q

When a whole blood tube is spun, what are the layers?

A

Top layer is the plasma
Middle layer is the Buffy Coat
Bottom layer is Red Blood Cells

64
Q

The #1 way to prevent the spread of infections is?

A

Handwashing.