Special Collections and POCT

Question 1

ID needs for a Blood Bank Specimen

Answer 1

Pt full name, hospital ID# or SS#, DOB, date & time of collection, and phlebotomist initials

Question 2

Special ID Systems in Blood Bank

Answer 2

ID bracelet w self carbon adhesive label and Blood ID band w linear barcoded Blood Bank ID Band (BBID) #

Question 3

Specimens Required for BB

Answer 3

Lavender or Pink tube top or a non additive Red tube top

Question 4

Tests done at BB

Answer 4

ABO (blood type) & Rh factor screening and Cross-matching

Question 5

Compatibility

Answer 5

suitability to be mixed

Question 6

Agglutination

Answer 6

clumping of RBC in the circulatory system

Question 7

Lysis

Answer 7

rupturing of RBC in the circulatory system

Question 8

Donor Eligibility for BB

Answer 8

-must be between the ages of 17-66
-must weigh at least 110 lbs
- Physical examination and medical history required
-Written permission from donor

Question 9

Lookback

Answer 9

the tracing and testing of blood donors and recipients when a blood product is determined to contain a BBP

Question 10

Autologous Donation

Answer 10

the process where a person donates blood for his or her own use

Question 11

Cell Salvaging

Answer 11

a medical procedure designed to recover blood lost during surgery to infuse back into the body

Question 12

Bacteremia

Answer 12

a blood infection where bacteria is found in the blood

Question 13

Septicemia

Answer 13

a blood infection where microorganisms or their toxins are found in blood

Question 14

Sepsis

Answer 14

an overwhelming, unregulated response by the body to a blood infection that triggers inflammatory responses throughout the body that can lead to organ failure, tissue damage, and death
INDICATIONS: fever, chills, malaise, Low BP, changes in mental status

Question 15

FUO

Answer 15

fever of unknown origin. a persistent fever with no obvious cause, recognized as a indication of sepsis

Question 16

Aerobic

Answer 16

containing O2

Question 17

Anaerobic

Answer 17

lacking O2

Question 18

Purpose of Skin Antisepsis

Answer 18

destroy skin microorganisms and prevent misinterpretation of microorganisms as pathogenic.
EX: chlorhexidine gluconate or tincture of iodine or povidone

Question 19

Direct Inoculation (Blood Cultures)

Answer 19

collect specimen directly blood culture medium and then use butterfly & specially designed holder

Question 20

Syringe Inoculation (Blood Culture)

Answer 20

transfer blood to bottles after draw is completed and then safety transfer device is required

Question 21

Antimicrobial

Answer 21

active against microbes

Question 22

FAN

Answer 22

Fastidious Antimicrobial Neutralization. a blood culture collection bottle that contains activated charcoal which helps to neutralize the antibiotic

Question 23

ARD

Answer 23

Antimicrobial Removal Device. a blood culture collection bottle that contains a resin that removes antimicrobials from blood

Question 24

Two-hour PP Glucose Test

Answer 24

a type of screening that occurs two hours after eating to determine diabetes

Question 25

GTT

Answer 25

Glucose Tolerance Test. to diagnose problems related to carbohydrate metabolism

Question 26

Hyperglycemia

Answer 26

increased blood glucose level

Question 27

Hypoglycemia

Answer 27

decreased blood glucose level

Question 28

GTT Prep

Answer 28

-eat a balanced meal w/ 150 g of carbs for 3 days prior to test
-fast for at least 8 hours but not more than 16 hours before test
- drink water
- avoid excessive exercise for 12 hours before test
- avoid smoking or chewing gum
- receive both verbal and written instructions

Question 29

Lactose Tolerance Test

Answer 29

used to determine if a pt lacks the enzyme lactase which converts lactose into glucose and galactose

Question 30

Molecular Genetic Testing

Answer 30

determines whether an individual has or is at risk for a genetic disease. classifies an individual’s genetic makeup for drug suitability. examines the whole genome

Question 31

Paternity Test

Answer 31

the test that determines if a man is the biological father of a child

Question 32

Therapeutic Drug Monitoring (TDM)

Answer 32

the testing of drug levels in the bloodstream at specific intervals. In order for a drug to remain beneficial it must stay between the peak and trough of the drugs therapeutic range

Question 33

Therapeutic Phlebotomy

Answer 33

the withdrawal of large volume of blood to treat either polycythemia or hemochromatosis

Question 34

Polycythemia

Answer 34

a disease where the body overproduces RBCs

Question 35

Hemochromatosis

Answer 35

the overproduction of iron in the tissues, especially the heart, liver, and pancreas

Question 36

Toxicology

Answer 36

the scientific study of poisons. concerned with the detection of toxins and treatments

Question 37

Forensics

Answer 37

the use of scientific methods in crime investigation.

Question 38

Chain of Custody

Answer 38

the special protocol followed when forensic specimens are collected

Question 39

ETOH

Answer 39

Ethanol Test. a blood alcohol test. do not use alcohol-based disinfectant. use a grey top tube

Question 40

BAC

Answer 40

Blood alcohol concentration test

Question 41

Trace Elements

Answer 41

included aluminum, arsenic, cadmium, chromium, copper, iron, lead, mercury, selenium and zinc. these elements are measured in small amounts and so use caution in order to not cross containment

Question 42

TB Skin Test

Answer 42

Tuberculosis Blood Test is skin testing that requires two visits and measures an individual’s immune response to M tuberculosis

Question 43

POCT

Answer 43

Point-of-Care Testing brings the lab testing to the location of the pt

Question 44

ABG

Answer 44

Arterial Blood Gases evaluate respiratory function. ABGs collected pH, pCO2, pO2, sO2

Question 45

Electrolytes

Answer 45

minerals with an electric charge that are present in the blood and body fluids. Electrolytes measured Na+, K+, Cl-. HCO3- and Ionized Calcium (iCa+2)