Study - Ojo ! Flashcards
What is phlebotomy?
It’s the practice of drawing blood . Comes from Greek . Phlebo mrans vein and otomy means to make an incision/cut.
What does OSHA stand for ?
(federal) Occupational Safety and Health Administration
What does CDC stand for ?
Center for Disease Control and Prevent. Also largest lab in Georgia
What does HIPAA stand for ?
Health Insurance and Portability Accountability Act
What does JCAHO stand for ?
(Implement HIPAA) Join Commission on Accreditation of Healthcare Organizations.
What does CLIA 88’ stand for?
(gives permission to practice) Clinical Lab Improvement Act of 1988.
What does NCCLS stand for?
(Gives permission to practice) National Committee for Clinical Lab Standards
What does NAACLS stand for ?
(Gives permission to practice) National Accrediting Agency for Clinical Laboratory Sciences
Who is the highest on the Personnel Structure?
Chief : Pathologist
What should you do if you stuck by a needle?
Immediately wash the area with soap and water. Pinch the area so the first drop of blood comes out. Clean with skin disinfectant & Report to a supervisor.
What does MSDS stand for ?
Material Safety Data Sheet
Where can you find the MSDS?
You can find it in Chemicals or in the back of a prescribed medications. Does not have a exp. date
What is PPE?
Personal Protective Equipment.
- Gloves
- Mask
- Gowns
- Googles
- Shoe Covers
What’s the correct order of the draw?
Yellow Tube Blue Tube Red Tube/SST Tube Green Tube Lavender PInk/Royal Blue/White Gray Dark blue
What are the complications if tourniquet is on for longer than 1 min?
Hemolysis
Petechiae
Hemoconcentration
What is petechiae?
It means when the tourniquet is too tight
What is a hemoconcentration?
When the tourniquet is too tight and left for more than 1 min
What can cause hemolysis?
When you she shake the tube a lot or if the needle is too small
What is sanitization?
Process of clean instruments or materials scrubbing these with brushes and detergents
What is sterilization?
Complete destruction of all microorganism
Ph?
7.35 - 7.45 Alkaline
Tell me about the red tube? Department? Tests? Additives? Inversions?
Immunahemetology dept. tests : Cell-blood typing Serology Blood bank Blood type Cross match Serum blood group Antibody testing
Additives : serum
Inversions : 0
Tell me about the SST tube? Department? Tests? Additives? Inversions?
Also known as the tiger tube, gold or speckled.
Department: Chemistry
Tests: Most Chem. Test
Additives: Clot activators / Gel separator
Inversions: 0
Tell me about the Lavender tube? Department? Tests? Additives? Inversions?
Department: Hematology Tests:Complete Blood Count (CBC) Erythrosedimentation Rate (ESR)(also know as Sed. Rate or Western Test) Retyculocyte Count Osmotic Fragility Sickle Cell Screen HGBA1C Additives: EDTA Inversions: 8-10
Tell me about the blue tube? Department? Tests? Additives? Inversions?
This tube must be filled in completely. Department: Coagulation Tests: aPTT, Fibronogen, PT Additives: Sodium Citrate Inversions: 3-5
Tell me about the green tube? Department? Tests? Additives? Inversions?
Department: Chemistry Tests: Ammonia Chromosome screening Lupus Erythematosus HLA Testing Stat Chem. Tests Additives: Heparin Inversions: 8-10
Tell me about the gray tube? Department? Tests? Additives? Inversions?
There are two gray tubes, you have to make sure you read the label because the other one can be for urine. Department: Chemistry Tests: Glucose tolerance test Alcohol Fasting blood sugar (FBS) Lactic Acid Measurment Additives: Potassium Oxalate/ Sodium Fluoride Inversions: 8-10
What is an infection control?
Infection is an invasion & growth of a microorganism in the human body that causes diseases. These microorganism are called Pathogens.
What is Nosocomial Infection?
Infections contracted by patients during a hospital stay are termed health care associated or nosocomial infection.
What is Chain Of Infection?
It’s a continuous link between the source, the means of transmission & the susceptible host.
How long does a RBC stay for ?
A single RBC remains in circulation 120 days before being removed by the liver, bone marrow or spleen.
Where are leukocytes produced?
They are produced in the one marrow and lymph nodes
Homeostasis?
Stability of the inner body
Hemostasis?
Blood balance, stability of the blood
How many chemical elements does the human body contain?
26 elements
If the Ph is more than 7.45, what is it called ?
Base
If the Ph is less than 7.35, what is it called ?
Acid
Tell me about the dark/royal blue tube? Department? Tests? Additives? Inversions?
Department: chemistry
Tests: trace metal, toxicology, nutritional analysis
Add: Heparin
Inversions: 8-10
Tell me about the yellow tube? Department? Tests? Additives? Inversions?
Department: Microbiology
Tests: Blood Culture , DNA
Additives: SPS (Sodium Polyethanol Sulfonate
Inversions: 0
What does stat mean?
IMMEDIATELY
What happens if the phlebotomist fails a Quality Assurance inspection?
The phlebotomist may have to go to seminars or continuing education programs, has to be changed to another position into the healthcare facility or has to be permanently separated from the position
What is disinfection ?
Removes infectious microorganismos from the skin or object using chemicals such as : isopropyl alcohol at 70%
Sodium hypochlorite (bleach)
Formal
Phenols
What is the complications of the venipuncture?
Nerve damage
What are the skin layers ?
Epidermis (Top layer)
Dermis (Middle layer)
Subcutaneous (Last Layer)
What is PKU?
PKU (Heel Stick) is done for newborn, it tests for any generic diseases
Phlebitis?
Inflammation of a blood vessel and an uncommon complication of venipunture
Thrombus?
A blood clot that can occurs if the phlebotomy technician does not apply sufficient pressure to the venipunture
Syncope?
It means fainting due to decreasing in brain blood flow
Sclerotic Veins?
Hard, inflexible, and narrow. It can be difficult to puncture
Tortuous Veins?
Twisted Veins. They don’t run in a straight line
Fragile Veins?
Usually quite thin and not strong veins
What gauge is the butterfly needle?
23 gauge
Most COMMON complication?
Hematoma
EDTA works by binding which substance ?
Calcium
Hollow tube inside a needles shaft?
Lumen
Phlebotomy skills would not include?
Organizing and direct patient correspondence
Which anticoagulant is used for blood gas?
Heparin
What’s the common needle for the venipunture ?
21 gauge
