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Terms Definitions
Na SODIUM
Chloride
(electrolites)
Green
Chemistry
T Triiodothyronine
OT/O EAR
OR OPERATING ROOM
Various Enzymes Green
Chemistry
GI Gastrointestinal Tract
TV Total Volume
UA, ua urinalysis
plain tube (dept.) chemistry
Hypoglycemia Low blood glucose
medial toward the middle
Hematopoiesis Blood cell formation.
SST Serum Separator Tube
CBC COMPLETE BLOOD COUNT
Light Blue (additive) Na Citrate
Capillary a microscopic blood vessel.
Lumen Internal space of needle
integrated organ systems functioning body
Larynx Voice box (vocal cords)
-OSTOMY TO FURNISH WITH MOUTH
Sodium fluoride, Potasium Oxalate (order of draw) #8
Artery in the arm radial artery
Maintenance and retention of circulating blood in the vascular system: hemostasis
Veins that are hardened are: sclerosed
Antiseptics. Inhibit the growth of bacteria.
Id Card. Clinic-or other healthcare organization-issued identification cards that contain a patient's name and other information identifying them as that organization's patient.
FMC stands for Focused Managed Care
statutory law created by legislative body
Asthma Causes the bronchioles to constrict.
Vital Accessory Organs Salivary Glands
Pancreas
Liver
Gall bladder
Appendix
Yellow tube sterile procedure
for blood cultures
Tort. A civil wrong without just cause.
What dieases involve a bloodborne pathogen? Malaria.
What laboratory profession has the greatest public relations responsibility for the laboratory? phlebotomist
What is Joint Commission Accreditation of Healthcare Organizations? JCAHO
Disposable narrow-bore pipettes used for pediatric blood collections and/or micro hemacrit measures: capillary tubes
Blood cells are produced by: bone marrow
Flash Relative to venipunture , the appearance of a small amount of blood in the neck of a syringe or the tubing of a butterfly. This is a sign that the vein has been properly accessed.
What department would most likely perform the test on a specimen collected in a sodium polyanethol sulfonate (SPS) tube? Microbiology.
GTT Glucose tolerance test- Used to diagnose carbohydrate metabolic problems
Electrolytes Tests use what additive Na Heparin
Extracellular Fluid Interstitial fluid outside or surrounding the cells
what are tissues? cells of similar types
Alveoli Thin-walled air sacs in the lungs.
Defendant. Person against whom a lawsuit is filed.
Doing something that a reasonable and prudent person would not do, or failing to do something that a reasonable person would do is: Negligence.
The mode of transmission that involves contaminated food, water, drugs, or a blood transfusion is: Vehicle.
What evacuated tube additive preserves labile coagulation factors? sodium citrate
What elevates a infants pain during venipuncture? sucrose
Figure 2 is an instrument for: hematology testing.
The presence of bacteria and their toxins in the bloodstream is called: septicemia
The condition where a healthy body through constant changes and functioning remains the same: homeostasis
The zone of comfort refers to: personal space
The zone of comfort refers to: personal space, angle of the bed, cultural sensitivity, language barrier
Which vessels carry blood that is lowest in oxygen? veins
Royal Blue Sodium heparin- for trace element (lead) and toxicology determinations
Hemoconcentration The increase in portion of formed elements to plasma caused by the tourniquet being left on too long. (More than (2) minutes).
Thrombophlebitis Inflammation fo a vein with formation of a clot.
Evacuated tube. Blood collection tube with a premeasured vaccuum.
Rubber sleeve Sleeve that covers smaller needle inside the tube holder
thrombosed denotes a vessel that contains a thrombus or clot
Fasting. Going without food or drink, except water, for 8-12 hours before specimen collection.
Osteomyelitis inflammation of bone and marrow caused by pathogenic organisms most often introduced through injury
cytoplasm refers to all cellular material except the plasma membrane and the nucleus
pelvic cavity consists of? bladder, rectum, ovaries,and testies
Cholinesterase Chemical body makes to counteract the excess build up of Acetylcholine.
differentials
or
diff
test to approximate percentage of white blood cells and determine their morpholog.
stress increase in WBC's, decrease in serum iron
plain ( order of draw) #2 (after micro draws)
This organization's reguations supersede those of all other organiztions. Occupational Safety and Health Administration. (OSHA)
The process by which the body stops the leakage of blood from the vascular system is called: hemostasis
How many lobes do normal human lungs have? 5
How many lobes do normal human lungs have? 2,3,4,5,6
What body cavity are located in the front of the body? abdominal
What blood culture specimen collection containers incorporates aerobic bottle and an anaerobic bottle? Bactec TM system
What should phlebotomists do to prevent dermatitis due to frequent hand decontamination? use hand lotion
Who originated the Right to Know law? OSHA
Who originated the Right to Know law? OSHA.,HIPPA, JCAHO,CLIA
Blood exits the heart from the left ventricle through what valve? aortic
Hemolyze The breaking of the red blood cells membrane releasing free hemoglobin into the circulating blood. In phlebotomy, this is usually the result of mechanical damage due to poor technique.
What stopper colors designates a tube used for coagulation testing? Light Blue.
Tourniquet Device applied to a limb prior to venipuncture to restrict venous flow
newborn screening test performed on neonates to check for presences of genetic or inherited diseases ie... PKU, hypothyrodism, sickle cell.
Concentric Circle. Beginning in the center and moving outward in ever-widening circles.
Sympathetic Blood Flow suppression of blood flow controlled by the brain due to stress
what are the latex reactions irritant contact dermatitis
allergic contact dermatitis
anaphylasis
Sympathetic Nervous System Responsible for the "fight or flight" response.
Light blue tube can be used for ESR? NO
what is primary function of thrombocytes/platelets stop bleeding, clots
The period within which an injured party may file a lawsuit is known as: Statue of Limitation.
What regulations requires the availabilty of personal protective equipment (PPE) in the medical laboratory? Occupational Safety and Health Administration. (OSHA)
Which of the following urine specimen collections is frequently used to test for hormones? 24-hour urine specimen
What federal agency is responsible for monitoring morbidity and mortality through out the country? Center for Disease Control and Prevention
What federal agency is responsible for monitoring morbidity and mortality through out the country? CDC or OSHA
What infection control equipment should the phlebotomist use when performing a skin puncture procedure? sharps, biohazard bag, gown, gloves
What infection control equipment should the phlebotomist use when performing a skin puncture procedure? alcohol, sterile gauze, biohazard bag, heel warmer, Unopette TM, Simplate TM, lancet, gown, gloves, capillary tubes, alcohol pad, sharps
Point of Care Testing often uses what type of samples? Capillary samples
Tubes with anticoagulants Red, Tiger Top aka Red/Gray will produce serum when seperated in a centrifuge
Hub. End of a needle that attaches to a blood collection devise.
Waht does a sclerosed vein feel like? Hard and cord-like.
Peak Value highest concentration of an drug in a patients system
tunica intima inner layer composed of a single layer of endotheial cells
Creatinine Clearance Test Checks the kidney's ability to excrete creatinine.
the fluid portion of blood is called.... and the cellular portion is referred to as the...... plasma, formed elements
The following principles make up total quality management: Constant improvement, customer satisfaction, and employeee participation.
This organization requires healthcare facilites to have an infection control program. Joint Commission on Accreditation of Healthcare Organizationn. (JCAHO)
What information should not be provided to the patient by the phlebotomist? what the test is for
What means sterile, free from all living microorganisms? Aseptic
What means sterile, free from all living microorganisms? Aseptic or Reverse Isolation
Quality control records for reagents and supplies include information about: expiration dates and stability information
Quality control records for reagents and supplies include information about: patient results, ethical handling, confidential data, expiration dates and stability information
How much can blood flow to a skin puncture site be increased if a warmer is applied prior to skin puncture? 7 times
How much can blood flow to a skin puncture site be increased if a warmer is applied prior to skin puncture? 4,5,6,7 times
What is the additive for the Royal Blue top tube? Sodium Heparin
Na2 EDTA
CVC-
Central venous catheter
central venous line a line inserted into a large vein such as the subclavian advanced to superior vena cava, proximal to the right atrium
adrenal gland plays a crucial role in your flight or flight response
What is the most common vein used for venipuncture? Median cubital
A nosocomial infection is: Acquired by a patient while in the hospital.
What is the correct order for removing protective clothing? Gloves, mask, and gown.
What requires plasma to be collected in a purple-topped vacuum tube and transported in an ice-water slurry? renin activity
What requires plasma to be collected in a purple-topped vacuum tube and transported in an ice-water slurry? Renin Activity or Bleeding time
What should NEVER be the same on any two patients? medical record number
What is the order of the draw? First-blood culture tubes vials; Second- sodium citrate tubes (e.g.blue tops); Third- serum tubes with or without clost activator or gel; (e.g., red tops); Fourth- heparin tubes (e.g. lavender tops); Fifth-EDTA tubes (e.g., lavendar tops); Sixth-potassium oxalate/sodium fluoride tupes (e.g., gray tops).
The patient's nurse or a relative may be needed to confirm the identity of this type of patient. Child, mentally incompetent,and non-English-speaking.
RBC's function invasculary and WBC's function extravasculary. explain what this means in veins vs. out of veins
What things can be transmitted through blood transfusions? Hepatitis B Virus (HBV), Human Immunodeficiency Virus (HIV), and Syphilis.
How should serum or plasma be frozen? at or below 20 degrees C
A ___gauge is a large bore and __gauge is a small bore. 16 large. 23 small.
Appropriate step after two medical assistants are unsuccessful with venipuncture? Have another person attempt to draw, if two medical assistants have been unsuccessful contact provider.
What are some examples that represent a quality assurance (QA)procedure: Checking needles for blunt tips and barbs, following strict speciment labeling requirements, and recording results of refrigerator temperature checks.
What test would be most affected by lack of proper patient preparation? type and crossmatch
What test would be most affected by lack of proper patient preparation? type and crossmatch, blood cultures, fibrin degradation products, glucose tolerance testing
What is blood made up of? 55% Plasma, a clear pale yellow fluid, which carries nutrients, lipids, glucose, sodium, magnesium, calcium, potassium, oxygen, carbon dioxide, nitrogen, antibodies, as well as vitamins and hormones etc. The other 45 % is RBC's, WBC's and Platelets which are known as the formed cellular elements.
The laboratory receptionist finishes checking in a patient and hands you the test request. The request is for a pateint named Mary Smith. You call the name, and the woman who was just checked in responds. She is also the only patient in the waiting room. Ask the woman to state her name and date of birth to confirm her identity.
The definition of a minor is anyone: Who has not reached the age of majority.
Bleeding time procedures are usually ordered: presurgically
Bleeding time procedures are usually ordered: as timed tests, in a series, not stat, presurgically
An unconscious patient does not have an ID band. The name on the door agrees with the requistion. What should you do? Do not draw the patient until the nurse has applied an ID bracelet.
Which way is preferable for a finger puncture/cut to be done on the fingerprint : across the ridges
Which way is preferable for a finger puncture/cut to be done on the fingerprint : across the ridges or parrell (to the fingerprint)
What is the proper arm position for routine venipuncture? Straight from shoulder to wrist and in a downward position with the palm up.
You must collect a light blue top for a special coagulation test from a patient who has an IV in the left wrist area and dermatitis all over the right arm and hand. The veins on the right arm and hand are not visible. What is the best way to proceed? Apply a tourniquet on the right arm over a washcloth or towel and proceed as usual.
Evacuated tubes are manufactured in a range of sizes. What is the range of volumes that most accurately reflects available sizes of evacuated tubes? 2 to 20 mL
Evacuated tubes are manufactured in a range of sizes. What is the range of volumes that most accurately reflects available sizes of evacuated tubes? 1 to 15 mL,1 to 25 mL, 2 to 20 mL, 2 to 30 mL
ELECTROLYTES SODIUM/NAPOTASSIUOM/K+GLUCOSE/CHLORIDE/CO
syncope fainting
RACE Rescue
Alarm
Contain
Exit
-STASIS STOPPING
Hepatitis. Liver imflammation.
Platelet Counts Lavender/Pink
Hematology
Atrophy waste away
-PLASTY SURGICAL REPAIR
PTT PARTIAL THROMBOPLASTIN TIME
Virulence. Degree of pathogenicity.
Basic Metabolic Panels Green
Chemistry
promotes coagulation clot activators
BUN Blood Urea Nitrogen
AIDS Acquired Immunodeficiency Syndrome
-RRHAPGY SUTURE OR STICH
Biohazard. Substance harmful to health.
Microorganisms that cause disease Pathogenic
Blood Culture Yellow w/ SPS
Microbiology
coagulation presence of clotting factors
Dendrites Pick up incoming impulses.
Color? Hematology testing (CBC) Purple
Competencies. Educational Standards for program approval.
Reviews and approves research studies: IRB
Erythrocytes Red blood cells or RBC's
Septicemia Microorganisms or toxins in blood
PPE stands for Personal Protective Equipment
myocardium middle layer
composed of cardiac muscle who cell makes and extensive contacts with adjacent cells to allow electrical activity to easily spread from one cell to the next
prone lying on abdomen face down
CSF Cerebral Spinal Fluid.
Fluid that cushions the spinal column.
Uric Acid High levels cause gout.
Green Additive: sodium heparin, lithium heparin
Clinical chemistry tests,
Malpratice is a claim of: Improper treatment.
What is Diastole? relaxation of the heart
Case Laws are written by Judicial Branch
Case Laws are written by Executive branch or Judicial branch
What is TDM? therapeutic drug monitoring collection
The process by which complex substances in food are broken down into simple substances while releasing energy is: catabolism
Vacutainer Vacutainer is a federally and internationally registered trademark owned by BD (Becton, Dickinson,and Company) that is used in connection with a complete system of tubes, needles and needle holders, sharps collectors, and safety devices in blood collection. The Vacutainer evacuated tube, for example, automatically aspirates the correct amount of blood into a tube. it is used instead of syringe. Despite of the fact that BD owns Vacutainer trademark, the term has become so widely used to describe similar blood collection tubes and devices, that it has become a generially used term.
Clot activator Substance that enhances coagulation factors
Lavender/Pink Tube Additive EDTA
Binds Calcium and prevents
platelet aggregation
Pre-op/Post-op. Before and after an operation, respectively.
Professional Possessing great skill or experience in a particular field or activity
Hemolysis The disintegration of red blood corpuscles and the dissemination of hemoglobin into the surrounding fluids.
airborne transmission involves either airborne droplet nuclei or dust particles that contain infectious micro organisms
hormones chemical substance released into the circulation by one group of cells that affect the function of other cells
mitochondria cells power plant produces ATP

ATP= energy
Laryngopharynx Part that connects to the larynx.
Sed Rate Erythrocytes sedimentation Rate, also known as ESR, department is hematology
Doing something that a reasonable and prudent person would not do, or failing to do something that a reasonable person would do is: Negligence.
Deposition. Process in which an individual is questioned under oath.
An example of a dieseas requiring droplet isolation is: Pertussis.
What patient condition may cause a transient elevation in WBC count results? stress
What evacuated tube additive produces artifact residue on blood smears stained with Wright's Stain? sodium heparin
What blood collection devices is manufactured with a rubber sheath? multisample needle
Humans have how many major organ systems? 11
Humans have how many major organ systems? 8,11,15,20
What chemical compound is used to remove or kill pathogenic microorganisms? disinfectants
Phlebotomists should be knowledgeable and responsible for which of the following: cultural communication strategies.
Phlebotomists should be knowledgeable and responsible for which of the following: cultural communication strategies or NCAA regulations
What blood vessels has the thickest vessel wall? arteries
Fibrinogen The protein from which fibrin is formed/generated in normal blood clotting.
Coagulation Factors Group of plasma protein substance (Factor l-Xlll) contained in the plasma, which act together to bring about blood coagulation
Petechiae These are tiny non-raised red spots that appear on the skin from rupturing of the capillaries due to the tourniquet being left on too long or too tight.
To what does the "gauge" of a needle relate? Diameter.
Central processing Screening and prioritizing area where specimens are received and prepared for testing
microhematocrit tubes disposable, narrow glass or plastic tubes that fill by capillary action primarly used for hematocrit
Barcode. Black and white stripes of varying widths that correspond to letters and numbers.
Biohazard Any substance injurious to animals or the environment
Spleen an organ which produces red blood corpuscles before birth and destroy old blood cells after birth.
lymph nodes chambers located along the lymphatic vessels and are populated by lymphocytes
organ systems different organs interacting to carry out common tasks
Hemoglobin Pigment that gives red blood cells (rbc's) their color and is responsible for carrying oxygen (O2).
Red tube No additive in glass
In plastic -clotting activators
test ABO, T&S, T&C, RBC, PLatelets,,
requests for test and results are ... confidential
What contains a chronologic record of a patient's care? Medical Record.
A person who has recovered from a particular virus an has developed antibodies against that virus is said to be: Immune.
The Keo-Diastix strip is used to test: urine specimens.
These are ductless glands that release their secretions (hormones) directly into the blood steam. endocrine glands
These are ductless glands that release their secretions (hormones) directly into the blood steam. lymphatic glands, endocrine glands
Why is skin puncture preferred over venipuncture for infants for the collection of blood specimens? prevents anemia
What structure is located on the posterior side of the frontal plane? spinal cord
What type of protective isolation is used for patients with combined immunodeficiencies? reverse isolation
If a patient's arm and hands are swollen due to excessive fluild retention, this patient's condition is called: edema
Cleaning the bleeding time puncture site too vigorously may cause: hyperemia
Cleaning the bleeding time puncture site too vigorously may cause: hyperemia, hemoconcentration, hemolysis, hyperchromia
Represented by 95 % of test values standard deviation
What body cavity houses the stomach, liver, pancreas, gallbladder, and spleen is the: abdominal cavity
Butterfly A small needle with two plastic wings attached which are squeezed together to form a tab that is used to manipulate the needle. A long 6-12" plastic tubing is attached which again offers better manipulation. This assembly is then attached to a syringe or Vacutainer holder for the purpose of drawing a blood sample.
What substances is contained in a serum separator tube? Thixotropic Gel.
Reflux Back flow of blood from tube to vein
capillary blood gases blood gas determination performed on aterialized capillary specimens
What requistion often serves as a test request, report, and billing form? Manual.
thixotropic gel an inert additive used to seperate cells from plasma during centrifugation
hemostasis the process in which the body stops blood from leaking out of the wound
epithelial tissue flat sheets that are formed mainly where environment exchange takes place
Hormones of the Pancreas Glucogon (raises blood sugar)
Insulin (lowers blood sugar)
hematology blood tests are most often performed on what kind of blood? whole blood
A 12-year old inpatient who refused to have his blood collected was restrained by a healthcare worker while the phlebotomist collected the specimen. This is an example of: Assault and battery.
Waht term is used to describe a type of infection taht can be spread from person to person? Communicable.
What is Hepatitis B virus and human immuno deficiency virus? bloodborne pathogens
Using a needle tht is too small to accommodate the force of the vacuum of an evacuated tube may cause what in a patient's specimen? hemolysis
The legal concept that refers to the voluntary permission by a patient to allow touching, examination, and/or treatment by a health care provider is: informed consent
The legal concept that refers to the voluntary permission by a patient to allow touching, examination, and/or treatment by a health care provider is: implied consent, imformed consent, rightful action consent,preventive consent
What is the fluid portion of a blood specimen called after the specimen has been collected into an anticoagulant? plasma
What heart structures is a part of the systemic circuit? aorta
During the Ivy Bleeding Time procedure, the phlebotomist should start the stopwatch: simultaneously with the incision
During the Ivy Bleeding Time procedure, the phlebotomist should start the stopwatch: after applying the tourniquet, simultaneously with the incision, after blotting the first drop of blood, when the blood pressure cuff is applied
Phlebitis Inflammation of a vein as a result of repeated venipuncture on that vein.
Re-sheathing To recap or replace the sheath on a needle
Arm/Wrist/ID band. Special band or bracelet attached to a patient's arm in the area of the wrist that contains identification information.
Vein Patency a vein which is flexible, open and free flowing
POCT

point of care testing
refers to the performance of analytical tests immediately after obtaining a sample
cannula A tube that can be inserted into the body, often for the delivery or removal of fluid. Often used on kidney dialysis patients.
define transfixation needle went thru top and bottom of vein
Performing one's duties in the same manner as any other reasonable and prudent person with the same experience and training is referred to as: The standard of care.
What is less stressful for an infant and health care provider than a skin puncture? dorsal vein venipuncture
What equipment would a phlebotomist carry on his or her tray for a skin puncture procedure? lancet, Microtainer TM, guaze
What equipment would a phlebotomist carry on his or her tray for a skin puncture procedure? holder, needle, lancet, evacuated tube, Microtainer TM, syringe, heparin, ice, Simplate TM, filter paper, gauze,stopwatch
What suppies would a phlebotomist carry on his or her tray to collect samples for ABG anaylysis? alcohol, syringe, rubber stopper
What suppies would a phlebotomist carry on his or her tray to collect samples for ABG anaylysis? iodine, aluminum foil, alcohol, tourniquet
If a patient bleeds excessively after a needle puncture and the blood is bright red, what is the most likely cause? an artery was punctured.
What is the additive for the Light Blue top tube? Sodium Citrate
Different Ratios
An EDTA tube that contains gel separator is called a(n): Plasma Preparation Tube. (PPT)
Sodium fluoride , Potasium Oxalate (tests) glucose determintations including ETOH NaFl is the antyglycolitic
some disorders of the integumentary system trauma, infection, neoplastic disease, and inflammation
what is concern of dehyrdated people low blood volume, veins shrink
According to standard first aid procedures, severe external hemorrhage is best controlled by: Applying direct pressure and elevation of the extremity.
What are some unacceptable chemical safety procedures: Adding acid to water, familiarizing oneself with the material safety data sheets (MSDS) of a new reagent, and reporting a malfunctioning eye wash station to the proper authority.
What has the highest percentage of needle stick injuries? butterfly needles
What has the highest percentage of needle stick injuries? butterfly needs or venipuncture needle
If a physician orders laboratory tests for dx, and the patient comes to the lab with a rolled up sleeve, he is giving: informed consent
If a physician orders laboratory tests for dx, and the patient comes to the lab with a rolled up sleeve, he is giving: implied consent, imformed consent, rightful action consent,preventive consent
The best choice of equipment for drawing difficult veins is: Butterfly and evacuated tube holder.
A cheerful, pleasant bedside manner and exchange of small talk help to: Divert attention from any discomfort associated with the draw, gain a patient's trust and confidence, and put a patient at ease.
what is a buffy coat made of platelets and white blood cells
What recommendation do the New American Heart Association recommend for CPR? Deletion fo the pulse check, public access to and training in the use of automatic external defibrillators, and standardizing to resue breaths to 15:1 for both one and two resuer CPR.
What is the most appropriate time for collecting a blood glucose level? 15 minutes before a meal
What is the most appropriate time for collecting a blood glucose level? 15 minutes before a meal or 30 minutes before a meal
What is the significant of vacuum within tubes? Negative pressure is premeasured so the tube draw volume will be precise.
What would violate a patient's right to confidentiality: Indicating the nature of a patient's disease on the door, keeping a list of HIV positive patients posted in the laboratory, and posting a patient's laboratory results on a bulletin board in his or her room.
What is an example of a work practice control that reduces risk of exposure to bloddborne pathogens? Hand washing after glove removal.
What vein in the hand is used for infant venipuncture? dorsal vein at 15 degrees
What criterion do you use to decide which needle gauge to use for venipuncture: Size and condition of the vein.
when is a first morning or 8hr specimen collected collected immediately when a patient awakens
What must be present to claim negligence? A breaking of a legal duty or obligation owed by one person to another, a legal duty or obligation owed by one person to another, and harm done as a result of breach of duty.
A phlebotomist is about to collect a blood specimen from a patient in ICU, but the patient is unconscious. The phlebotomist should: proceed as though the patient were conscious
Waht would be the system of choice to identify laboratory specimens from an unconscious woman in the emergency room? Use a three-part identification band with special tube labels.
Why is the fifth finger of a patient's hand routinely eliminated as a potential site for skin puncgture? the tissue is thinner than other fingers
Your patient is cranky and rude to you. What do you do? Informing the patient that you are a student.
How would you handle a blood draw on an unconscious patient? Have someone assist you in case the patient moves, identify yourself and inform the patient of your intent, and talk to the patient as you would an alert patient.
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