Phlebotomy 4 Flashcards

Hemoglobin
Terms Definitions
CYTE
Cells
Glucose
Gray
Chemistry
Oropharynx
Throat
BIO
LIVE
R/O
RULE OUT
Sodium Fluoride
Gray
nucleus
contains DNA
Pineal Gland
Melatonin
-OLOGY
STUDY OF
WBC
WHITE BLOOD COUNT
What is ACD?
acid-citrate-dextrose
hyperglycemia
high blood sugar
HSV
Herpes Simplex Virus
Erythrocytes
Red Blood Cells
CCU
CORONARY CARE UNIT
qid
FOUR TIMES A DAY
What is ALT?
alanine aminotransferase
No additive.
Red. (glass tube)
Phlebitis
inflammation of the vein
MS-AFP
Maternal Serum Alpha Fetoprotien
Proficiency testing.
Involves testing sample unknowns.
What is HBV?
Hepatitis B virus
What is PCV?
Packed cell volume
Vectors in transmitting infectious diseases include:
ticks.
Do not punture deeper than....
2.00mm.
lancet
sterile, disposable, sharp pointed instrument used to pierce the skin to obtain droplets of blood used for testing
Lysis
death of cell or microorganism
extension
movement that straightens a joint
lumen
hollow tube within the shaft
Tuberculosis
Bacterial infection of the lungs.
Gonads
Primary sex organs
Testes - Male
Ovaries - Female
evacuated tubes will automatically fill because of the .... in the tube
vacuum
The abbreviation for a national organization that established quality standards to ensuere the accuracy, reliabilty, and timeliness of patient test results, regardless of the size, type, or location of the laboratory.
CLIA'88
An evacuated tube contains thrombin. What color is the Hemogard TM closure?
orange
Who oversees the federal investigation of communicable diseases?
JCAHO
Who oversees the federal investigation of communicable diseases?
OSHA.,HIPPA, JCAHO,CLIA
Proves or disproves the lawsuit is:
evidence
Pressure applied to an arterial punctue site for at least 5 minutes following the procedure:
hematoma
Septicemia
This is systemic infection associated with the presence of pathogenic organism introduced duing a venipuncture.
Disinfectant
Solution containing an agent intended to kill microorganisms
ostemyeletis
inflammation of the vone especially the bone marrow caused by bacterial infection
Aseptic
Free of contamination and all organisms capable of causing infection
mitochondria
cells power plant produces ATP

ATP= energy
Components of the Urinary System
Kidneys
Ureter
Urinary Bladder
Urethra
Digestive Function of the Liver
Produces bile.
Fibrinogen converts to fibrin during what process?
Clotting
Hepatic Function Tests use what additive
Na Heparin
Delta Check.
Compares current results with previous ones.
What is handwashing and following standard precautions?
aseptic technique
Last stage in the hemostatic process, where a blood clot begins to dissolve or break up:
fibrinolysis
What fire extinguisher is used for multipurpose and combat all types of fires?
ABC
What means sterile, free from all living microorganisms?
Aseptic
What means sterile, free from all living microorganisms?
Aseptic or Reverse Isolation
Serum tubes have which type of closure?
red/speckled
What additive is found in lavender stoppered evacuated tubes?
EDTA
What is inadequate oxygen levels in body tissues?
hypoxia
Thixotropic Gel
a serum seperator which when centrifuged froms a barrier between the serum and the cells preventing contamination of the serum with cellular elements.
Multisample needle.
Double-point needle used with the evaculated tube system.
Petechiae
Tiny, nonraised red spots that appear on skin when tourniquet is applied
hemoconcentration
plasma portion of blood filters inot the tissues causing an increase in nonfilterable blood components such as RBC's, enzymes, iron
NaCitrate (tests)
Pro time (PT), Activated Partial Thromboplastin Time (PPT, APTT), Fibrinogen, Fibrin Split Product, Thrombin Time, Anthrombin III
OSHA stands for
Occupational Safety and Health Administration
cardiac muscle
pumps blood for the circulatory system
CLIA 88
mandates the regulation of all facilities that perform patient testing
Muscle
A bundle of specialized cells capable of contraction and relaxation to permit movement of the body itself and the organs within it.
tourniquet time
long time can cause hemoconcentration and hemolysis
Negligence.
Failure to act in a reasonable and prudent manner.
When a pathogen invades the body and causes disease, the result is called a (n):
Infection.
A phlebotomist provides CPR at an accident scene based on:
implied consent
A phlebotomist provides CPR at an accident scene based on:
implied consent, imformed consent, rightful action consent,preventive consent
Reverse isolation rooms are frequently used in:
a cancer center.
Reverse isolation rooms are frequently used in:
a cancer center or pediatrics hospital
What is the skin puncture depth appropriate for an adult?
2-3 mm
What is the skin puncture depth appropriate for an adult?
0.5-1.0mm, 2-3mm, 3-5mm, 5.5mm
What site for arterial puncture has disadvantage of being located close to the basilic vein?
brachial artery
What is the break down of glucose?
glycolytic action
A health-care-aquired infections occurs when a/the:
chain of infection is complete
A health-care-aquired infections occurs when a/the:
source is detected, means of transmission is maintained by disinfectants, susceptible host remains stable, chain of infection is complete
Hemoglobin
The oxygen carrying pigment of the red blood cells.
Sharps Container.
Special container used to dispose of needles and other sharp objects.
Basal State
metabolic state early in the morning while the body is still at rest, and approximately 12 hours after last intake of food, exercise or activity.
A pre-op patient:
Will soon be going to surgery.
Palpate
To feel for a vein, examine by touching
vector transmission
carries by arthropods such as insects or ticks
Royal Blue-Top Tube (2)
Heparin

Heavy Metals (Whole Blood) Testing
polychemia
too much iron in blood, calls for blood letting
what is the primary function of WBC's
immune response
k, EDTA (tests)
type and cross match, type and screen, antibody screen, Rhogram, CBC, Sed rate, Retic count, platelet count, Hemogram (H&H) , Diff.
Gloves are worn to:
Prevent contamination of hands when handling blood or fluids,reduce the chance of transmitting microorganisms on the hands of personnel to patients during invasive procedures, and minimize the possibility of transmitting infectious microorganisms from one patient to another.
What test procedure cannot be performed on specimans collected by skin puncture?
blood cultures, ESR, APTT
What test procedure cannot be performed on specimans collected by skin puncture?
bilirubin, blood cultures, ESR, calcium, T3, T4, APTT
What is usually to corrosive to use on human skin?
disinfectants
What is usually to corrosive to use on human skin?
sanitizers, disinfectants, antiseptics
What represents health hazards in the NFPA labeling system for hazardous chemicals?
blue quadrant diamond
Defamation of Character
This consists of injury to another person's reputation, name, or character through spoken (slander) or written (libel) words.
What is the most common used vein?
Median cubital vein
The purpose of sodium citrate in specimen collection is to:
Protect coagulation factors.
haparin lock
a special winged needle set that can be left in a patient vien for up to 48 hours, used to give meds or draw blood
What is a common post-op test?
Hemoglobin and hematocrit. (H&H)
internal respiration
refers to the exchange of oxygen and carbon dioxide at the cellular level
Hematocrit (Hct)
Percent of rbc's in the total blood volume.
ABG special handling
reduce pt. anxiety, Allens test, one puncture, anaerobic collection
List the Hepatic Funtion Panel (tests)
Albumin, Alkaline, Phosphatase, ALT (SGPT), AST (SGOT), Bilirubin
What labeling system uses a diamond shaped sign containing the United Nations hazard class number and a symbol representing the hazard?
Department of Transportation. (DOT)
In a phlebotomy malpractice lawsuit:
Phlebotomy policies and procedures are reviewed
In a phlebotomy malpractice lawsuit:
parties to the
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
During a venipuncture procedure, patients are often asked to "make a fist." When should the fist be released?
after the blood begins to flow
During a venipuncture procedure, patients are often asked to "make a fist." When should the fist be released?
after the blood begins to flow or before the puncture
How soon after collection and centrifugation should serum or plasma be removed from cells?
no longer than 2 hours
Invasion of Privacy
This is the release of medical records without the patient's knowledge and permission.
A solution used to clean the site before routine venipuncture is:
70% isopropyl alcohol.
A code is a way to:
Convey important inforamtion without alarming the general public, transmit messages over the public address system, and use numbers or words to represent important information.
Red tube with polymer
contain polymer barrier on the bottom which after centrifugation causes serum to be on the op due to gravity
The standard of care used in phlebotomy malpractice cased is often based on guidelines from this organization:
National Committee for Clinical Laboratory Standards. (NCCLS)
What is a proper electrical safety procedure?
Servicing electrical equipment when unplugged.
What are inanimate objects that can cause an infection?
fomites (anything you can touch)
Capillary blood is a mixture of?
Arterial, venous, and capillary blood, interstitial fluid, intracellular fluid
Why does OSHA require safety needles?
To prevent on-the-job needle stick injuries
The abbreviation for an agency that sets standards for phlebotomy procedures.
The National Committee for Clinical Laboratory Standards. (NCCLS)
Which is not a factor considered in negligence cases?
contract
Which is not a factor considered in negligence cases?
duty, contract, proximate causation, damages
What do you do if the aptient's physician is in the room and the specimen is ordered stat?
Politely introduce yourself, explain why you are there, and ask permission to proceed.
A lab technician asked a phlebotomist to recollet a specimen on a patient. When the phlebotomist asked what was wrong with the specimen, the technician replied, "The specimen was OK, but the results were inconsistent." How would the laboratory t
They did not compare with previous results when a delta check was conducted.
An example of vector infection transmission is:
Contracting plague from the bite of a rodent flea.
Ideally for blood specimens, when should serum be removed from the cells?
as soon as possible and not longer than 2 hours
Why might a syringe draw be done instead of an ETS?
Elderly patients or for collapsed veins; you control pressure- be able to pull blood out of vein
a prenatal drug screen is ordered to determine... and .... to see wether the blood is Rh.... or Rh.....
blood type, Rh factor, positive, negative
What is the first thing the phlebotomist should do in the event of an accident needlestick?
Decontaminate the site and fill out an incident report.
When alcohol is not dried before a skin puncture it causes:
prevent round drop from forming, cause hemolysis of blood cells, cause erroneous results for some lab test
Identify the tubes needed to collect a complete blood count (CBC), partial thromboplastin time (PTT), and STAT potassium by color and in the proper order of collection for a multi-tube draw.
Light blue top, green top, and lavender top.
Specimens for what patient should be drawn by skin puncture?
an oncology patient, for a WBC count and platelet count
Specimens for what patient should be drawn by skin puncture?
6 month old baby for blood cultures or an oncology patient for a WBC count
Why are gauze pads a better choice than cotton balls for covering the site and holding pressure following venipuncture?
Cotton ball fibers tend to stick to the site.
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
The patient asks if the test you are about to draw is for diabetes. How do you answer?
Explain that it is best to discuss the test with his or her physician.
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Term:
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