phlebotomy course Flashcards

Terms Definitions
q
EVERY
Lactate
Gray
Chemistry
Kidney
Renin
-MALACIA
SOFTENING
PT
PROTHROMBIN TIME
Potassium oxalate.
Gray.
reagent
tests chemicals
DNA
Deoxyribonucleic Acid
LYMPH/O
LYMPHATIC TISSUE
H&H
Hemoglobin and Hematocrit
Postprandial
After a meal
endocrine system
secrets hormones
Adrenal Medulla
Epinephrine, Norepinephrine
FSH
Follicle Stimulating Hormone
ABR
ABSOLUTE BED REST
Immunohematology
Finding a lood type
Small, nonraised reddish-purple bruises/spots the size of a pinpoint on a patient's skin are called:
petechiae
ETOH
Ethanol- Blood alcohol level
Venipuncture
To puncture a vein
STS
Serologic Test for Syphilis
-SPASM
SUDDEN CONTRACTION OF MUSCLES
Threshold value.
Level of acceptable practice.
Provides barrier protection when handlign biohazard substances
PPE
During venipuncture, a phlebotomist moves the tube gently up and down in the holder, moving the contents back and forth. What may this cause?
Reflux
Medical term for excessive bleeding:
hemorrhage
What is HCV?
Hepatitis C virus
Diaphoretic
Formation of profuse perspiration (sweat). A systom of syncope.
k, EDTA (order of draw)
#7
ABG stands for
Arterial Blood Gases
5 means of transmission
contact
droplet
airborne
common vehicle
vector
serum
plasma without its clotting factors
Light Blue-Top Tube
Sodium Citrate

Coagulation Testing
ALS
Amyotrophic Lateral Sclerosis
(aka - Lou Gerhrig's Disease)
gender
males have more blood cells
Tort.
A civil wrong without just cause.
What blood collection techniques requires sterile technique to prepare a venipuncture site?
blood culture
Human cells have how many chromosomes?
46
Human cells have how many chromosomes?
26,36,46,56
Patient identification should always include:
two identifiers
CVC blood collection occurs where?
subclavian vein
Tourniquit
In regards to venipuncture, a constrictive band, placed over an extremity to distend veins for the purpose of blood aspiration or intravenous injections. Materials used may be rubber, latex or other synthetic elastic material. A blood pressure cuff may also be used.
Shaft.
Long cylindrical portion of a needle.
FUO
Fever of unknown origin- blood cultures help determine presence and extent of infection, organism responsible and antibiotic to which is most susceptible
PKU-
phenylketonuria
hereditary disease caused by the inability of the body to metabolize phenylalanie because of a defective enzyme, mental retardation results if not treated early
OPIM stands for
Other Potentially Infectious Material
CDC stands for
Center for disease control
proximal
close to the point of attachment
Diaphragm
Muscle that divides the thoracic cavity and the abdominal cavity.
Parasympathetic
Controls automatic responses in the body like heart rate and breathing.
a patient with petechiae will
bleed alot
Dark Green (order of draw)
#6 (after pst)
How many classes of fire are identified by the National Fire Protection Association (NFPA)?
Four.
Statues and ordinances are implemented through:
administrative law
Statues and ordinances are implemented through:
administrative law, judicial law
Eating what food can cause lipemic serum in a patient's blood specimen?
butter
For central venous catheter (CVC) blood collections, which of the following tests must be collected prior to other tests' collections?
blood cultures
Hematology tubes have which type of closure?
purple/lavender
Hematology tubes have which type of closure?
purple/lavender or red/speckled
What types of venipuncture system should be used if a patient has very small veins (pediatric or geriatric)?
winged infusion
The use of electronic transfer of patient information is now regulated by federal Health Insurance Portability and Accountability Act
HIPAA
The use of electronic transfer of patient information is now regulated by federal Health Insurance Portability and Accountability Act
OSHA.,HIPPA, JCAHO,CLIA
The rational for the sequence of multiple specimen collection following venipuncture is to prevent:
contamination
This type of fire extinguisher include foam, dry chemicals and CO2
BC
Contamination
The soiling or pollution by inferior material, as by the introduction of organisms into a wound.
An anticoagulant:
Binds calcium or inhibits thrombin, keeps the blood from clotting, and prevents coagulation.
Accession number
Unique number generated when test request is entered into computer
edema
an accumulation of fluid in the tissue
Dark Green (order of draw)
#6 (after pst)
OSHA stands for
Occupational Safety and Health Administration
smooth muscle
regulates the passage of material through the vessels
respiratory system includes
upper and lower airways

trachea, larynx, bronchi, and lungs
Lactic Acid
A by-product of muscle movement (metabolism).
posture
in a standing position plasma filters into tissues
What laboratory document describes in detail the steps to follow for specimen collection?
Procedure manuel/floor book.
What type of isolation would be used for a patient who has a very low white cell count?
Neutropenic.
What exists when immediate / emergency action is required to save a patient's life?
implied consent
What exists when immediate / emergency action is required to save a patient's life?
implied consent, imformed consent, rightful action consent,preventive consent
Repalpating a site prior to venipunctur for blood culture analysis, may result in:
false positive results
What is applied to a venipuncture site of a child to alleviate pain?
EMLA
What step in the venipuncture procedure must the phlebotomist exercise extra care in performing when collecting blood by venipuncture from a hand vein?
anchoring the vein
What is something that can transmit infectious disease?
Vectors (mites)
When blood exits the right ventricle, it travels to:
Pulmonary circuit
One example of a specimen that requires immediate chilling is:
blood gases.
Most point-of-care for glucose testing procedures require:
skin puncture blood.
Tubes with anticoagulants
Lavendar, Green, Blue, Light Blue, Gray etc will produce plasma when separated in a centrifuge.
The part of a syringe that shows measurements in cc or mL is called the:
Barrel.
collapsed vein
an abnormal retraction of hte vessel walls
This term means the same as STAT.
Med Emerg.
Basilic Vein
The large vein of the antecubital fossa
digestive system
responsible for the absorbtion of the nutrients and elimination of waste from the digestive tract
delta check
QA procedure that helps spot ID errors
Ureter
Tube leading from the kidney to the urinary bladder.
Six Sigma
Method to reduce variation and improve quality of a process. Steps are Plan > Action > Check > Act
list 2 characteristics of capillaries
exchange vessels, microscopic vessels
List the Basic Metabolic Panel
Potassium, Sodium, Chloride, CO2, Glucose, Blood-Urea-Nitrogen, Creatinine, Calcium
What organizations instituted and enforces the Bloodborne Pathogen Standard?
Occupational Safety and Health Administration (OSHA)
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
What procedure requires a patient to refrain from strenous exercise for 12 hrs prior to the test?
glucose tolerance test
Contamination rates of blood culture specimens should not exceed:
3%
Contamination rates of blood culture specimens should not exceed:
0%, 3%, 6%, 10%
A blood donor's oral tempature must not exceed:
37.5 degrees C
Differential
A count made on a stained blood smear of the proportion of the different leukocytes (WBC's) and expressed as a percentage. A differential is a normal part of a complete blood count (CBC),
What type of test is most affected by tissue thromboplastin contamination?
Coagulation.
interstitial fluid
fluid found between cells or in spaces within an organ or tissue
Proper hand washing involves:
Creating friction to dislodge surface debris and bacteria, scrubbing downward from wrists to fingertips, and using a clean paper towel to shut off the water faucet.
SE test or sweat test is for
diagnosing cystic fibrosis
Synaptic Cleft
Space between the axon of one neuron and the dendrites of another.
What is a function of blood?
Transport oxygen, waste/co2, nutrients
plain tubes ( tests)
type and cross match, type and screen, antibody screen
The three components of fire referred to as the fire triangle are:
Fuel, Oxygen and Heat.
What equipment does the phlebotomist need for site preparation prior to skin puncture?
heel warmer, alcohol, sterile gauze
What equipment does the phlebotomist need for site preparation prior to skin puncture?
providone iodine, lancet, Unopette TM, sharps, sterile gauze, gloves, gown, biohazard bag, heel warmer, alcohol,
What is used frequently as the anticoagulant for blood studies and what color is the tube top?
sodium citrate, blue top
What is the rationale for the order of draw for the collection of multiple specimens following skin puncture?
minimize platelet clumping
What is the rationale for the order of draw for the collection of multiple specimens following skin puncture?
minimizing-contamination, hemoconcentration, hemolysis, minimize platelet clumping
How much does the average person weighing 155 pounds has how many liters of blood in their system.
5-6 liters of blood.
What tubes is filled first when multiple tubes are filled from a syringe?
A blood culture tube.
When selecting a venipuncture site, how can you tell a vein from an artery?
An artery has a pulse.
toxicology analyzes what? (5)
1. plasma for drugs
2. poisons
3. lead and other toxic
4. therapeutic drugs monitoring
5. identifying illegal drugs
What are examples of negligence?
The phlebotomist does not return a bedrail to the upright position, the phlebotomist forgets to put a needle in the sharps container, and the phlebotomist fails to report significant changes in a patient's condition.
What body parts does the standard precaution apply to?
Joint fluid, saliva, and urine.
Which of the following additives prevent coagulation of blood by removing calcium through the formation of insoluble calcium salts?
EDTA, sodium citrate, potassium oxalate
Which of the following additives prevent coagulation of blood by removing calcium through the formation of insoluble calcium salts?
ammonium oxalate, EDTA, sodium heparin - EDTA, lithium heparin, sodium citrate - sodium fluoride, lithium heparin, EDTA - EDTA, sodium citrate, postassium oxalate
The diagnosis should not be written ____.
on the patients blood tubes.
What is a short draw?
Removing the tube before vacuum is exhausted resulting in an under filled tube
What is the vein preference site order for venipuncture?
Anticubital, hand, wrist, foot/ankle
The abbreviation for the agency that requires healthcare organizations to have a quality assurance (QA) program in place to be accredited is the:
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Describe what a phlebotomist should do when using a winged infusion (butterfly) system to collect blood for a single coagulation test?
The phlebotomist should collect at least one other tube prior to collecting a sodium citrate tube.
Outpatients who have previously fainted during a blood draw should be:
Asked to lie down, or the drawing chair should be reclined if possible.
What are steps in the risk management process?
Education of employees and patients, identification of risk, and treatment of risk using procedures already in place.
What is the maximum number of times an infant's heel may be punctured to collect blood specimen?
2 times
What is the maximum number of times an infant's heel may be punctured to collect blood specimen?
1, 2, 3, 4 times
If a specimen is collected from the wrong patient, ____.
Immediately report the incident to your supervisor.
List 3 challenges when drawing blood a geriatric patient.
Skin changes, hearing and vision problems, mobility issues, mental and emotional conditions
what are 3 conditions of a basal state
early morning, patient at rest, fasting
If blood has been spilled, what action should occur by the phlebotomist?
Keep the 1:10 bleach solution in contact with the contaminated area for a minimum of 20 minutes.
What anticolagulant is contained in a serum separator tube?
There is no anticoagulant in a serum separator tube.
What are the needle lengths most commonly used for adult venipuncture?
1 and 1-1/2 inch needles
What are the needle lengths most commonly used for adult venipuncture?
1 and 1-1/2 inch, 1/2 and 1 inch, 1-1/2 and 2 inch, 2 and 2-1/2 inch
Why is it important to find out if a patient is sensitive to latex?
Exposure to latex can trigger life-threatening reactions. Make use all equipment is latex free
Why is the index finger of a patient's hand routinely eliminated as a potential site for skin puncture?
it has an increased number of nerve endings
What is the best way to clean up blood that has dripped on the arm of a phlebotomy chair?
Absorb it with a paper towel or gauze pad and wipe the area with disinfectant.
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Term:
Definition:
Definition:

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