Phlebotomy Terms_2 Flashcards

skin puncture
Terms Definitions
PKU
PHENYLKETONURIA
Alcohol
(Ethynol)
Gray
Chemistry
T
Thyroxine
-ITIS
INFLAMMATION
PRN
AS NEEDED
Aerobic
With air
GH
Growth Hormone
AFP
Alpha Fetoprotien
PT
PROTHROMBIN TIME
QNS
QUANITY NOT SUFFIENT
Pregnancy Test
HCG Quantitive
icteric
dark yellow serum
CBC
Complete Blood Count
RPR
Rapid Plasma Reagent
-GRAPHY
PROCESS OF RECORDING
Malpractice.
Negligence by a professional.
Blood culture guage sizes
20-22
Post Prandial
PP- After meal
Nosocomial Infection
Hospital acquired infections
Parathyroid Gland
Parathyroid Hormone (PTH)
CDC
CENTER FOR DISEASE CONTROL
Competencies.
Educational Standards for program approval.
The condition characterized by dizziness, weakness, pallor, clammy skin, sweaty and unconsciousness is called:
syncope
The four-chambered, muscular organ that pumps blood through the circulatory system is the:
heart
Glycolysis.
Breakdown or metabolism of glucose.
red ( additive)
none or plain
Alcohol + Blood =
blood thinner
flexion
movement that bends a joint
FTA-ABS
Fluorescent Trepomenal Antibody by Absorption
O & P
Ova & Parasite
morphology
form and structure of cells
what is hemolysis
rupture of RBC's
Civil actions involve:
Actions betweeen private parties.
What preferred anticoagulant is used for collection of specimens for ABG analysis?
heparin
What portion of the capillary circulation is increased when a warmer is applied to a skin puncture site?
arterial
What portion of the capillary circulation is increased when a warmer is applied to a skin puncture site?
capillary, interstitial fluid, venous, arterial
Federal regulation to ensure quality of laboratory testing is:
CLIA
Testorone andCortisol hormone and the blood concentration is not affected by:
eating
Oncology
The study of treatment of Cancer.
During venipunture the tourniquet should not be left on longer than:
1 minute.
ETS
Evacuated tube system- closed system in which blood flows directly into collection tube through needle
osteochondritis
inflammation of the obne and cartilage
Atria
Upper right and left receiving chambers of heart
Arteriole
smallest artery leading to the capillary
procedure manual
contains protocols and other information about all tests performed in the lab
Nasopharynx
Part attached to the nasal passages.
Axon
Carries impulse away from cell body.
iron is necessary for formation of
hemoglobin
PST (tube)
light green plastic, green and grey
A laboratory or patient care activity that requires goggles to prevent exposure from sprays or splashes also requires this protective attire.
Mask.
Which federal agency requires the use of PPE?
OSHA
Which federal agency requires the use of PPE?
CLIA, JCAHO, EPA, OSHA
Deoxygenated blood is found in which blood vessels?
veins
A patient is being treated with thiazide diuretic. What health care professional is responsible for recognizing potential drug interferences with test results?
physician
A patient is being treated with thiazide diuretic. What health care professional is responsible for recognizing potential drug interferences with test results?
medical technologist, nurse, phlebotomist, physician
Who oversees the federal investigation of communicable diseases?
JCAHO
Who oversees the federal investigation of communicable diseases?
OSHA.,HIPPA, JCAHO,CLIA
How do you dry blood smears?
air dry
How do you dry blood smears?
air dry, add saline, blow dry, hold to a heat element
Serum is blood that:
does not contain anticoagulants
Serum is blood that:
is highly oxgenated, contains anticoagulants, does not contain anticoagulants, is rich in carbon monoxide
Sodium Flouride preserves glucose for ____.
3 days.
Heparin prevents blood from clotting by:
Inhibiting thrombin.
Sharps
Any sharp object; goes in sharps container
Diurnal (daily) variations
normal fluctuations throughout the day
You greet your patient in the following manner: "Hello, my name is John and I am here to collect a blood specimen if that is all right with you." The patient responds by saying, "OK, but I would rather not." Do you have permission to d
No
Interstitial Fluid
Blood plasma between tissue cells which has filtered through the capillary cell walls into the microscopic spaces
frontal plane
vertical plane dividing body from front to back
Muscular Dystrophy
Gradual weakening of the skeletal muscles.
Visceral or Smooth Muscles
(Non-striated, involuntary) Muscles that line the walls of the internal structures, such as the veins and arteries. Pushes blood back towards the heart.
low density lipoprotein and HDL are blood components that carry... thru body
cholesterol
Respondeat superior.
Employers are liable for action of employees.
The term used to describe an infection that infects the entire body is:
Systemic.
What is urea and uric acid?
metabolic waste products
Where gas exchange in the lungs take place?
alveoli
Which body system is composed of neurons, brain, and spinal cord?
nervous system
Which body system is composed of neurons, brain, and spinal cord?
cranial, nervous, lymphatic, digestive
Voluntary permission by a patient for health care is:
informed consent
What is the walls of the heart?
cardiac muscle
What is the cause of sclerosed veins?
numerous venipuncture
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
What procedure is routinely performed on a patient's earlobe?
Duke Bleeding time
Always wipe away the __.
First drop of blood.
This test requires prepraration of a blood film on a glass slide.
Manual Differential.
venous stasis
stagnation or stoppage of the normal blood flow
Requistion.
The form on which test orders are entered.
Analyte
any matter or compound which is being studied in the lab
plasma membrane
encloses the cell and regulates the flow of materials in and out
Order Of The Draw
1. Blood Culture Tubes/Vials (Yellow)
2. Coagulation Tubes (Sodium Citrate) [Light Blue]
3. Serum Tubes (Red)
4. Heparin Tubes (Green)
5. EDTA Tubes (Purple)
6. Glycolytic Inhibition Tubes (Gray)
Right order of draw
blood cultures (white)
light blue (citrate)
red (serum)
green(heparin)
purple (EDTA)
gray (oxalate)
number one way of stopping spread of infection
handwashing
Sodium fluoride , Potasium Oxalate (tests)
glucose determintations including ETOH NaFl is the antyglycolitic
Manufacturers are required to supply material safety data sheets (MSDS) for their products by the:
OSHA Hazardous Communication (HazCom)Standard.
At what angle should the needle be inserted during an arterial puncture procedure?
45 degrees
At what angle should the needle be inserted during an arterial puncture procedure?
15, 30, 45, 60 degrees
What is the longest vein in the body?
saphenous vein
Hematocrit
The ration of the total red blood cell volume to the total blood volume and expressed as a percentage.
What is typically used to clean the site when collecting blood culture specimens?
Povidone Iodine.
List the Basic Metabolic Panel
Potassium, Sodium, Chloride, CO2, Glucose, Blood-Urea-Nitrogen, Creatinine, Calcium
A patient who is NPO.
Cannot have Food or Drink.
occult blood specimen
fecal specimen for detection of blood in the stool
Cardiac Muscles
(Involuntary) Make up the walls of the heart (aka myocardium).
Amount of liters of blood in the body
6 liters
Na Citrate (order of draw)
#3 (yields whole blood, tests performed on plasma)
Standard precautions should be followed:
With all patients, at all times.
What is the preferred position to have the patient in when drawing blood?
supine/reclining position/lying down
Which of the following is not a component that makes up the chain of infection?
mode of transportation
Which of the following is not a component that makes up the chain of infection?
mode of transmission, source, mode of transportation, susceptible host
It provides rapid transport of water, nutrients, electrolytes, hormones, enzymes, antibodies, cells, and gases to all cells of the body.
cardiovascular system
It provides rapid transport of water, nutrients, electrolytes, hormones, enzymes, antibodies, cells, and gases to all cells of the body.
digestive system, cardiovascular system
How large are capillaries?
about the size of the diameter of one cell
How large are capillaries?
about 1 centimeter in diameter or about the size of the diameter of one cell
The vein that is most likely to be on the one you can palpate and draw blood from in an obese patient.
Cephalic
What is the needle insertion, using a butterfly
10 Degree angle
Antecubital Fossa
Inside bend of arm and most common sit for venipunture.
when results are needed very quickly, what kind of tube should you use?
one with clot activators
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 does proper handwashing procedures involve:
Wet hands with water before applying soap, stand back so that clothing does not touch the sink, and wash for at least 15 seconds.
What equipment should a phlebotomist carry on his or her tray for the Ivy Bleeding Time procedure?
bleeding time device, alcohol, Blood Pressure cuff, butterfly bandage
What equipment should a phlebotomist carry on his or her tray for the Ivy Bleeding Time procedure?
alcohol, iodine, steel blade lancet, bleeding time device, blood pressure cuff, filter paper, butterfly bandage
Red Blood Cells (RBC's)
One of the solid components of the blood which is normally a biconcave disc without a nucleus. This is the component of the blood that contains hemoglobin which is responsible for oxygen and carbon dioxide exchange. A red cell count is performed as part of complete blood count and ranges from 4,500,000-5,000,000 RBC's per cubic millimeter.
List 5 types of urine specimens
Random- Collection at any time
Timed- First morning/ 8 hour, tolerance test, 24- hour, double urine
MCV stands for .... and indicates the cell....
Mean cell volume, size
What would not necessarily lead to work restrictions for a hospital employee?
A positive protein purified derivative (PPD) test.
What action may result in a QNS skin puncture specimen?
insufficient puncture
What action may result in a QNS skin puncture specimen?
alcohol contamination, anemic condition of the patient, insufficient puncture, failure to wipe away the first drop of blood
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
When received by the laboratory, inpatient requistions are typically sorted according to:
Date and time of collection, location of the patient, and priority of collection.
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.
A statute of limitations defines the maximum length of time:
after malpractice a plantiff has to file a lawsuit
A statute of limitations defines the maximum length of time:
served if convicted, a defendant has to respond to a lawsuit, after malpractice a plantiff has to file a lawsuit, until the age of majority
The second vein of choice..is the ___?
Cehalic vein. It is usually more difficult to locate and has a tendency to move, however, it is often the only vein that can be palpated in an obese patient.
What is part of informed consent?
Letting the patient know that you are a student phlebotomist.
when pulling back on plunger of syringe what precaution must be taken
dont pull quickly to avoid vein collapsing
What patient would a phlebotomist most likely choose a syringe to collect a blood specimen?
a man with a heparin lock
What patient would a phlebotomist most likely choose a syringe to collect a blood specimen?
woman who had a mastectomy, woman who just suffered a miscarriage, a man with heparin lock, man who just underwent angioplasty surgery
You are most likely to increase the chance of hemolyzing a specimen if you use a:
25-gauge butterfly needle to collect a specimen from a child.
What site is acceptable to use for skin puncture on an infant's foot.
the great toe
What site is acceptable to use for skin puncture on an infant's foot.
arch of the foot, palmar surface or posterior curvature of the heel, the great toe
Why are trace element tubes used? And what tube color are they?
Made of materials that are free of trace elements. Used for element test, toxicology study, and nutrient determination. Dark blue tubes
What is the best site to select for skin puncture on an infant's foot?
lateral portion of the planter surface of the heel
What is the best site to select for skin puncture on an infant's foot?
arch of the foot, lateral portion of the planter surface of the heel, palmar surface or posterior curvature of the heel
What needle gauges are used most often to perform routine venipuncture?
21 and 22
What needle gauges are used most often to perform routine venipuncture?
21 and 22, 20 and 21, 22 and 23, 23 and 24
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