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Phlebotomy
Test on Chapters 1,8,9,10
QuestionC | Answer |
---|---|
Define the following words and write a sentence with the word: Antisepsis-Prevention of sepsis by preventing growth of a microorganism. | First used in 400 BC, there was no concept of antisepsis infections passed from one patient to another. |
Biohazardous Waste-Any waste that is harmful or potentially harmful to humans or species or environment. | Availability of the hepatitis B vaccination for all employees who have contact with biohazardous waste and blood borne pathogens. |
Blood Borne Pathogens - Any infectious microorganism present in the blood and/or other body fluids and tissues | Availability of the hepatitis B vaccination for all employees who have contact with biohazardous waste and blood borne pathogens. |
Fraud-An intentional misrepresentation. A deliberate deception intended to produce unlawful gain. | Fraud is a intentional tort. |
Hemolysis-Destruction of the membrane of red blood cells which diffuses into the surrounding tissues. | There is a risk for hemolysis due to the small gauge of needle. |
Personal Protective Equipment- Disposable gloves, lab coats, protective face gear all required by OSHA to be worn when handling body fluids. | Standards mandate the use of personal protective equipment. |
Centriduge-Machine used for the process of separation substances of different densities. | The centrifuge spins substances at high speeds. |
Syncope -A transient loss of consciousness resulting from an inadequate flow of blood to the brain. Fainting. | Syncope is a common complication of blood collection. |
Venipuncture-Puncture of the vein for any purpose. | There are 3 commonly used methods of venipuncture collection. Syringe, butterfly or evacuated tube system. |
Superficial-Pertaining to or situated near the surface. | Perform a capillary puncture when the patient has very fragile or superficial veins. |
Capillary puncture is also referred to as: | Skin Puncture, Finger Stick or Micro-Capillary Stick |
3 Agencies that certify Phlebotomist | AAAHP-American Assn of Allied Health Professionals; AMT- American Medical Technologists and NPA-National Phlebotomy Association. |
Lists 10 primary skills required of entry level phlebotomist. | Obtaining Blood Samples; Perform Vital Signs; Point of Care Testing; Safety Standards & Standard Precautions;CPR/AED;Tube ID & Correct Sequence of Draw; EKG QA & QC; Blood Film Slides; Lab Test. |
Name 3 departments of in the hospital and what the departments do. | Cardiology |
What does OHSA stand for and what does OHSA do. - Occupational Safety and health Administration | Mandatory for every employer with 10 or more employees to maintain a workplace free of hazards. |
What is the CLIA and what does it stand for. | Clinical Laboratory Improvement Amendments - Every facility in the with a clinical laboratory must obtain a certificate from the federal government. Assures that all testing done in the facility meets federal standards. Subject to routine site inspections |
What is the difference of QA & QC? Quality Assurance/Quality Control | QA-group of programs guarantee highest level of patient care. |
What is PPE and give 3 examples | Personal Protective Equipment - Gloves; gown; face mask. |
True or False: "Milking" the patient's finger causes severe tissue damage and should never be performed. | False - But is should be kept to a minimum as excessive milking and massage can cause interstitial fluid to dilute the specimen. |
True or False: When performing a capillary puncture, the blood will flow more freely of the area to be puncture is slightly cold to the touch. | False -Blood flow greatly increases when the site is warm. |
Names 4 circumstances that you would do a capillary puncture over venipuncture. | Collecting small amount of blood; children and infants; vein can not be located; severe burns or scar tissue over puncture sites; Pt has very fragile or superficial veins.. |
List the four superficial veins of the arm. | Basilic, Cephalic, Median Cubital, Median |
7 items that you would need to perform a veni.puncture. | Tourniquet,gloves,2x2 gauze, alcohol/iodine wipes, evacuated tubes, tube adapter, multisample needle, butterfly infusion set & bandaid/tape. |
Reasons for specimen rejection. | Descrepancies between requisition forms and labeled tubes; Unlabeled tubes, hemolyzed, collected in wrong tube, expired tubes, quantity not sufficient, wrong time interval- (fasting glucose collected after lunch) |
Essay Question: What is a hematoma and what to do if it starts to occur? | Accumulation of blood at the venipuncture site. Caused by blood leaking into the tissues,painful & can cause underlying tissue damage. ID by swelling & bruising. Release tourniquet, withdraw needle immediately, apply direct pressure minimum of 5 min, do |