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Scenarios
| Question | Answer |
|---|---|
| If a patient comes in for a drug screening of urine, you give a tamper-proof urine collection cup. Why should you examine its color and the temperature? | Checked for evidence of tampering |
| The phlebotomy tech is preparing to perform an arterial puncture. Please mark the area of the patient’s body that should be examined first for a suitable site? | thumb side of the wrist should be examined first. |
| The phlebotomy tech is observing another tech's technique while they perform an arterial puncture. The colleague-tech has inserted the needle at a 45-degree angle. Is the colleague-tech demonstrating proper technique? | yes |
| POCT device that is the only test which not wiping the first drop of blood away, before collecting the capillary specimen? | Blood coagulation monitor |
| As a phlebotomist is it your responsibility to verify that the patient has followed the test guidelines? | yes |
| What is the most critical error a phlebotomist can make? | Improperly identifying the patient before sample collection |
| what gauge needle would be used for a blood donation | 16g |
| Special situation of venipuncture (IV, non accessible veins) | If an IV is being administered and blood needs to be drawn, draw below the IV site If the vein is non accessible, use a capillary sample |
| if you were testing for peak and trough levels of a patient who has taken medication orally, when would you come in for peak levels? | 1-2 hours after dose |
| if you were testing for peak and trough levels of a patient who has taken medication orally, when would you come in for trough levels? | 15 minutes before next dose |
| Which of the following can reduce your risk of infection after being exposed to a bloodborne pathogen such as Hepatitis B or HIV? | If you have been exposed to HIV or hepatitis B, you can take a post-exposure prophylaxis to reduce the likelihood of contracting the disease. |
| If a child weighs 34 lb., the maximum volume of blood that can be drawn at one time is: | 10 mL |
| If the following labs are ordered, what is the correct order of draw for blood culture, aptt, cbc, esr, lytes, and CMP? | Blood culture, APTT, CMP, Lytes, CBC, ESR sterile bottle, light blue, tiger/speckle/gold, light green, lavender, lavender |
| If a blood specimen is to be obtained for the trough level of a drug, the best time to draw the blood is usually? | 15 minutes before next scheduled dose |
| under the bill of rights, can a patient decline medical treatment? | yes |
| are phlebotomists ever able to tell the patients their results? | no |
| if a patient declines medical treatment what should you do? | document their refusal |
| if a patient asks what tests were ordered, should you tell them? | yes but you cannot share their results |
Created by:
phlebotomystudent1
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