Phleb. Entrance Exa
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| Coagulation Testing - is performed on ___________ | show 🗑
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| These studies are collected in tubes containing an _____________ _______, which preserves the coagulation factors. | show 🗑
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| show | Anticoagulant
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| show | Clotting
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| Clotting disorders such as ____________ (patients blood does not clot) must also be monitored. | show 🗑
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| show | Clotting
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| -Common Coagulation Tests- Activated partial _____________________ time | show 🗑
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| show | Bleeding
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| show | Factor
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| -Common Coagulation Tests-_________ and ______ degradation tests | show 🗑
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| -Common Coagulation Tests-__________________ normalized ratio | show 🗑
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| -Common Coagulation Tests-_______________ time | show 🗑
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| -Common Coagulation Tests-____________ clotting time | show 🗑
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| -Common Chemistry Tests & Panels-Most blood chemistry tests are performed on either _________ or _________ | show 🗑
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| show | Serum Red Anticoagulants Separator
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| -Common Coagulation Tests-The blood is allowed to clot for about ___ minutes before the serum is separated by a _____________ | show 🗑
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| -Common Coagulation Tests-In blood chemistry test/panels plasma is collected with tubes that contain either ________ or ____________ | show 🗑
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| -Chemistry 7- To assess basic ______ function; General _______________ screen/ ______ panel | show 🗑
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| ___________ Panel - To check for diabetes which is indicated by elevated levels of glucose | show 🗑
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| show | Fasting Blood Sugar
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| Glucose Panel - 2-Hour ______________ glucose | show 🗑
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| Glucose Panel - Glucose ______________ Test (GTT) | show 🗑
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| Glucose Panel - _______ Hemoglobin (_____) | show 🗑
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| To evaluate levels of ions in the blood, which indicate various conditions | show 🗑
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| show | Potassium, Chloride, Sodium, Bicarbonate
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| To assess liver health/function enzymes and bilirubin | show 🗑
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| Which function panel tests Alkaline Aminotransferase (ALT)? 2 | show 🗑
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| Aspartate Aminotransferase (AST) | show 🗑
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| To assess kidney health/function enzymes and bilirubin | show 🗑
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| Blood use nitrogen (BUN) | show 🗑
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| show | Renal Function Panel
2
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| show | Renal Function Panel
3
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| Phosphorus and Calcium | show 🗑
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| show | Renal Function Panel
5
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| show | Renal Function Panel
6
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| To assess risk of heart disease | show 🗑
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| Cholesterol | show 🗑
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| show | Coronary Risk Panel 2
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| show | Coronary Risk Panel 3
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| Low-density lipoprotein (LDL) | show 🗑
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| Myocardial Infarction (MI) Screen | show 🗑
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| AST | show 🗑
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| CK isoenzymes | show 🗑
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| Troponin | show 🗑
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| To assess risk of cardiac event or stroke | show 🗑
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| show | Lipid Panel 2
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| show | Lipid Panel 3
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| LDL and HDL | show 🗑
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| List the standard phlebotomy cart/tray contains the following blood collection equipment | show 🗑
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| show | Disinfect it
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| What is an alternative if a patient is allergic to latex? | show 🗑
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| Which pair of gloves have been proven to prevent transmission of infectious diseases? | show 🗑
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| show | Nitrile
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| A sharp needle will have a smooth entry into the skin with minimum pain to the patient. | show 🗑
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| show | Bevel
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| show | Shaft
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| What is the range length of venipuncture needles? | show 🗑
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| show | Shorter needles
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| Which needle is easier to manipulate? | show 🗑
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| show | Lumen
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| The diameter of the lumen; needle packs are color-coded for easy identification | show 🗑
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| show | 16
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| show | 23
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| Which two gauges are used for adult patients who gets "routine blood samples" | show 🗑
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| Place where the needle attaches to the collecting tube or syringe | show 🗑
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| For most blood collection | show 🗑
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| show | Double-ended
Evacuation
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| show | Retractable sleeve
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| show | in
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| Multi-Sample Needle - the __________ sleeve keeps the blood from leaking onto or into the tube holder while changing tubes | show 🗑
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| Patients with small or fragile veins benefit most from the use of a syringe because the vacuum of the collection tube is likely to cause the vein to collapse | show 🗑
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| show | Safety syringe needles
2
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| Safety syringe comes in a variety of sizes but the most common needle used is a __ gauge that is an inch long | show 🗑
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| Used for venipuncture or small and or fragile veins such as in the hands, in pediatric and or elderly patients and for patients with circulation conditions/problems (PVD, Raynaud's disease, etc) | show 🗑
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| The butterfly needle allows greater _________ in placing and manipulating where the phlebotomist wants to draw the patients blood | show 🗑
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| What is the most common gauge used for winged string? (1/2 - 3/4 of an inch long) | show 🗑
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| show | butterfly-shaped
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| Winged infusion sets (butterfly needles) is connected to flexible _____ tubing & with the proper _______, can be connected to an __________ tube. | show 🗑
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| Most butterfly needles (winged infusion sets) are now designed to be used with _____________________ tubes | show 🗑
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| show | Needle Adapter
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| A needle adapter is a translucent plastic cylinder with one small end that accepts the needle, while the other end has a wide opening that accepts the ________________ tube | show 🗑
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| show | sizes fit
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| To ensure a proper connection between the needle and the tube, adapters have a tube advancement mark indicating how far a tube can be pushed _______________ ______________ the vacuum. | show 🗑
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| Evacuated tubes can be used with both the _______________ tube system and with the ______________ method of obtaining blood specimens. | show 🗑
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| show | Evacuated Tubes
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| show | Directly
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| show | Transferring
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| syringe needle is simply pushed through the top of the tube, and the blood is automatically pulled into the tube system because of the ______. | show 🗑
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| show | Hemolysis
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| What are the three components that are required in a Evacuated Tube System? | show 🗑
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| show | Vacuum Aspirates
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| The evacuated tubes fill with blood automatically because of __________ that exists inside the tube. | show 🗑
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| The amount of vacuum is pre-measured so that the tube will draw a precise amount of blood; a tube that has lost its vacuum will ____ fill with blood | show 🗑
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| _______-________ evacuation tubes aid the phlebotomist in ensuring that the physician's prescription is followed. | show 🗑
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| show | Type of blood draw
Additive in the tube
Specimen to be tested
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| The colored tube tops are either _____ rubber stoppers or rubber stoppers with ___________ _____ | show 🗑
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| The plastic top minimizes the chance of an __________ spray when the top is removed. | show 🗑
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| show | Inside
Centrifuge
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| The exception to plastic tubes is ____-topped glass tubes, which are used only for _______ collection and contain ___ additives; they come in various sizes ranging from 2-15mL. | show 🗑
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| show | tube
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| show | age of the patient
amount of blood needed for the test
size and condition of the patient's vein
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| show | 1mL to 10mL or more
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| Some evacuation tubes are coated on the inside with silicon to help prevent destruction of ____ | show 🗑
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| show | sticking
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| show | activation
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| Evacuated tubes may or may not contain _____________. | show 🗑
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| show | clot serum
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| Many tubes are specifically designed to-be used directly with ______________, _______________, or ______________________ instrumentation. | show 🗑
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| Except for the ___ topped glass tube, which has ___ additives, all tubes contain at least one additive. | show 🗑
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| Tube Additives include ____________________, ____ __________________, ______________________ gel to separate components, ________________ and _______________ of various cellular reactions to maintain the integrity of the specimen. | show 🗑
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| Any tube containing an additive must be __________ and _____ immediately after removal from the needle adapter into the evacuated tube | show 🗑
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| Turning the tube over and then back equals _____ inversion | show 🗑
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| Prevent clotting (coagulation) sodium or potassium ethylenediaminetetraacetic acid (EDTA) binds calcium, which will inhibit coagulation of the blood | show 🗑
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| Other additives that bind calcium are _____________ __________, ______________ __________, sodium ________________ _________________ (SPS) | show 🗑
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| ____________ inhibits clotting by preventing the conversion of prothrombin to thrombin | show 🗑
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| show | Potassium Oxalate
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| show | Clot Activators
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| show | Clotting
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| Clot activators may be adhered to the _____ of the tube | show 🗑
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| Phlebotomist should invert the tube at least _______ times to make sure the drawn sample has come in contract with the activator | show 🗑
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| show | Thixotropic Gel
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| Thixotropic gel - As a result when patient's blood is drawn and centrifuged the thixotropic gel turns to ________ and moves between the lower cell layer and the upper serum or plasma layer | show 🗑
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| show | Hardens
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| show | one
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| The same multi-sample needles can be used to fill multiple tubes for the same patient but precautions must be taken to ensure that material from an earlier tube is not ________________ to a later tube thus contaminating the sample | show 🗑
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| The ____________ and _______________ __________________ _________________ has developed a set of standards for proper order of draw the order of draw is the same for syringe draws | show 🗑
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| show | Accepted standard of care
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| use precautions with patients known to have a serious illness that can be transmitted through airborne droplets | show 🗑
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| an allergic reaction to skin allergen contract | show 🗑
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| show | Analyte
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| show | Ancillary blood glucose test
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| area inside the elbow where the best veins for blood draw are located | show 🗑
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| Additives that prevent blood from clotting | show 🗑
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| show | Autologous Donation
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| show | Basilic Vein
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| show | Bleeding Time (BT) Test
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| show | Blood-borne pathogens
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| The presence of antigens on the surface of red blood cells (RBCs) | show 🗑
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| Artery in the antecubital fossa | show 🗑
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| show | Butterfly or Winged infusion set needle
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| Small tube use for hematocrit tests | show 🗑
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| Act of separating components of a sample based on density by using a machine that spins a sample at very high rate of speed | show 🗑
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| show | Cephalic vein
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| show | Chemistry Panel
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| Additives that stimulate clotting | show 🗑
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| Clotting | show 🗑
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| show | Complete Blood Count (CBC)
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| Used when a patient is known or suspected to have a serious illness that may be spread by direct contact | show 🗑
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| show | Differential (diff)
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| show | Droplet precautions
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| metal filing used to mix blood with additives in small tubes | show 🗑
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| Patient Privacy Act | show 🗑
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| Determines the percentage of the blood volume that is RBCs | show 🗑
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| show | Hematoma
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| Increase in the ratio of formed elements in the plasma usually caused by leaving the tourniquet on too long | show 🗑
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| show | Hemoglobin (Hgb)
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| show | Destruction of RBCs
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| The process by which the body stops blood from leaking out of a wound | show 🗑
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| show | Heparin or Saline lock
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| Monitors and evaluates the quality of patient care; institution will lose Medicare funding if it has not been accredited by JCAHO | show 🗑
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| show | Luer Adapter
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| show | Lumen
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| Provide information on chemicals their hazards and procedures for cleanup and first aid | show 🗑
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| prominent vein in antecubital fossa; first choice for blood draw | show 🗑
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| show | Microcollection Tube "bullet"
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| Large glass capillary tube | show 🗑
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| show | Multi-sample needle
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| show | Needle adapter
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| show | occluded
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| Regulates safety in the workplace | show 🗑
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| A prescribed sequence in which tubes with different additives should be filled during a multi-tube collection | show 🗑
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| probing and feeling | show 🗑
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| infectious organism | show 🗑
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| gowns, masks, respirators, face shields, shoe covers and gloves | show 🗑
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| show | petechiae
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| show | Phagocytosis
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| show | Phlebotomy
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| show | plasma
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| policies and procedures designed to ensure the delivery of high-quality patient care and specimen analysis | show 🗑
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| show | reflux
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| show | serum
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| needles, lancets, broken glass, and other sharp items | show 🗑
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| show | Standard precautions
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| A request for immediate attention and processing | show 🗑
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| an instrument used to inject or withdraw fluids it is a simple piston pump consisting of a plunger that fits tightly in a tube; open end of the syringe may by fitted with a hypodermic needle a nozzle or tubing | show 🗑
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| removal of blood (blood letting) as part of a treatment for a disorder | show 🗑
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| an inert additive used to separate cells from plasma during centrifuging | show 🗑
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| clot formation in a blood vessel | show 🗑
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| placed on a needle adapter to indicate how far the tube can be pushed in without losing vacuum pressure | show 🗑
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