NHA Phlebotomy Exam Latest Updated.

NHA Phlebotomy Exam Latest Updated


OSHA - (CORRECT ANSWER)-Establishes regulations and guidelines to direct
b b b b b b b b




b phlebotomists to work at the highest level of safety possible when handling bio hazards
b b b b b b b b b b b b b




b and chemicals.
b




The blood borne pathogens standard (OSHA) - (CORRECT ANSWER)-- addresses use of
b b b b b b b b b b b




b PPE b




- availability to the Hep B immunization
b b b b b b




- Each workplace must have a exposure control plan
b b b b b b b b b




- has guidelines to ensure safety
b b b b b b




- provides standard plans for after an exposure.
b b b b b b b




- engineering controls and record keeping protocols
b b b b b b




PPE for venipuncture and capillary (OSHA) - (CORRECT ANSWER)-well fitting gloves
b b b b b b b b b b




Airborne infection PPE (OSHA) - (CORRECT ANSWER)-N99 or N95 mask
b b b b b b b b b




What do you do when you have an accidental needle stick? (OSHA) - (CORRECT
b b b b b b b b b b b b b




b ANSWER)-First you wash the area with soap and water (basic first aid), then undergo
b b b b b b b b b b b b b




b medical examination that includes you and the patient get tested for HIV, HBV and HCV.
b b b b b b b b b b b b b b




b Then document the exposure in sharps injury log.
b b b b b b b




What do you include in a sharps injury log? (OSHA) - (CORRECT ANSWER)-date and time
b b b b b b b b b b b b b b




b of incident, type of sharps used, who was involved (patient or staff w/o names), location
b b b b b b b b b b b b b b




b and a detailed description of how it occurred.
b b b b b b b

,What is the joint commission? - (CORRECT ANSWER)-- accredits and certifies healthcare
b b b b b b b b b b b




b organizations
- independent, nongovernmental, and nonprofit
b b b b




- focuses on continual improvement of patient safety and quality of care through
b b b b b b b b b b b b




b regulations and standards b b




The national patient safety goals program (JC) - (CORRECT ANSWER)-sets requirements
b b b b b b b b b b




b for issues including training of health care professionals, communication of test results,
b b b b b b b b b b b




b and accurate IDs (2-factor method)
b b b b




Clinical and Laboratory Standards Institute (CLSI) - (CORRECT ANSWER)--develops
b b b b b b b b




b standards and guidelines in order for a laboratory to be accredited
b b b b b b b b b b




- provides guidelines for phlebotomists for better accuracy and patient care (like for the
b b b b b b b b b b b b b




b use of tubes and needles). standards include level of additives and their use for which
b b b b b b b b b b b b b b




b tests, order of draw, processing and handling, depth of needle and location needed for
b b b b b b b b b b b b b




b capillary collection b




- provides guidelines for quality control, patient care, risk reductions, and time saving and
b b b b b b b b b b b b b




b cost cutting measures.
b b




Centers for Disease Control and Prevention (CDC) - (CORRECT ANSWER)-- helps ID and
b b b b b b b b b b b b




b and educate about infections, illnesses and disease preventions.
b b b b b b b b




- IDs new disease and works to prevent spreads
b b b b b b b b




- Provides guidelines for PPE sharps handling and hand hygiene
b b b b b b b b b




- recommends standard precautions when handling body fluids
b b b b b b b




HIPPA - (CORRECT ANSWER)-- Protects every patients PHI (protected health info) which
b b b b b b b b b b b




b is any and all info that relates to the patients medical record or electronic health record.
b b b b b b b b b b b b b b b b




- details what info is confidential and any authorized release of that info
b b b b b b b b b b b b




Info protected under HIPPA - (CORRECT ANSWER)-demographic info, treatment, meds,
b b b b b b b b b




b diagnostic testing. Any info w/o a way to ID the patient is not protected
b b b b b b b b b b b b b

, When is the phlebotomist responsible for the patient? - (CORRECT ANSWER)-Before,
b b b b b b b b b b




b during and immediately after venipuncture
b b b b




What happens if you go through with the venipuncture without consent? - (CORRECT
b b b b b b b b b b b b




b ANSWER)-It would be considered assult b b b b




Techniques to find a vein - (CORRECT ANSWER)-warming the area, wiping it with an
b b b b b b b b b b b b b




b alcohol wipe, and lowering the limb below the level of the patients heart
b b b b b b b b b b b b




Why do phlebotomists avoid the wrist? - (CORRECT ANSWER)-potential ulnar nerve
b b b b b b b b b b




b damage or inadvertent arterial access
b b b b




Why is the basilic vein the least desirable for venipuncture? - (CORRECT ANSWER)-it is
b b b b b b b b b b b b b




b close to the brachial artery and it is most painful
b b b b b b b b b




Why would a phlebotomist avoid the legs and feet of a patient who has diabetes mellitus?
b b b b b b b b b b b b b b b




b - (CORRECT ANSWER)-To prevent possible infection
b b b b b




What do you do if a hematoma develops? - (CORRECT ANSWER)-Stop the procedure
b b b b b b b b b b b b




What do you do if the patient shows early signs of a seizure or syncope? - (CORRECT
b b b b b b b b b b b b b b b b




b ANSWER)-You immediately stop the procedure and lie them on the floor or in their bed.
b b b b b b b b b b b b b b




b Give them a cold compress and stay with them until they recover
b b b b b b b b b b b




Quality control - (CORRECT ANSWER)-a measure of precision or of how well an
b b b b b b b b b b b b




b instrument is functioning over time b b b b




Quality assurance - (CORRECT ANSWER)-ensuring a test is as accurate as possible
b b b b b b b b b b b