AMCA Phlebotomy review

AMCA Phlebotomy Review All Answers Correct The CDC current routine infection control policy is called Ans- Isolation Precaution To prevent cross-contamination, you should_________________ between patients. Ans- Wash your hands What kind of equipment are gloves considered? Ans- Personal Proctective Equipment (PPE) If a patient falls what should you document? Ans- Date, Time and location fall (Incident Report) What is the gray top usually used to draw Ans- Glucose tolerance What is the drawback of a 24 hr urine collection? Ans- Patients cooperation Collecting a sample from inside a patient's cheek is called a_____________ swab Ans- buccal If a patient has a Right side Mastectomy, where would you draw blood from? Ans- Left side Drawing an EDTA tube before a serum tube could produce a false ____________potassium and false ____________ calcium. Ans- High; low How do you hold a "butterfly" infusion set? Ans- By the wings Which requires a chain of custody form: AIDS test, forensic samples, PT/INR sample, C-diff test AnsForesic Sample Mucus from the lungs is called what? Ans- Sputum T or F: The lab would reject a light blue tube with a 7:1 ratio? Ans- True 9:1 If you have a specimen that will be delayedby more than anhour because of the labe workload, what should you do with the specimen you have obtained? Ans- Still send it to the lab How should you properly clean a site for a standard veinapuncture? Ans- 70% Alcohol in a circular motion What should be checked on the patient's armband to verify the patient? Ans- Name and date of birth What type of consent does surgery require? Ans- Informed What is the order of draw BY TUBE TOP COLOR for the following: CMP(SST). CBC lavender, PT(lt blue), blood cultures. Ans- Blood Cultures, PT, CMP, CBC When should a blood tube be labeled by the phlebotomist? Ans- After the specimen has been collected What technique for cleaning is used to collect blood cultures for patient with septicemia? Ans- Aseptic sterile technique An exampleof implied consent for a blood draw is? Ans- Holding their arm out What does NPO stand for? Ans- nothing by mouth Normally the first test drawn for a patient with a FUO is? Ans- Blood Culture What do we call an unexpected patient death that is not related to illness? Ans- Sentnal event What is the additive in the green top? Ans- Sodium Heparin What documents would you refer to in case of a chemical spill? Ans- Material Safety Data Sheet (MSDS) In the chain of infection the host can become the: Ans- Resevoir When you are doing a bleeding time test, what should the blood pressure cuff beinflated to? Ans- 40 mmhg What color tube top would be used to check coagulation? Ans- Lt. Blue What department in the hospital is responsible for sterile supplies? Ans- Central Supply What is the document in the lab that describes the detailed steps to follow to collect specimens? AnsProcedural Manual What is the most common test for the lavender top tube? Ans- CBC Blood is carried away from the heart by: Ans- arteries A lipemic specimen, usually indicates the patient has not been doing what? Ans- Fasting What gauge winged needle would you use when drawing from a hand, select one of the following sizes: 15, 17 ,19 ,23 Ans- 23 The antiglycolitic agent function does what? Ans- Preserve Glucose What ratio of bleach to water can be used as a medical grade disinfectant? Ans- 10:1 T or F: OSHA requires the HBV vaccine for healthcare workers? Ans- True What would you do if your adult patient refuses a blood draw? Ans- Document it and notify provider What is the best urine specimen fora urine culture? Ans- Clean catch and midstream If you have a blood spill, where do you dispose of the materials? Ans- Biohazard waste Where would a phlebotomist document poor technique that affected sample quality? Ans- Quality Improvement Form What kind of container should you dispose of used needle in? Ans- Puncture Resistant Container If a patient is on a blood thinners, what should you put on the patients after the blood draw to cover the puncture site? Ans- Coban What precaution requires special handling and ventilation? Ans- Airborne What lab department is CBC sent to? Ans- Hematology If a tourniquet is left on to long, ____________________ of the blood could result. AnsHemononcentration What is the muscle layer of the heart? Ans- Myocardium Plasma is composed of 90% water and 10% what? Ans- Dissolved Solutes For a regular blood draw what should the angleof the needleand direction of the bevel be? Ans- Bevel up and 15 to 30 degrees What is the additive found in the yellow top? Ans- Sodium Polyanetholesulfonate (SPS) What color top tube is used to test Erythrocyte Sedimentation Rate (ESR)? Ans- Lavender What tests are collected in a Royal blue top tube? Ans- Trace Elements or Aluminum Almost all coagulation tests require that a plasma specimen be drawn in what colortube top? Ans- Lt. Blue The SST goes to which lab department? Ans- Chemistry By what structure does oxygenated blood leave the heart? Ans- Aorta What is the point-of-care test that can be performed at home as well as at the hospital? Ans- Glucose testing Who is trained to use safety features of phlebotomy equipment? Ans- Professionals What is the current CDC guideline for infection control? Ans- Isolation Precautions Can sodium hypochloride be used to clean up blood? Ans- Yes Normal results for a fasting Glucose test is under what number? Ans- 100 What does the pulmonary system do with regard to blood? Ans- carries blood to and from the lungs The number of tubes drawn in a 3 hour glucose tolerance test? Ans- 4 What do platelets do? Ans- clot blood Checking the expiration dates on vacutainer tubes is an example of a_____________ ___________measure. Ans- Quality Control The antiglycolitic additive in the grey top tube is what? Ans- Sodium fluoride What would be analyzed in anatomical pathology area of the lab, choose from the following: ESR, synovial fluid, CBC, Biopsy tissue. Ans- Biopsy Tissue A test for ________ could be collected in a tube other than a trace element t