NCCT Final Exam With Complete Solution

What does ETS stand for? - Answer Evacuated Tube System What is the most common gauge needle used for phlebotomy? - Answer 21g What is the proper term for a "butterfly" needle? - Answer Winged Infusion Set What is the most common gauge used for a butterfly needle? - Answer 23g The guard that covers the contaminated needle after the venipuncture is referred to as what? - Answer Safety cap What are the 3 main components of the ETS system? - Answer Multi-sample needle, Tube holder (hub), Evacuated tubes What is the purpose of the flanges on the hub/tube holder? - Answer Safety (easy to insert/remove tubes) What should be done before using a syringe for blood draw? - Answer Prime the plunger (pull in/out to loosen) What must be used to safely transfer blood from a syringe into the required tubes for testing? - Answer Use hub In the multi-sample needle system, what stops the blood from leaking out when interchanging tubes in the hub? - Answer Rubber sleeve What types of bandages are acceptable to use for post-venipuncture care? - Answer Surgical tape (paper/plastic), coban, Where do you dispose of contaminated needles? - Answer Sharps container What is commonly used to puncture the skin when microsampiing? - Answer Lancet What is the Order of Draw? - Answer Culture Yellow Blue Red Gold SST Green Lavender Pink Gray Yellow Why do we abide by the Order of Draw? - Answer Reduce effects of carry-over What is Informed Consent? - Answer Permission given by patient to me after explaining procedure What are some areas to avoid when drawing blood? - Answer Bruise (hematoma), Calloused, Blue (Cyanotic), Cold, IV How do you properly identify a patient in an outpatient setting? - Answer Name and DOB How do you properly identify a patient in an inpatient setting? - Answer Tag or Nurse Where would you find the criteria or other requirements for a lab test? - Answer Lab Procedure Manual When should you wash your hands? - Answer Before and After a patient How long should hands be washed for? - Answer 20+ seconds What is the area called where venipuncture is most commonly performed on the inside of the elbow? - Answer Antecubital Fossa Where should the tourniquet be applied? - Answer 3-4 inches about desired site What is the maximum time a tourniquet should be left on? - Answer 1 minute Finding a vein through physical examination by touching with the middle or ring fingers is referred to as what? - Answer Palpation What are the three main superficial veins used for venipuncture in the order of priority? - Answer median cubital, cephalic, basilic What is reflux? - Answer Backflow into body What is the proper technique if re-palpating is necessary after the site has been cleansed? - Answer above or below site Pulling downward below the venipuncture site in order to make the skin taut and to hold the vein in place is referred to as what? - Answer anchoring When performing venipuncture in the arm, the needle should be inserted at approximately what angle? - Answer 15-30 degree When should tubes be inverted? - Answer immediately after draw How many times should tubes be inverted? - Answer 8-10 times What can occur if the tourniquet is not released before removing the needle? - Answer altered results, patient pain Should you allow patients to bend their arm in replace of holding pressure on the site? - Answer never Labeling should be in pen and legible. What five items must be on all blood samples? - Answer Patient Name, DOB, Date of collection, Time of collection, My initials When do you label your specimens? - Answer in front of patient before allowing them to leave What should you check for before bandaging your patient? - Answer swelling, bruising, bleeding What is the CDC? - Answer Center for Disease Control and prevention Conducts and supports health promotion, prevention and preparedness activities in the United States, with the goal of improving overall public health What is NIOSH? - Answer National Institute for Occupational Safety and Health Conducting research and making recommendations for the prevention of work-related injury and illness What is OSHA? - Answer Occupational Safety and Health Administration Regulates workplace safety and health OSHA requires all healthcare employers to provide what vaccination to their employees? - Answer Hep B (HBV) What is the NSSPA? - Answer Needle Stick Safety Prevention Act Law requires employers to provide safety devices to help protect employees from hazardous conditions and blood-borne pathogens What are engineering controls? - Answer Any device used to make phlebotomy and lab related tasks safer for workers and patients Biohazard bag, sharps container, safety on needle What is an exposure control plan? - Answer Plan that tells you what to do if blood or other materials get on/in you What steps should be taken if you inadvertently stick yourself with a contaminated needle? - Answer wash site thoroughly get patient info notify supervisor go to healthcare provider (check for HBV and HIV) What is the healthcare worker and the patient screened for if an exposure incident occurs? - Answer HBV and HIV What are the four components of the NFPA label and how is the level of danger indicated? - Answer Red Fire Blue Health Yellow Chemical Reactive White Specific (radioactive/ don't use water) 0-4 (4 very dangerous)