PCT NHA-2 QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

What should you do 1st if a patient experiences SYNCOPE during blood collection..... - Remove the tourniquet and needle, place pressure on the Veni puncture site and protect patient from injury by assisting them to the floor or in a prone position. If you miss a patient's vein twice what should you do next..... - Another phlebotomist should draw To whom should the phlebotomist report a critical value for point of care testing.... - Directly to the Ordering provider..... Why should you avoid using a site with burned skin during venipuncture..... - it may be painful and difficult to find a vein. What is a critical value for a glucosemeter reading.... - This specific critical value can differ by facility and came change over time. What are the initial steps for introducing yourself to a patient...... - *make eye contact *let the patient know who you are and why your there. *explain the procedure *ask if they have any questions What is the process of cleaning a blood specimen spill on a counter.... - *use the prepared solution or 1:10 mixture of sodium hypochlorite (bleach) to water * let sit for 20min clean up with paper towels while wearing gloves. *dispose of contaminated materials in a biohazard bag. *wash hands What is the appropriate site for collection of a dermal specimen on a toddler or adult... - The middle or ring finger on the nondominant hand... Assuming that all blood fluids are infected with blood borne pathogens is considered__________....... - Standard Precautions You need a _________ form to accompany toxicology drug screens for legal purposes... - Chain of custody What tube should be use to collect blood for a liver profile.... - Green Hemoconcentration - the increase in proportion of formed elements to plasma caused by the tourniquet being left on too long. Sterilization - The process of destroying all microbes. What is the order of draw for capillary blood collection... - Lavender (EDTA) first SST (serum) last What requires a chain of custody...... - urine drug screen What type of isolation room requires N95 mask...... - a test that requires airborne precautions such as tuberculosis. when using the syringe method for venipuncture, when should the tourniquet be removed..... - after 1min. When should a sputum specimen be collected...... - before or several hours after eating to prevent vomiting. (a large volume of sputum is available in the morning) How to properly collect specimens for a heel stick for a newborn screening..... - *warm the patients heel *cleans and allow to dry *puncture the heel across the prints, with a semi auto- mated lancer device no deeper than 2mm * wipe first drop * touch the filter paper to the drop of blood to soak through completely in each circle. Patient identifiers - Name and DOB Syringe method - blood is drawn into a syringe and transferred into an evacuated tube. What effects basal state..... - Exercise and Food increase patient comfort for venipuncture...... - compassion equipment required if obtaining a sample from a patient with tuberculosis....... - N95 or 99 respirator Battery - the intentional touching of a person without his or her consent. Assault - an intentional violent attack Basal state - When the patient has fasted and not excersiced in 12 hours (usually in the morning upon waking) what should you do after a capillary tube is filled - *cap the tube *gently invert *label every specimen before leaving. capillary puncture on a 2mo. old - heel puncture what would make a blood smear unusable..... - if the blood touches the edge of the microscopic glass slide or with streaks or holes. To which division of a clinical laboratory would you send a culture and sensitivity test..... - Chemistry What should you use to prepare the skin for a blood culture collection.... - 2% iodine or a providone iodine swab How could you increase blood flow to a site when preparing to perform a dermal puncture on a 2 month old infant...... - apply a heel warmer for 3 to 5 mins. What PPE should you wear in anticipation of body fluid splashes..... - Mask and Gloves