Correct Answers
OSHA - correct answer Establishes regulations and guidelines to direct phlebotomists to work at the highest
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level of safety possible when handling bio hazards and chemicals.
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The blood borne pathogens standard (OSHA) - correct answer - addresses use of PPE
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- availability to the Hep B immunization
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- Each workplace must have a exposure control plan
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- has guidelines to ensure safety
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- provides standard plans for after an exposure.
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- engineering controls and record keeping protocols
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PPE for venipuncture and capillary (OSHA) - correct answer well fitting gloves
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Airborne infection PPE (OSHA) - correct answer N99 or N95 mask
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,What do you do when you have an accidental needle stick? (OSHA) - correct answer First you wash the area
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with soap and water (basic first aid), then undergo medical examination that includes you and the patient get
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tested for HIV, HBV and HCV. Then document the exposure in sharps injury log.
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What do you include in a sharps injury log? (OSHA) - correct answer date and time of incident, type of sharps
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used, who was involved (patient or staff w/o names), location and a detailed description of how it occurred.
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What is the joint commission? - correct answer - accredits and certifies healthcare organizations
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- independent, nongovernmental, and nonprofit
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- focuses on continual improvement of patient safety and quality of care through regulations and standards
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The national patient safety goals program (JC) - correct answer sets requirements for issues including training
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of health care professionals, communication of test results, and accurate IDs (2-factor method)
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Clinical and Laboratory Standards Institute (CLSI) - correct answer -develops standards and guidelines in order
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for a laboratory to be accredited
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- provides guidelines for phlebotomists for better accuracy and patient care (like for the use of tubes and
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needles). standards include level of additives and their use for which tests, order of draw, processing and
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handling, depth of needle and location needed for capillary collection k k k k k k k k k
- provides guidelines for quality control, patient care, risk reductions, and time saving and cost cutting
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measures.
Centers for Disease Control and Prevention (CDC) - correct answer - helps ID and and educate about infections,
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illnesses and disease preventions. k k k k
- IDs new disease and works to prevent spreads
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- Provides guidelines for PPE sharps handling and hand hygiene
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- recommends standard precautions when handling body fluids
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HIPPA - correct answer - Protects every patients PHI (protected health info) which is any and all info that relates
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to the patients medical record or electronic health record.
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- details what info is confidential and any authorized release of that info
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, Info protected under HIPPA - correct answer demographic info, treatment, meds, diagnostic testing. Any info
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w/o a way to ID the patient is not protected
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When is the phlebotomist responsible for the patient? - correct answer Before, during and immediately after
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venipuncture
What happens if you go through with the venipuncture without consent? - correct answer It would be
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considered assult k
Techniques to find a vein - correct answer warming the area, wiping it with an alcohol wipe, and lowering the
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limb below the level of the patients heart
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Why do phlebotomists avoid the wrist? - correct answer potential ulnar nerve damage or inadvertent arterial
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access
Why is the basilic vein the least desirable for venipuncture? - correct answer it is close to the brachial artery and
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it is most painful
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Why would a phlebotomist avoid the legs and feet of a patient who has diabetes mellitus? - correct answer To
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prevent possible infection k k
What do you do if a hematoma develops? - correct answer Stop the procedure
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What do you do if the patient shows early signs of a seizure or syncope? - correct answer You immediately stop
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the procedure and lie them on the floor or in their bed. Give them a cold compress and stay with them until they
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recover
Quality control - correct answer a measure of precision or of how well an instrument is functioning over time
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Quality assurance - correct answer ensuring a test is as accurate as possible
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