Phlebotomy Essentials 6th edition. ALL || || || || ||
quizzes, ALL ch. tests, GRADED work, || || || || || ||
PLUS, the FULL NAHP study guide || || || || ||
DA #1 QUIZ---GRADE: 100%DA #1 QUIZ---GRADE: 100%
|| || || || || ||
1. hiring phleb, what credentials, professional qualities, & work ethics would
|| || || || || || || || || || ||
person have? || ||
ANSWER: certification, professional demeanor, attitude, & dress/groom.
|| || || || || || ||
Outstanding work/personal set, always interested in training opportunities.
|| || || || || || ||
2. on rounds, phleb sees order to collect from Pt who lives in neighborhood.
|| || || || || || || || || || || || || ||
Calls neighbor to let them know friend in hospital so neighbor can send
|| || || || || || || || || || || || ||
card/flower. proper? ||
ANSWER: No. HIPPA violation. Even if best friends, a violation of pt's rights to
|| || || || || || || || || || || || || ||
disclose to anyone info about pt. || || || || ||
3. well-known person admitted, phleb collects blood from pt. upon return to
|| || || || || || || || || || || ||
lab, checks computer for results. phleb knows info not to be shared, plans to
|| || || || || || || || || || || || || ||
keep confidential. Explain consequences of such actions.
|| || || || || ||
ANSWER: violation of HIPPA, job of phleb is to collect blood, never to get info
|| || || || || || || || || || || || || || ||
on pt. Unless more blood needs to be drawn, need to be connected to pt is
|| || || || || || || || || || || || || || || ||
ZERO.
,4. phleb must collect blood from elderly woman who's hard of hearing, broken
|| || || || || || || || || || || || ||
English, looks angry w/ attempt made to communicate. communication
|| || || || || || || || ||
barriers involved? best approach? How to tell she understands?
|| || || || || || || ||
ANSWER: Language is barrier, best option is find an interpreter, family
|| || || || || || || || || || ||
member or wait to do draw until communication is established. Unless test is
|| || || || || || || || || || || || ||
explained in picture form, and can be understood to gain consent, no work
|| || || || || || || || || || || || ||
should be performed unless a life/death situation or emergency.
|| || || || || || || ||
5. requisition received in lab for STAT spec from INPT whos been in hospital a
|| || || || || || || || || || || || || || ||
few days. After carefully checking pt's ID, phleb tells pt order for blood to be
|| || || || || || || || || || || || || || ||
drawn immediately. pt says all phlebs are vampires, doesn't want to see another
|| || || || || || || || || || || || ||
one ever again. complains everyone poking somewhere w/ something, hes tired
|| || || || || || || || || || ||
of it. How to handle situation?
|| || || || ||
ANSWER: would smile, and ask to sit in chair beside bed, make a little small
|| || || || || || || || || || || || || || ||
talk,
DA #2 QUIZ---GRADE: 100%DA #2 QUIZ---GRADE: 100%
|| || || || || ||
1) out of 17 spec's phleb collected, 10 required redraws. What QA implications?
|| || || || || || || || || || || || ||
What actions might be taken to remedy situation?
|| || || || || || ||
ANSWER: Have phleb review guidelines/techniques for blood samples || || || || || || ||
2) CBC spec rejected by hematology dept. Tube filled completely, labeled
|| || || || || || || || || || ||
properly. What might have been reason for rejection? || || || || || || ||
ANSWER: no req form, Anticoags might be expired, not transported correctly
|| || || || || || || || || ||
,3) glucose spec forgotten, discovered 3 hours after draw. Should spec be
|| || || || || || || || || || || ||
submitted or recollected? || ||
ANSWER: No, don't submit, it's past the 2-hour window to test || || || || || || || || || ||
4) new phleb criticized by super for not meeting 5 min/pt limit, told to increase
|| || || || || || || || || || || || || || ||
speed. next pt hesitant to extend arm, proceeds to force pt to cooperate, draws
|| || || || || || || || || || || || || ||
blood quickly w/o any explanation. What legal/ethical issues associated w/
|| || || || || || || || || ||
situation?
ANSWER: She should not do draw by force, she could be charged with
|| || || || || || || || || || || || ||
assault/battery. Unethical to be rushed, blood draw every 5 min not taking || || || || || || || || || || || ||
pts/situations into consideration. || ||
5) As phleb is redirecting /digging in pt's arm, adjacent vein spotted. Thinking
|| || || || || || || || || || || || ||
pt wont notice, she quickly withdraws needle and moves it to vein centimeters
|| || || || || || || || || || || || ||
away, w/o changing needles/explaining situation to pt. blood comes quickly,
|| || || || || || || || || ||
phleb dismisses pt, satisfied, unaware of what happened. What are safety issues,
|| || || || || || || || || || ||
legal ramifications?
|| ||
ANSWER: Once needle is removed, for whatever reason, not usable again,
|| || || || || || || || || || ||
could infect pt. Could be sued, safety of pt is most important.
|| || || || || || || || || || ||
6) phleb goes to ER to draw from unconscious, badly injured accident vic. An
|| || || || || || || || || || || || || ||
anxious RN tells phleb to draw "rainbow", and blood alcohol level, adds she'll
|| || || || || || || || || || || || ||
send dr's orders to lab when she gets them. injured man doesn't have ID band,
|| || || || || || || || || || || || || || ||
phleb there when he arrived. How should phleb id pt in order to meet NPSG's?
|| || || || || || || || || || || || || || ||
Should phleb collect, or wait for dr's orders?
|| || || || || || ||
ANSWER:
, DA #3 QUIZ---GRADE: 100%DA #3 QUIZ---GRADE: 100%
|| || || || || ||
1) ped pt breaks out w/ measles day after being admitted to hospital w/
|| || || || || || || || || || || || || ||
breathing problem. nosocomial infection? || || ||
ANSWER: Not a nosocomial infection, incubation period for measles 10-12
|| || || || || || || || || ||
days, pt not in hospital long enough.
|| || || || || ||
2) pt w/ pulmonary tuberculosis, type of precautions entering pt's room?
|| || || || || || || || || ||
ANSWER: transmission-based ||
3) A lab worker sneezes, covers mouth w/ hand, reaches for Kimwipe knocks
|| || || || || || || || || || || || ||
over sharps container, stuck by needle fell out of sharps container. What means
|| || || || || || || || || || || || ||
of BBP transmission may be involved/safety rules violated, how incident
|| || || || || || || || || ||
handled?
ANSWER: Sharps container not mounted securely, BBP exposure when needle
|| || || || || || || || || ||
entered skin, wash skin with soap/water for 30 secs., file incident report, follow
|| || || || || || || || || || || || ||
workplace safety precautions, get tested, and any treatment needed to be
|| || || || || || || || || || ||
released to go back to work. || || || || ||
4) tertiary care hospital lab chronically understaffed in Phleb Dept. Employees
|| || || || || || || || || || ||
constantly asked to work ot, additional evening shifts, and many weekends.
|| || || || || || || || || || ||
"Time-off" very difficult to get approved. Describe ways stress might manifest in
|| || || || || || || || || || ||
employees, ways employees can manage.
|| || || || ||
ANSWER: Could start to have a weakened immune system, hypertension,
|| || || || || || || || || ||
ulcers, migraines, and nervous breakdowns could eventually result. Can
|| || || || || || || || ||
manage stress levels by talking about problems with friends, family, exercise,
|| || || || || || || || || || ||
setting realistic goals, and relaxing throughout the day.
|| || || || || || ||
quizzes, ALL ch. tests, GRADED work, || || || || || ||
PLUS, the FULL NAHP study guide || || || || ||
DA #1 QUIZ---GRADE: 100%DA #1 QUIZ---GRADE: 100%
|| || || || || ||
1. hiring phleb, what credentials, professional qualities, & work ethics would
|| || || || || || || || || || ||
person have? || ||
ANSWER: certification, professional demeanor, attitude, & dress/groom.
|| || || || || || ||
Outstanding work/personal set, always interested in training opportunities.
|| || || || || || ||
2. on rounds, phleb sees order to collect from Pt who lives in neighborhood.
|| || || || || || || || || || || || || ||
Calls neighbor to let them know friend in hospital so neighbor can send
|| || || || || || || || || || || || ||
card/flower. proper? ||
ANSWER: No. HIPPA violation. Even if best friends, a violation of pt's rights to
|| || || || || || || || || || || || || ||
disclose to anyone info about pt. || || || || ||
3. well-known person admitted, phleb collects blood from pt. upon return to
|| || || || || || || || || || || ||
lab, checks computer for results. phleb knows info not to be shared, plans to
|| || || || || || || || || || || || || ||
keep confidential. Explain consequences of such actions.
|| || || || || ||
ANSWER: violation of HIPPA, job of phleb is to collect blood, never to get info
|| || || || || || || || || || || || || || ||
on pt. Unless more blood needs to be drawn, need to be connected to pt is
|| || || || || || || || || || || || || || || ||
ZERO.
,4. phleb must collect blood from elderly woman who's hard of hearing, broken
|| || || || || || || || || || || || ||
English, looks angry w/ attempt made to communicate. communication
|| || || || || || || || ||
barriers involved? best approach? How to tell she understands?
|| || || || || || || ||
ANSWER: Language is barrier, best option is find an interpreter, family
|| || || || || || || || || || ||
member or wait to do draw until communication is established. Unless test is
|| || || || || || || || || || || || ||
explained in picture form, and can be understood to gain consent, no work
|| || || || || || || || || || || || ||
should be performed unless a life/death situation or emergency.
|| || || || || || || ||
5. requisition received in lab for STAT spec from INPT whos been in hospital a
|| || || || || || || || || || || || || || ||
few days. After carefully checking pt's ID, phleb tells pt order for blood to be
|| || || || || || || || || || || || || || ||
drawn immediately. pt says all phlebs are vampires, doesn't want to see another
|| || || || || || || || || || || || ||
one ever again. complains everyone poking somewhere w/ something, hes tired
|| || || || || || || || || || ||
of it. How to handle situation?
|| || || || ||
ANSWER: would smile, and ask to sit in chair beside bed, make a little small
|| || || || || || || || || || || || || || ||
talk,
DA #2 QUIZ---GRADE: 100%DA #2 QUIZ---GRADE: 100%
|| || || || || ||
1) out of 17 spec's phleb collected, 10 required redraws. What QA implications?
|| || || || || || || || || || || || ||
What actions might be taken to remedy situation?
|| || || || || || ||
ANSWER: Have phleb review guidelines/techniques for blood samples || || || || || || ||
2) CBC spec rejected by hematology dept. Tube filled completely, labeled
|| || || || || || || || || || ||
properly. What might have been reason for rejection? || || || || || || ||
ANSWER: no req form, Anticoags might be expired, not transported correctly
|| || || || || || || || || ||
,3) glucose spec forgotten, discovered 3 hours after draw. Should spec be
|| || || || || || || || || || || ||
submitted or recollected? || ||
ANSWER: No, don't submit, it's past the 2-hour window to test || || || || || || || || || ||
4) new phleb criticized by super for not meeting 5 min/pt limit, told to increase
|| || || || || || || || || || || || || || ||
speed. next pt hesitant to extend arm, proceeds to force pt to cooperate, draws
|| || || || || || || || || || || || || ||
blood quickly w/o any explanation. What legal/ethical issues associated w/
|| || || || || || || || || ||
situation?
ANSWER: She should not do draw by force, she could be charged with
|| || || || || || || || || || || || ||
assault/battery. Unethical to be rushed, blood draw every 5 min not taking || || || || || || || || || || || ||
pts/situations into consideration. || ||
5) As phleb is redirecting /digging in pt's arm, adjacent vein spotted. Thinking
|| || || || || || || || || || || || ||
pt wont notice, she quickly withdraws needle and moves it to vein centimeters
|| || || || || || || || || || || || ||
away, w/o changing needles/explaining situation to pt. blood comes quickly,
|| || || || || || || || || ||
phleb dismisses pt, satisfied, unaware of what happened. What are safety issues,
|| || || || || || || || || || ||
legal ramifications?
|| ||
ANSWER: Once needle is removed, for whatever reason, not usable again,
|| || || || || || || || || || ||
could infect pt. Could be sued, safety of pt is most important.
|| || || || || || || || || || ||
6) phleb goes to ER to draw from unconscious, badly injured accident vic. An
|| || || || || || || || || || || || || ||
anxious RN tells phleb to draw "rainbow", and blood alcohol level, adds she'll
|| || || || || || || || || || || || ||
send dr's orders to lab when she gets them. injured man doesn't have ID band,
|| || || || || || || || || || || || || || ||
phleb there when he arrived. How should phleb id pt in order to meet NPSG's?
|| || || || || || || || || || || || || || ||
Should phleb collect, or wait for dr's orders?
|| || || || || || ||
ANSWER:
, DA #3 QUIZ---GRADE: 100%DA #3 QUIZ---GRADE: 100%
|| || || || || ||
1) ped pt breaks out w/ measles day after being admitted to hospital w/
|| || || || || || || || || || || || || ||
breathing problem. nosocomial infection? || || ||
ANSWER: Not a nosocomial infection, incubation period for measles 10-12
|| || || || || || || || || ||
days, pt not in hospital long enough.
|| || || || || ||
2) pt w/ pulmonary tuberculosis, type of precautions entering pt's room?
|| || || || || || || || || ||
ANSWER: transmission-based ||
3) A lab worker sneezes, covers mouth w/ hand, reaches for Kimwipe knocks
|| || || || || || || || || || || || ||
over sharps container, stuck by needle fell out of sharps container. What means
|| || || || || || || || || || || || ||
of BBP transmission may be involved/safety rules violated, how incident
|| || || || || || || || || ||
handled?
ANSWER: Sharps container not mounted securely, BBP exposure when needle
|| || || || || || || || || ||
entered skin, wash skin with soap/water for 30 secs., file incident report, follow
|| || || || || || || || || || || || ||
workplace safety precautions, get tested, and any treatment needed to be
|| || || || || || || || || || ||
released to go back to work. || || || || ||
4) tertiary care hospital lab chronically understaffed in Phleb Dept. Employees
|| || || || || || || || || || ||
constantly asked to work ot, additional evening shifts, and many weekends.
|| || || || || || || || || || ||
"Time-off" very difficult to get approved. Describe ways stress might manifest in
|| || || || || || || || || || ||
employees, ways employees can manage.
|| || || || ||
ANSWER: Could start to have a weakened immune system, hypertension,
|| || || || || || || || || ||
ulcers, migraines, and nervous breakdowns could eventually result. Can
|| || || || || || || || ||
manage stress levels by talking about problems with friends, family, exercise,
|| || || || || || || || || || ||
setting realistic goals, and relaxing throughout the day.
|| || || || || || ||
