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Exam (elaborations)

Phlebotomy Study Guide 2025 with Complete Solutions

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Phlebotomy Study Guide 2025 with Complete Solutions

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Phlebotomy Study Guide 2025 with
Complete Solutions

infection control - ANS-a set of guidelines designed for monitoring, reporting, isolating,
educating, and managing any community acquired and or healthcare related infection.

OSHA - ANS-an abbreviation for the Occupational Safety and Health Act. it is the
governing and
controlling body for safe working conditions; their overall goal is to keep everyone free
from
exposures.

standard precautions - ANS-recommendations from the Center for Disease Control
guidelines which are directed at all body fluids, secretions (except sweat) and
excretions, regardless if there is blood present. this would also entail contact with non-
intact skin and or mucous membranes.

universal precautions - ANS-an older term (some facilities have replaced standard
precautions) it is the OSHA regulation for preventing any exposure to HIV, HBV, and
HCV in the workplace. Its basis suggests that any person could be potentially infected
with the above and proper use of PPE is advised.

personal protective equipment (PPE) - ANS-materials used to protect yourself from any
blood or body
exposures, splashes, and or contaminates. Examples are scrubs, gloves, goggles,
surgical gown,
surgical booties, lab coat, etc.

nosocomial infection - ANS-those infections which a patient receives after being in a
hospital. they are generated usually by the environment and or employees within.

- report any illnesses to employees' health
- follow recommended policies (some institutions have signs to inform you of the need
for PPE)
- wash your hands!!! - ANS-to prevent nosocomial infections, it is essential that you...

- remove gloves and dispose properly
- squeeze puncture site to promote bleeding
- wash area well w/ water and soap
- record patient's name and ID number

, - report incident to supervisor and follow institutional guidelines regarding tx and f/u -
ANS-what do you do if you stick yourself with a needle?

1. wash area w/ a lot of water or follow policy/procedure of your facility on exposures. do
not use bleach on eyes or open mucous membranes.
2. once stable, wipe up any spilled blood/bodily fluid w/ paper towels, using proper
standard precautions. should be done w/ hospital-approved cleaning agent.
3. discard used paper towels in an appropriate biohazard waste container.
4. record patient's name and ID number.
5. report incident to supervisor and follow institution's guidelines regarding tx and f/u. -
ANS-what do you do if you splash blood on your skin or into your eyes?

- speeding, rushing. hurrying to complete tasks
- not being mindful of surrounding environment/equipment
- not foreseeing patients' actions by looking for cues of anxiety/fear
- improper body mehanics
- improper PPE
- improper disposal techniques
- not following guidelines/policies - ANS-what are some common reasons that
phlebotomists get injured?

- giving recognition
- giving information
- listen
- demonstrate empathy & patience
- be able to cope & interact w/ a variety of patients - ANS-when communicating and
interacting w/ a customer/patient, the phlebotomist should...

a. Thank the patient for their time and walk out of the room (first wash hands)
b. Inform the nurse
c. Follow policy and procedure with proper documentation - ANS-what do you do if an
awake, alert and oriented patient refuses blood to be drawn?

a. Contact the RN and obtain adequate nursing assistance prior to attempting the
draw.
b. If the patient requests that you stop the venipuncture, remove the needle from
the patient's arm, apply pressure to the site and apply dressing. Notify the nurse of
the problem. - ANS-if a patient is combative, what do you do?

true - ANS-if a pt is restrained, contact the nurse prior to venipuncture and request the
nurse to reposition the restraint in order to expose the vein and make sure to return any
side rails to their original position. t/f?

true - ANS-if the patient has a cardiac arrest while you are drawing blood, follow
institutions protocol. yell
for assistance and use the call button if available. t/f?

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