NHA PCT Exam Study Guide

NHA PCT Exam Study Guide 1. Prepare the patient - ANSWER a) EKG monitoring (ex: patient history, cardiac medications, patient positioning) b) Holter monitoring c) Stress testing d) Telemetry monitoring 2. Apply electrodes on patients - ANSWER a) EKG monitoring b) Holter monitoring c) Stress testing d) Telemetry monitoring e) Pediatric patients f) Patients with special considerations (ex: right-sided heart, posterior chest, amputations) 3. Respond to signs and symptoms of cardiopulmonary compromise - ANSWER 4. Verify patient understanding of Holter monitor procedures - ANSWER ex: explain to them the procedure, any restrictions, why they are having that procedure performed, ask if they have any questions 5. Identify and Report - ANSWER a) Abuse or neglect of patients b) Sexual harassment involving patients or staff c) Substance abuse involving patients or staff d) Domestic violence/ intimate partner abuse involving patients or staff 6. Monitor patients' environmental safety - ANSWER ex: fall precautions, faulty equipment 7. Recognize and respond to emergency situations - ANSWER ex: fire, hostage, biological hazard 8. Practice safety procedures when using medical supplies and equipment - ANSWER ex: lock the hospital bed, lock wheelchairs, raise stretcher side rails, apply safety belts and restraints 9. Use therapeutic communication when talking to a patient - ANSWER ex: interpersonal skills 10. Adhere to regulations regarding operational standards - ANSWER ex: JCAHO, CLSI 11. Dispose of biohazardous materials properly, as dictated by OSHA - ANSWER ex: sharps containers, red bags 12. Wear Personal Protective Equipment (PPE) while following standard precautions - ANSWER ex: gloves, gown, masks, shoe covers 13. Demonstrate proper insertion and removal techniques for venipuncture - ANSWER ex: bevel up 14. Perform venipuncture steps in correct order - ANSWER ex: evacuated tube system, syringe, winged collection set 15. Recognize common complications from primary collection - ANSWER ex: lack of blood flow, hematoma, nerve injury 16. Identify problematic patient signs and symptoms throughout collection - ANSWER ex: syncope, diaphoresis, nausea, seizure 17. Follow order of draw - ANSWER a) Venipuncture b) Capillary Collection 18. Monitor and Record the listed vital signs - ANSWER a) Blood Pressure (manually and electronically) b) Pulse (manually and electronically) c) Apical Pulse d) Apical-radial deficit e) Respirations (manually and electronically) f) Pulse oximetry 19. Conduct appropriate introduction to the patient - ANSWER ex: introduce yourself, name, credentials 20. Explain the phlebotomy procedure to be performed to the patient - ANSWER ex: ask if they have any questions after you explain to them what you are going to be doing, make sure they are aware and comfortable 21. Review the requisition for testing requirements and patient identity - ANSWER ex: look at the doctors orders, be sure you conduct the tests as told on lab orders 22. Verify patient compliance with testing requirements - ANSWER ex: fasting, medication, basal state 23. Collect blood samples for inborn errors of metabolism - ANSWER ex: PKU, galactosemia 24. Calculate volume requirements to avoid causing iatrogenic anemia - ANSWER - Phlebotomy - ANSWER Listed below is Processing 25. Label all specimens - ANSWER ex: do not label specimens in front of patient(s) 26. Transport specimens based on handling requirements - ANSWER ex: temperature, light, time