Exam Questions And Answers.docx
what is the primary job of a phlebotomist? - collect blood specimen for analysis
most blood specimens collected by ....................... - venipuncture
capillary puncture - in fingertip in adults and children 1 yr and older
most blood collected in - tubes
some point of care blood tests place blood on - test strip
newborns get capillary test to be put onto - filter paper
blood culture - 1- Test for the presence of bacteria, fungal pathogens or microorganisms in
the blood
blood collected in bottles that allow bacteria to multiply - blood culture
peripheral blood smear - a way of preparing blood for viewing under a microscope
PBT smear blood onto a microscope slide
where to majority of errors with blood samples happen? - before blood sample arrives at
lab
a phlebotomist has the following responsibilities? - 1- collect specimens properly
2- handle, process and transport specimen properly
what happens when PBT doesn't collect and handle specimen properly? - 1- the test results
are inaccurate and patient may not receive proper treatment
2- dr will make decisions on inaccurate info
Preanalytical errors - errors that occur prior to testing specimen
, what is the most common and dangerous error made by PBT? - misidentification of a
patient or specimen
each patient needs two unique identifiers? - state and spell name and DOB
what must PBT do to identify each patient? - 1- state and spell name
2- date of birth
3- check info against wristband
4- check info against requisition form
5- check info against specimen labels
PBT is responsible for confirming that patient has followed instructions for blood draw
such as..... - 1- fasting
2- basal state
3- taken or not taken medication
Fasting - no food 8-12 hours b4 a blood test
Basal state - When the patient has fasted and not excersiced in 12 hours
to avoid preanalyatical errors a PBT should do these things? - 1- use correct needles or
equipment for the specific test
2- use correct tubes
3- follow correct order of draw
4- follow manufacturer instructions for mixing blood specimens with tube additives(the
number of inversions)
4- fill tubes to capacity
5- use careful technique when drawing blood
6- handle and process and transport specimen properly
Order of draw - A special sequence in tube collection that is intended to minimize additive
carryover or cross-contamination problems.
lab directory - a reference that tells a PBT how to handle specific lab specimens
double sided needle - allows PBT to insert, fill and remove multiple collection tubes.
one side enters patient's vein and the other screws into a rigid plastic holder and punctures
the stoppers of collections tubes
Evacuated tube system - the double sided needle, holder and vacuum tube together
this allows multiple tubes to be inserted and filled with a single ventipuncture
blood tubes are emptied of ......... during manfacturing process and designed to draw
the ................. of blood needed to complete specimen - air
exact amount