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Phlebotomy Study Guide

Study Guide from Phlebotomy Workbook 2nd Edition
STUDY
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Phlebotomy
an incision into a vein
cross training
A phlebotomist who is teaching members of the nursing service how to correctly perform phlebotomy is participating in ____________.
hospital
the health-care setting in which most phlebotomists are employed is a/an ___________.
certified
A phlebotomist who is authorized to place the initials PBT(AMT) after his/her name has been what?
using negative body language
A phlebotomist who does not make eye contact with a patient is _________________.
pathologist
The primary liaison between the medical staff and the laboratory staff is a ______________.
pathologist
A specialist in the study of disease of tissues and organs through biopsies is a ______________.
pathologist
A medical technologist may serve as all of the following except: educator, laboratory manager, pathologist, section supervisor
immunohematology
Another name for blood bank is _____________.
fungi
Mycology is the study of _____________.
Microbiology
Parasitology is located in the __________ laboratory section.
plasma contains fibrinogen
The difference between plasma and serum is that _________________.
serology
A VDRL test is performed in ________________.
blood bank
The direct antiglobulin test is performed in ___________.
random
Types of specimens collected for urinalysis include all of the following first-morning, clean-catch and ___________.
inverted right after collection
To prevent blood from clotting the specimen must be collected in a tube containing an anticoagulant and ______________.
blood bank
ABO and Rh typing are performed in the _______________laboratory section.
median cubital
the vein most commonly used for venipuncture is the ________
hematology
the study of blood is known as ____________.
patient identification
the most important step to ensure accuracy in sample collection is __________
sphygmomanometer
the instrument that measures blood pressure is called a __________
pulsating
an artery can be distinguished from a vein because an artery will be __________
third and fourth (middle and ring)
adult capillary punctures most often involve use of the __________ fingers
hand washing
the single most important means of preventing the spread of infection in a hospital is by ______________.
EDTA
lavender top tubes contain _____________.
Sodium Citrate
light blue top tubes contain ___________.
CBC
abbreviation for complete blood count is _______.
15 to 30
the angle of the needle during insertion is ______________degrees.
confidentiality
patient ___________must be protected, and patient information is never discussed with anyone who does not have a professional need to know.
arterial flow
a properly tied tourniquet permits ____________and blocks venous flow.
23
when collecting blood from small, fragile veins the appropriate needle gauge is ______.
preserve glucose
the purpose of sodium fluoride in gray stopper tubes is to _______________.
21
for routine venipuncture you will use a needle that is _____gauge.
heparin
a green stopper tube contains ________.
potassium oxalate
gray stopper tubes contain _____________.
orange
royal blue,red,orange and red/gray are tubes that clot, the quickest one to clot and contains a clot activator thrombin and is _______________.
fragility
palpating veins does not reveal __________.
wash hands
what should phlebotomists do immediately after removing their gloves?
anchored
to prevent "rolling veins" the vein needs to be ___________.
glucose
tests most affected by a nonfasting patient are cholesterol, triglycerides and _________.
NPO
no food or drink for 12 hours
fasting
no food or drink except water for 12 hours
basal state
no food or drink or exercise for 12 hours
dermal puncture
the preferred venipuncture technique for children younger than 2 yrs. old
Hemolysis
the breakdown of red blood cells.
right atrium
chamber of the heart receives blood from the superior and inferior vena cavae?
Capillaries
have walls one cell thick for exchange of substance between blood and tissues
SA node
pacemaker of the heart is also known as
arteries
The blood vessels that carry oxygenated blood away from the heart
serum
blood plasma without fibrinogen or the other clotting factors.
heparin
The preservative used in a green-stoppered vacuum
tube is
atria
upper chambers of the heart that receive blood from lungs and body they are right and left
ventricles
lower chambers of the heart receive blood from atria and force into body
valve
a flap of tissue that prevents blood from flowing backwards
pacemaker
common name for S-A node
aorta
the largest artery of the body
plasma
made mostly of water and carries nutrients, chemical messengers and wastes in it and also contains fibrinogen
red blood cells
pick up oxygen in the lungs and carry it to the cells in the body
hemoglobin
iron-containing protein found in red blood cells that binds chemically to oxygen molecules
white blood cells
the cellular components of blood that fights infection
platelets
Cellular components of blood that forms a plug that's needed to stop bleeding
Rh factor
a marker on Red blood cells that determine whether a person is Rh positive or Rh negative
septum
separates right and left sides of heart
blood vessels
hollow tubes that transport blood through the body
pericardium
layer that encloses the heart
epicardium
layer that protects the heart by reducing friction
myocardium
thick middle layer of the wall of the heart; composed of smooth, cardiac muscle
endocardium
inner layer of the heart wall consisting of epithelium and connective tissue as well as some specialized muscle tissue
tricuspid valve
between right atrium and ventricle
pulmonary valve
link between right ventricle and artery extending from it
bicuspid valve
between left atrium and ventricle
semilunar valves
pulmonary valve and aortic valve
coronary arteries
first two branches of the aorta; feed the heart
systole
contraction of heart muscle
diastole
relaxation of heart muscle
SST (Serum Separator Tube)
tube would you use to collect a serum specimen
hematology tests
Lavender stopper or closure tubes are most commonly used to collect:
sodium hypochlorite
disinfectant that is preferred for use on surfaces and instruments
10 minutes
After a blood spill, a disinfectant is applied and have at least________minutes of contact time for cleanup to be effective.
preservatives
Plastic red top tubes used to collect blood specimens contain
creatine kinase
What test might be affected by carryover from an EDTA tube?
isopropyl alcohol
solution used to clean the site before routine venipuncture
inhibiting thrombin
Heparin prevents blood from clotting by:
1 minute
Tourniquets may be left on the patient for
Mode of transportation
not a component that makes up the chain of infection
hematoma
A large bruised area at the puncture site, caused by blood leaking into the tissue surrounding the vein
Gray
test tube would be used for "Fasting Blood Sugar" or Glucose Tolerance Test"
PPE
Personal Protective Equipment abbreviation
Allergic reaction
Latex sensitivity is a type of
Hemoconcentration
increase of the cellular/solid elements in direct ratio to plasma This can be caused by "pumping of the fist" and begins after the tourniquet is left on longer than 1 minute.
Serum
The liquid potion of the blood after all of the cells and clotting elements have settled and formed a clot contains NO fibrinogen.
3-4 inches above
Where the tourniquet be placed in regards to the draw site
Coagulation
Prothrombin time (PT) and Partial thromboplastin time (PTT) are considered this kind of test...
Soap and water
When cleaning a site for a veinpuncture for alcohol test, use:
Pulmonary Veins
veins that return oxygenated blood from the lungs to the left atrium of the heart.
great saphenous
The longest vein in the body
leukocyte
white blood cell
erythrocyte
mature red blood cells formed in the bone marrow
RACE
NFPA Code word for the order of action in the event of fire.rescue,alarm,confine,extinguish
vector
transmission of an infectious agent by an insect, arthropod, or animal.
susceptible host
an individual who has little resistance to an infectious agent
means of transmission
airborne,contact,droplet,vector,vehicle:know the different means of transmission in the chain of infection
Phagocytosis
The process by which white blood cells engulf bacteria and debris
fibrinolysis
The action that causes the fibrin clot to be removed
Agranulocyte
WBC that does not contain granules in the cytoplasm
Basophil
WBC, granulocyte, with multi-lobed nucleus and granules that contain Histamine
Eosinophil
WBC associated with defence against allergens or parasitic infections
Granulocyte
WBC that contains granules in the cytoplasm
Leukocyte
WBC Body's main defense against microorganisms
Neutrophil
Most numerous WBC. Granules in cytoplasm and multi-lobed nucleus
Yellow
first in order of draw
glass red
second in order of draw
Light blue
third in order of draw and contains Sodium citrate
plastic red
fourth in order of draw
CBC
WBC count, RBC count,Hemoglobin, Hematocrit, Platelet count 5 elements identified in a :
cephalic vein
Large vein on the outermost side of the upper arm
basilic vein
large vein on the inner side of the upper arm
coumadin
A blood thinning agent. Pt taking it are monitored by a prothrombin time blood test
median cubital vein
The major vein of the antecubital fossa most commonly used for venipuncture (middle)
nosocomial
hospital acquired infections