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80 terms

Final Exam Review for Phlebotomy

STUDY
PLAY
A blood smear from EDTA must be made within how many hours?
1
What color tube is an alcohol test performed in ?
Gray
A gray tube contains what additive?
sodium floride
How many ml are in a blood culture bottle?
5
When drawing a blood culture what color should be drawn first and why?
Purple, because it is anerobic (it has no air)
Name 3 different test performed in microbiology
Blood cultures, sputums, wounds
Name two tests performed in blood bank
Type and Screen and crossmatch
What is the biggest department of the laboratory
Chemistry
What is the strictist area of the lab department
Blood Bank
Where is bone marrow drawn from
Iliac Crest
Erythrocytes are known as?
Red Blood Cells
What system produces RED blood cells
Urinary
What hormone produces red blood cells
Erythropoietin
number 1 nosocomial infection in the U.S.
Hepatitis
When doing a bleeding time you should blot every ________ seconds
30
Nausea, elevated pulse rate, DIC=Bleeding out are all signs or symptoms of ?
Shock
Where are ABGs mostly drawn
Radial artery
Where is the Radial artery located
the wrist
What are 2 things that one must be sure of when drawing an ABG
Make sure there is no air in the syringe and immediately put it on ice
What two organizations are responsible for the latest isolation guidelines in hospitals?
CDC & HICPAC
Where is a CBC performed
Hematology
Name 3 test performed in coagulation
D-dimer, PTT or APTT, Bleeding Time (BT)
Patients may come to the blood bank to donate their own blood so that they can recieve an __________ transfusion
Autologous
Blood for serological testing is collected in tubes with ______ stoppers??
Red
Which laboratory personnel is a medical doctor
Pathologist
Which of the following tests would be delievererd to the chemistry section?
A.CBC
B.Gram Stain
C. Bilirubin
D. Type and Screen
C. Bilirubin
Where is a prothrombin time (PT) test performed?
Coagulation
How does Plasma differ from serum?
Plasma contains fibrinogen
________ Stipulates that all labs that perform testing on human specimens for the purposes of diagnosis, treatment, monitoring, or screening must obtain a certificate from the CMS
CLIA
The _________ is a non profit organization that publishes recommendations by nationally recognized experts for the performance of laboratory testing
CLSI
__________ Is an independent, not-for- profit organization that accredits and certifies more than 15,000 health-care organizations and programs in the United States. The mission of this organization is to improve the safety and quality of care provided to the public.
JC- Joint commission
Principles of right and wrong is called the ____________________
Code of Ethics
Which of the following laboratory regulatory agencies classifies laboratory tests by their complexity
A. CAP B. JC
C. HIPAA D. CMS
D. CMS
A phlebotomist who fials to change gloves and wash hands between patients is not observing the patient safety goals of ?
OSHA
_______ are defined as standards of right and wrong??
Ethics
The law that specifically addresses privacy of health information is the ?
HIPAA
An unexpeccted patient death that is not related to the patients illness is termed a ?
Sentinel event
Name the 6 parts of the chain of infection in order
Infectious agent, reservior, portal of exit, the means of transportation, Portal of entry, Reservior.
In the chain of infection, the suceptible host can also become the ?
Reservoir
The order used to put on PPE
Gown, Mask, Gloves
the recommended disinfectant for blood and body fluid contamination is ?
Sodium hypochlorite
Most common type of fire extinguisher
ABC
What is it called when the body is standing erect, the head facing forward, and the arms by the sides with the palms facing to the front?
Anatomic position
Toward the back
Anterior
Above/ in an upward direction
Posterior
Below/ in a downward direction
Superior
Free- moving joints are known as ____ joints
synovial
Blood transports oxegyn and carbon dioxide through the ________ in the RBCs
Hemoglobin
Which additive prevents binding calcium
Potassium EDTA
Some speciments require cooling to slow down what?
The metabolic process
T or F: Skilled public relations can cover up inexperience and insecurity?
False
Material and Safety Datat Sheet information includes
General and emergency information
A person who has recovered from a particular virus and has developed antibodies agains that virus is said to be
Immune
Microbes that can cause disease is also known as
Pathogen
the primary purpose for wearing gloves during phlebotomy procedures is to protect the
Phlebotomist from exposure to the patients blood
Blood vessels of the skin are found only in the
Corium and subcutaneous
A persons pulse is created by a wave of pressure caused by
Ventricular contraction
The external layer of the blood vessel is known as the
tunica adventitia
Which of the following are normally the most numerous of the formed elements
A. Platelets B. RBCs
C. Reticulytes D. WBCs
B. RBCs
This ion is essential to the coagulation process
Calcium
A major cause of respiratory distress in infants and young children is
RSV (respiratory synytial virus infection)
What word is used to describe the breakdown of red blood cells
hemolysis
tube with no additive
Royal blue
What is the purpose of an antiglycolytic agent
It preserves glucose
Which type of test is most affected by tissue thromboplastin cantamination
Coagulation
what test would be most affected by carry over of K2EDTA?
Potassium
Steps taken to unmistakably connect a specimen and the accompanying paperwork to a specific individual are called?
accessioning the specimen
the term that descrives the thinnest area of blood film
Feather
Reference values for this test are higher for capillary specimens
glucose
It is necessary to control the depth of lancet insertion during heel puncture to avoid
Injuring the calcaneus
It is incorrect to say that this analyte requires protection from light
ammonia
Chilling can cause erroneous results for this analyte
Potassium
ESR determinations on speciments held at room temp must be made within
4 hours
The AMT, ACA and ASCP are agencies that
certify laboratory professionals
What is the name or abbreviation for the federal law that established standards for the electronic exhange of patient info
HIPAA
According to the CLSI, what is the recommended way to clean a vinipuncture site
Cleanse with a circular motion from the center to the periphery
The standard of care used in phlebotomy malpracticee cases is ften based on guidelines from this organization
CLSI
This is the abbreviation for the federal regulations that establisheed quality standards to ensure the accuracy, relability, and timeliness of patient test results, regardless of the size, type, or location of the laboratory..
CLIA'88
A claim of imporoper treatment is known as
malpractice
What analytes are most affected by exercise prior to specimen collection
enzymes