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When drawing blood, always have the patient make a ___________________
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Terms in this set (144)
A ___________infection, also known as a Hospital Acquired Infection or HAI, is an infection whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. Such infections include fungal and bacterial infections and are aggravated by the reduced resistance of individual patients.
The 10 rights (R')s of medication administration are:1) RIGHT Patient 2) RIGHT Medication 3) RIGHT Dose 4) RIGHT Time 5) RIGHT Route 6) RIGHT Education 7) RIGHT to Refuse 8) RIGHT Assessment 9) RIGHT Evaluation 10) RIGHT DocumentationWhen performing CPR, the CMA should do at least __________ compressions per minute. _____ to ________ compressions per second.100 compressions per minute. 1 to 2 compressions per second.The __________position is the best position to put a patient in to obtain a rectal temperature.Sims'A patient with TB should be in ___________precautions.airborneInfectious agents move from the source to the host by means of "_________________"mode of transmissionPlease list the 6 elements in the Chain of Infection:1) Susceptible Host 2) Infectious Agent 3) Reservoir 4) Portal of Exit 5) Mode of Transmission 6) Portal of Entry__________ (Material Data Safety Sheets) is a vital component of OSHA (Occupational Safety and Health Administration).MSDS________pulse is used in determining the heart rate of infants.Apical____________________ enforces safety conditions in the medical office.OSHA (Occupational Safety and Health Administration)Following a blood draw, the CMA should watch the patient intently if they start to ______or_________.twitch or shake_________means the study of causation or origination. The word is most commonly used to refer to why things occur or even the reason behind the way things act.EtiologyThe CMA must make sure that when assisting with an OB/GYN exam that the ________be warmed up by _________over it and then ________properly.running warm water over it and then lubed properlyA ________is an abnormal growth of tissue projecting from a mucous membrane. If a patient states that he or she has a growth that grew rapidly, the CMA would chart it as a ___________________.Polyp; PolypLaboratory tubes and additives: Yellow Tube TopAdditive = SPS (Sodium Polyanethal Sulfonate)Laboratory tubes and additives: Light BlueAdditive = Buffered Sodium CitrateLaboratory tubes and additives: RedAdditive = NONELaboratory tubes and additives: GoldNONELaboratory tubes and additives: Light GreenLithium HeparinLaboratory tubes and additives: Dark GreenSodium HeparinLaboratory tubes and additives: Purple/LavenderEDTA (Ethylenediaminetetracetic Acid)Laboratory tubes and additives: GrayPotassium Oxalate___________ or hCG is a hormone produced during pregnancy that is made by the developing placenta after conception. Levels of hCG may be measured in the blood or urine. Most commonly, this is done as a ____________test, intended to indicate the presence or absence of an implanted embryo.Human Chorionic Gonadotropin; Pregnancy testThe ___________________form is also called a "super bill" or "encounter form" and is the ________________claim form used by physicians.CMS-1500 form; universal claim formAlcohol swabs should be ordered __________at a physician's office.monthlyAn ___________________injection is given to patients who are being tested for allergies.intradermalTo routinely clean the examination table, the CMA would use the technique of _______________ to disinfect.medical asepsisHazardous waste should be put in a _________________________bagred bio-hazardThe special delivery for an arterial blood gas (ABG) is on _____________iceYou must always report a needle stick to your supervisor _________________immediatelyIt can be considered _____________if a CMA enters a patient's room without introducing themselves or acknowledging the patient.invasion of privacyThe most important thing to tell a patient when collecting a 24 hour urine test is to ______the first urine in the morning. Because the first urine will be ______________void; more concentratedVenipuncture Procedures: (please list them in order)1) ID patient 2) Introduce yourself, explain what you are about to do 3) Wash your hands 4) Put on gloves 5) Apply tourniquet 6) Palpate to find a vein 7) Clean venipuncture site 8) Let the site AIR DRY (Do NOT blow on site, wave hands or dry with gauze) 9) Anchor vein 10) Insert needle and perform draw 11) Half-way through procedure, remove tourniquet 12) Remove tube from Vacutainer 13) Remove needle and discard immediately into a sharps container. 14) Immediately apply pressure with gauze 15) Label tube (always while still at patient's side) 16) Throw away supplies 17) Wash hands 18) Thank patient 19) Promptly deliver specimen(s) to laboratoryWhen measuring an infant from head to toe, the ___________position is the best position to obtain an accurate measurement.supineWhen communicating with a patient who is hearing impaired and has a caregiver, the CMA should speak directly to the _________________caregiverThe best solution to clean up urine off a floor is a ______ percent bleach solution, by mixing _____ percent bleach to ________percent water10% bleach solution; 10% bleach to 90% waterA ________________must be obtained per some health insurance policies to determine if a particular procedure will be covered under the patient's health insurance.pre-authorizationWhen collecting blood cultures from a patient it is recommended that you collect at least _______mLs of blood.3-4What is Informed Consent?Inform the patient of the possible risk and outcome of a procedureWhat is Implied Consent?Extending an arm for phlebotomy or an unconscious patient who needs treatment in an emergency.What is Written Consent?Must be written and signed by the patient or legal guardian. An example would be an HIV test or pregnancy test. All of these situations must be documented.When collecting a urine sample, place the patient's name and DOB on the specimen _____. Not the _______since the ______can be lost.bottle; not the lid, since the lid can be lostIf a STAT electrolyte panel was reported to have a critically elevated sodium level, then most likely a ________ (color tube top) was drawn. A STAT chemistry test should be drawn in a ___________(color) top tube.Gold; greenIf a patient has Parkinson's Disease and needs an EKG (ECG) most likely this patient would have ________________show up on his or her EKG (ECG).somatic tremorA streptococcal test would always be collected on the _____________throatAlways ____________the patient.ID, IDENTIFYCall for help ___________when a fire is present.FIRSTOrder of draw and Laboratory Dept1) Yellow - Microbiology 2) Light Blue - Coagulation 3) Red - Chemistry 4) Gold - Chemistry 5) Light Green - Chemistry 6) Dark Green - Chemistry 7) Purple/Lavender - Hematology 8) Gray - ChemistryST segment elevation shown on an EKG (ECG) is associated with a ______________myocardial infarctionA CMA cannot perform a CBC test with a____________differential__________________is removal of a kidneyNephrectomyIf a patient is having an EKG (ECG) and is diaphoretic, the CMA should apply _______________to help facilitate a better connection.conduction gelPlease list the steps in Capillary Collection (finger sticks)1) ID patient 2) Introduce yourself and explain what you are about to do. 3) Wash hands 4) Put on gloves 5) Ask patient to rest arm in a downward position for at least 30 seconds 6) Choose either the middle or ring finger 7) Clean with alcohol and allow to air dry 8) Using a sterile lancet, puncture the skin 9) Wipe off the first drop of blood with gauze 10) Collect blood specimen 11) DO NOT excessively milk the finger 12) Gently apply pressure with gauze 13) Apply bandage 14) Throw away supplies 15) Take off gloves 16) Thank patientPlease list the steps in obtaining a stool sample:1) Introduce yourself 2) Explain the procedure to the patient 3) Have the patient defecate into a clean, dry bedpan or commode (or a plastic "hat" ) 4) Instruct patient NOT to contaminate specimen with urine or toilet tissue 5) Put on gloves 6) Using a tongue blade, transfer the most representative stool specimen to the container, and cap the container. If the patient passes visible blood, mucus, or pus with the stool, include this with the specimen. 7) Wrap the tongue blade in a paper towel and discard it 8) Label specimen 9) Remove and discard gloves and wash hands thoroughly 10) Thank patientWhen doing an EKG (ECG) on a person with large breasts, have the patient _______and place the electrodes ________the breasts.have the patient LIFT the breasts; place electrodes UNDER the breasts.if a patient has not been seen by the physician in over a year, the patient should complete a ____________________form.new patient registration formThe process of ________________gets rid of ALL forms of microbial life and spores.sterilizationThe first step a CMA should take when a patient is found unconscious is to ________immediately (call _____) . If the CMA starts CPR, then precious moments are wasted. Notify ______first and then the CMA can start CPR. Help is on the way.Notify EMS (call 911); Notify EMS FIRSTA ________________is an apparatus for measuring the volume of air inspired and expired by the lungs. It is a ________ ________ ________for the measurement of respiration flow rates. The _______________records the amount of air and the rate of air that is breathed in and out over a specified period.spirometer; precision differential pressure transducer; the spirometer__________________is the medical specialty dealing with disease involving the respiratory tract.PulmonologyAny and All communicable diseases such as TB or Aids must be reported to an outside source, i.e. _____________CDC ( Centers for Disease Control and Prevention)The ___________________Color Test is an example of a color perception test for red-green color deficiencies. It was named after it's designer, Dr. Shinobu Ishihara, a professor at the University of Tokyo, who first published his tests in 1917.IshiharaWhen a patient is wearing a ____________monitor they should avoid any magnetic fields.Holter____________________are used on BP cuffs to destroy dirt and sweat.DisinfectantsIf a CMA has to treat a psychiatric patient, they must always make sure they are ___________________with the patient.never aloneThe International Classification of Diseases ( most commonly known by the abbreviation ICD) is a standard _____________tool for epidemiology, health mngmt, and clinical purposes. It is known as a health care _______________ system that provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. Under this system, every health condition can be assigned to a unique category and given a ___________, up to 6 characters long. Such categories can include a set of similar diseases.diagnostic tool; classification system; code_______________( codes V01-V91) are used to describe encounters with circumstances other than disease or injury.V codes___________codes are supplemental codes that capture the external cause of injury or poisoning, the intent, and the place where the event occurred.E codesIf a patient has abdominal pain and respiratory difficulties, the CMA should place the patient in the _____________position.Fowler'sA blood pressure (BP) is measured in _________________ or mm.millimeters of mercuryA BP is written with the _______________pressure on the top and the ________________pressure on the bottom, i.e., 120/80.systolic; diastolicYou should take vital signs for a full _______minute_________________testing is defined as medical testing at or near the site of patient care. The driving notion behind POCT is to bring the test _______________and_______________to the patient.Point of Care testing (POCT); conveniently and immediatelyIf the physician is behind and a patient has been waiting past their scheduled app't, the CMA should ____________________ask the patient if they want to rescheduleA________________should never give test results to a patient.CMA__________________is terminology used by national and state/provincial licensing boards for various professions that define the procedures, actions, and processes that are permitted for the licensed or certified individual. The ________________is limited to that which the law allows for specific education and experience, and specific demonstrated competency.Scope of practice.; scope of practiceA CMA should never practice outside their ___________________"scope of practice."_______________quality control test regulation ensures accuracy of results.Point of careWhen doing a urine pregnancy test the __________________urine specimen is the most accurate to use.first morning urineBuccal is ___________or______________oral or mouthSublingual is ___________oral under the tongueTransdermal is _____________________absorbed through the skinIntradermal injections (ID) should be administered at a _______________ degree angle15 degree angleIntramuscular injections (IM) should be administered at a ____________degree angle.90 degree angleSubcutaneous injections (SC or Sub-Q) should be administered at a _____________degree angle.45 degree angle________________patches can give medications in a way that they are absorbed slowly creating a constant time released systemic effect.TransdermalA urinary tract infection (UTI) is a bacterial infection that affects part of the urinary tract. When if affects the lower urinary tract it is known as a simple ________________ infection; and when it affects the upper urinary tract it is known as _____________( a kidney infection.)cystitis or bladder infection; polynephritis or kidney infection.A________________urine specimen is collected for a culture and sensitivity. (C & S)clean-catchBody Mass Index (BMI) is a heuristic proxy for human body fat based on an individual's wt and ht. BMI does not actually measure the percentage of body fat. BMI is defined as _________________divided by _______________Body mass divided by square of his/her heightA ________________is a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway and increasing airflow to the lungs. This is used commonly by ____________patients.bronchodilator; asthma________________sounds are the sounds medical personnel listen for when they are taking blood pressure (BP) using a stethescope. They are named after _______________, a Russian physician.Korotkoff sounds; Dr. Nikolai Korotkoff______________ or ________________disease is the spread of a disease from one organ or part to another non-adjacent organ or part.Metastasis or metastatic disease_____________is the partial or complete wasting away of a part of the body.AtrophyAn __________________is a compound or substance that kills or slows down the growth of bacteria.antibacterial_________________are antimicrobial substances that are applied to living tissue/skin to reduce the possibility of infection, sepsis, or putrefaction.AntisepticsAlways check the ___________________of a drug before administering it.expiration dateThe ___________________is an agency of the US Dept of Labor, Congress established the agency under the Occupational Safety and Health Act.US Occupational Safety and Health Administration (OSHA)The Occupational Safety and Health Act was signed into law on __________________ by President ________________December 29, 1970 by President Richard M. NixonThe mission of OSHA is to ____________________for men and women by setting and enforcing standards and by providing training, outreach, education and assistance.assure safe and healthful working conditions_______________________are US Federal regulatory standards that apply to all clinical laboratory testing performed on humans in the US, except clinical trials and basic research.Clinical Laboratory Improvement Amendments (CLIA) of 1988A _______________________is another name for a bruise.hematomaA ________________or _____________, is the final product of the blood coagulation step in hemostasis. It is achieved via the aggregation of ______________that form a _______________plug, and the activation of the coagulation system (i.e., clotting factors). A ______________is normal in cases of injury, but pathologic in instances of thrombosis.thrombus or blood clot; platelets, platelet plug; a thrombus_________________is a group of hereditary genetic disorders that impair the body's ability to control blood clotting or coagulation, which is used to stop bleeding.Hemophilia________________is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood.Glucose Tolerance Test (GTT)_____________________is a language for accurately describing the human body and associated components, conditions, processes, and process in a science-based manner. The prefix can be added in front of the term to modify the word root by giving add'l information about the location of an organ, the number of parts, or time involved. Suffixes are attached to the end of a word root to add meaning, such as condition, disease process, or procedure. So, when a term is developed, some logical process is applied. The word root is developed to include a vowel sound following the term to add a smoothing action to the sound of the word when applying a suffix. The result is the formation of a new term with a vowel attached (word root + vowel) called a combining form.Medical terminologyWhat are the steps involved in doing a Glucose Tolerance Test (GTT)?1) A zero time (baseline) blood sample is drawn. 2) The patient is then given a measured dose of glucose solution to drink within a 5 minute time frame. 3) Blood is drawn at intervals for measurement of glucose (blood sugar), and sometimes insulin levels. The intervals and number of samples vary according to the purpose of the test. For simple diabetes screening, the MOST IMPORTANT SAMPLE is the 2 hour sample, and the 0 and 2 hour samples may be the only ones collected. Note: Sometimes other laboratories continue to collect blood for up to 3 hours depending on the requesting physicican .__________________is the absence of a menstrual period in a woman of reproductive age.Amenorrhea______________________is a gynecological medical condition of pain during menstruation.DysmenorrheaThe term__________________refers to information that is subject to one's own opinion.subjectiveThe term ___________________is measurable.objectiveIf a patient says it is hot in the room then that is ______________subjectiveIf you take the patient's temperature and it is 105 degrees then that would be __________objective____________information is gained by questioning the patient or taking if from a form.subjective______________________information is gathered usually by watching or observing a patient.objectiveA _______________________would study and practice medicine associated with the skin.dermatologistA ____________________would study and practice medicine associated with the nerves.neurologistHIPAA stands for ______________________Health Insurance Portability and Accountability ActAn _________________form is usually personalized by the practice. The ___________________form is often used as a charge slip and often called a super bill. This form would include ______________,________________, ________________and ________________encounter form; encounter form; common charges, diagnosis, date of service and patient's name.___________________is considered offensive touching or use of force on a person without his or her consent,Battery_______________is intentional or unlawful attempt of bodily injury to another by force.AssaultDescribe and define culture and sensitivity (C&S) testing.A collection of a urine sample, blood sample, or other body fluid samples are cultured in a medium and analyzed for sensitivity. A culture and sensitivity (C &S ) is a diagnostic lab procedure used to identify the type of bacteria and to determine which antibiotics can successfully fight an infection. A culture and sensitivity (C & S) is primarily used to find bacteria. the absence of bacteria does not mean there is no infection, since it could be a virus that will not grow in a specific culture medium.20 small boxes on an EKG strip would equal the rate of _________________75OSHA and BBP training should be provided at______________________to employeesno costA _____________________chart is an eye chart used by eye care professionals and others to measure visual acuity.Snellen chartSnellen charts are named afer the Dutch ophthalmologist ___________________who developed the chart in 1862Herman SnellenDescribe how the Snellen Eye Chart is typically used.In the most familiar acuity test, a Snellen chart is placed at a standard distance, 20 feet in the US. At this distance, the symbols on the line representing "normal" acuity subtend an angle of 5 minutes of arc. This line, designated 20/20, is the smallest line that a person with normal acuity can read at a distance of 20 feet.The _______________________test or _________________test is one of several methods that detect the presence of fecal occult blood. Fecal occult blood is blood present in the feces that is not visibly apparent.stool guaiac or guaiac fecal occult blood testA heel stick should not be performed on a patient older than ____________year (s) old.1 year ( One )A finger stick should never be performed on a patient less than _______________ year (s) old.1 year (One)__________________or low blood sugar is an abnormally diminished content of glucose in the blood. The term literally means "low sugar blood."HypoglycemiaIf a patient is experiencing an episode of hypoglycemia, the CMA can help by giving the patient __________________Orange juice________________testing of the glucometer or any testing equipment promotes accurate test results.Quality Control testingThe erythrocyte sedimentation rate (ESR) also called a sedimentation rate or sed rate, is the rate at which _____________________sediment in a period of one hour. It is a common hematology test, and is a non-specific measure of _____________________. To perform the test, the anticoagulated blood is placed in an upright tube, known as a ________________tube, and the rate at which the RBCs fall is measured and reported in mm/h.RBCs ; inflammation; Westergren tube__________________are measures of various physiological statistics, in order to assess the most basic body functions. The act of taking vital signs normally entails recording body temperature, pulse rate, (or heart rate), blood pressure, and respiratory rate.Vital signsVital signs often vary by _______age