Podcast
Questions and Answers
If you squeeze the finger too hard it may dilute the blood with swab particles and ruin the test.
If you squeeze the finger too hard it may dilute the blood with swab particles and ruin the test.
True (A)
Define bilirubin.
Define bilirubin.
Light Sensitive
__________ are federal regulations passed by Congress and administered by the Center for Medicaid Services (CMS).
__________ are federal regulations passed by Congress and administered by the Center for Medicaid Services (CMS).
Clinical Laboratory Improvement Amendments of 1988 (CLIA)
Clinical Laboratory Improvement Amendments (CLIA) are federal regulations passed by Congress and administered by __________.
Clinical Laboratory Improvement Amendments (CLIA) are federal regulations passed by Congress and administered by __________.
What is defined as conduct, courtesy, and manners customary in the medical profession?
What is defined as conduct, courtesy, and manners customary in the medical profession?
What is used to clean dried blood on countertops?
What is used to clean dried blood on countertops?
Define hemolysis.
Define hemolysis.
When do you close and lock a sharps container?
When do you close and lock a sharps container?
It is fine to reuse needles, gloves, or tubes.
It is fine to reuse needles, gloves, or tubes.
What indicates the gauge of a needle?
What indicates the gauge of a needle?
What does OSHA stand for?
What does OSHA stand for?
What is Phlebotomy Competency?
What is Phlebotomy Competency?
A cholesterol test is collected in which tube?
A cholesterol test is collected in which tube?
What is needed to help find and stick the vein?
What is needed to help find and stick the vein?
Never process a tube of blood that's missing a _________.
Never process a tube of blood that's missing a _________.
Define characteristics of capillaries.
Define characteristics of capillaries.
____________ are the result of tourniquets left on the arm for over 1 minute.
____________ are the result of tourniquets left on the arm for over 1 minute.
What is used to detect diabetes?
What is used to detect diabetes?
You should ________ a needle when it is not properly anchored, patient moves unexpectedly, blood flow starts and then stops.
You should ________ a needle when it is not properly anchored, patient moves unexpectedly, blood flow starts and then stops.
What are red blood cells called?
What are red blood cells called?
Who governs safe working conditions for employees?
Who governs safe working conditions for employees?
When performing a _______________________, you must wipe away the first drop of blood.
When performing a _______________________, you must wipe away the first drop of blood.
What causes a rejection of a sample collected for potassium testing?
What causes a rejection of a sample collected for potassium testing?
Prevent needle sticks by using ________________________ and following instructions on how to use them.
Prevent needle sticks by using ________________________ and following instructions on how to use them.
When collecting a 5ml tube from an 18-month-old, use the _____________.
When collecting a 5ml tube from an 18-month-old, use the _____________.
__________________ a site for increased blood flow of a micro-collection.
__________________ a site for increased blood flow of a micro-collection.
If you get stuck with a needle, _____________________.
If you get stuck with a needle, _____________________.
What is the CLSI standard for a heel puncture?
What is the CLSI standard for a heel puncture?
What is used to disinfect blood on the outside of a test tube?
What is used to disinfect blood on the outside of a test tube?
___________________________ includes a patient's address, name, and diagnosis.
___________________________ includes a patient's address, name, and diagnosis.
Contamination of a blood culture is preventing a sterilized site prior to a ______________.
Contamination of a blood culture is preventing a sterilized site prior to a ______________.
Forcing venipuncture on a patient who has refused is called ____________.
Forcing venipuncture on a patient who has refused is called ____________.
Part of a patient's rights are complete __________________________________.
Part of a patient's rights are complete __________________________________.
When you shake the blood tube, you can cause ________________.
When you shake the blood tube, you can cause ________________.
Clean the center of the site with a circular motion from the _________________.
Clean the center of the site with a circular motion from the _________________.
____________ is the federal law that protects the confidentiality of a patient's health information electronically.
____________ is the federal law that protects the confidentiality of a patient's health information electronically.
What tests are affected if a patient does not fast?
What tests are affected if a patient does not fast?
Study Notes
General Information
- Squeezing a finger too hard can dilute blood samples with swab particles, compromising test results.
- Bilirubin is light-sensitive, requiring special handling during tests.
Regulations and Compliance
- Clinical Laboratory Improvement Amendments (CLIA) are federal regulations, administered by the Centers for Medicare & Medicaid Services (CMS).
- OSHA stands for the Occupational Safety and Health Administration, which governs safe working conditions for employees.
Blood Collection Procedures
- Medical etiquette involves conduct and manners customary in the medical profession.
- Spill kits are essential for cleaning dried blood from countertops.
- Hemolysis is the rupture or destruction of red blood cells, affecting test results negatively.
- Sharps containers should be closed and locked when they are 3/4 full to prevent accidents.
- Reusing needles, gloves, or tubes is prohibited for safety reasons.
Equipment and Techniques
- Needles use color coding to indicate gauge sizes.
- A tourniquet is necessary to help locate and access veins for blood collection.
- Blood collection tubes must be appropriately labeled; a missing label results in sample rejection.
- Capillaries have thin walls and connect arterioles with venules, forming microscopic pathways.
- Pre-warming the collection site can increase blood flow for micro-collection.
Testing Guidelines
- Cholesterol tests require a red top tube for blood collection.
- The Glucose Tolerance Test is conducted to detect diabetes.
- The CLSI standard for heel punctures is 2.0mm to ensure safe collection in infants.
Patient Safety and Rights
- Reporting needle stick injuries immediately is crucial for safety.
- A blood culture sample is contaminated if the site is repalpated before venipuncture.
- Forcing venipuncture on a patient who has refused is classified as battery.
- Patients are entitled to complete care and respect as part of their rights.
Common Pitfalls
- Hemolysis can result from shaking blood tubes excessively or using improper techniques.
- Not fasting before tests can affect results, especially for glucose and triglyceride levels.
- Disinfect blood on the outside of a test tube using a disinfectant to minimize contamination risks.
Confidentiality and Privacy
- Protected Health Information (PHI) includes a patient's name, address, and diagnosis.
- HIPAA is the federal law that ensures the confidentiality of a patient's health information electronically.
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Description
This quiz covers essential procedures and regulations for blood collection in clinical laboratories. Key topics include medical etiquette, handling of samples, and safety measures required to maintain compliance with federal regulations. Test your knowledge on best practices to ensure accurate results and workplace safety.
