Podcast
Questions and Answers
Outpatient phlebotomy will be assigned a code for reimbursement using which national coding system?
Outpatient phlebotomy will be assigned a code for reimbursement using which national coding system?
- HCPCS
- NDC
- ICD-10
- CPT (correct)
Why is promoting good public relations part of the phlebotomy role?
Why is promoting good public relations part of the phlebotomy role?
A phlebotomist is a representative of the laboratory throughout the facility.
The term used to describe sophisticated and highly complex medical care is?
The term used to describe sophisticated and highly complex medical care is?
Tertiary Care
The term 'phlebotomy' is derived from Greek words that mean?
The term 'phlebotomy' is derived from Greek words that mean?
The stoppage of bleeding is referred to as?
The stoppage of bleeding is referred to as?
What are the credentials for an ASCP-certified phlebotomist?
What are the credentials for an ASCP-certified phlebotomist?
What is one way that can communicate unprofessionalism?
What is one way that can communicate unprofessionalism?
The femoral vein is considered an antecubital vein.
The femoral vein is considered an antecubital vein.
Which needle gauge has the largest lumen?
Which needle gauge has the largest lumen?
Which analyte test result will be adversely affected by chilling?
Which analyte test result will be adversely affected by chilling?
Some test specimens require immediate cooling in ice and water slurry to?
Some test specimens require immediate cooling in ice and water slurry to?
A global organization that develops laboratory standards is called?
A global organization that develops laboratory standards is called?
An icteric bilirubin specimen is least likely to be a reason for specimen rejection.
An icteric bilirubin specimen is least likely to be a reason for specimen rejection.
The 'standard of care' in phlebotomy is influenced by which organization?
The 'standard of care' in phlebotomy is influenced by which organization?
When blood leaks into the surrounding tissue after an ABG procedure, a __________ may form.
When blood leaks into the surrounding tissue after an ABG procedure, a __________ may form.
A patient who has been at rest and has not had any changes in respiratory therapy for 20-30 minutes is in a?
A patient who has been at rest and has not had any changes in respiratory therapy for 20-30 minutes is in a?
Which additive is usually present in a tube with a lavender stopper?
Which additive is usually present in a tube with a lavender stopper?
Vaccination against HBV involves?
Vaccination against HBV involves?
A body fluid splash to the eyes requires the victim to immediately flush the eyes with water or saline for a minimum of how long?
A body fluid splash to the eyes requires the victim to immediately flush the eyes with water or saline for a minimum of how long?
An example of a nosocomial infection is?
An example of a nosocomial infection is?
The second choice for the site of arterial puncture is the?
The second choice for the site of arterial puncture is the?
The main principles involved in radiation exposure are?
The main principles involved in radiation exposure are?
Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk within ______ working days of initial assignment.
Federal law requires that hepatitis B vaccination be made available to employees assigned to duties with occupational exposure risk within ______ working days of initial assignment.
What is the suffix in the term 'lipase'?
What is the suffix in the term 'lipase'?
This adds information about a term, modifies the meaning of the term, and precedes the word root?
This adds information about a term, modifies the meaning of the term, and precedes the word root?
What will happen if you partially fill a liquid EDTA tube?
What will happen if you partially fill a liquid EDTA tube?
How should the phlebotomist proceed when drawing blood from an elderly patient who is hard of hearing?
How should the phlebotomist proceed when drawing blood from an elderly patient who is hard of hearing?
If blood is drawn too quickly from a small vein, the vein will have a tendency to?
If blood is drawn too quickly from a small vein, the vein will have a tendency to?
The medical term for white blood cells is?
The medical term for white blood cells is?
An additive should be _____ as soon as it is removed from the holder.
An additive should be _____ as soon as it is removed from the holder.
What should the phlebotomist do when entering a closed door of a patient?
What should the phlebotomist do when entering a closed door of a patient?
Removing blood on a regular basis or in large amounts can lead to _____ anemia.
Removing blood on a regular basis or in large amounts can lead to _____ anemia.
The procedure of identifying a patient using the written requisition, armband, and verbal confirmation is known as?
The procedure of identifying a patient using the written requisition, armband, and verbal confirmation is known as?
A hereditary inability to metabolize phenylalanine is called?
A hereditary inability to metabolize phenylalanine is called?
Which is a preferred capillary puncture site?
Which is a preferred capillary puncture site?
Fluid that comes from between tissue cells is called?
Fluid that comes from between tissue cells is called?
The hormone detected in a positive urine pregnancy test is?
The hormone detected in a positive urine pregnancy test is?
Tan-top tubes containing K2EDTA can be used to collect specimens for?
Tan-top tubes containing K2EDTA can be used to collect specimens for?
The abbreviation 'UTI' stands for?
The abbreviation 'UTI' stands for?
Which blood cell has the ability to pass through the blood vessel walls?
Which blood cell has the ability to pass through the blood vessel walls?
What are tiny, one-cell thick blood vessels that link arterioles and venules where gas exchange takes place?
What are tiny, one-cell thick blood vessels that link arterioles and venules where gas exchange takes place?
The fluid portion of blood is approximately __% of the blood specimen.
The fluid portion of blood is approximately __% of the blood specimen.
What do the pulmonary veins provide to the heart?
What do the pulmonary veins provide to the heart?
The Creatinine Clearance rate decreases in elderly patients due to a normal decline in their what?
The Creatinine Clearance rate decreases in elderly patients due to a normal decline in their what?
If a venipuncture site is still bleeding after 5 minutes, what should the phlebotomist do?
If a venipuncture site is still bleeding after 5 minutes, what should the phlebotomist do?
A drug known to interfere with urine tests should be discontinued _____ to _____ hours prior to the test.
A drug known to interfere with urine tests should be discontinued _____ to _____ hours prior to the test.
What is the proper blood to additive ratio for a light-blue tube collected for a coagulation test?
What is the proper blood to additive ratio for a light-blue tube collected for a coagulation test?
What could happen if a patient receives a transfusion of the wrong blood type?
What could happen if a patient receives a transfusion of the wrong blood type?
The solution normally used to clean the site before routine venipuncture is?
The solution normally used to clean the site before routine venipuncture is?
Drugs of abuse can be detected in?
Drugs of abuse can be detected in?
What is the most critical aspect of blood culture collection?
What is the most critical aspect of blood culture collection?
When performing a GTT, the timing should begin?
When performing a GTT, the timing should begin?
What is a confirming response to a patient?
What is a confirming response to a patient?
Drawing a patient's blood without his or her permission can result in a charge of?
Drawing a patient's blood without his or her permission can result in a charge of?
Partially filling an EDTA tube will?
Partially filling an EDTA tube will?
Letting the patient know that you are a student phlebotomist is the responsibility of?
Letting the patient know that you are a student phlebotomist is the responsibility of?
What is the recommended angle of needle insertion for an antecubital vein and a hand vein respectively?
What is the recommended angle of needle insertion for an antecubital vein and a hand vein respectively?
Which situation indicates that you may have accidentally punctured an artery?
Which situation indicates that you may have accidentally punctured an artery?
Capillary puncture blood most closely resembles?
Capillary puncture blood most closely resembles?
If a patient is complaining of sharp radiating pain from the needle insertion site, what should the phlebotomist do?
If a patient is complaining of sharp radiating pain from the needle insertion site, what should the phlebotomist do?
What causes a microhematocrit tube to fill with blood?
What causes a microhematocrit tube to fill with blood?
A first morning specimen is preferred for HCG testing because it is?
A first morning specimen is preferred for HCG testing because it is?
Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called?
Proof of participation in workshops to upgrade skills required by some agencies to renew certification is called?
When collecting a blood culture specimen directly from a butterfly into blood culture bottles, which should be filled first?
When collecting a blood culture specimen directly from a butterfly into blood culture bottles, which should be filled first?
Critical values are also called?
Critical values are also called?
A fluid found around a fetus is known as?
A fluid found around a fetus is known as?
Postprandial means?
Postprandial means?
Which type of specimen must be protected from light?
Which type of specimen must be protected from light?
What type of specimen is required for a urine culture and sensitivity?
What type of specimen is required for a urine culture and sensitivity?
Sputum samples are typically collected to diagnose?
Sputum samples are typically collected to diagnose?
What term means 'condition of clotting'?
What term means 'condition of clotting'?
There are 3 example types of quality control which include?
There are 3 example types of quality control which include?
The most common reason a throat swab is collected is to detect an infection with which type of microorganism?
The most common reason a throat swab is collected is to detect an infection with which type of microorganism?
The word roots 'nephr' and 'ren' both refer to the?
The word roots 'nephr' and 'ren' both refer to the?
____________ ____________ is a preanalytical factor that can affect validity of test results and is not always under the phlebotomist's control.
____________ ____________ is a preanalytical factor that can affect validity of test results and is not always under the phlebotomist's control.
What is the word root in the word 'electrocardiogram'?
What is the word root in the word 'electrocardiogram'?
What is an example of a nervous system disorder?
What is an example of a nervous system disorder?
________________ would not violate a patient's right to confidentiality.
________________ would not violate a patient's right to confidentiality.
________________ is not included in the various phases of malpractice litigation.
________________ is not included in the various phases of malpractice litigation.
What is the Clinical and Laboratory Standards Institute (CLSI) recommended maximum depth of heel puncture?
What is the Clinical and Laboratory Standards Institute (CLSI) recommended maximum depth of heel puncture?
You must draw a protime specimen from a patient with IVs in both arms. Where should you obtain the specimen?
You must draw a protime specimen from a patient with IVs in both arms. Where should you obtain the specimen?
You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen?
You have no choice but to draw a specimen from a site with a hematoma. Where should you obtain the specimen?
What department is responsible for administering oxygen therapy?
What department is responsible for administering oxygen therapy?
Examples of barriers to effective communication with a patient include:
Examples of barriers to effective communication with a patient include:
An example of invasion of privacy is when?
An example of invasion of privacy is when?
Evacuated tubes fill with blood automatically because _______ exists in the tube.
Evacuated tubes fill with blood automatically because _______ exists in the tube.
A rapid serum tube contains?
A rapid serum tube contains?
An ABG specimen can clot if there is inadequate or delayed ________ of the specimen.
An ABG specimen can clot if there is inadequate or delayed ________ of the specimen.
What is the best way to avoid 'reflux' when drawing a blood specimen?
What is the best way to avoid 'reflux' when drawing a blood specimen?
The word elements of the term 'polycythemia' means?
The word elements of the term 'polycythemia' means?
A lumbar puncture is performed by a physician to withdraw what type of fluid?
A lumbar puncture is performed by a physician to withdraw what type of fluid?
The 'e' at the end of this medical term is pronounced separately?
The 'e' at the end of this medical term is pronounced separately?
To maintain the integrity of an ABG specimen collected in a plastic syringe, it should be analyzed within ___ minutes.
To maintain the integrity of an ABG specimen collected in a plastic syringe, it should be analyzed within ___ minutes.
A special protocol used when collecting forensic specimens is called?
A special protocol used when collecting forensic specimens is called?
Series of bars and spaces representing numbers or letters is a?
Series of bars and spaces representing numbers or letters is a?
Placing tubes of equal size and volume opposite one another for balance describes a proper?
Placing tubes of equal size and volume opposite one another for balance describes a proper?
____________ would not be considered a preanalytical error.
____________ would not be considered a preanalytical error.
Analysis and reporting is least likely to take place in central processing or triage.
Analysis and reporting is least likely to take place in central processing or triage.
A disadvantage of collecting ABGs from the radial artery is that?
A disadvantage of collecting ABGs from the radial artery is that?
A sign posted on the door of a patient in contact isolation states that all who enter the room must use soap and water to wash their hands before leaving the room. This is a sign that the patient may be infected with a spore-forming microbe such as?
A sign posted on the door of a patient in contact isolation states that all who enter the room must use soap and water to wash their hands before leaving the room. This is a sign that the patient may be infected with a spore-forming microbe such as?
Study Notes
Phlebotomy Key Concepts
- Outpatient phlebotomy uses the CPT coding system for reimbursement.
- Good public relations are important for phlebotomists as they represent the lab and impact patient perception of care.
- Tertiary care refers to advanced and complex medical treatment.
- The term "phlebotomy" translates from Greek to "vein incision."
- Hemostasis is the process of stopping bleeding.
- An ASCP-certified phlebotomist is designated as "PBT."
- Unprofessionalism can be perceived through intense odors of cologne or perfume.
- The femoral vein is not classified as an antecubital vein.
Phlebotomy Procedures and Techniques
- An 18-gauge needle has the largest lumen for blood draws.
- Chilling can adversely affect potassium test results; quick cooling is necessary to slow metabolic processes in some specimens.
- CLSI is a global organization that develops laboratory standards and guidelines.
- Specimen rejection is least likely due to an icteric bilirubin specimen.
- TJC influences "standard of care" practices in phlebotomy.
Healthcare Standards and Protocols
- A hematoma may form if blood leaks into the surrounding tissue following an arterial blood gas (ABG) procedure.
- A "steady state" refers to a patient resting without changes in respiratory therapy for 20-30 minutes.
- Lavender stopper tubes contain EDTA as an additive.
- Hepatitis B vaccination protocol includes three doses over six months, starting within 10 working days of exposure risk.
Emergency Protocols and Infection Control
- Flush eyes with water or saline for at least 10 minutes after a body fluid splash.
- A nosocomial infection can arise from an ICU catheter site.
- The brachial artery is the second choice for arterial puncture.
- Three key principles of radiation exposure are time, distance, and shielding.
Quality Control and Sample Handling
- The proper blood to additive ratio for light-blue tubes in coagulation tests is 9:1.
- Misfilling an EDTA tube compromises specimen quality.
- Critical values, or panic values, indicate urgent physiological conditions.
- Skin antiseptics are crucial for blood culture collection.
Communication and Patient Interaction
- Phlebotomists should communicate clearly with patients, especially those with hearing difficulties, by speaking at a normal volume.
- It is critical to obtain patient consent before drawing blood to avoid charges of assault and battery.
Blood Collection Techniques
- Optimal angles for needle insertion are 30 degrees for antecubital veins and 10 degrees for hand veins.
- If blood pulses into the tube during a draw, an artery may have been punctured.
- Capillary puncture blood resembles arterial blood.
Specimen Types and Laboratory Analysis
- Amniotic fluid and bilirubin specimens require protection from light.
- Sputum samples are collected primarily to diagnose tuberculosis (TB).
- A first morning urine sample is more concentrated for HCG testing.
- Chain of custody protocols are vital for forensic specimen collection.
Additional Important Notes
- Barcodes represent data in a series of bars and spaces.
- Proper centrifuge operation involves balancing tubes of equal size and volume.
- Preanalytical errors do not include misreporting patient results.
- Collecting ABGs from the radial artery can be difficult in patients with reduced blood volume.
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Description
Prepare for the ICC Phlebotomy Final Exam with this comprehensive review guide. Focus on key concepts such as outpatient coding systems and the role of public relations in phlebotomy. Ideal for students looking to solidify their understanding before the exam.
