Questions and Answers
Which of the following POC laboratory test is within the CLIA defined scope of practice for a phlebotomist?
Which task should a phlebotomist complete prior to daily use of POC instrument?
Perform QC on the instrument
What should a phlebotomist do if a patient brings in written lab test results and asks for help with interpretation?
Refer the patient to the physician for interpretation of all results
Which of the following is outside the scope of practice for a phlebotomist?
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Which of the following specimens require the phlebotomist to follow chain-of-custody documentation procedures?
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Which of the following QC measures are within the phlebotomist's scope of practice?
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When should a test tube be labeled with the patient's identification?
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What is violated if a phlebotomist obtains consent from a family member instead of a mentally competent patient?
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What type of consent applies to drawing blood on a non-responsive patient in an emergency department?
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What form of consent must be obtained prior to drawing a diagnostic HIV test?
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What does a 19-year-old patient offering her arm for venipuncture demonstrate?
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Which of the following is a CLIA waived test that can be performed by the phlebotomist?
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Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which document?
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What should the phlebotomist do first after getting stuck with a contaminated needle?
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Under what conditions can a phlebotomist perform venipuncture if they have active cold symptoms?
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Which statement indicates a new phlebotomist's need for further education on standard precautions?
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An immunization is currently available for prevention of which blood borne disease?
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What is the minimum PPE requirement when drawing lab work on a patient with suspected HIV?
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What is the proper way to clean up broken glass tubes?
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What type of precautions are in use when the phlebotomist dons gown, gloves, and mask before entering a patient's room with an isolation cart?
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Where should a phlebotomist dispose of gloves if they notice blood on them after a venipuncture?
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If a phlebotomist has questions about disposing of outdated hazardous chemicals, where should she look for information?
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What does a symbol on a container indicating 'biohazard material' present mean?
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Study Notes
POC Laboratory Tests
- Phlebotomists can perform Strep tests and urine sediment under CLIA regulations.
- Quality control (QC) is essential; phlebotomists must perform QC before daily use of POC instruments.
Patient Interaction
- Phlebotomists should refer patients to physicians for interpretation of lab results.
- Consent must be obtained from mentally competent patients; obtaining it from family violates the Patient's Bill of Rights.
- Implied consent is applicable for blood draws on non-responsive patients in emergencies.
Consent Types
- Informed consent is necessary for diagnostic tests like HIV.
- Implied consent occurs when a patient actively offers their arm for a venipuncture.
Testing and Procedures
- CLIA waived tests allowed for phlebotomists include chemical urinalysis.
- Chain-of-custody procedures are required for blood alcohol and drug testing.
Safety and Protocols
- Standard precautions dictate the minimum PPE for HIV patients is gloves only.
- In event of a needlestick injury, report the incident immediately after cleaning hands.
- Proper cleanup of broken glass includes using a broom and dustpan, then disposing of fragments in a sharps container.
Personal Protective Equipment (PPE)
- For patients under isolation, appropriate PPE includes gown, gloves, and mask.
- Phlebotomists can work with cold symptoms if they are afebrile and wearing a mask.
Hygiene and Waste Disposal
- Gloves contaminated with blood must be disposed of in biohazard containers after procedures.
- If questions arise about hazardous chemical disposal, refer to the Material Safety Data Sheets (MSDS).
Patient Rights and Safety
- Commitment to privacy, continuity of care, and advance directives are outlined in the Patient's Bill of Rights.
- Biohazard symbols indicate the presence of hazardous materials; clarity should be provided to patients if they inquire.
Quality Control Measures
- Phlebotomists are responsible for checking expiration dates on supplies, monitoring refrigerator temperatures, and routine cleaning of specimen processing areas.
Common Bloodborne Pathogens
- Vaccination is available for Hepatitis B, emphasizing the importance of preventative measures for bloodborne diseases.
Studying That Suits You
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Description
Test your knowledge in phlebotomy with this set of flashcards covering key topics related to Point of Care (POC) laboratory tests. Each card presents a question that reflects the core competencies required by phlebotomists, including quality control and test interpretations. Perfect for NCCT exam preparation!
