Phlebotomy Class Notes
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Questions and Answers

What is the primary purpose of The Joint Commission (TJC)?

  • To protect patient privacy and ensure confidentiality
  • Develop standards of care for patients and are made from representatives from the field
  • To provide a standardized method for incident reporting
  • To look out for patients and to establish standards (correct)

    • Which of the following is NOT considered a sharp?

  • Lancets
  • IV Needles
  • Capillary Tubes
  • Gauze (correct)

    • What is the primary purpose of a hospital band for inpatient identification?

  • To verify patient identity through a photo ID
  • To track patient's medications and test results (correct)
  • To provide a paper trail of patient procedures
  • To inform staff about patient allergies and medical history

    • According to HIPAA, what information is considered confidential and requires written permission to disclose?

    <p>All of the above</p> Signup and view all the answers

    Which of the following is NOT considered trash in a phlebotomy setting?

    <p>Lancets</p> Signup and view all the answers

    What is the main reason for identifying oneself and confirming patient information before drawing blood?

    <p>To ensure the right patient is being drawn</p> Signup and view all the answers

    How does the patient's nonverbal cues impact a phlebotomist's actions?

    <p>All of the above</p> Signup and view all the answers

    Which of the following statements is TRUE regarding the Patient Bill of Rights?

    <p>Patients have the right to refuse treatment and understand what tests are being performed</p> Signup and view all the answers

    What is the proper dilution of bleach for cleaning bodily fluids?

    <p>1:10</p> Signup and view all the answers

    What is the maximum number of times a phlebotomist should attempt to draw blood from a patient before seeking assistance?

    <p>2</p> Signup and view all the answers

    What is the correct order for drawing blood tubes?

    <p>EDTA, Heparin, Serum</p> Signup and view all the answers

    What is the proper way to clean a blood spill?

    <p>Use a 10% bleach solution and let it sit for 10 minutes</p> Signup and view all the answers

    What is the appropriate action to take if you experience a needlestick injury?

    <p>Immediately wash the exposed area with soap and water for 15 minutes, report to your supervisor, and fill out an exposure form.</p> Signup and view all the answers

    What is the term for the condition where the bevel of the needle is not fully in the vein, resulting in leakage between the skin and the vein?

    <p>Hematoma</p> Signup and view all the answers

    What is the proper technique for performing a heel stick?

    <p>The heel stick should be performed on the <em>outer portions</em> of the feet, avoiding the heel bone.</p> Signup and view all the answers

    What should be done if a patient declines care?

    <p>Report to the supervisor</p> Signup and view all the answers

    Which type of consent involves permission that is not given verbally or in writing?

    <p>Implied consent</p> Signup and view all the answers

    What does a lower gauge number in needles indicate?

    <p>A larger needle size</p> Signup and view all the answers

    What should be done if there is a discrepancy in patient information?

    <p>Admit to the mistake and verify</p> Signup and view all the answers

    What is the appropriate response if a patient is on blood thinners?

    <p>Monitor the patient for excessive bleeding</p> Signup and view all the answers

    What aspect of handling PPE is emphasized for basic safety?

    <p>Cleaning glasses regularly</p> Signup and view all the answers

    What is hemolysis in relation to blood samples?

    <p>Red blood cells bursting open</p> Signup and view all the answers

    Which of the following is NOT a lab safety rule?

    <p>Touching electrical equipment</p> Signup and view all the answers

    Which tube is primarily used for coagulation studies?

    <p>Light blue</p> Signup and view all the answers

    What is the function of the dark blue tube with a red stripe?

    <p>Used for heavy metals and toxicology reports</p> Signup and view all the answers

    Which of the following tubes is used for type and screen ratios?

    <p>Pink</p> Signup and view all the answers

    What does the acronym HIPAA stand for?

    <p>Health Insurance Portability and Accountability Act</p> Signup and view all the answers

    Which feature distinguishes a complete metabolic panel from a basic metabolic panel?

    <p>It tests for full metabolic function, not just partials</p> Signup and view all the answers

    In case of an exposure incident, what information must be documented in the sharps log container?

    <p>Type and brand of device involved</p> Signup and view all the answers

    What type of pathogen transmission involves contact with mucous membranes?

    <p>Droplet</p> Signup and view all the answers

    Which combination of tubes can be used to assess platelet levels?

    <p>Lavender and pink</p> Signup and view all the answers

    What is the primary concern for employees working with blood?

    <p>Hepatitis B virus (HBV) infection</p> Signup and view all the answers

    What is the standard procedure if a patient faints during a procedure?

    <p>Do not disclose what happened</p> Signup and view all the answers

    What should be done to prepare both the arm and the bottle for blood culture collection?

    <p>Chloroprep both the arm and the bottle</p> Signup and view all the answers

    Which of the following tubes contains lithium heparin?

    <p>Light green tube</p> Signup and view all the answers

    What is the purpose of the discard tube?

    <p>To prevent contamination of samples</p> Signup and view all the answers

    What color tube is primarily used for a complete blood count?

    <p>Lavender</p> Signup and view all the answers

    Which type of inspection is implemented when a workplace is suspected of being hazardous?

    <p>Imminent Danger Inspection</p> Signup and view all the answers

    What is the primary purpose of the platelet phase in the homeostasis process?

    <p>To form a temporary platelet plug at the injury site</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the coagulation phase in hemostasis?

    <p>Activation of plasmin to break down the fibrin clot</p> Signup and view all the answers

    Which type of inspection is considered the least common?

    <p>Fatality or accident inspection</p> Signup and view all the answers

    What is the primary function of the vascular phase in hemostasis?

    <p>To constrict blood vessels and slow down blood flow</p> Signup and view all the answers

    Which test is used to evaluate the intrinsic pathway of coagulation?

    <p>Partial Thromboplastin Time (PTT)</p> Signup and view all the answers

    What is the role of plasmin in the hemostasis process?

    <p>To break down the fibrin clot and remove it from the injury site</p> Signup and view all the answers

    Which of the following statements is true about the use of PT/INR and PTT tests?

    <p>PT/INR is used to monitor anticoagulants and PTT is used to assess the overall clotting ability of blood</p> Signup and view all the answers

    Study Notes

    Phlebotomy Class Notes

    • Veins: Common veins used for venipuncture include: median cubital, cephalic (thumb), basilic. Also cephalic (pinky), and dorsal veins in the hand.
    • Sharps: IV needles, hubs, tubes, lancets, glass slides, capillary tubes, and soaked gauze are considered sharps.
    • Trash: Gauze, tape, and band-aids are considered trash.
    • Patient Introductions: Introduce yourself as a phlebotomist, ask for their name, date of birth (DOB), and have them spell their name. Pay attention to body language and verbal cues.
    • Patient Identification: Outpatients need state-issued ID with DOB for verification. Inpatients need a hospital band with the same information.
    • Discrepancies: If there are discrepancies in patient information, do not proceed.
    • Patient Needs: Pay attention to nonverbal cues, and swiftly remove the needle if the patient requests.
    • Communication and Consent: Communicate with patients and receive consent before procedures.
    • HIPAA: Health Insurance Portability and Accountability Act. Obtain written permission before sharing patient information.
    • Incident Reports: Patients have the right to decline tests and treatment, if patient declines, report to the supervisor.
    • Safety and Procedures: Follow OSHA and HIPAA guidelines, and report potential safety issues to a supervisor for review if necessary.
    • Homeostasis: Blood vessel repair has three stages. The vascular, platelet, and coagulation phases.
    • Venipuncture Tubes and Preparation: Tube colors and additives have specific roles in lab processing, and proper technique is critical to prevent errors.
    • Tube Identification Color Codes:
      • Light blue (sodium citrate): For coagulation studies
      • Red (clot activator): For serum testing
      • Gold/Tiger/Marble (silica/gel separator): For chemistry
      • Light Green (lithium heparin/gel): For hematology
      • Green (sodium heparin): For hematology
      • Pink (potassium EDTA): For hematology
      • Lavender (EDTA): For hematology tests
      • Grey (sodium fluoride/potassium oxalate): For chemistry
    • Tubing Meaning and Usage: Different colored tubes have specific uses and should be used appropriately.
    • Capillary Sticks: How to perform capillary sticks for infants and preemies.
    • Exposure Control and Pathogens: Always handle potentially infectious material with care. Treat all patients as if they were infected with pathogen.
    • Procedure to Follow: Cleanse area, use proper sizing needle, follow procedure for particular condition.
    • Hemostasis: Hemostasis is the process of stopping blood loss from an injured blood vessel through various responses. Don't turn off IV if needed for draw, use opposite arm when needed.

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    Phlebotomy Class Notes (1/11/2025)

    Description

    Explore key concepts in phlebotomy including patient identification, common veins used for venipuncture, and the importance of communication with patients. This quiz will enhance your understanding of safety protocols and best practices in phlebotomy. Test your knowledge on patient interactions and sharps management.

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