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Questions and Answers
When collecting blood for a trough level using therapeutic drug monitoring, how long before the scheduled medication dose should the blood draw occur?
When collecting blood for a trough level using therapeutic drug monitoring, how long before the scheduled medication dose should the blood draw occur?
Which of the following is a test that requires the blood sample to be kept at body temperature until the serum separates?
Which of the following is a test that requires the blood sample to be kept at body temperature until the serum separates?
For which test should the blood sample be protected from light using aluminum foil?
For which test should the blood sample be protected from light using aluminum foil?
When is a PKU test typically performed on an infant?
When is a PKU test typically performed on an infant?
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What special handling consideration is required for blood samples taken for lactic acid testing?
What special handling consideration is required for blood samples taken for lactic acid testing?
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If additional information cannot be recorded on a chain of custody for a forensic specimen, what should you record?
If additional information cannot be recorded on a chain of custody for a forensic specimen, what should you record?
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Which of the following blood tests require the blood sample to be chilled on ice?
Which of the following blood tests require the blood sample to be chilled on ice?
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During an Oral Glucose Tolerance Test (OGTT), how long should a patient fast before the initial blood draw?
During an Oral Glucose Tolerance Test (OGTT), how long should a patient fast before the initial blood draw?
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What action should a phlebotomist take if a patient declines a blood draw?
What action should a phlebotomist take if a patient declines a blood draw?
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Which of the following actions is considered battery?
Which of the following actions is considered battery?
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A phlebotomist sees that they are about to poke the patient in the wrong area. What is the correct action to take?
A phlebotomist sees that they are about to poke the patient in the wrong area. What is the correct action to take?
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In what circumstances can you tell a patient what the tests you are performing are for?
In what circumstances can you tell a patient what the tests you are performing are for?
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What is the primary reason for keeping the tourniquet on for less than 1 minute?
What is the primary reason for keeping the tourniquet on for less than 1 minute?
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Why do you invert the tubes?
Why do you invert the tubes?
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What does a higher gauge number indicate in needles used for phlebotomy?
What does a higher gauge number indicate in needles used for phlebotomy?
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Which of the following veins is NOT typically located in the antecubital area?
Which of the following veins is NOT typically located in the antecubital area?
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Which of these items would be considered a 'sharp' and require special disposal?
Which of these items would be considered a 'sharp' and require special disposal?
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Which of the following is the BEST first step when interacting with a patient?
Which of the following is the BEST first step when interacting with a patient?
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For an outpatient, which form of identification is required before performing a phlebotomy procedure?
For an outpatient, which form of identification is required before performing a phlebotomy procedure?
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According to the content, what does a hospital band provide for an inpatient?
According to the content, what does a hospital band provide for an inpatient?
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Which statement does NOT accurately reflect the concept of 'Communication=Consent' in phlebotomy?
Which statement does NOT accurately reflect the concept of 'Communication=Consent' in phlebotomy?
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What is the primary focus of The Joint Commission (TJC)?
What is the primary focus of The Joint Commission (TJC)?
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According to the provided content, what is one of the implications of the Health Insurance Portability and Accountability Act (HIPAA)?
According to the provided content, what is one of the implications of the Health Insurance Portability and Accountability Act (HIPAA)?
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A blood sample for which of the following tests must be transported in an amber-colored bag?
A blood sample for which of the following tests must be transported in an amber-colored bag?
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Which of the following tests requires the blood sample to be kept at 37 degrees Celsius (98.6 degrees Fahrenheit) until the serum separates?
Which of the following tests requires the blood sample to be kept at 37 degrees Celsius (98.6 degrees Fahrenheit) until the serum separates?
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During a Glucose Tolerance Test, in what time period should the patient consume the glucose drink?
During a Glucose Tolerance Test, in what time period should the patient consume the glucose drink?
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For which of the following blood tests is it critical to avoid the use of a tourniquet?
For which of the following blood tests is it critical to avoid the use of a tourniquet?
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What is the required angle for needle insertion when collecting an Arterial Blood Gas (ABG) sample?
What is the required angle for needle insertion when collecting an Arterial Blood Gas (ABG) sample?
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What is the primary purpose of drawing blood for therapeutic drug monitoring?
What is the primary purpose of drawing blood for therapeutic drug monitoring?
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Which of the following substances can be analyzed in an Arterial Blood Gas (ABG) test?
Which of the following substances can be analyzed in an Arterial Blood Gas (ABG) test?
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What does the term 'diurnal' refer to in the context of blood sample collection?
What does the term 'diurnal' refer to in the context of blood sample collection?
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What is the MOST basic form of Personal Protective Equipment (PPE) when performing phlebotomy?
What is the MOST basic form of Personal Protective Equipment (PPE) when performing phlebotomy?
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According to the guidelines, how long should hands be rubbed together during hand washing before being dried?
According to the guidelines, how long should hands be rubbed together during hand washing before being dried?
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What does the term 'hemolysis' refer to?
What does the term 'hemolysis' refer to?
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In the context of phlebotomy, what is meant by 'inversion' of a blood collection tube?
In the context of phlebotomy, what is meant by 'inversion' of a blood collection tube?
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What should a phlebotomist do if they notice a discrepancy in patient information?
What should a phlebotomist do if they notice a discrepancy in patient information?
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Which of the following best describes 'implied consent'?
Which of the following best describes 'implied consent'?
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What is the significance of the 'wings' on a butterfly needle?
What is the significance of the 'wings' on a butterfly needle?
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What does a lower gauge number indicate about a needle used for phlebotomy?
What does a lower gauge number indicate about a needle used for phlebotomy?
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Which of the following is NOT considered a primary vein for venipuncture in the antecubital area?
Which of the following is NOT considered a primary vein for venipuncture in the antecubital area?
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According to the provided information, which of these items would be considered trash that does not require special disposal?
According to the provided information, which of these items would be considered trash that does not require special disposal?
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If a patient presents an insurance card without a state-issued ID, what information should be cross checked, according to provided content?
If a patient presents an insurance card without a state-issued ID, what information should be cross checked, according to provided content?
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For an inpatient, what is the primary purpose of the hospital identification band regarding phlebotomy procedures?
For an inpatient, what is the primary purpose of the hospital identification band regarding phlebotomy procedures?
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What is the implication of a patient stating they 'Send Received Proceed Understood' according to the text?
What is the implication of a patient stating they 'Send Received Proceed Understood' according to the text?
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According to the provided content, what is a primary responsibility of The Joint Commission (TJC)?
According to the provided content, what is a primary responsibility of The Joint Commission (TJC)?
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When can a phlebotomist be allowed to leave a patient's room with their paperwork according to the provided content?
When can a phlebotomist be allowed to leave a patient's room with their paperwork according to the provided content?
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According to the provided information, what is the best course of action when a patient requests that the needle be removed during a phlebotomy procedure?
According to the provided information, what is the best course of action when a patient requests that the needle be removed during a phlebotomy procedure?
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Flashcards
Informed consent
Informed consent
A patient's voluntary and informed permission to receive medical treatment.
Expressed consent
Expressed consent
Consent that is given verbally or in writing.
Implied consent
Implied consent
Consent that is implied through actions, like sticking out your arm for a blood draw.
Battery
Battery
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ICD-10
ICD-10
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Toutiquet
Toutiquet
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Butterfly needle
Butterfly needle
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Hemolysis
Hemolysis
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Therapeutic Drug Monitoring
Therapeutic Drug Monitoring
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Trough Level
Trough Level
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Peak Level
Peak Level
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Aliquoting
Aliquoting
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Chilled Blood Samples
Chilled Blood Samples
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Warmed Blood Samples
Warmed Blood Samples
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Diurnal Blood Samples
Diurnal Blood Samples
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Glucose Tolerance Test (GTT)
Glucose Tolerance Test (GTT)
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Median Cubital Vein
Median Cubital Vein
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Cephalic Vein
Cephalic Vein
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Basilic Vein
Basilic Vein
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Dorsal Vein
Dorsal Vein
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CLSI (Clinical and Laboratory Standards Institute)
CLSI (Clinical and Laboratory Standards Institute)
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Communication = Consent
Communication = Consent
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Paper Trail (Medical Documentation)
Paper Trail (Medical Documentation)
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HIPAA (Health Insurance Portability and Accountability Act)
HIPAA (Health Insurance Portability and Accountability Act)
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Inversion
Inversion
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Arterial Blood Gas (ABG)
Arterial Blood Gas (ABG)
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PKU (Phenylketonuria) Test
PKU (Phenylketonuria) Test
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Paper Trail
Paper Trail
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HIPAA
HIPAA
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What are considered sharps?
What are considered sharps?
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What is considered trash?
What is considered trash?
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The Joint Commission (TJC)
The Joint Commission (TJC)
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Clinical and Laboratory Standards Institute (CLSI)
Clinical and Laboratory Standards Institute (CLSI)
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What is required for outpatient identification?
What is required for outpatient identification?
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Study Notes
Phlebotomy Class Notes
- Venipuncture Sites:
- Antecubital (median cubital, cephalic, basilic)
- Cephalic (thumb)
- Basilic (pinky)
- Dorsal
- Sharps:
- IV needles
- Hubs
- Tubes
- Lancets
- Glass Slides
- Capillary Tubes
- Gauze (if soaked)
- Trash: Gauze, Tape, Band-Aids
- Patient Introductions:
- Introduce yourself as the phlebotomist.
- Ask for patient's name and DOB.
- Have them spell their name.
- Pay attention to body language and verbal cues.
- Patient Identification:
- Photo ID is required for outpatients to verify information before touching them and is required to include DOB.
- Hospital band is required for inpatients.
- If there is a discrepancy, do not proceed with the draw.
- Always pay attention to details.
- Communication and Consent:
- Follow joint commission (TJC) standards and clinical/ lab standards.
- Maintain necessary documentation and policies to protect patient information.
- Always have a paper trail of patient communication in the room, do not leave the room with the chart or documents out.
- Obtain patient consent before collecting or sharing any information.
- Incident Reports:
- Record incidents according to patient rights in incident reports.
- Test Questions/Patient Rights:
- Patients can always know what tests are being done and decline treatment.
- Consent and Implied Consent:
- Expressed written or verbal consent
- Implied consent without verbal or written consent (e.g., a patient extending their arm)
- Parental consent required for minors.
- PPE (Personal Protective Equipment):
- Proper use of PPE, including clean glasses, is critical.
- If outside scope of practice, do not touch or poke patient.
- Attention to patients allergies and blood thinners, etc.
- Tourniquet Time Limit:
- Tourniquets shouldn't remain on longer than one minute. Blood pressure cuffs are an alternative to tourniquets when longer application is necessary.
- Venipuncture Technique:
- Be aware of hemolysis(breaking down of red blood cells, also consider if the blood is close to the vein wall.)
- Always pay attention to the patient's allergies and blood thinners, etc.
- Homeostasis:
- Three stages: vascular, platelet, and coagulation phases.
- BTT (bleeding time test) checks primary stages.
- Blood Collection via Tube:
- Different tubes are used for various tests.
- Tubes have different additives.
- Tubes should be labeled correctly.
- Blood Collection via Butterflies:
- Proper use of butterfly needles.
- Precautions to be taken drawing from the Basilic vein.
- Anticoagulants:
- Use appropriate anticoagulants for different tests. (e.g. EDTA, Heparin, etc)
- Transporting Specimens:
- Warm tubes prior to draw as needed.
- Proper chilling/warming procedures as per test requirements.
- Use appropriate containers (like amber or brown bags).
- Labeling requirements of specimens.
- Light sensitivity requirements
- Patient Preparation:
- Fasting guidelines/instructions for certain tests.
- Instructions for blood samples not requiring fasting.
- Instructions for testing time, such as windows for OGTT samples etc
- Medical Tests and Procedures:
- PKU (infant blood test for mental retardation)
- Arterial Blood Gas (ABG)
- Diagnostic tests using a heel poke.
- Blood cultures, blood tests (such as basic metabolic tests, etc)
- Different types of swabs: nasal, buccal, throat, etc.
- Specimens: urine, stool (such as GUAIAX and fecal fat studies), etc
- Blood Borne Pathogen Precautions:
- Treat all blood and bodily fluids as if they contain infectious agents.
- Use proper infection control procedures.
- Specimen Handling and Transportation:
- Chain of custody for forensic specimens.
- Labeling procedures for specimens.
- Additional Information
- Safety Compliance: Adherence to OSHA, HIPAA, and TJC standards. Compliance with federal procedures.
- Types of Procedures: Venipuncture, Capillary sticks, other special collection procedures.
- Equipment: Mention equipment used for collection and handling, including centrifuge techniques and use of various tubes.
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Description
Explore essential phlebotomy techniques and patient care protocols with this quiz. Gain insights into venipuncture sites, patient identification, and effective communication strategies. Perfect for aspiring phlebotomists to test their knowledge.