Podcast
Questions and Answers
What factor contributes to the phlebotomist's professional image?
What factor contributes to the phlebotomist's professional image?
Attitude
What are the principles of right and wrong conduct as they apply to professional problems called?
What are the principles of right and wrong conduct as they apply to professional problems called?
Ethics
What type of testing does the microbiology department perform?
What type of testing does the microbiology department perform?
Culture and sensitivity testing (C&S)
Early equipment used for bloodletting included all of the following except a hemostat.
Early equipment used for bloodletting included all of the following except a hemostat.
What do the initials PBT stand for?
What do the initials PBT stand for?
What does HIPAA stand for?
What does HIPAA stand for?
Which of the following may be a duty of the phlebotomist?
Which of the following may be a duty of the phlebotomist?
Which of the following is an example of proxemics?
Which of the following is an example of proxemics?
What is proper telephone technique when answering the phone?
What is proper telephone technique when answering the phone?
What is an example of an institution that provides inpatient services?
What is an example of an institution that provides inpatient services?
What is state and federally funded insurance called?
What is state and federally funded insurance called?
What specialty treats disorders of old age?
What specialty treats disorders of old age?
What is the department in a hospital that prepares and dispenses drugs?
What is the department in a hospital that prepares and dispenses drugs?
What does CBC stand for?
What does CBC stand for?
Which of the following laboratory professionals is responsible for the administration of a specific clinical area, such as chemistry?
Which of the following laboratory professionals is responsible for the administration of a specific clinical area, such as chemistry?
Who is the oldest and largest healthcare standards-setting body in the nation?
Who is the oldest and largest healthcare standards-setting body in the nation?
Which organization administers federal regulations for CLIA?
Which organization administers federal regulations for CLIA?
Which of the following are set up to monitor all areas of care that tend to cause problems?
Which of the following are set up to monitor all areas of care that tend to cause problems?
What does proper patient identification include?
What does proper patient identification include?
What manual describes the necessary steps for patient preparation for laboratory tests?
What manual describes the necessary steps for patient preparation for laboratory tests?
Which of the following can identify trends for risk management?
Which of the following can identify trends for risk management?
What does informed consent mean?
What does informed consent mean?
What national organization develops guidelines and sets standards for laboratory procedures?
What national organization develops guidelines and sets standards for laboratory procedures?
What legal concept is illustrated by a physician being sued for negligence due to the actions of an inexperienced phlebotomist?
What legal concept is illustrated by a physician being sued for negligence due to the actions of an inexperienced phlebotomist?
A young adult comes into an outpatient lab to have his blood drawn. The phlebotomist refuses to draw this patient's blood because the patient has not reached the age of majority in the state.
A young adult comes into an outpatient lab to have his blood drawn. The phlebotomist refuses to draw this patient's blood because the patient has not reached the age of majority in the state.
What do NPSGs stand for?
What do NPSGs stand for?
What does a Delta check refer to?
What does a Delta check refer to?
What is the quality indicator for blood culture contamination?
What is the quality indicator for blood culture contamination?
What is the definition of negligence?
What is the definition of negligence?
When can the statute of limitation timing begin?
When can the statute of limitation timing begin?
Which of the following is described as an anuclear, biconcave disk?
Which of the following is described as an anuclear, biconcave disk?
What chamber of the heart receives blood from the systemic circulation?
What chamber of the heart receives blood from the systemic circulation?
What is the thick middle muscle layer of the heart called?
What is the thick middle muscle layer of the heart called?
What do P waves on an EKG indicate?
What do P waves on an EKG indicate?
When is the systolic pressure reading taken during a blood pressure measurement?
When is the systolic pressure reading taken during a blood pressure measurement?
What is the purpose of the pulmonary system?
What is the purpose of the pulmonary system?
Which of the following blood vessels are listed in the proper order of blood flow?
Which of the following blood vessels are listed in the proper order of blood flow?
What is the internal space of a blood vessel called?
What is the internal space of a blood vessel called?
What are the longest vein and artery in the body, in that order?
What are the longest vein and artery in the body, in that order?
What is the preferred vein for venipuncture in the H shaped pattern?
What is the preferred vein for venipuncture in the H shaped pattern?
What is the major difference between plasma and serum?
What is the major difference between plasma and serum?
What are antigens?
What are antigens?
What is the correct sequence of events after a blood vessel injury?
What is the correct sequence of events after a blood vessel injury?
Where does lymph originate from?
Where does lymph originate from?
What heart condition is characterized by fluid buildup in the lungs?
What heart condition is characterized by fluid buildup in the lungs?
Why is the basilic vein the last choice for venipuncture?
Why is the basilic vein the last choice for venipuncture?
What is the medical term for a blood clot circulating in the bloodstream?
What is the medical term for a blood clot circulating in the bloodstream?
What is the normal composition of blood?
What is the normal composition of blood?
How large is a normal erythrocyte?
How large is a normal erythrocyte?
Which formed element is the first to play a role in sealing an injury to a blood vessel?
Which formed element is the first to play a role in sealing an injury to a blood vessel?
Which additive prevents glycolysis?
Which additive prevents glycolysis?
Which item is typically incorrect during routine venipuncture setup?
Which item is typically incorrect during routine venipuncture setup?
Which of the following tubes can be used to collect a serum specimen?
Which of the following tubes can be used to collect a serum specimen?
What is the purpose of a tourniquet in venipuncture?
What is the purpose of a tourniquet in venipuncture?
What substance should be used to clean the site for routine venipuncture on a patient with no known antiseptic allergies?
What substance should be used to clean the site for routine venipuncture on a patient with no known antiseptic allergies?
Which of the following needles has the largest diameter?
Which of the following needles has the largest diameter?
What causes evacuated tubes to fill with blood automatically?
What causes evacuated tubes to fill with blood automatically?
Lavender-top tubes are most commonly used to collect what type of tests?
Lavender-top tubes are most commonly used to collect what type of tests?
Of the following tubes or containers, which is filled last in the recommended order of draw?
Of the following tubes or containers, which is filled last in the recommended order of draw?
What is a butterfly needle typically used for?
What is a butterfly needle typically used for?
EDTA can be found in which of the following?
EDTA can be found in which of the following?
Blood in which type of tube normally clots within five minutes?
Blood in which type of tube normally clots within five minutes?
Which of the following is considered a biocide?
Which of the following is considered a biocide?
Mixing an additive correctly involves turning the wrist how many degrees and back again?
Mixing an additive correctly involves turning the wrist how many degrees and back again?
If a CBC, PT, plasma potassium, and glucose (drawn with a glycolysis inhibitor) are all to be collected during a multiple-tube draw, which of the following are in the correct order of draw?
If a CBC, PT, plasma potassium, and glucose (drawn with a glycolysis inhibitor) are all to be collected during a multiple-tube draw, which of the following are in the correct order of draw?
What does a green-colored stopper indicate in a blood collection tube?
What does a green-colored stopper indicate in a blood collection tube?
What color is the stopper for a trace element free tube?
What color is the stopper for a trace element free tube?
Thixotropic gel is found in which of the following?
Thixotropic gel is found in which of the following?
What is the use of a transillumination device?
What is the use of a transillumination device?
What is the ratio of blood to anticoagulant that is most critical?
What is the ratio of blood to anticoagulant that is most critical?
What does NPO stand for?
What does NPO stand for?
Which of the following is required requisition information?
Which of the following is required requisition information?
Which test should be collected first if multiple orders are received at the same time?
Which test should be collected first if multiple orders are received at the same time?
What should you do if a member of the clergy is with the patient when you arrive to collect a routine specimen?
What should you do if a member of the clergy is with the patient when you arrive to collect a routine specimen?
What is the best action if a patient does not have an ID band but one is required?
What is the best action if a patient does not have an ID band but one is required?
What should you do if a patient adamantly refuses to have blood drawn?
What should you do if a patient adamantly refuses to have blood drawn?
What is the best approach when drawing blood from an eight-year-old child?
What is the best approach when drawing blood from an eight-year-old child?
What should be done if an inpatient is eating breakfast when you arrive to collect a fasting glucose?
What should be done if an inpatient is eating breakfast when you arrive to collect a fasting glucose?
What should a phlebotomist do after cleansing the venipuncture site with alcohol?
What should a phlebotomist do after cleansing the venipuncture site with alcohol?
When should the tourniquet be released?
When should the tourniquet be released?
What is the recommended angle of needle insertion when performing venipuncture on an arm vein?
What is the recommended angle of needle insertion when performing venipuncture on an arm vein?
What does seating a butterfly needle mean?
What does seating a butterfly needle mean?
When are blood collection tubes labeled?
When are blood collection tubes labeled?
Which type of patient is most likely to have an arteriovenous fistula or graft?
Which type of patient is most likely to have an arteriovenous fistula or graft?
What is proper procedure when dealing with an elderly patient after drawing blood?
What is proper procedure when dealing with an elderly patient after drawing blood?
Where is the tourniquet applied when drawing a hand vein?
Where is the tourniquet applied when drawing a hand vein?
Specimen hemolysis can result from which of the following?
Specimen hemolysis can result from which of the following?
Which is the least effective way to immobilize a pediatric patient before a blood draw?
Which is the least effective way to immobilize a pediatric patient before a blood draw?
What criteria are used to decide which needle gauge to use for venipuncture?
What criteria are used to decide which needle gauge to use for venipuncture?
Which of the following venipuncture steps are in the correct order?
Which of the following venipuncture steps are in the correct order?
What is the best way to handle a needle-phobic patient?
What is the best way to handle a needle-phobic patient?
How long should the site be examined to determine if bleeding has stopped?
How long should the site be examined to determine if bleeding has stopped?
Examples of timed tests include which of the following?
Examples of timed tests include which of the following?
What does bending the arm up to apply pressure to the site after venipuncture do?
What does bending the arm up to apply pressure to the site after venipuncture do?
What is the unique number assigned to a specimen request called?
What is the unique number assigned to a specimen request called?
Peak levels of which analyte typically occur around 08:00 hours?
Peak levels of which analyte typically occur around 08:00 hours?
Which of these tests are most affected if the patient is not fasting?
Which of these tests are most affected if the patient is not fasting?
What does it mean if veins feel hard and cord-like when palpated?
What does it mean if veins feel hard and cord-like when palpated?
What does it indicate if tiny red spots appear on the patient's arm when the tourniquet is applied?
What does it indicate if tiny red spots appear on the patient's arm when the tourniquet is applied?
What is the term for when a patient’s arm is swollen with excess fluids?
What is the term for when a patient’s arm is swollen with excess fluids?
Study Notes
Phlebotomy Concepts and Definitions
- Attitude: Influences a phlebotomist's professional image positively.
- Ethics: Principles governing right and wrong conduct in professional scenarios.
- Culture and Sensitivity Testing (C&S): Conducted by the microbiology department to identify pathogens and their sensitivity to antibiotics.
- Hemostat: Historically used equipment for bloodletting; does not include modern syringes.
- PBT (Phlebotomy Technician): Credential awarded after passing the American Society for Clinical Pathology exam.
- HIPAA: Law ensuring national standards for electronic health information exchange and privacy.
- POCT (Point of Care Testing): Duties may include performing tests at patient care sites.
- Zone of Comfort: Concept in proxemics relating to personal space during interactions.
- Telephone Techniques: Use proper tone of voice when answering calls to maintain professionalism.
- Hospital: Institution that provides inpatient services and continuous care.
Insurance and Specialties
- Medicaid: Insurance funded by state and federal resources.
- Gerontology: Medical specialty focused on aging and age-related disorders.
- Pharmacy: Hospital department responsible for preparing and dispensing medications.
Laboratory Testing
- CBC (Complete Blood Count): Common hematology test measuring blood components.
- Technical Supervisor: Professional overseeing the administration of specific clinical laboratory areas.
- The Joint Commission: Major healthcare standards-setting organization in the U.S.
- CMS (Centers for Medicare and Medicaid Services): Body administering CLIA federal regulations.
- Quality Indicators: Established to monitor and improve care areas prone to issues.
Patient Care Practices
- Incident Reports: Used for identifying trends in risk management and ensuring safety.
- Informed Consent: Patients must agree to procedures after understanding risks involved.
- CLSI: Organization that sets guidelines for laboratory practices.
- Vicarious Liability: Legal responsibility of a higher authority for the negligent acts of employees.
- Patient Age Considerations: Minors may require parental consent for blood draws.
Safety and Quality Standards
- NPSGs (National Patient Safety Goals): Set annual safety requirements for healthcare facilities.
- Delta Check: Comparing current test results with previous ones to identify discrepancies.
- Blood Culture Contamination: Key quality indicator assessed by the microbiology department.
Legal and Ethical Responsibilities
- Negligence: Refers to failure to exercise due care in professional settings.
- Statute of Limitations: Timeframe that dictates when legal action can be initiated following negligence.
- Erythrocyte: Red blood cell characterized as an anuclear biconcave disk.
Cardiovascular Functionality
- Right Atrium: Receives deoxygenated blood from the systemic circulation.
- Myocardium: Muscle layer of the heart responsible for contraction.
- EKG P Waves: Indicate atrial contractions on an electrocardiogram.
- Systolic Pressure: Measured when the first heart sound is detected during blood pressure monitoring.
Blood Circulation and Vessels
- Pulmonary System Purpose: Facilitates blood exchange to and from the lungs.
- Blood Vessel Sequence: Proper order of blood flow through capillaries, venules, and veins.
- Great Saphenous Vein and Aorta: Longest vein and artery in the human body, respectively.
Phlebotomy Techniques
- Median Cubital Vein: Preferred site for venipuncture in patients.
- Plasma vs. Serum: Plasma contains fibrinogen, unlike serum.
- Blood Type Determinants: Blood type is based on antigens present on red blood cells.
- Hemostasis Sequence: Involves vasoconstriction, platelet aggregation, and fibrin clot formation after vessel injury.
- Lymph Origin: Derived from tissue fluid.
Blood Draw and Sample Handling
- Edema: Swelling caused by excess fluids in a patient's arm.
- Specimen Hemolysis: Can occur from improper technique or equipment.
- Tourniquet Use: Enhances visibility and access to veins during venipuncture.
- Needle Insertion Angles: Recommended angles for arm and hand vein venipuncture are 30 degrees and 10 degrees, respectively.
- Blood Collection Protocol: Tubes must be labeled immediately after collection to ensure accuracy.
Pediatric Considerations
- Child Blood Draw Techniques: Explain procedures simply and involve the child for cooperation.
- Immobilizing Pediatric Patients: Proper techniques are critical for successfully drawing blood from younger patients.
Test Preparation and Considerations
- Ordering Tests: Important to follow specimen collection order, especially for timed tests.
- Fasting Requirements: Certain test accuracy is influenced by fasting status; glucose and triglycerides are particularly affected.
Conclusion
- Understanding phlebotomy essentials is critical for effective patient care and maintaining safety and quality standards in laboratory practices.
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Description
Test your knowledge of key terms and concepts from 'Phlebotomy Essentials, 7th edition' through interactive flashcards. This quiz covers essential vocabulary and definitions crucial for phlebotomists to maintain a professional image and adhere to ethical standards.
