Podcast
Questions and Answers
After completion of blood collection in an isolation room, which of the following steps should occur last?
After completion of blood collection in an isolation room, which of the following steps should occur last?
- Remove mask
- Remove the gown
- Wash hands (correct)
- Remove gloves
An outbreak of particular health-care-acquired infections in a health care facility is detected through:
An outbreak of particular health-care-acquired infections in a health care facility is detected through:
- Personnel records
- Infection control surveillance (correct)
- Individuals transmitting fomites
- The clinical chemistry department
Health care acquired infections are also referred to as:
Health care acquired infections are also referred to as:
- Aseptic
- Nosocomial infections (correct)
- Blood borne pathogens
- Nonpathogenic
What, as a part of the U.S. Public Health Service, oversees the investigation of various diseases?
What, as a part of the U.S. Public Health Service, oversees the investigation of various diseases?
Protective isolation is commonly used for patients who have:
Protective isolation is commonly used for patients who have:
A large number of negligence health care lawsuit cases arise out of the violation of:
A large number of negligence health care lawsuit cases arise out of the violation of:
The legal term for improper or unskillful care of a patient by a member of the health care team or any professional misconduct is:
The legal term for improper or unskillful care of a patient by a member of the health care team or any professional misconduct is:
When should incident reports involving accidental HIV exposures be reported?
When should incident reports involving accidental HIV exposures be reported?
Professional negligence in blood collection is the same as:
Professional negligence in blood collection is the same as:
If a phlebotomist gives his or her friend the results of a patient's HIV test, what can be claimed by the patient against the phlebotomist?
If a phlebotomist gives his or her friend the results of a patient's HIV test, what can be claimed by the patient against the phlebotomist?
Which legal concept refers to the voluntary permission by a patient to allow touching, examination, and treatment by health care providers?
Which legal concept refers to the voluntary permission by a patient to allow touching, examination, and treatment by health care providers?
In HIV-related issues for phlebotomists, the:
In HIV-related issues for phlebotomists, the:
Violation of patient confidentiality:
Violation of patient confidentiality:
Misidentifying the patient, which can lead to confusion of patient samples and possible wrong diagnosis and death, is considered:
Misidentifying the patient, which can lead to confusion of patient samples and possible wrong diagnosis and death, is considered:
Failure to act or perform duties according to the standards of the profession is:
Failure to act or perform duties according to the standards of the profession is:
In legal cases, 'what a reasonably prudent person would do under similar circumstances' refers to:
In legal cases, 'what a reasonably prudent person would do under similar circumstances' refers to:
The two forms of identification used when performing phlebotomy procedures are:
The two forms of identification used when performing phlebotomy procedures are:
CLIA '88 was passed to:
CLIA '88 was passed to:
Which of the following is an example of positive body language?
Which of the following is an example of positive body language?
What is another name for a winged infusion set?
What is another name for a winged infusion set?
Which of the following would not be considered proper dress code for a phlebotomist?
Which of the following would not be considered proper dress code for a phlebotomist?
A phlebotomist should possess which of the following characteristics?
A phlebotomist should possess which of the following characteristics?
If you draw a CBC, which lab department will perform this test?
If you draw a CBC, which lab department will perform this test?
If you draw a glucose, which department will perform this test?
If you draw a glucose, which department will perform this test?
If you go into a patient room and the patient is unresponsive, you should:
If you go into a patient room and the patient is unresponsive, you should:
Which of the following are often a focus of quality improvement for a phlebotomy service?
Which of the following are often a focus of quality improvement for a phlebotomy service?
If it is obvious that a patient did not hear you, you should:
If it is obvious that a patient did not hear you, you should:
If you have a sample for a urine culture, which lab department would you take it to?
If you have a sample for a urine culture, which lab department would you take it to?
If you have a sample for a blood type and screen, which lab department would you take it to?
If you have a sample for a blood type and screen, which lab department would you take it to?
What tube would you draw a platelet count in?
What tube would you draw a platelet count in?
What tube would you draw blood cultures in?
What tube would you draw blood cultures in?
What tube would you draw cholesterol in?
What tube would you draw cholesterol in?
What tube would you draw a protime in?
What tube would you draw a protime in?
Which of the following are types of non-blood specimens analyzed in the clinical lab?
Which of the following are types of non-blood specimens analyzed in the clinical lab?
What type of sample would you use for a CBC?
What type of sample would you use for a CBC?
Study Notes
Infection Control and Legal Issues
- Handwashing is the last step after blood collection in isolation.
- Infection control surveillance detects outbreaks of healthcare-acquired infections.
- Healthcare-acquired infections are known as nosocomial infections.
- The CDC oversees disease investigations under the U.S. Public Health Service.
- Patients with cholera require protective isolation.
Professional Conduct and Liability
- A significant number of negligence lawsuits stem from violations of patient confidentiality (HIPAA).
- Malpractice refers to improper care by health professionals; liability entails professional misconduct.
- Incident reports for accidental HIV exposures must be reported after consultation with the employee health physician.
- Implicit consent does not equate to professional negligence in blood collection.
Confidentiality and Consent
- A phlebotomist disclosing a patient's HIV test results can lead to negligence claims.
- Informed consent is the patient's voluntary permission for examination or treatment.
- Employers are responsible for monitoring HIV post-exposure follow-ups, not employees.
- Violating patient confidentiality can be considered professional negligence.
Patient Identification and Procedures
- Misidentifying patients can lead to serious consequences and is considered negligence.
- Standard of care refers to actions a reasonably prudent person would take in similar situations.
Laboratory Procedures and Guidelines
- Clinical Laboratories contribute by reporting infectious agents and maintaining laboratory records.
- Healthcare-acquired infections happen when the chain of infection is complete.
- Effective infection control interrupts the links between susceptible hosts and sources.
- Disinfectants kill or inhibit pathogenic microorganisms but are not for skin use.
Ethical Considerations and Patient Rights
- Bioethics addresses moral issues arising from medical research and technology.
- Informed consent must be obtained before releasing laboratory test results.
- Forcing treatment on a patient can be considered assault and battery.
Phlebotomy Practices and Safety
- CLIA'88 requires written procedures for specimen collection in laboratories.
- Positive body language includes smiling, while grimacing and avoiding eye contact are negative.
- Phlebotomists must exhibit good communication skills and professionalism.
- If a patient is unresponsive, a phlebotomist must summon a nurse immediately.
Laboratory Test Management
- Specific laboratory departments handle various tests: CBC in hematology, glucose in chemistry, and cultures in microbiology.
- Different blood collection tubes are required for distinct tests (e.g., lavender for platelet count, light blue for protime).
Sample Types and Analysis
- Non-blood specimens, including spinal fluid and semen, are also analyzed in clinical labs.
- Whole blood is required for a CBC, while serum or plasma may be used for protime and sodium analyses.
General Protocols
- Proper dress code for phlebotomists excludes long sharp nails and emphasizes clean attire and sensible shoes.
- Quality improvement efforts in phlebotomy focus on patient satisfaction and minimizing repeat procedures.
- Effective communication is crucial when a patient doesn't hear instructions; repeating directions in a louder voice is necessary.
Studying That Suits You
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Description
Test your knowledge on phlebotomy procedures with these flashcards. This quiz covers essential topics such as infection control and proper blood collection practices. Challenge yourself to identify the correct steps to follow in different scenarios.
