Podcast
Questions and Answers
Which department in a hospital would most likely work closely with the laboratory for therapeutic drug monitoring?
Which department in a hospital would most likely work closely with the laboratory for therapeutic drug monitoring?
- Nuclear medicine
- Gastroenterology
- Radiology
- Pharmacy (correct)
Which of the following is not a common function of a phlebotomist?
Which of the following is not a common function of a phlebotomist?
- Collecting blood specimens
- Transporting specimens to the laboratory
- Performing laboratory computer operations
- Starting intravenous (IV) lines (correct)
What does the term 'phlebotomy' literally translate to from its Greek origins?
What does the term 'phlebotomy' literally translate to from its Greek origins?
- Vein dissection
- Capillary puncture
- Blood collection
- Venous incision (correct)
Which of the following barriers would most severely impact effective communication with a patient?
Which of the following barriers would most severely impact effective communication with a patient?
How can a phlebotomist exemplify diversity awareness when interacting with patients?
How can a phlebotomist exemplify diversity awareness when interacting with patients?
Which non-verbal cue is typically viewed as negative kinesics?
Which non-verbal cue is typically viewed as negative kinesics?
What action violates proper telephone protocol in a healthcare setting?
What action violates proper telephone protocol in a healthcare setting?
Which of the following actions can significantly damage a phlebotomist's professional image?
Which of the following actions can significantly damage a phlebotomist's professional image?
Which tube is specifically recommended for blood collection for a type and crossmatch?
Which tube is specifically recommended for blood collection for a type and crossmatch?
What is the primary focus during the collection of blood cultures?
What is the primary focus during the collection of blood cultures?
In what situation is a specimen most likely to be accepted for testing?
In what situation is a specimen most likely to be accepted for testing?
Which test requires a blood specimen with a specific ratio of 9:1 blood to anticoagulant?
Which test requires a blood specimen with a specific ratio of 9:1 blood to anticoagulant?
Which specimen should be collected first from a newborn's heel?
Which specimen should be collected first from a newborn's heel?
Which test is most critical to correctly identify to avoid fatal consequences?
Which test is most critical to correctly identify to avoid fatal consequences?
What is the CAP requirement for quality control of waived tests?
What is the CAP requirement for quality control of waived tests?
Which recommended disinfectant should be used for blood culture sites in infants 2 months and older?
Which recommended disinfectant should be used for blood culture sites in infants 2 months and older?
What type of additive is recommended for an ethanol test specimen collection?
What type of additive is recommended for an ethanol test specimen collection?
When should the timing start in a Glucose Tolerance Test (GTT)?
When should the timing start in a Glucose Tolerance Test (GTT)?
Which option is NOT true regarding autologous blood donations?
Which option is NOT true regarding autologous blood donations?
What identification is essential for specimen tracking throughout the testing process?
What identification is essential for specimen tracking throughout the testing process?
Which skin disinfectant is recommended for blood culture collection from infants aged 2 months and older?
Which skin disinfectant is recommended for blood culture collection from infants aged 2 months and older?
What procedure should be followed to prevent contamination in a trace-element collection tube?
What procedure should be followed to prevent contamination in a trace-element collection tube?
Which characteristic is common across all Point-of-Care (POC) glucose analyzers approved for hospitals?
Which characteristic is common across all Point-of-Care (POC) glucose analyzers approved for hospitals?
Which option describes a chain of custody?
Which option describes a chain of custody?
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Study Notes
Phlebotomy: Past and Present, Healthcare Setting
- Phlebotomy is derived from Greek words meaning “vein incision.”
- Immunohematology is another name for a blood bank.
- Therapeutic drug monitoring is coordinated with the pharmacy department.
- Electrolyte testing includes sodium and potassium.
Phlebotomist Roles and Responsibilities
- Phlebotomists are representatives of the laboratory and contribute to good public relations.
- Tasks of a phlebotomist include collecting blood specimens, transporting specimens to the laboratory, and performing laboratory computer operations.
- Starting intravenous (IV) lines is NOT a phlebotomist’s duty.
Communication with Patients
- Barriers to effective communication include patients who do not speak English, very young children, and emotionally upset patients.
- Confirming responses acknowledge patients’ feelings. For example: "I understand how you must be feeling."
- Negative kinesics include frowning.
Professionalism and Communication
- Unprofessional behavior includes wearing strong cologne.
- It is improper telephone protocol to hang up on angry callers.
- Diversity awareness acknowledges a patient's beliefs, customs, knowledge, and attitudes.
Special Collections and Point-of-Care Testing
- Blood culture is the test most likely to result in fatal consequences if the patient is misidentified.
- Strict skin antisepsis is required before blood culture collection.
- Sodium fluoride is the recommended additive for collecting an ethanol test specimen.
- Glucose tolerance test (GTT) timing begins when the fasting specimen is collected.
- Chlorhexidine gluconate is the recommended disinfectant for blood culture sites in infants 2 months and older.
- Trace-element collection tubes should be collected last to prevent contamination.
- All point-of-care (POC) glucose analyzers approved for hospital use require an authorized operator ID number.
- Aerobic blood culture bottles should be filled first when collecting directly from a butterfly into blood culture bottles.
- Chain of custody is a special protocol used when collecting forensic specimens.
- Hemochromatosis is a condition treated by withdrawing blood from a patient.
- Autologous blood transfusion is a transfusion of blood donated by the patient for the patient.
- The most critical aspect of blood culture collection is skin antisepsis.
- Sodium citrate is the anticoagulant used for prothrombin time (PT) tests requiring a 9:1 blood to anticoagulant ratio.
- Therapeutic drug monitoring (TDM) helps determine the beneficial drug dosage for a patient.
- A 2-hour postprandial specimen should be drawn 2 hours after the patient finishes eating a meal.
- Sodium is one test that can be collected in a tube other than a trace element-free tube.
- Quality control (QC) for many waived tests must be performed daily and when a new kit is opened.
- Chlorhexidine gluconate is the recommended disinfectant for blood culture sites in infants 2 months and older.
- Unused autologous units may NOT be used by other patients.
Computers and Specimen Handling and Processing
- A specimen would likely be accepted for testing despite an expired evacuated tube.
- The laboratory uses an accession number to identify a specimen throughout the testing process.
- A barcode is a visual representation of data that can be read by a scanner.
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