Phlebotomy final study
True or False - IRB's were established through the National Research Act?
True
Why do we wipe away the first drop of a Capillary Puncture?
To Avoid any kind of Contamination
Give two reasons you might not be able to draw from a specific side of a patients body?
Masectomy
Iv Bruising / Fistula
Where on children age 1 year and younger do you do a capillary puncture?
On the heel
List two things a phlebotomist should do if a hematoma starts to appear?
Stop draw / Pull Needle
Apply Pressure
What color tube is used for the lactic acid test?
Grey
*it also needs to be put on ice*
What color tube is used for the CMP (complete metabolic panel) test?
Light Green
Gold
What color tube is used for the Vitamin B12 test?
Gold
What color tube is used for the CBC (complete blood count) Test?
Lavender
True or False - The statue of limitations defines how soon after a negligent act that the plaintiff must file the law suit or be forever barred from doing so?
True
True or False - Implies consent occurs when the patients non verbal behavior indicates agreement?
True
True or False - A laboratory perfoming only dipstick urinanalysis is required to undergo a CLIA inspection?
False
True or False - CMS enforces CLIA?
True
True or False - A test for the maintenance of blood glucose levels is the Troponin T test?
False
True or False - Triglycerides are fatty acids and glycerol that circulate in the blood?
True
True or False - High density lipoprotein is referred to as the "bad cholesterol"?
False
True or False - Hemocrit values are obtained to aid in the diagnosis of diabetes mellitus?
False
The CoaguChek XS system measures what?
PT AND INR
True or False - A cardiac POCT is the ROCHE TROPT rapid assay?
True
True or False - The PT and INR testing is used in Glucose monitoring?
False
List three different Patient indentifiers that can be used?
Patients arm band with MRN
Name and DOB
Healthcare worker
True or False - Negligence is a violation of a duty to exercise reasonable skill and care in performing a task?
True
A large number of negligence health car lawsuit cases arise out of the violation of ?
Violation of patient confidentiality
True or False - Ethics are societal rules or regulations that are obigatory to serve?
False
True or False - A term can change meanings when presented to individuals from different generations?
True
True or False - In general choldren do not like anyone to approach them except close relatives or friends?
True
True or False - EMR refers to a type of computerized medical record?
True
True or False - In all states choldren are permitted to serve as translators if their parents do not speak english?
False
True or False - High pitched voices are often assocciated with panic and urgency?
True
True or False - Computerization decreases transcription errors?
True
True or False - The zone of comfort is a medical term to describe how much pain the patient is experiencing?
False
True or False - The most effective form of interpersonal communication is with a written document?
False
True or False - Specimen tubes should always be prelabled with patient info?
False
True or False - When preparing a patient for venipuncture procedure phlebotomists should reassure the patient by saying this wont hurt at all?
False
When RBC's are lysed hemoglobin is released and this results in?
Hemolysis
True or False - Tylenol taken by a patient can cause the patient to have abnormal laboratory liver panel results?
False
True or False - An abnormal accumulation of fluid in the intercellular space is hemolysis?
False
True or False - Blood aldosterone levels are not affected by posture changing immediately before blood collection but blood glucose levels are greatly affected by posture changes?
False
True or False - Diurnal rhythms are the same as circadian rhythms?
True
True or False - A thrombus can occlude arteries but not veins?
False
True or False - A healthy body mass index for adults is 20-25 kg/m*2?
True
True or False - The required fastina time for the fasting glucose blood collection is 8-12 hours?
True
True or False - The basal state is approximately 16 hours after the last ingestion of food?
False
True or False - It takes 5 minutes for blood to clot normally?
False
True or False - Serum specimens can be remixed after centrifugation?
False
True or False - Some plasma specimens can be remixed after centrifugation?
True
True or False - Sodium, Magnesium, Chloride, and Potassium are electrolytes?
True
True or False - Glucose is a respiratory gas needed for life?
False
True or False - Albumin and Fibrinogen are examples of plasma proteins?
True
True or False - Potassium in RBC's is responsible for oxygen tansport?
False
Do Arteries have (thicker or Thinner) vessel walls than veins?
Thicker
True or False - The function of daliva is to begin the enzymatic breakdown of carbohydrates?
True
True or False - Malignant melanoma is a skin cancer?
True
True or False - Scoliosis is a curvature of the lower limbs?
False
True or False - Sucrose is effective in reducing pain and crying time during a blood collection procedure for an infant?
True
True or False - EMLA is a topical anesthetic used after venipuncture in children?
False
True or False - Cystic fybrosis is detected by the capillary blood gas test?
False
True or False - Powdered gloves are the best to use in blood collection since they decrease the affects of latex allergies?
False
True or False - Alluminum foil can be used to protect specimens from heat?
False
True or False - Blood culture specimens shoulf be delivered to the laboratory as soon as possible?
True
True or False - It is best to mix a blood specimen in an additive tube 60 minutes after the venipuncture has occured?
False
True or False - Some point of care instruments require different wipe off procedures for the first drops?
True
True or False - The puncture made during a fingerstick should be parallel to the fingerprint?
False
True or False - Most TDM assays should be performed on serum or plasma?
True
True or False - The time of blood collection in therapeutic drug monitoring is much more critical for drugs with longer half-lives than shorter half-lives?
False
True or False - Theraputic phlebotomy is when the patient donates his or her own blood before anticipated surgery?
False
True or False - Chlorhexidine is an antiseptic used in blood collections for blood cultures?
True
True or False - for the postprandial glucose test a blood specimen is collected 2 hours after a meal?
True
True or False - All donated blood is classified and labeled by type?
True
True or False - Diabetes mellitus is an acute disease not a chronic disease?
False
True or False - Hemoglobin is the same as heatocrit?
False
True or False - HIPPA was created to protect the public from substandard laboratory testing practices and provide a safe work enviornment for laboratory personnel?
False
What color tube is used for PTT (prothrombin time) test?
Light blue
What color tube is used for electrolytes test?
Light Green
Gold
What color tube is used for Vitamin D test?
Gold
What color tube is used for GGT (Liver enzyme) test?
Light Green
Gold
What color tube is used for the Hgb (hemoglobin) test?
Lavender
What color tube is used for the Glu (glucose) test?
Light Green
Grey
What color tube is used for Bili (bilirubin) test?
Light Green
Gold
What color tube is used for Amm (amonia) test?
Light Green
*must be on ice*
What color tube is used for Type and Cross Match (Blood Bank) Tests?
Lavender
What color tube is used for Hcg (pregnancy) test?
Light Green
Gold
What color tube is used for Plt (platlets)(blood bank) test?
Lavender
What color tube is used for Lithium test?
Gold
Red
What colot tube is used for Mg (magnesium) test?
Light Green
Gold
What color tube is used for TSH (thyroid stimulation hormone) test?
Light green
Gold
What color tube is used for PT (protein) test?
Light Blue
True or False - Alcohol that has not dried prior to a skin puncture can cause hemolysis of blood cells?
True
True or False - TDM refers to thyroid disease measures?
False
True or False - Generational differences can affect the way coworkers communicate with eachother?
True
True or False - Quality procedures for phlebotomy services do not involve turnaround time?
False
A patient who is hospitalized is an?
Inpatient
True or False - The abbreviation CE usually refers to certification examination?
False
True or False - An example of quality assessment would be checking for multiple venipunctures on the same patient?
True
True or False - Written examinations are the only way to assess competence in a health care field?
False
True or False - MRSA represents methicillin-resistant staphylococcus aureus?
True
True or False - A physical problem common in elderly individuals is loss of feeling?
True
True or False - Parkinsons disease often occurs in elderly individuals?
True
True or False - An incision for a heelstick on an infant should not go deeper than 3.0mm?
False
True or False - A 10ml blood sample collected from a newborn is equivalent to 5-10% of the infants total blood volume?
True