Phlebotomy Essentials 7th Edition Unit 1 (Chapters 1-3)

What is cytogenic and flow cytometry?

study of cells

What are the credentials of an AMT-certified phlebotomist?

RPT (registered phlebotomy technician)

What does the abbreviation for the test BMP stand for

basic metabolic panel

What condition causes an overproduction of RBCs

Polycythemia

The abbreviation for the current coding system for physician billing is called

CPT (current procedural terminology)

Nationally endorsed principle ensuring that patients and their families understand their rights and responsibilities while in a health care facility come from:

The Patient Care Partnership

This is an abbreviation for an independent group of hospitals and physicians that offers services to employees at a discounted rate in exchange for a steady supply of patients.

PPO

What is the zone radius for intimate zone?

1-18 inches

What is an example of proxemics?

personal contact

What is a characteristic of ambulatory care?

Patients do not require overnight stays

Which is an example of good work ethics?

Dependability

The practice of "phlebotomy" means:

Drawing or cutting a vein

What were fleams used for?

take large amounts of blood

What is an example of negative kinesics?

frowning

What is an example of a confirming response to a patient?

I understand how you must be feeling

The best way to handle a "difficult" or "bad" patient is to:

Help the patient to feel in control of the situation

What is not a good way to earn a patient's trust?

Dismiss patient fears

What situation allows patients to feel in control

Agreeing with the patient that it is their right to refuse a blood draw

Another term for outpatient care is:

ambulatory care

Which laboratory department performs tests to identify abnormalities of the blood and blood forming tissues

Hematology

Another name for blood bank is:

Immunohematology

With which other hospital department with the laboratory coordinate therapeutic drug monitoring

pharmacy

A phlebotomist is told to take procedure shortcuts to save time when collecting specimens during morning sweeps. She disagrees and chooses to follow the rules. Which professional characteristic is she exhibiting?

integrity

Deceitful practice or false portrayal of facts either by words or by conduct is the definition of:

fraud

Legal actions in which two private parties are involved is called?

civil action

Guides used to monitor all aspects of patient care are called:

QA indicators

The period within which an injured party may file a lawsuit is known as

statute of limitations

Action in which you do something that a reasonable person would not do, is called:

negligence

The abbreviation for the federal regulations that established quality standards for all laboratories that test human specimens is:

CLIA '88

Which is not an area of phlebotomy subject to quality control procedures?

Patient PICC line adjustment

A laboratory technician asked a phlebotomist to re-collect a specimen on a patient. When the phlebotomist asked what was wrong with the specimen, the technician replied, "the specimen was okay, but the results were inconsistent." How would the laboratory technician have decided that the results were questionable question the results did NOT:

Compare with previous results after a delta check

Which action will compromise the quality of a specimen

Using an outdated or expired tube

A process in which one party questions another under oath Wally court reporter records every word is:

Deposition

What is the name of an individual risk management plan called?

Individualized Quality Control Plan

CLIA laboratories that perform high complexity testing:

are subjected to routine inspections

Which organization provides voluntary laboratory inspections and proficiency testing?

CAP (college of american pathologists)

Why would QC protocols prohibit the use of outdated evacuated tubes?

Stoppers may have shrunk, allowing specimen leakage if inverted

When the threshold value of a QA clinical indicator is exceeded and the problem is identified:

a corrective action plan is implemented

What contains a chronologic record of a patient's care?

Medical record

A phlebotomist redirects the needle several times in a failed Venipuncture attempt before switching to the other arm and obtaining the blood sample. The patient later complains of pain in the antecubital area where the phlebotomist was unsuccessful. What claim can be made against the phlebotomist?

malpractice

What laboratory document describes in detail the steps to follow for specimen collection?

procedure manual

Unauthorized release of confidential patient information is called

invasion of privacy

A phlebotomist explains to an inpatient that he has come to collect a blood specimen. The patient extends his arm and pushes up his sleeve. This is an example of:

implied consent

The standard of care used in phlebotomy malpractice cases is often based on guidelines from this organization

CLSI (Clinical and Laboratory Standards Institute)

A patient agrees to undergo treatment after the method, risks, and consequences are explained to him. This is an example of:

informed consent

The abbreviation for a national agency that sets standards for phlebotomy procedures is:

CLSI (Clinical and Laboratory Standards Institute)

The joint commission:

accredits healthcare organizations

These are the initials of the U.S. government agency that mandates and enforces safe working conditions for employees.

OSHA (Occupational Safety and Health Administration)

The agent responsible for causing an infection is called:

pathogen

A specimen processor removes the stopper from a tube without barrier protection and feels a mist of specimen touch the eyes. What type of exposure occurs through eye contact?

permucosal

Isolation procedures are used to separate patients from contact with others if they

have highly transmissible infections

What does not leave a patient more susceptible to infection?

Previous vaccination

SDS information includes

General and precautionary information

transmission-based precautions must be followed for patients with:

highly transmissible diseases

An individual with salmonella after eating contaminated chicken. What type of infection transmission was involved?

Vehicle

This type a precaution is required for a patient with mycoplasma pneumonia

droplet

Proper neonatal intensive care unit blood drawing procedures includes:

Only take supplies needed for patient

The focus of infection control turned from preventing patient-to-patient transmission to preventing patient-to-personnel transmission with the introduction of this concept.

Universal precautions (UP)

The term used to describe an infection that infects the entire body is:

systemic

The abbreviation for the virus that causes acquired immunodeficiency syndrome (AIDS) is:

HIV

Proper hand washing procedure involves all of the following EXCEPT...

use one towel to dry hands and turn off faucets

The main purpose of an infection control practice is to:

prevent the spread of infection in the hospital

The primary purpose of wearing gloves during phlebotomy procedures is to protect the:

Phlebotomist from exposure to the patient's blood

What body fluids do standard precautions not apply to?

Sweat

This equipment is required when collecting a specimen from a patient in airborne isolation

N95 respirator

Most exposures to HIV in healthcare setting are the result of

accidental needle sticks

You accidentally splash a bleach solution in your eyes while preparing it for cleaning purposes. What is the first thing to do?

Flush your eyes with water for a minimum of 15 minutes

You should clean up your phlebotomy chair?

When there is visible blood or at the end of the shift

Which mode of infection transmission occurs from touching contaminated bed linens?

Indirect contact (contaminated object)

Neutropenic isolation is a type of reverse isolation used for patients with

low white blood cell (WBC) count

The best course of action when entering an isolation is

follow the posted precautions

A duty and responsibility of a phlebotomist is:

Perform appropriate laboratory computer information operations

What is PHI?

Protected Health Information

What is kinesics?

study of body language

What is the zone radius for personal zone?

1 1/2 - 4ft

What is a pharmacy?

the preparation and dispensing of drugs

What does the microbiology department do?

Analyzes blood and other body fluids and tissues for the presence of microorganisms, primarily by means of culture & sensitivity (C&S) testing.

What is a C&S?

culture and sensitivity

What is QC?

quality control

Area of phlebotomy subject to QA

Preparation, specimen collection and delta checks

What is a delta check?

Comparison of current results of a lab test with previous results for the same test on the same patient.

What does the safety manual contain?

Policies and procedures related to chemical, electrical, fire, and radiation safety; exposure control; and disaster plans as well as complete details on how to handle hazardous materials.

What is risk management?

Analyzing the exposure to hazards, implementing appropriate risk management techniques, and monitor their results

What is negligence?

failure to use ordinary or reasonable care

What is res ipsa loquitur?

the thing speaks for itself

What is respondeat superior?

let the master respond

What is a nosocomial infection?

hospital acquired infection

What are the 6 key components or links in the chain of infection that must be present for an infection to occur?

An infectious agent, a reservoir, an exit pathway, a means of transmission, an entry pathway, and a susceptible host

What is vehicle transmission?

transmission by an inanimate reservoir (food, water, air)

What is PPE?

personal protective equipment

What does PPE include?

gown, mask, goggles, gloves

What does PPE do?

Provides barriers against infection

Sequence for donning PPE

Gown, mask or respirator, goggles or face shield, gloves

Class D

Combustible metals

How do you control external hemorrhage?

apply direct pressure