Test Remedy

H pylori breath test drink

Urea drink

Breath test wait before second bag

15 min

Sweat Chloride tests for

Cystic fibrosis

Urine sample to lab within

60 min or refrigerate

Sweat chloride test description

Low level electrical current applied to forearm to stimulate sweat production

ASCP after Jan 2004 requires this program

Certification Maintenance Program

Droplet size for blood smear

1-2mm

Non-lab work violates

Antikickback per April (check book)

Not a step in active listening

Smile and nod

Most common reason for specimen rejection

Hemolysis

Most dangerously alters potassium results

Delayed transport (hemolyzed sample rejected I assume)

A patient faints immediately after needle removal, what is the most appropriate initial action?

Apply pressure to the site

What is the primary purpose of applying pressure after needle removal?

Allow the vein to seal

Excessive bruising typically indicates

Insufficient pressure application

Which factor most increase the risk of syncope during venipuncture?

Long draw time

Micro order of draw

• Blood Gases

• EDTA

• Green

• Other Additives

• Serum / Nonadditive (Red)

The first step in using the portable fire extinguisher is to

Remove the seal

The presence of a wheal indicates

Proper injection of a local anesthetic

Most common artery for arterial samples

Radial

Proper technique for needle insertion includes

Using an L hold

Lipid profiles can be completed on

Serum or Plasma

The most effective means of reducing the risk of infection during venipuncture is

hand washing

When using a needle and syringe, following activation of the safety, the next step is to

Attach the transfer device to the specimen tube (thanks nha)

Blood should never be drawn on a patient who is

Asleep

A urine sample is considered acidic if it’s pH is

Less than 7

In infants, what site should be used for arterial puncture?

Umbilical artery

Proper procedure for TB skin testing includes

Avoiding areas of the arm with excessive hair

Hgb A1C is primarily used to diagnose

Diabetes

What is the primary accrediting body for medical labs in the US?

CAP

Which preservative is commonly used for parasitological examination of stool?

Polyvinyl Alcohol

AFP testing is most performed…

During pregnancy

Recommended temp for transporting ROUTINE urine

Room temp (refrigerate if more than 1hr to test)

The normal pH range for urine

4.5-8

The angle for a spreader slide is

45 deg

A blood smear should cover what amount of the slide?

¾ (75%)

AUTO WHAT DONATION

LOGOUS

Accelerates Clotting (Not Thrombin)

Silica / Glass particles

Promotes faster centrifugation

Silicon

Inhibits prothrombin to thrombin (not edta)

Na Citrate

Binds calcium

Edta (and others)

Precipitates calcium

Potassium Oxalate

Older patient with difficult to access veins, what veins should be used?

Dorsal veins (hand)

Cleanse the urinary meatus with

Mild antiseptic soap

Instructions for semen collection at home

Collect in a sterile container and return within 2 hours

According to OSHA, hands should be washed after every ___ use of hand sanitizer

Third

Blood volume of an infant weighing 3.3kg is…

240-330mL

Joint Commission 2016 Safety Goal

Identify patients correctly

Patient nods frequently but doesn’t understand

Rephrase info for patient

What should a patient be instructed to do during a blood donation?

Open and close their hand gently throughout the collection

What should be done before collecting a peak medication level specimen?

Ask the patient’s nurse if their dose schedule is accurate…

What should be done with the warm towel when using the warming technique?

Place the towel in a plastic bag

Is chain of custody required for Lead or Paternity?

Paternity

The vein should be anchored with…

The thumb and forefinger

max blood draw from pediatric/adolescent

30mL

What must be obtained from the patient prior to blood donation?

Complete medical history

After cleansing the site and before anchoring the vein…

Tell the patient to make a fist

Is lead or paternity thumb forefinger complete medical partial loop 1.8 wbc

A 1.8mm³ WBC value is

Critical

Sample bag is referred to as a…

Secondary container

ASCP Certified phlebotomists must complete continuing education every

3 years

Blood draws in children under two years of age should be limited to

Superficial veins

Penalty for billing a patient for services not provided

$10k-50k per violatioon

A phlebotomist is hired and completes the initial training and competency certification, when will the next competency certification be needed?

6 months

Release of test information is regulated by

CLIA 88 and HIPAA

A child expresses only some understanding of the mechanics of health

Ages 6-9

People who are struggling with chronic stress usually don’t realize how it affects them until

They become ill

Bending the elbow is likely to

Create a hematoma

Capillary specimens are most likely to be successfully collected from patients with this condition

Peripheral edema

Measles requires what type of PPE?

N95 - Airborne

Is it better to draw from the side of a mastectomy or PICC line?

Mastectomy