AMCA Prep

Minimum time for blood to clot before centrifuging?

30 minutes.

What is implied consent?

The patient's actions or circumstances imply consent without verbal or written expression of consent.

What is a potential consequence of drawing blood too quickly?

The red blood cells could hemolyze.

Effect of leaving a tourniquet on too long?

It can cause hemoconcentration.

Technique using heat, steam, and chemicals to prevent infectious disease?

Sterilization.

Definition of centrifuging?

The process of spinning specimen tubes in a centrifuge.

How to administer a TB test?

Place the antigen under the skin.

Additive in the green tubes?

Heparin.

Equipment for fasting glucose on an obese patient with inaccessible veins?

Lancet.

Compression to breath ratio for adult CPR?

30:2

When to activate the needle's safety during venipuncture?

Immediately after withdrawing the needle.

Color tube used for an HCG test?

Red top.

Type of procedure requiring informed consent?

Surgical Procedure.

Disinfectant for blood and bodily fluid contamination on surfaces is called?

Sodium hypochlorite (bleach).

What does OSHA stand for?

Occupational Safety and Health Administration.

Government agency regulating workers safety and health?

OSHA.

Phase during which consent should be obtained?

Preanalytical.

What can cause a false high potassium or false low calcium value?

EDTA samples being collected before serums.

Area used for infant dermal puncture?

Lateral Plantar.

What is the max time an aliquot tube can sit out before refrigeration?

No more than 8hrs.

Body Position for outpatient with history of fainting during collection?

Lying in a reclining chair.

Where to draw blood from a patient with IVs in both arms?

Below IV site.

Action if patient is suspected of being abused?

Report to your supervisor.

The hospital department responsible for sterile supplies?

Central Supply.

When to release the tourniquet when drawing multiple tubes?

As soon as blood flow is established.

Information to include in an incident report for a patient fall?

Date, time, and what happened.

Purpose of patient ID # on specimens?

To not confuse samples of patients with the same name.

Procedure to collect DNA from inside the cheek?

Buccal Swab.

What does a lipemic specimen indicate?

The patient was not fasting.

Bevel Position when inserting the needle?

Facing up.

Where samples for Fibrin Degradation Products testing are sent?

Coagulation.

When giving instructions to a patient on collecting a sample at home, they must do what first?

Wash their hands.

What if the patients has cold extremities before collection?

Warm the site.

Correct order of draw for CBC, HCG, PT, Blood Cultures?

Blood cultures, PT, HCG, CBC.

How long can HBV remain on a surface if improperly cleaned?

7 Days.

Patient complains of sharp pain during a draw, what do you do?

Stop the Draw Immediately.

What is the purpose of asking patients for feedback?

To check that the patient understands.

How many venipuncture attempts allowed?

Two.

What is the proper needle disposal location after use?

Puncture resistant sharps container.

Tube color for glucose testing?

Grey Top.

The Sodium Fluoride additive in the grey tube does what?

Preserves Glucose.

Blood Pressure cuff inflation for bleeding time test?

40 mmHg.

Specimen tube labeling timing?

Immediately following draw completion

Specimen that goes to anatomical pathology is called?

Tissue biopsy.

Standards for electronic health care transactions?

HIPAA.

Test using whole blood specimen?

CBC.

Tube for ESR test? Erythrocyte Sedimentation Rate

Lavender.

Blood vessels carrying blood away from the heart?

Arteries.

Patient positioning for routine veinpuncture?

Sitting with their arm out straight from shoulder to wrist.

How did OSHA mandate the prevention of accidental needlesticks?

With engineering controls (such as safety devices on needles).

Example of professional appearance?

Short nails.

Normal result for fasting glucose?

100 or below.

Components of an electrolyte test?

Sodium and potassium.

Color tube for coagulation tests?

Light blue top.

Test for royal blue tube?

Aluminum.

Sharps container change timing?

3/4 full.

Tubes drawn for 3-hour glucose test?

4 tubes.

Antiseptic not used for ethanol (blood alcohol) test?

70% Isopropyl alcohol.

Department performing CBC test?

Hemotology.

Substances needing protection from light?

Bilirubin, Amniotic fluid, B12

Action after needlestick injury?

Wash site with soap and water

Action if lab is backed up with samples?

Send the samples anyways.

Draw location for patient with left mastectomy?

The right arm.

Tube filled last : Light blue, yellow-SPS, light green, and lavender?

Lavender.

Tube for serum sample?

red or gold (also known as tiger-top or mottled red/gray)

Used after a draw on patient taking blood thinner?

Coban.

Document stating patient rights?

Patients' Bill of Rights.

OSHA standards for preventing cross contamination?

Hand washing.

Additive in the yellow tube?

SPS. (sodium polyanethol sulfonate)

What does SPS stand for?

Sodium Polyanethol Sulonate.

What is included in a CBC test?

RBC, WBC, Platelets, Hemoglobin, Hematocrit.

What does FBS stand for?

Fasting Blood Sugar.

Name a few tests that can be done by POCT point‑of‑care testing?

Blood sugar, Urine pregnancy test, and COVID swab.

What tube does a Thyroid Panel go into?

SST Tube.(a gold or red-and-gold marbled stopper.)

What does SST stand for?

Serum Separator Tube. (red, gold, tiger tops)

Normal BP (blood pressure) range for adults?

90/60 to 120/80

What size gauge is best for a child?

23g.

When would you apply extra pressure following a venipunture?

If the patient is on blood thinners.

What tubes does a D-dimer go in?

Light Blue.

Antecubital Fossa vein selection order?

1. Median Cubital 2. Cephalic 3. Basilic

What test must be drawn without a tourniquet?

Lactic acid.

Names of common blood thinning medications?

Warfarin (Coumadin), Eliquis, Heparin, and Lovenox.

You notice while labeling your tubes you drew a test in the wrong color tube. What do you do?

Redraw the correct tube.

What tube is the discard tube?

White top no additive.

What does Post Prandial (PP) mean?

After a meal.

Name for red blood cell?

Erythrocyte.

Name for white blood cell?

Leukocyte.

Name for platelet?

Thrombocyte.

What is a PPD skin test?

The PPD skin test is a method used to diagnose silent (latent) tuberculosis (TB) infection. PPD stands for Purified Protein Derivative.

What is sputum?

Mucus or Phlegm that is ejected from the trachea, bronchi and lungs through deep coughing.

What kind of soap does the CDC require for hand antisepsis?

AntiMICROBIAL.

Why is it preferred to use the first morning urine for a urine pregnancy test?

It is the most concentrated.

What kind of consent can be given with a gesture or a general statement?

Implied Consent.

How long should a patient fast prior to a lipid panel?

At least 8 hours.

What are "QC"s?

The use of checks and controls to assure quality in laboratory processes.

What specimens should be placed on ice?

Ammonia and Lactic acid.

The liquid portion of a clotted specimen is called?

Serum.

How do you hold the butterfly?

By the wings.

Arteries carry blood...

Away from the heart.

Urine preferred for pregnancy test is...

First morning urine.