Card Set Information
What org requires the wearing of gloves?
Should the phlebotomist were gloves that are sterile?
What org regulates the quality of gloves
Antiseptics prevent or inhbits growth of micro-organisms, does it kill them?
For blood collection which antiseptic is most often used?
70% alcohol (isopropyl)
A higher degree of antiseptic would be?
Disinfectants are regulated by
Is it antiseptics or disinfectants that kill bacteria on surfaces or instruments?
Dilution of 1:100 of 5.25% hypochlorite is used to clean
what dilution of bleach is used for lage amounts of blood
Needles, lancets and othr sharp objects are disposed of in, what color are they
Sharps container, usually red.
Properly applied tourniquet is tight enough to restrict flow out, but does not restrict flow into the area
What are the types of needles used in phlebotomy?
Multisample, hypodermic, winged infusion.
What are the three parts of the needle?
Bevel, shaft, hub
Internal space of the needle is called the , but the size of the lumen is called
what are the typical gauges sizes used for lab collection of blood, which is most used
Gauge size is important because to large , and small may
damage vein, hemolyze the blood
What agency is responsible for clearing medical devices
regulate that if needle does not have safety devices the tube holder muse
Evacuated tubes fill by
Tubes should be stored at
4 and 25 C
Additive EDTA uses in
hematology and blood bank
additive sodium citrate, color of top and dept.
light blue and coag
No additive cap color and dept
Red, chemistry, BB, immunology
The most common anticoagulants
EDTA, citrate, heparin, oxalate
CLSI recommends EDTA
order of draw
sterile, light blue, red, green, lavendar, gray.
To accession a specimen is to unmistakenly
connect specimen with accompanying paperwork in order
if a STAT is order which area of the hospital is given priority
Medical emergency is the same as
Need to take blood but physician or clergy is present do you ask them to leave
no do not interrupt
If patient states Yes I will give blood but would rather not, what has happened
consented then took back their consent
From question 32, should you still go ahead and draw the blood.
Is it okay to except information that is not on the patient?
No. patient should have label attached.
steps taken in blood draw
check accession, verify patient, diet restriction, clean hands, position arm, tourniquet and drawn
tourniquet is placed how far from the site of draw
According to CLSI standard which vein first must be located in both arm before considering alterate
Tubes are labeled before or after collection of blood
if patient is not wearing arm band ID
as the patinet's nurse to obtain one
patient eating breakfast should be fasting what do you do
contact physician and ask if still wanting test to be performed.
A syringe is used in place of ETS for
veins that collapse easily
HIPAA stands for and began in?
health insurance portability and accountability act. 1996
PHI stands for
protected health information, came about because of electronic exchange
an indviduals personal space
Outpatient has to level of physicians
primary and secondary (specialist)
inpatient has one level
tertiary (higher complex service)
CLIA 88 specifies that is responsible for administration of clinical area
JCAHO is voluntary or non-, government or not,
voluntary and non-governmental
JCAHO is not the largest standard setting body for healthcare who is
CLIA 88 is federal regulation passed and administered by
congress, clinical laboratory improvement act, CMS
good lab practices and quality assurance when collecting samples
QA is defined
quality patient care gauranteed by tracking outcomes
To ensure consistent quality, specimen collection and handling polcies based on guidelines established by
Threshold values are established for
all clinical indicators
to ensure same process is always followed
QC and component of the QI program
specimen collection is the
what are delta checks
helps ensure quality testing by comparing current same test results with past results on same patient
joint commision requires documentation on all
Quality control checks
focused on identifying and minimizing situations that pose risks.
most common civil action in healthcare
failure to exercise due care is
employer is liable, which also falls under vicarious liability
venipuncture vs phlebotomy
small draw single, donating blood