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What org requires the wearing of gloves?
CDC/HICPAC
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Should the phlebotomist were gloves that are sterile?
No
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What org regulates the quality of gloves
FDA
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Antiseptics prevent or inhbits growth of micro-organisms, does it kill them?
No necessarily
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For blood collection which antiseptic is most often used?
70% alcohol (isopropyl)
-
A higher degree of antiseptic would be?
Povidone-iodine
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Disinfectants are regulated by
EPA
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Is it antiseptics or disinfectants that kill bacteria on surfaces or instruments?
Disinfectants
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Dilution of 1:100 of 5.25% hypochlorite is used to clean
non-porous surfaces
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what dilution of bleach is used for lage amounts of blood
1:10
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Needles, lancets and othr sharp objects are disposed of in, what color are they
Sharps container, usually red.
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Properly applied tourniquet is tight enough to restrict flow out, but does not restrict flow into the area
Venous, arterial
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What are the types of needles used in phlebotomy?
Multisample, hypodermic, winged infusion.
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What are the three parts of the needle?
Bevel, shaft, hub
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Internal space of the needle is called the , but the size of the lumen is called
Lumen, gauge
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what are the typical gauges sizes used for lab collection of blood, which is most used
20-23, 21.
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Gauge size is important because to large , and small may
damage vein, hemolyze the blood
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What agency is responsible for clearing medical devices
FDA
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regulate that if needle does not have safety devices the tube holder muse
OSHA
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Evacuated tubes fill by
vacuum
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Tubes should be stored at
4 and 25 C
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Additive EDTA uses in
hematology and blood bank
-
additive sodium citrate, color of top and dept.
light blue and coag
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No additive cap color and dept
Red, chemistry, BB, immunology
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The most common anticoagulants
EDTA, citrate, heparin, oxalate
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CLSI recommends EDTA
sprayed dried
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order of draw
sterile, light blue, red, green, lavendar, gray.
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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
ER
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Medical emergency is the same as
STAT
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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.
No.
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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
3-4 inches
-
According to CLSI standard which vein first must be located in both arm before considering alterate
median cubital
-
Tubes are labeled before or after collection of blood
after
-
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.
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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
-
Proxemics is
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
technical supervisor
-
JCAHO is voluntary or non-, government or not,
voluntary and non-governmental
-
JCAHO is not the largest standard setting body for healthcare who is
no, JCAHO
-
CLIA 88 is federal regulation passed and administered by
congress, clinical laboratory improvement act, CMS
-
GLP is
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
CLSI
-
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
pre-analytical stage
-
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
-
risk management
focused on identifying and minimizing situations that pose risks.
-
most common civil action in healthcare
tort
-
failure to exercise due care is
negligence
-
Respondeat superior
employer is liable, which also falls under vicarious liability
-
venipuncture vs phlebotomy
small draw single, donating blood
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