What are some Hematology Tests?
Answer: CBC, ESR, RETIC, PT, PTT, APTT, DIFF, Sickledex
What are some Hematology Tests?
Answer: CBC, ESR, RETIC, PT, PTT, APTT, DIFF, Sickledex
Answer: CBC, ESR, RETIC, PT, PTT, APTT, DIFF, Sickledex
What are some Chemistry Tests?
What are some Chemistry Tests?
Answer: Alcohol (Ethanol) tests, BAC, BILI, BUN, CMP, HGBA1C, LYTES, GTT, Troponin, Lipase
People Phlebotomist work with INSIDE the lab.
People Phlebotomist work with INSIDE the lab.
Answer: Clinical Laboratory Scientists, Clinical Laboratory Technicians, Medical Technologists, Medical Lab Technicians, Histologists, Cytologists, Pathologists, Laboratory Directors, Laboratory Managers.
People Phlebotomist work with OUTSIDE the lab.
People Phlebotomist work with OUTSIDE the lab.
Answer: Physical Therapists, Physician Assistants, Registered Nurses, Certified Nursing Assistants, Nurse Practitioners, Licensed Practical Nurses, Paramedics, Patient Care Technicians.
What does the Chemistry department test?
What does the Chemistry department test?
Answer:
They test the biochemical changes in the blood.
(Red, SST, Green, and Grey tube)
What does the Blood Bank test?
What does the Blood Bank test?
Answer: They test for blood typing, blood screening, crossmatching. (pink tube)
What does the Urinalysis department test?
What does the Urinalysis department test?
Answer: They test urine samples
What does the Microbiology department test?
What does the Microbiology department test?
Answer:
They test microorganisms
(Stool samples, Strep tests, yellow tubes)
What does the Coagulation department do?
What does the Coagulation department do?
Answer: Deal with tests that involve the coagulation process. (light blue tube)
What does the Hematology department test?
What does the Hematology department test?
Answer: Any test that deals with physical properties or functions of blood (lavender tube)
What are the inpatient Labs used?
What are the inpatient Labs used?
Answer: Hematology, Microbiology, Urinalysis, Chemistry, and Blood Bank
What is an inpatient?
What is an inpatient?
Answer: Where patients that come in and stay/are admitted.
(ex: hospital, ER)
What is an outpatient?
What is an outpatient?
Answer:
Where patients come in to get their blood drawn
(ex: clinics, private practices)
What is Reserve or Protective Isolation? What kind of PPE is required?
What is Reserve or Protective Isolation? What kind of PPE is required?
Answer: Isolation in which the patient is in danger of encountering infections from others, or unsterile items. They are 'immunocompromised', typically cancer patients, transplant patients, or patients with AIDS. Only new items are allowed into the room
What is Acid-Fast Bacilli or TB Isolation? What kind of PPE is required?
What is Acid-Fast Bacilli or TB Isolation? What kind of PPE is required?
Answer: An isolation similar to respiratory isolation. Patient's room will have special ventilation to keep the room's air from recirculating with the normal hospital air.
PPE includes: lab coat, special masks
What is Enteric Precaution? What kind of PPE is required?
What is Enteric Precaution? What kind of PPE is required?
Answer:
Isolated patients with diarrhea from an organism, fecal or stool contaminations are present.
PPE includes: lab coat, gloves, gown, and masks
What is Respiratory/Airborne Isolation? What kind of PPE is required?
What is Respiratory/Airborne Isolation? What kind of PPE is required?
Answer:
Isolation in which respiratory diseases are transmitted by large particle droplets, such as a sneeze.
PPE includes: lab coat, mask, gloves
What is Contact Isolation? What kind of PPE is required?
What is Contact Isolation? What kind of PPE is required?
Answer:
Isolation in which disease is spread by contact.
PPE includes: lab coat, gown, gloves
What is Strict Isolation? What kind of PPE is required?
What is Strict Isolation? What kind of PPE is required?
Answer: Isolation in which you may only bring in items needed to preform the blood draw. Also, you may ONLY bring out the blood once finished.
PPE includes: lab coat, gowns, gloves, masks
What is an immunocompromised patient?
What is an immunocompromised patient?
Answer: A person whom cannot fight off normal infections like the regular population.
What is the infection chain?
What is the infection chain?
Answer:
A chain that often follows this order:
1.) Source/Agent
2.) Host
3.) Mode of transmission
What is a nosocomial infection?
What is a nosocomial infection?
Answer: an infection acquired in a hospital setting. These infections are worse because they are usually more antibiotic-resistant.
What is TB?
What is TB?
Answer: tuberculosis
What is Infection Control?
What is Infection Control?
Answer: Part of a medical center which monitors the environment, staff, and patient populations to minimize infections and the spread of infection.
What are Universal Precautions?
What are Universal Precautions?
Answer: Treat every patient and every related encounter as if able to transmit disease. Assume every patient has AIDs or Hepatitis, etc.
How should your bleach solution be made?
How should your bleach solution be made?
Answer: 1% bleach, and 10% water
What is PPE? What are some examples?
What is PPE? What are some examples?
Answer: Personal Protective Equipment. Gowns, face masks, gloves, lab coats
What does R.A.C.E. stand for?
What does R.A.C.E. stand for?
Answer:
R - Rescue
A - Alarm
C - Contain
E - Evacuate
What is the NFPA?
What is the NFPA?
Answer: The National Fire Protection Association.
What is the MSDS?
What is the MSDS?
Answer: Material Safety Data Sheet. This sheet provides the information about chemicals and specific hazards within that lab.
What are some Engineering controls (mechanical devices)?
What are some Engineering controls (mechanical devices)?
Answer:
* Sharps containers
* Safety needles
* Biohazard labels
* Biohazard bags / Specimen bags
* Material Safety Data Sheets (MSDS)
* National Fire Protection Association (NFPA)
What are the procedures if you are stuck by a needle?
What are the procedures if you are stuck by a needle?
Answer:
1.) Milk the site, make sufficient blood come out
2.) Clean the site with warm water and soap
3.) Gather the patient's identification and records
4.) Inform your supervisor
What is the NSSPA? What do they do?
What is the NSSPA? What do they do?
Answer: The Needle Stick Safety and Prevention Act. They made it law for employers to provide safety devices to employees to prevent needle sticks.
What does OSHA stand for?
What does OSHA stand for?
Answer: Occupational Safety and Health Administration
What is a biohazard?
What is a biohazard?
Answer: anything potentially hazardous to humans, living organisms, or the environment.
Which of the following would cause you to suspect that a thrombus had formed in the artery while you were collecting an ABG?
Which of the following would cause you to suspect that a thrombus had formed in the artery while you were collecting an ABG?
A. a hematoma quickly forms at the site
B. the patient complains of extreme pain
C. the pulse distal to the site in very weak
D. all of the above
Answer: C. the pulse distal to the sight is very week
Which of the following can cause erroneous ABG values?
Which of the following can cause erroneous ABG values?
A. the presence of air bubbles in the specimen
B. delay in analysis exceeding 30 minutes
C. inadequate mixing results in microclots
D. all of the above
Answer: D. all of the above
Which of the following complications are associated with arterial puncture?
Which of the following complications are associated with arterial puncture?
A. arteriospasm
B. hematoma
C. infection
D. all of the above
Answer: D. all of the above
Which of the following is an acceptable angle of needle insertion for radial ABG's?
Which of the following is an acceptable angle of needle insertion for radial ABG's?
A. 10 degrees
B. 20 degrees
C. 45 degrees
D. 90 degrees
Answer: C. 45 degrees
The purpose of the modified Allen test is to determine:
The purpose of the modified Allen test is to determine:
A. blood pressure in the ulnar artery
B. if collateral circulation is present
C. if the patient is absorbing oxygen
D. the clotting time of both allergies
Answer: B. if collateral circulation is present
A phlebotomist has a request to collect an ABG specimen while the patient is breathing room air. When the phlebotomist arrives to collect the specimen, the patient is still on a ventilator. What should the phlebotomist do?
A phlebotomist has a request to collect an ABG specimen while the patient is breathing room air. When the phlebotomist arrives to collect the specimen, the patient is still on a ventilator. What should the phlebotomist do?
A. call the phlebotomy supervisor and ask how to proceed
B. consult with the patients name to determine what to do
C. draw the specimen and note the ventilator setting on the requisition
D. take the patient off the ventilator and draw the specimen
Answer: B. consult with the patient's nurse to determine what to do
Commonly measured ABG parameters include:
Commonly measured ABG parameters include:
A. pH
B. PaCO2
C. O2 saturation
D. all of the above
Answer: D. all of the above
ABG supplies include:
ABG supplies include:
A. 18-gauge needles
B. heparinized syringes
C. tourniquets
D. all of the above
Answer: B. heparinized syringes
The first choice location for performing arterial puncture is the:
The first choice location for performing arterial puncture is the:
A. brachial artery
B. ulnar artery
C. femoral artery
D. radial artery
Answer: D. radial artery
The primary reason for performing arterial puncture is to:
The primary reason for performing arterial puncture is to:
A. determine hemoglobin levels
B. evaluate blood gases
C. measure potassium levels
D. obtain calcium levels
Answer: B. evaluate blood gases
The risk of hematoma associated with arterial puncture is greatest if:
The risk of hematoma associated with arterial puncture is greatest if:
A. a large-diameter needle is used
B. the patient is elderly
C. the patient is on blood thinners
D. all of the above
Answer: D. all of the above
A single routine arterial specimen for both ABG and electrolyte testing should be transported:
A single routine arterial specimen for both ABG and electrolyte testing should be transported:
A. at room temperature
B. green-top tube
C. on ice
D. STAT
Answer: A. at room temperature
Which of the following is the best way to tell that the specimen you are collecting is in fact arterial blood?
Which of the following is the best way to tell that the specimen you are collecting is in fact arterial blood?
A. a flash of blood appeared in the syringe on needle entry
B. blood pulsed into the syringe under its own power
C. the color of blood is bright cherry red
D. there is no way to tell for certain
Answer: B. blood pulsed into the syringe under its own power
An ABG specimen is most likely to be rejected if it:
An ABG specimen is most likely to be rejected if it:
A. arrives at the lab 20 minutes after collection
B. contains only around 2 milliliters of blood
C. is collected in a glass syringe
D. is determined to be QNS
Answer: D. is determined to be QNS
Normally, when the needle enters the artery:
Normally, when the needle enters the artery:
A. a flash of blood appears into the syringe
B. the syringe plunger begins to vibrate
C. you may hear a soft swishing sound
D. all of the above can happen
Answer: A. a flash of blood appears in the syringe
In performing radial artery puncture, the needle should enter the skin:
In performing radial artery puncture, the needle should enter the skin:
A. at the exact point where the pulse is felt
B. distal to where the pulse is felt
C. lateral to where the pulse is felt
D. proximal to where the pulse is felt
Answer: B. distal to where the pulse is felt
Which of the following is an acceptable range of needle gauges for arterial puncture?
Which of the following is an acceptable range of needle gauges for arterial puncture?
A. 16 to 21
B. 18 to 23
C. 20 to 25
D. 23 to 28
Answer: C. 20 - 25 gauge
A phlebotomist has a request to collect an ABG specimen on a patient. The patient has a positive Allen test on the right arm. What should the phlebotomist do?
A phlebotomist has a request to collect an ABG specimen on a patient. The patient has a positive Allen test on the right arm. What should the phlebotomist do?
A. collect the specimen by capillary specimen
B. collect the specimen from the right radial artery
C. collect the specimen right ulnar artery
D. perform the allen test on the left arm
Answer: B. collect the specimen from the right radial artery
A phlebotomist must collect an ABG specimen when the patient is breathing room air. The patient has just been taken off the ventilator when the phlebotomist arrives. When can the phlebotomist draw the ABG specimen?
A phlebotomist must collect an ABG specimen when the patient is breathing room air. The patient has just been taken off the ventilator when the phlebotomist arrives. When can the phlebotomist draw the ABG specimen?
A. after 1 hour
B. immediately
C. in 5 to 10 minutes
D. in 20 to 30 minutes
Answer: D. in 20 - 30 minutes
In addition to identification information, which of the following is typically documented before ABG specimen collection?
In addition to identification information, which of the following is typically documented before ABG specimen collection?
A. FiO2 or L/M
B. history of smoking
C. room temperature
D. all of the above
Answer: A. FiO2 or L/M
The anticoagulant used in ABG specimen collection is:
The anticoagulant used in ABG specimen collection is:
A. EDTA
B. heparin
C. potassium oxalate
D. sodium citrate
Answer: B. heparin
Which of the following is the most important for selecting an artery for ABG collection provided that there is no other reason to avoid the site?
Which of the following is the most important for selecting an artery for ABG collection provided that there is no other reason to avoid the site?
A. collateral circulation
B. depth of the artery
C. dominance of the arm
D. strength of the pulse
Answer: A. collateral circulation
Which is the first choice artery for ABG collection?
Which is the first choice artery for ABG collection?
A. brachial
B. femoral
C. radial
D. ulnar
Answer: C. radial
02 saturation measures the:
02 saturation measures the:
A. alkalinity of the blood plasma
B. amount of oxygen dissolved in the plasma
C. oxygen pressure in the lungs
D. percent of oxygen bound to hemoglobin
Answer: D. percent of oxygen bound to hemoglobin
Which of the following personnel may be required to perform arterial puncture?
Which of the following personnel may be required to perform arterial puncture?
A. EMT's
B. MT's
C. Phlebotomist
D. all of the above
Answer: D. all of the above
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