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Phlebotomy is the compound Greek word meaning to incise veins for bloodletting. In CA. those individuals scope of practice includes: Registered nurses, Phlebotomists, Physicians, Clinical Laboratory Scientists, Respiratory Therapists. TERM 2 To be a Certified Phlebotomists 1 in the State of CA, an individual must have: DEFINITION 2 High School Diploma, or GED, or AACRO examination of overseas educational transcripts, and no legal convictions unexamined by the Department of Justice. TERM 3 Dermatology, Nephrology, and Neurology are the studies of which of the following systems: DEFINITION 3 Kidneys, Nerves, and Skin TERM 4 A CA Certified Phlebotomy Technician 1 is responsible for which of the following? DEFINITION 4 Identifying the patient correctly, Manipulating small objects, Delivering properly collected specimens to the clinical laboratory TERM 5 Professtional organization for Phlebotomist include which of these? DEFINITION 5 NCA, NPA, ASCP, APA
Professional character traits for healthcare personnal include which of the following? Sincerity, compassion, Accountability, dedication to high standards of performance and precision, Emotional maturity and stability. TERM 7 Phlebotomists must have a propensity for cleanliness because it prevents infection, provides better care at less cost to the patient and the institution. This cleanliness manifests in which of the following actions for which the Phlebotomists is responsible? DEFINITION 7 Hand Hygiene, Personal Hygiene TERM 8 The environment of the clinical laboratory, a donor center, a blood drawing station, or physicians office can often become hectic and stressful. Therefore a Phlebotomist must possess a degree of calm during chaos that shows the patient a confident face. This can be accomplished by which of the following actions: DEFINITION 8 Smiling TERM 9 Gender issues, age-related issues, and communication barriers affect how patients perceive the phlebotomist and may affect the success of blood procurement. Which of the following stratgies must be used with patients to ensure a successful phlebotomy. DEFINITION 9 Ask patient to spell his/her full name and give his/her birth date, and compare with the requisitions, do not proceed unless there is a positive match. Ask the caregiver t indentify the patient if the patient cannot communicate with you, and compare this information with the requisition, do not proceed without a positive match. Do not attempt blood procurement if the patient is not absolutely identified and positively compared with the requisition, name and date of birth or medical record number. TERM 10 Blood procurement falls into which phase of laboratory testing? DEFINITION 10 Pre-analytic
Communication with a patient is a primary competency for a phlebotomist and must be carefully accomplished. Barriers to effective communication can be : Languageother than English, the television, other family members. Hearing impairments, headphones, the phlebotomist's attitude. The phlebotomist's professionalism, the age and vocabulary of the patient. TERM 17 Greeting a patient is one thing a Phlebotomist does every time they obtain blood. Which of the following is PROPER beginning sentence set to greet a patient? DEFINITION 17 Phlebotomist, "Good morning, my name is Angie and I am here to collect a blood sample for your laboratory tests. Could you state and spell your name please?" TERM 18 Stern looks frighten vulnerable patienits. Patients are so scared about being patients, that any aruptness or shortness of mannerisms from caregivers frightens them even more. They are especially scared if they have been ill for a long period of time with little prospect of recovery. Some patients will tend to complain a great deal about having blood taken, some are outright hostile, some are abusive verbally and some even physically attack phlebotomists. Your response to a hostile patient should be appropriate to the situation, but should always respect the patient and yourself. Never attempt to draw blood from an adult who asks not to have it done. Patients have complete control over procedures done to them, and may changes their minds from time to time about them. Your problem as a Phlebotomist is to: DEFINITION 18 Determine whether a patient has given you permission to draw their blood. Determine whether this is the correct patient from whom you should be taking blood. Determine if the patient will be cooperative throughout the procedure. All of the above. TERM 19 All phlebotomy must take place while wearing a laboratory coat that is approved by OSHA, and gloves. All phlebotomists must receive laboratory coats and gloves provided by their employers. This is the case whether they have advanced licenses or not. When performing phlebotomy, OSHA safety rules apply. A bloodborne pathogen does not care whether a person is a Phlebotomist , Medical Assistant, Registered Nurse, Doctor, Clinical Laboratory Scientist, Respiratory Therapist or other healthcare professional allowed to draw blood. If blood spatters on the phlebotomists' eyes, mouth, nose, or drips on their hands, and it has an organism, that organism will transfer to the phlebotomist. Clothes that become contaminated with blood may not leave the institution until they are washed by the institution. These are federal rules. Will you follow the rules? Will you bend the rules? Will you allow yourself be that vulnerable for any employer? DEFINITION 19 I will follow the rules, not bend them, and not allow myself to be placed in a position of risk to myself and my family. TERM 20 Dress codes for this class and for the profession of Phlebotomy are common. They must be adhered to. They are made to protect you. Your most important asset is your life. You will be working with one of the most dangerous fluids on the planet: blood. It will be your liveihood. Not only do you have your life in your hands, but you also have your patient's life in your hands when you are doing phlebotomy. There is no "Almost" got it right in this work. It is either right, or it is DEFINITION 20 I will dress professionally sccording to the dress code of my employer, and follow all the best practices I am learning.
Nosocomial means: Something to do with Healthcare Acquired Infection (HAI) TERM 22 The order of donning Personal Protective Equipment for an isolation room is which of the following: DEFINITION 22 Handwashing, Gown, Gloves, Mask, Eye Protection. TERM 23 The order for Proper Handwashing Technique is which of the following? DEFINITION 23 Wet hands, Dispense soap, Rub Hands together, Rinse hands, Turn off water with towel. TERM 24 The Center for Disease Control and Prevention (CDC) DEFINITION 24 Oversees investigation and control of various diseases. Provides infection control and safety guidelines. Is part of the U.S. Public Health Service. TERM 25 Some of the reasons we study infection control are to prevent patients from becoming infected with organisms already present in the hospital, to prevent staff from becoming infected with organisms present at work, and to prevent organisms that have developed antibiotic resistance from spreading throughout the community. Hepatitis B and C, and HIV are among the diseases very easily passed through healthcare worker accidents with patients and their specimens. DEFINITION 25 Blood and cerebrospinal fluid. Urine, Synovial fluids and abscesses. All of the above
A FOMITE includes: Computer, Keyboards, Telephones, Phlebotomy Trays, Counter tops, Door knobs, Eyeglasses, Water Faucet Handles, IV Equipment, Scrub Suits. All of the above. TERM 32 Standard Precautions and Expanded Precautions are under the CDC's guidelines to assist in the prevention of hospital aquired infections. Standard precautions provide protection from contact with blood, all body fluids, mucous membranes and all non intact skin. Expanded Precautions cover three sets of procautions based on the routes of transmission. Expanded Precautionsare use for patients suspected or documented to be infected with pathogens that are highly transmissible. Three types if expanded Precautions include: DEFINITION 32 Airborne, Droplet, and Contact. TERM 33 All of the following statements concerning an employee bloodborne pathogen exposure incident are true EXCEPT: DEFINITION 33 The exposure need not to be documented on an incident report form. TERM 34 Standard Precautions are used in every patient contact for phlebotomy. Both the phlebotomist's life and the patient's life are at stake. The phlebotomist's life is valuable to him/herself, and the patient's life is valuable to him/herself. The patient trusts the phlebotomist with his/her life. Personal Protective Equipment for phlebotomists was acquired through the exposures and dealths of phlebotomists and other laboratory personnel, resulting in the creation of the Bloodborne Pathogens Standards. True Statement: DEFINITION 34 Behave as if the Bloodborne Pathogens Standards requirements save lives. Bloodborne pathogens can be deadly. Phlebotomists can become infected as the result of careless specimen handling. All of the above. TERM 35 Mycobacterium tuberculosis is: DEFINITION 35 A very virulent organism found most often as a respiratory pathogen. An organism that requires phlebotomist to wear a personal respirator or N95 mask. The pathogen which causes TB All are true
Ten percent of bleach as a cleaning agent should be made fresh every: Week TERM 37 The purpose of reverse isolation is to: DEFINITION 37 Prevent transmission of infection to the patient. TERM 38 Which is not a type is isolation procedure? DEFINITION 38 Strict TERM 39 Human Immunodeficiency Virus (HIV) is the causative agent of: DEFINITION 39 Acquired Immune Deficiency Syndrome (AIDS) TERM 40 Which of the following would not be considered a pathogen: DEFINITION 40 Vectors
A microbe that is non-disease producing is called a: Non-pathogenic organism. TERM 47 When transmitted by infected patients by means of coughing or sneezing at close range, large particle droplets generally travel only short distances, up to ____ feet. DEFINITION 47 3 TERM 48 The act of exposing a susceptible host to a pathogen by means of an inanimate object is called: DEFINITION 48 Indirect contact TERM 49 What is the first line of defense against the spread of infection? DEFINITION 49 Hand washing TERM 50 What is the term used to describe any infections microorganism present in blood, other body fluids, and tissues? DEFINITION 50 Blood-borne pathogen
Fires are a threat everywhere. Fire classifications are A, B, C and D. A Class Fires would: Occur in the vapor-air mixture over flammable solvents such as gasoline, toluene, eylene, alcohol, and acetone. TERM 52 Fires are a threat in the laborratory where there is the highest concentration of electrical equipment in the hospital. A fire in this electrical equipment would be classified as: DEFINITION 52 C TERM 53 If an electrical accident occurs, the first thing to do is to: DEFINITION 53 Shut off the source of electricity. TERM 54 Rescue, Alarm, Contain, and Extinguish or Escape, are the steps to take in the event of fire. During the Extinguish step, a fire extinguisher will be used. The acronym for the use of an extinguisher is: DEFINITION 54 PASS, Pull, Aim, Squeeze, Sweep TERM 55 Extension cords, frayed cords and thermostats not in good working order should not be used in the laboratory. Unplug centrifuges before maintenance is performed. Electrical instruments contacting water or other liquid are unplugged. These safety rules make good sense. The phlebotomist's attitude is important. Using this thinking, which attitude below is best? DEFINITION 55 It's really wonderful that we have gloves to wear when we draw our patient's blood.
The proper personal protective equipment that should be used when working with chemicals is: A buttoned laboratory coat, safety glasses, face shield, gloves. TERM 62 The rating system for fire comes from the : DEFINITION 62 NFPA TERM 63 The Fire rating system has four components. They are Health Hazard, Fire Hazard, Reactivity/Instability Hazard and Specific Hazard. These are represented by which colors? DEFINITION 63 Blue, Red, Yellow, White TERM 64 Patient's have the expectation that their safety is the most important aspect of the health care provider's job. Which one is not required in a patieint's room? DEFINITION 64 Check with the nurse before leaving the patient's bedside, to make sure the patient is well cared for. TERM 65 If someone telephones and threatens to bomb the healthcare facility, which choice is correct? DEFINITION 65 Listen to the person and keep him/her talking. Listen for background noises, caller's accent, and caller's language. Ask the caller where the bomb is, and what time it will go off. Write down everything the caller states and notify the security officer. All of the above
In an emergency situation for the patient, do which of the following? Prevent severe bleeding with gloved hand if no compresses are available. Maintain breathing and send for medical assistance. Prevent shock and futher injury by improving circulation, providing oxygen, and maintaining normal body temperature. All of the above TERM 67 CPR means DEFINITION 67 Cardio-Pulmonary Resuscitation TERM 68 An example of vector infection transmission is: DEFINITION 68 Contracting plague from a rodent flea bite. TERM 69 All of the following are healthyways to deal with stress EXCEPT: DEFINITION 69 Making several major life changes at once. TERM 70 A nosocomial infection is: DEFINITION 70 Acquired by a patient while in the hospital.
In the center of the body, above the diaphragm, diaphragm to hips, and below the hips are three regions of the body called: Epigastric, Umbilical, and Hypogastric. TERM 77 Right upper quadrant contains the: DEFINITION 77 Liver and Gallbladder TERM 78 The dorsal-posterior cavity of the body houses the DEFINITION 78 Brain & Spinal Column TERM 79 Thoracic Cavity contains: DEFINITION 79 Two lungs with five lobes and the heart TERM 80 Cells have in them which of the following parts? DEFINITION 80 Cytoplasm, Membrane, Organelles
