Flashcards in Class Final Deck (48)
1. What is quality assurance?
• Quality assurance (QA) is defined as a program that guarantees quality patient care by tracking the outcomes through scheduled audits in which areas of the hospital look at the appropriateness, applicability, and timeli- ness of patient care.
• A QA program is a continuous program established by the healthcare facility, which will provide guidelines, protocols and continuing education for their employees to show ongoing competence.
• Quality control (QC) are the steps or procedures we do to ensure Quality Assurance. Such as checking expiration dates, monitoring glucose monitors, keeping log sheets of refrigerator temperatures, calibrating instru- ments, etc.
2. Briefly explain the area in which to draw a Phenylketonuria (PKU) test on an infant.
(pg. 17, 24)
• Medial and lateral portions of the plantar surface of the heel.
• Know as a "heel stick"
• Done to check whether a newborn baby has the enzyme needed to use phenylalanine in his/her body. Phenyl-
alanine is an AA that is needed for normal growth development.
• Test ordered for infants to detect phenylketonuria, a genetic disease that causes mental retardation and brain
damage. This test is drawn using the dermal puncture technique. PKU testing is done on blood from new- born's heal or on urine
3. What is the additive in a light blue top tube?
• Sodium Citrate, anticoagulant
4. What are diurnal variations? Give an example of a diurnal variation test.
• The measuring of a body's ability to metabolize certain substances, monitoring changes in the patient's condi- tion within a 24 hour period
• Ex. Cortisol day and night
5. What is lipemic?
• After blood is spun and separated in a centrifuge the serum/plasma portion is milky in appearance. Hyperlipi- demia would cause the blood to be lipemic. Samples are most likely to be Lipemic if the patient was not fast- ing prior to collection
6. Which way should the bevel be facing when entering the arm?
7. What tube contains a preservative and an anticoagulant?
• Gray Top Tube
• Additive: Sodium Fluoride (preservative) and Potassium Oxalate (anticoagulant)
8. Who usually will draw an arterial blood gas? And what are the four things they are checking for in the blood?
• A respiratory therapist, nurse or physician usually draws the test. • Primarily tests for: pH, carbon dioxide, oxygen, and bicarbonate
9. Which tubes contain anticoagulants? And of those tubes write the anticoagulant.
• Light blue - Sodium Citrate
• Mint green - Lithium Heparin • Green - Sodium Heparin
• Lavender - EDTA
• Pink - EDTA
• Gray - Potassium Oxalate
• Royal Blue - EDTA
10. What section of the lab would process a CBC? And what is the difference between a manual and automatic differential count?
• Hematology Laboratory
• Auto Diff. - Performed by a calibrated machine
• Manual Diff. - Performed by a certified lab technician
11. What tube does a lytes panel go in?
• Mint green tube
12. If a patient is being treated for cancer, what section of the hospital would they be in?
(pg. 56, 65)
• Oncology department
13. What is another word for a winged infusion set?
• Butterfly Needle
14. Capillary samples are normally collected from two different parts of the body in adults and infants, what are they?
• "Fingerstick" - The 3rd or 4th finger of the non-dominant hand.
• "Heelstick" - Medial and lateral portions of the planter surface of the foot
15. Blood cultures are drawn to identify what in the blood stream?
• To identify the presence of pathogenic or infections microorganisms in the blood stream.
16. Which tube is an ESR drawn in? What does ESR stand for?
• Lavender Tube
• Erythrocyte Sedimentation Rate
17. If you got an accidental “needlestick" on your finger with a used butterfly needle, what is your next course of action?
• Wash exposed area thoroughly with soap and running water (flush for @ least 15 minutes) • Report exposure to supervisor
• Refer to material safety data sheet (MSDS)
• Fill out an exposure report form
18. If the sharps container is overflowing when you come onto shift what is the appropriate response?
• Tell your supervisor
• Container should be locked and disposed of and released with a new container.
19. All healthcare workers are required to vaccinate or sign a declination form for which virus?
• Hepatitis B (HBV)
20. What are the two main differences between arterial and venous blood?
• Arterial blood carries oxygenated blood away from the heart to various parts of the body that require oxygen and nutrients, no valves.
• Venous blood carries deoxygenated blood back to the heart, has valves.
21. What is nosocomial infection?
(pg. 49, 65)
• Health care setting acquired infections.
22. What is a capillary defined as? What are some characteristics of capillaries?
• A type of blood vessel composed only of one single endothelial cell layer, connect the arterioles and venules. The thin layer allows rapid exchange of oxygen, carbon dioxide, nutrients and waste between the blood and tissue cells.
23. What tube would you drawn an Active Partial Thromboplastin Time (APTT) in?
• Light Blue Tube
24. What is the proper way to identify a patient?
• First name, Last name, date of birth • If an inpatient, verify wrist band
25. Define how you would make a blood slide/smear?
• Draw blood into an EDTA tube (lavender)
• On a microscopic slide with a frosted end, place a drop of blood approx. 4mm from one end.
• Using another slide, at 30 degrees back the slide into the blood until it catches the drop.
• Maintaining contact with the flat slide, drag the angled slide pulling the blood across to make a smear.
26. Under the patients bill of rights, can a patient decline medical treatment?
27. What is the correct way to end an venipuncture?
Remove the tourniquet Remove the tube
Place gauze/cotton over the site
Remove the needle
Activate the safety
28. If a person is having a syncope episode what is the most important thing the phlebotomist needs to do?
(pg.15) Get the needle out of the arm of the patient!
Place the patient in a physical position that promotes blood to the brain
29. How long can the tourniquet remain on the arm during the venipuncture?
• 1 minute