CERTIFIED PHLEBOTOMY TECHNICIAN REVIEW EXAM

CERTIFIED PHLEBOTOMY TECHNICIAN REVIEW EXAM What are the methods of transmission for the different types of precautions? Ans-CONTACT AIRBORNE DROPLET Know the order of draw for capillary sticks? Ans-BLOOD GASES EDTA other ADDITIVE TUBES Know the types of tests that require chain of custody documentation. What is needed on a chain of custody form for a urine specimen. Ans-CHAIN OF CUSTODY IS NEEDED IN ANY TYPE OF LEGAL DOCUMENTATION OR PURPOSES. TEMPERATURE NEEDS TO BE DOCUMENTED. Which agency governs safety in the workplace? Ans-OSHA When performing a capillary puncture on fingers you should? Ans-MILK THE FINGER GENTLY Know the order of draw for evacuated tubes? Ans-YELLOW LIGHT BLUE RED SST GREEN LAVENDER GRAY What in the urinalysis would indicate an infection? Ans-LEUKOCYTES-WHITE BLOOD CELLS How are lactic acid specimens sent, and What if they are being sent to an outside lab? Ans-SENT ON ICE REGULARLY , BUT IF SENT TO AN OUTSIDE LAB SENT FROZEN Can a patient eat or drink anything but water before a fasting blood test? And how long does patients need to fast? Ans-NO, for 8-12 HRS Why are there 2 different colored caps on collection bottles? Ans-BLOOD CULTURES ANAEROBIC AND AEROBIC TO DETECT MICROORGANISMS IN THE BLOOD According to CLSI standards what is the first vein you must attempt to find on either arm? Ans-MEDIAN CUBITAL VEIN Why do Point of Care test regulations require quality control? Also remember to document Quality control results. Ans-TO ENSURE ACCURATE RESULTS Failure to demonstrate proper care with injury is Ans-NEGLIGENCE Why should the phlebotomist explain the procedure prior to venipuncture? Ans-TO GET CONSENT Drawing a patient's blood without consent would be? Ans-BATTERY Can a stool specimen be collected with urine? Ans-NO Easiest vein to find on an obese patient? Ans-CEPHALIC VEIN THUMB SIDE Why should you avoid using a site with interrupted skin integrity? Ans-INCREASES CHANCES OF INFECTION Why do you need to place the label of a non blood specimen on the container, not the lid?. AnsBECAUSE IF YOU TOOK THE LID OFF OF IT WOULD BE AN UNLABELED SPECIMEN. CBC, Chemistry panel, lead, and toxicology screen via capillary puncture, which tube would be first? AnsLAVENDER EDTA TUBE Proper way to ID newborn? Ans-ID BRACELET STAT chemistry panel, What color Tube? Ans-Green tube if needed STAT PT/PTT goes in what color tube? Ans-LIGHT BLUE FOR ALL COAGULATION TEST Which tubes are centrifuged for serum specimen? Ans-SST TUBES RED SPECKLED GOLD Capillary finger puncture can be done on which fingers? Should the puncture go along the fingerprint or perpendicular to it? Ans-RING and MIDDLE FINGER PERPENDICULAR TO THE FINGERPRINT How would you instruct a female to collect a urine specimen for a culture? Ans-Do a clean catch specimen, Wipe front to back, and collect specimen midstream. Hematomas are more likely in what age group? Ans-ELDERLY What is the most common complication of phlebotomy for a patient on warfarin Coumadin? AnsHEMATOMAS What would you use to clean blood or body fluids off a hard surface? Ans-ANTI MICROBIAL SOAPS OR WIPES What are the handling requirements for a bilirubin and vitamin levels Test? Ans-MUST BE COVERED FROM THE SUNLIGHT DRAWN IN AN AMBER TUBE. What is the accepted angle for needle insertion in the antecubital space? And which way should the bevel be facing? Ans-15-30 DEGREES BEVEL UP EDTA and blood culture tubes should be inverted how many times? Ans-8-10 times Which of the following would exclude a person from donating blood? age race obesity gender Ans-AGE Why is it important to make sure a light blue sodium citrate tube is a full draw? Ans-To get an accurate result Which blood component is necessary for clotting (which type of blood cell)? Ans-Thrombocyte PLATELETS When do you label a specimen? Ans-After you draw before you leave the patient. When does the timing for the Glucose Tolerance Test Start? Ans-After the solution is completely ingested. What cleaning compound is used for routine skin puncture? Ans-Isopropyl Alcohol What is the primary function of an erythrocyte (RBC)? Ans-TO CARRY OXYGEN What is the lowest a HgB can be for a person to donate blood? Ans-12.5 hemoglobin If you can't use the patient's right arm for a venipuncture and he/she has an IV in Left hand, where would you draw a CBC? Ans-YOU WOULD DO A CAPILLARY STICK USING THE LEFT FINGER WITH A LAVENDER TUBE. A blood glucose below what would be a panic level? Ans-55 AND BELOW Every state in the US requires all infants to be tested for which disorder? Ans-PKU Phenoketone Urea What is the most appropriate equipment to use on an older patient with small, fragile veins? AnsBUTTERFLY NEEDLE, WINGED INFUSION SET Which additive would be appropriate for Erythrocyte Sedimentary Rate (ESR) testing, and in which tube? Ans-Lavender, EDTA tube. When preparing infant screening cards, it is imperative? Ans-To fill circles completely on card. Following collection of last tube what is the next step? Ans-Release tourniquet. Which vein is located laterally on the arm? Ans-Cephalic Outside thumb side Which document tells you how to clean a chemical spill? Ans-MSDS Sheet Blood ETOH is put in what tube? Ans-Gray tube What is the objective in making a slide for blood smears? Ans-To make sure it has a feathered edge Applying the tourniquet for more than 1 minute could result in PETECHIAE? WHAT DO PETECHIAE LOOK LIKE? Ans-Petechiae are ruptured capillaries and they look like little purple spots. To be in accordance with quality control regulations for CLIA waived procedures- You have to compare code on glucometer to that of the code of the strips with each use, they must be the same. Ans-Make sure to check expiration dates when doing POCT testing. How are ABG's transported? Ans-On ice and immediately Patient is allergic to alcohol, what do you clean them with? Ans-Chlorhexidine(KLOR-HEX-A-DIN) For a 24 hour urine collection, what is the procedure? Ans-Discard first urine prior to collection What color tubes would you need for an A1c, CBC, Hepatic Panel, and CMP? Ans-Lavender and Green A1c Ans-Lavender CBC Ans-Lavender CMP Ans-Green/Gold Hepatic Panel Ans-Green/Gol