NHCO Phlebotomy Exam Study Guide
informed consent - answer A competent person gives voluntary permission for a
medical procedure after receiving adequate information about the risk of the procedures
methods and consequences
expressed consent - answer permission for care that a person gives verbally or in
writing for a procedure
Implied consent - answer The patients actions permit the procedure without verbal or
written consent
Ex: patient extends arm out when told they need blood drawn
HIV Testing consent - answer special permission is needed to administer a test that
detects HIV
Parental Consent for Minors - answerA parent or a legal guardian must permit
procedures administered to underage patients depending on the state law may range
from 18 to 21 years old.
Refusal of Care - answerPatients have a right to refuse care and stop care at any point
during the procedure. Failure to stop care at any point may result in criminal charges
such as assault or battery
Who cannot refuse care? - answerPatients under the custody of parents or law
enforcement cannot refuse care as that falls to custodian
What should the technician do if patient refuses care - answerStop immediately and
have patient sign refusal form
How do you identify patient? - answerask the patient to state his or her full name and
DOB
Ask patient to spell their first and last names
Compare requisition form
The patient's ID band must match
Order of draw - answerDiscard Tube
Light Blue Top
Red Top
, Gold/ Tiger Top
Light Green Top
Pink Top
Lavender/ Dark Purple Top
Gray Top
(Dark blue red stripe before red top; dark blue lavender stripe after lavender top)
What should you do as soon as you walk into patients room - answerIdentify your
patient
Is a serum or plasma clotted? - answerSerum-clotted
Plasma- unclotted
What do you do when a name is not the same as your patient? - answerContact
supervisor
Labeling tubes - answerDo not label tubes before the venipuncture; label with patients
full name after drawing
Before venipuncture what should you check the requisition form for - answerFor a
specimen identification code, duplicate test orders, discrepancies, and missing
information; clarify with the ordering physician or lab manager
What should be noted on the requisition form? - answerThe date the sample was
drawn, what time it was drawn, and who did the draw
What does every blood collection procedure begin with ? - answerA requisition form;
patients cannot order their own test and must be by physician who results will be sent to
What form of identification is needed for outpatient facility - answerSate issued ID
What form of identification is used for inpatient facility - answerPatient ID band
Medication Schedule - answerVerify with attending nurse before drawing patients blood
Blood Draw methods - answerevacuated tube method and syringe method
What do you do if your patient is allergic to latex - answerUse nitrile gloves
What is essential personal protective equipment (PPE) - answerMasks
Goggles/ safety glasses
Face shields
Respirators
Gloves
Gowns
informed consent - answer A competent person gives voluntary permission for a
medical procedure after receiving adequate information about the risk of the procedures
methods and consequences
expressed consent - answer permission for care that a person gives verbally or in
writing for a procedure
Implied consent - answer The patients actions permit the procedure without verbal or
written consent
Ex: patient extends arm out when told they need blood drawn
HIV Testing consent - answer special permission is needed to administer a test that
detects HIV
Parental Consent for Minors - answerA parent or a legal guardian must permit
procedures administered to underage patients depending on the state law may range
from 18 to 21 years old.
Refusal of Care - answerPatients have a right to refuse care and stop care at any point
during the procedure. Failure to stop care at any point may result in criminal charges
such as assault or battery
Who cannot refuse care? - answerPatients under the custody of parents or law
enforcement cannot refuse care as that falls to custodian
What should the technician do if patient refuses care - answerStop immediately and
have patient sign refusal form
How do you identify patient? - answerask the patient to state his or her full name and
DOB
Ask patient to spell their first and last names
Compare requisition form
The patient's ID band must match
Order of draw - answerDiscard Tube
Light Blue Top
Red Top
, Gold/ Tiger Top
Light Green Top
Pink Top
Lavender/ Dark Purple Top
Gray Top
(Dark blue red stripe before red top; dark blue lavender stripe after lavender top)
What should you do as soon as you walk into patients room - answerIdentify your
patient
Is a serum or plasma clotted? - answerSerum-clotted
Plasma- unclotted
What do you do when a name is not the same as your patient? - answerContact
supervisor
Labeling tubes - answerDo not label tubes before the venipuncture; label with patients
full name after drawing
Before venipuncture what should you check the requisition form for - answerFor a
specimen identification code, duplicate test orders, discrepancies, and missing
information; clarify with the ordering physician or lab manager
What should be noted on the requisition form? - answerThe date the sample was
drawn, what time it was drawn, and who did the draw
What does every blood collection procedure begin with ? - answerA requisition form;
patients cannot order their own test and must be by physician who results will be sent to
What form of identification is needed for outpatient facility - answerSate issued ID
What form of identification is used for inpatient facility - answerPatient ID band
Medication Schedule - answerVerify with attending nurse before drawing patients blood
Blood Draw methods - answerevacuated tube method and syringe method
What do you do if your patient is allergic to latex - answerUse nitrile gloves
What is essential personal protective equipment (PPE) - answerMasks
Goggles/ safety glasses
Face shields
Respirators
Gloves
Gowns