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Mid Term Review 1-6

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what are the two types of phlebotomy?
vein puncture and dermal puncture
3 examples of professionalism
integrity, self motivation and dependability
what is integrity?
knowing right from wrong
name three parts of the patient care partnership
clean and safe environment,protection of privacy, and help leaving the hospital
what is hematology?
the study of blood
what is histology?
the study of tissue
what is cytology?
the study of cells
what is coagulation?
clotting
what is anti coagulation?
non clotting
what is pathologist?
diagnosing disease
what is proxemics?
the study of an individuals concept and use of space
what is tat?
turn around time
what are the barriers to communication?
language limitations, cultural diversity, emotions, age, and physical disability\'s
how to handle a difficult patient
let them know you know what they are going threw and be understanding
name 4 elements in healthcare communication
empathy, control, respect, and trust
what is a professional image?
conservative clothing, good hygiene, and physical well being.
what color tube is drawn for most drug/medical test?
red
what is the difference from inpatient and out patient?
out patient is at home and inpatient is admitted to the hospital
what lab personnel must have a college degree?
medical technologist
how can you help a patient feel in control?
agreeing with them and recognizing their fears
what is the meaning of phlebotomy from Latin and Greek?
Latin- vena is vein and secto is cutting Greek- phlebos is vein and tome is incision
what are 4 test that are a part of a cbc?
red blood cells, white blood cells, platelets and hemoglobin
microbiology tests all cultures? true or false
true
coagulation is often combinded with what?
hematology
what are 8 test in a metabolic panel
glucose, BUN, creatinine, sodium, potassium, chloride, co2 and calcium
name three of four tubes that go to blood bank
red SST and lavender
what department performs test to identify abnormalities of blood and blood forming tissues?
Hematology
what is C&S?
culture and sensitivity
what is QA stand for?
quality assurance
what is NAACLS?
National accrediting agency for clinical laboratory
what is CLSI?
manages federal healthcare programs of medicaid and medicare
what is CAP?
college of American pathologist
what is CQI
continuous quality improvement
what does CLSI do?
they control phlebotomy procedures
what is a TORT?
a wrongful act to a patient
what is vicarious?
liability by law on one person for acts committed by another
do patients have the right to refuse being drawn??
yes
performing a veinpuncture on unwilling patient or drawing blood without patients permission can lead to what?
negligence and assault and battery
what is a phlebotomist\'s most important job?
identifying the patient
name three of the 10 points in avoiding a lawsuit
respect patients right to confidentiality, use proper safety containers and devices, and document incident or occurrence
know the difference between pathogenic and non pathogenic
pathogenic is capable of causing disease
what is a microorganism?
an organism that is so small that it is invisible to the naked eye
what is nonsocomial infections, how does it spread and how can you prevent it?
an infection caused in a hospital. it is spread threw infected personnel other patients visitors and contaminated food.
what are the 6 links to the chain of infection?
infectious agent, reservoir, exit pathway, means of transmission, entry pathway, and susceptible host
what are two main tiers of precautions in revised guideline for precautions in hospitals?
standard and transmission
what is vector?
transmission by insect
when and how to use gloves!
always and do not touch the outside of the glove
what is PPE?
personal protective equipment
2-3 situations that require hand washing
before and after patient, before and after lunch, and after using the bathroom
what is protective and reverse isolation
used for patients that are susceptible to infections, like burn patients or organ transplant patients
what is the differnece from standard and transmission precautions
standard is precautions to use on all patients regardless of diagnosis or infection status. and transmission is specific precautions used of patients that are known to be infected with certain pathogens transmitted by air, droplet, or contact
what are the three precautions in transmission based precautions?
airborne precautions, droplet precautions, and contact precautions
what to do on an accidental needle stick?
remove the object and wash it out with soap and water, then fill out an indecent report
HBV attacks what part of the body?
the liver and it is transmitted sexually and it can stay alive on dried blood for up to a week
standard precautions apply to what body fluids?
apply to blood, all body fluids, secretion and excretions except sweat
what shoes do you wear in the laboratory?
closed toe shoes
enteric pathogens fall under what precautions?
contact
what are four of five basic elements of word building?
word root, prefix, suffix and combining vowel
medical terminology is the language derived from what?
latin and greek
need to know.. CBC, PKU, T&C, WBC, RBC, Hgb, Hct, ESR, AND BUN
CBC- complete blood count, PKU- phenylketonuria, T&C- type and crossmatch, WBC- white blood cells, RBC- red blood cells, Hgb- hemaglobin, HCT- hematocryte,ESR- sed rate, and BUN- blood urea nitrogen
what is supine position?
laying on your back
what is homeostasis?
standing the same... in a state of equilibrium or balance
name three types of blood vessels
metabolic cephalic and basilic
what is the color of arterial blood?
light red
do veins carry deoxygenated blood?
yes
are phlebotomist allowed to do vein puncture on a artery?
no
are arterioles and venules the smallest branches or arteries and veins?
yes
what are the tiny connecting units between arterioles and venules?
capillaries
need to know what order you choose veins
median cephalic and then the basilic
can phlebotomist access leg veins at own discretion?
no
what is the function of erythrocytes?
they carry oxygen from lungs to cells
what is the function of leukocytes?
white blood cells
what is the function of thrombocytes?
the smallest of the formed elements and better known as platelets
what do platelets do?
clott
what is hemoglobin and what does it do?
is an iron containing pigment in RBC that enables them to transport oxygen and carbon dioxide and also gives them their red color
name 3 types of white blood cells
monocytes basophils and neutrophils
what is the most common most rare, agglutination, and what determines type?
o is the most common and ab is the least common. and its based on the presence or absence of two antigens identified as a and b
what is the most serious complication of transfusion with wrong type blood?
die
what is the liquid portion of blood only when the blood clots?
serum has no fibrogen
what is the liquid portion of blood in body and in anti-coagulation tubes?
plasma
what is whole blood and what is the most common test performed on whole blood
CBC
what is buffy coat and what are its components?
the middle layer of a spun tube and consist of white blood cells and platelets
name the tubes that clot and produce serum by color and name

SST, red, navy blue with no additive
what tubes do not clot and make plasma?
sodium heparin lithium heparin blue lavender pink yellow and grey
what can we deturmine by analyzing blood?
everything
what is the most numerous type of cell in the body?
red blood cells
what is a bevel?
the point of the needle that is cut on a slant for ease of skin entry

do alcohol wipes disinfect and sterilize?
no just disinfect
what is a tourniquet used for?
to stop blood flow and to make it easier to feel vein and puncture it
what is the gauge of the needle we use?
21
how do the numbers of the gauge relate to the size of the needle?
the bigger the number the smaller the tubes
silicon gel separator what does it do and what tubes have it?
separates serum from cells and PST SST and tiger tops have them
what are sharps container used for?
bio-hazard and for discarding needles
HCT AND Hgb?
purple and hematology
antibody (AB) screen
pink purple red yellow blood bank
c reactive protein (CRP)
SST and red serrology and immunology
electrolytes
SST/PST chem
Lipase
SST/PST chem
fibrinogen
light blue coagulation
epstein barr virus (EBV)
SST and red serology
comprehensive metabolic panel
SST/PST red chem
drug
red chem
glucose
gray chem
ESR (sed rate)
purple hematology
PT (prothrombin time)
light blue coagulation
type and rh (abo rh)
pink purple red yellow blood bank
cholesterol
SST/Pst chemistry
CBC (complete blood count)
purple hematology
what different departments is a red from?
toxocology blood bank and serology

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