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Phlebotomy Study Guide 2023, Exams of Molecular biology

Western Governors University (WGU)Molecular biology

A study guide for phlebotomy students. It contains questions and answers related to phlebotomy procedures, including the placement of tourniquets, the tubes used for blood collection, and the identification of patients. The guide also covers topics such as informed consent, protective isolation, and accidental needlestick procedures. useful for students preparing for phlebotomy exams or looking to refresh their knowledge of phlebotomy procedures.

Typology: Exams

2022/2023

Available from 07/12/2023

oliver001
oliver001 🇺🇸

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Phlebotomy Study Guide 2023
How far above the draw site should the tourniquet be placed? - 😊4-6 inches
Briefly explain the area in which to draw a PKU test on an infant. - 😊PKU testing is
done on blood from a newborn's heel or on urine
What is the additive in a LIGHT BLUE top tube? - 😊Sodium Citrate
Define Neonate - 😊Of, relating to, or affecting the newborn & especially the human
infant during the first month after birth
What does layperson terms mean? - 😊Words that someone who is not an export can
understand
Which way should the bevel be facing when entering in the arm? - 😊Upwards
What tube contains a preservative & an anticoagulant? - 😊Gray Top Tube
-preservative: Sodium Flouride
-anticoagulant: Potassium Oxalate
Who usually will draw an arterial blood gas & what are the 4 things they are checking for
in the blood? - 😊*Respiratory Therapist, Nurse, Physician
*4 Things To Check For In Blood:
-pH
-Carbon Dioxide
-Oxygen
-Bicarbonate
Which tubes contain anticoagulants & of those tubes write the anticoagulant. - 😊Light
Blue - Sodium Citrate
Light Green - Lithium Heparin
Dark Green - Sodium Heparin
Lavender - EDTA
Pink - EDTA (Potassium EDTA)
Gray - Potassium Oxalate
Dark Blue w Blue Stripe - EDTA
True/False: OSHA permits the removal of a glove/gloves while putting on a patients
bandage/bandaid? - 😊False
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Phlebotomy Study Guide 2023

How far above the draw site should the tourniquet be placed? - 😊4-6 inches Briefly explain the area in which to draw a PKU test on an infant. - 😊PKU testing is done on blood from a newborn's heel or on urine What is the additive in a LIGHT BLUE top tube? - 😊Sodium Citrate Define Neonate - 😊Of, relating to, or affecting the newborn & especially the human infant during the first month after birth What does layperson terms mean? - 😊Words that someone who is not an export can understand Which way should the bevel be facing when entering in the arm? - 😊Upwards What tube contains a preservative & an anticoagulant? - 😊Gray Top Tube -preservative: Sodium Flouride -anticoagulant: Potassium Oxalate Who usually will draw an arterial blood gas & what are the 4 things they are checking for in the blood? - 😊*Respiratory Therapist, Nurse, Physician *4 Things To Check For In Blood: -pH -Carbon Dioxide -Oxygen -Bicarbonate Which tubes contain anticoagulants & of those tubes write the anticoagulant. - 😊Light Blue - Sodium Citrate Light Green - Lithium Heparin Dark Green - Sodium Heparin Lavender - EDTA Pink - EDTA (Potassium EDTA) Gray - Potassium Oxalate Dark Blue w Blue Stripe - EDTA True/False: OSHA permits the removal of a glove/gloves while putting on a patients bandage/bandaid? - 😊False

What is Implied Consent? - 😊Patient's actions gives permission for the procedure without verbal or written consent. What 2 gloves may be used if non-latex gloves cause skin allergies for your patient? - 😊Vinyl or Nitrile What is another name for a winged infusion set? - 😊Butterfly Needle What is QNS defined as? - 😊Quantity Not Sufficient What is a Creatinine Clearance? How must it be stored? - 😊*24-hour Urine & Serum test in both a blood & urine collection *must be refrigerated Is CaviCide used to cleanse an area on a patient for venipuncture? - 😊No If you got an accidental needlestick on your finger with a used butterfly needle, what is your next course of action? - 😊1. WASH exposed area thoroughly with soap & running water

  1. REPORT exposure to supervisor ASAP
  2. REFER to an MSDS
  3. Fill out an exposure REPORT form If the sharps container is overflowing when you come into shift, what is the appropriate response? - 😊Report violation to supervisor All healthcare workers are required to vaccinate or sign a declination form for which virus? - 😊Hepatitis B What is ETOH? - 😊Alcohol in blood testing -a blood ethanol test/blood alcohol test What is Protective Isolation? - 😊Designed to keep susceptible patients isolated as to not infect them with a disease/infection we have or may be carrying from the outside. What is Informed Consent? - 😊A competent person gives voluntary permission for a medical procedure after receiving adequate information about the risk of, methods used & consequences of the procedure. What would you draw an APTT in? - 😊Light Blue top tube w anticoagulant Sodium Citrate - yields plasma What is the proper way to identify a patient? - 😊A patient's ID band/bracelet containing pertinent information about patient.

True/False: Eating in the lab is not an OSHA violation. - 😊False What is the most common cause for blood culture contamination? - 😊Improper skin contamination What would be the correct Order of Draw for a blood culture APTT, CBC, ESR, LYTES, & CMP? - 😊Light Blue Top Tube - APTT SST-Gold/Speckled Top Tube - CMP Light Green Top Tube - LYTES Lavender Top Tube - CBC & ESR Explain the 4 types of OSHA compliance? - 😊1. Complaint Inspection: occurs after an employee files a formal complaint with OSHA. (Most Common)

  1. Fatality/Accidents Inspection: occurs after OSHA receives notice from employer of a workplace fatality/accident resulting in hospitalization of 3 or more employees.
  2. Programmed Inspection: an inspection conducted of randomly chosen workplaces determined to be engaged in particularly hazardous types of work according to their SIC codes.
  3. Imminent Danger Inspection: occurs when OSHA receives a report that a condition of imminent danger exists at a workplace. (Least Common) Semen must reach the lab in what time frame? - 😊Must reach lab in less than 30 min

as close to body temp as possible If you draw a sample for culture & sensitivity, what section of the lab would receive that?

  • 😊Microbiology Section CBC's should never be... - 😊Centrifuged List the 5 White Blood Cells (Leukocytes) - 😊1. Neutrophils
  1. Lymphocytes
  2. Monocytes
  3. Eosinophils
  4. Basophils What does an Icteric Specimen look like? - 😊Serum/Plasma will look greenish/brownish in color What kind of consent is required for an underage/minor patient? - 😊Parental Consent for Minors What does OSHA stand for & what do they do? - 😊Occupational Safety & Health Administration

OSHA prevents work-related injuries, illnesses, & deaths What does CLSI stand for & what do they do? - 😊Clinical Laboratory Standards Institute CLSI promotes the development & use of voluntary laboratory consensus standards & guidelines within the healthcare community. What is an H. Pylori test? What are the steps/process for the H. Pylori test? - 😊A breath test Carbon Isotope-urea Breath Test Urea Breath Test Steps/Process

  1. Up to 2 weeks before test, Pt needs to stop taking antibiotics, bismuth medicines & proton pump inhibitors (PPIs)
  2. During the test, Pt will swallow a special substance that has urea. (Urea is a waste product that the body produces as it breaks down protein. Urea used in the test has been made harmlessly radioactive.
  3. If H. Pylori are present, bacteria convert the urea into carbon dioxide >detected & recorded in Pts exhaled breath after 10 minutes
  4. Pts should not talk or consume anything (i.e. eat or drink) after/between the baseline breath test & final breath test.
  5. This test can identify almost all ppl who have H. Pylori - can also be used to check that the infection has been fully treated