A patient who had a NPO sign above her bed asks you for a sip of water. What is the correct action to take?

NPO - Nothing by mouth.  Tell her she can't.

What is the Order of Draw?

1. SPS(Yellow)Blood Culture, Light Blue, SST(Red)Tiger/Gold, Light(PST)/Dark Green, Lavender/Pink, Gray

What is the additive in the Lavender Tube?

EDTA

What is the additive in Light Green tube?

Lithium Heparin

What is the most important factor in choosing which gauge needle to use for venipuncture?

Vein size, difficult veins

What is the additive in Red Tube?

No additive or Silica(Clot activator)

The ability of the body to repair itself to achieve a "steady state" is the definition of?

Homeostasis

Two phlebotomists are discussing a patient's condition in the elevator. What is wrong with this?

HIPAA violation

Which blood vessels contain valves to prevent backflow of blood?

Veins

A pink top tube is primarilly used for what type of testing?

BBID (Blood Bank)

Which blood cell has the ability to pass throught the blood vessel walls?

Leukocytes

When performing a venipuncture, what direction should the bevel of the needle face?

UP

What are the additives listed in order of draw?

1.  Blood culture- SPS/Aerobic,Anerobic

2.  Light Blue- Sodium Citrate(anticoagulant)

3.  Red/SST/Tiger/Gold- No additive, Silica(clot  

    activator/gel separator(Coag)

4. Lt Green(PST) - Lithium Heparin

   Dk Green - Sodium Heparin

5. Lavender/Pink - EDTA(anticoagulant)

6. Gray - Sodium Fluoride/Potassium Oxalate

What tests may require special chain of custody documentation?

Paternity, Toxicology

What is the major difference between arteries and veins?

Arteries: Oxygen Rich

Veins: Oxygen Poor

When using vocabulary that is easily understood by your patients you are doing what?

Breaking communication Barrier.

What are examples of QC?

Quality Control: pre analytical errors.

What do you do first in event of accidental needle stick?

Milk the area, rinse it, document/report.

If you draw from a patient without his or her consent you can be charged with what?

Battery

Blood bank requires blood in what type of tube?

Pink

List examples of QA?

Quality Assurance: Tracking contamination rate.

Close to site

How do you prevent hemoconcentration?

Don't leave tourniquet over time limit (2 min), do not have patient vigorously pump fist.

What is your first choice for ABG?

Radial

What is the order or ABG draw sites?

Radial, Brachial, Femoral, Dorsalis pedis

What fingers would be your first choice for capillary punctures?

Middle and Index finger on non-dominant hand

Define Mitosis.

Cell division

You must transfer blood from a syringe using what?

Transfer Device

What is a CVAD?

Central Vascular Access Device.

What is Basal State?

Metabolic resting state. Fasting for min 12 hours

Who can we perform capillary punctures on?

A child who is walking (usually over 12 months) and adults.

Order of draw for blood cultures when using a butterfly?

Aerobic

Order of draw for blood culture when using a syringe?

Anerobic

Why do physicians use TDM?

Therapeutic Drug Monitoring: Monitor drug levels, not exceeding limits.

List the ways we as medical personnel break the chain of infection?

Hand Washing, PPE

These are the initials of the agency that developed a hazard labeling system that is a diamond shaped sign containing the United Nations hazard class number and symbol representing the hazard

NFPA - National Fire Protection Association

What are on the Joint Commission's "Do not use" list?

Different acronyms that are to closely related.

If this particular specimen is labeled incorrectly it can result in fatal consequences for the patient?

Blood Bank

Where do you perform a heel puncture?

Lateral sides of the planter surface.

What is the first thing a phlebotomist should do in the event of a needle stick?

Milk area

What does QNS mean?

Quantity Not Sufficient

What does CBC mean and what tube is used?

Complete Blood Count - Lavender

What does CMP stand for and what tube is used?

Comprehensive Metabolic Panel. SST Red. (STAT Lt. Green)

What could put a patient in a isolation setting?

TB, Mrsa, Mono (anything contagious)

What are WBC?

White Blood Cells

What are the symptoms of shock?

Cold, Clammy Hands, sweating, pale.

What are RBC?

Red Blood Cells

What is the function of platelets?

Clotting

Gel Separator tube that contains Plasma?

PST (anti Coagulant) Chemistry, STAT, POCT

What is Needle Phobia?

Fear of Needles

We do this to locate the vein?

Palpate

How long should a patient fast for a FBS?

8-12 Hours

How can you tell you are in a vein when using a syringe?

Flash of blood in Hub (TUBE)