Term
What are the three parts of the "2 out of 3 rule?" |
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Definition
1-pt. name-they tell you who they are- has to match 2-pt. birthdate -if out pt. 2-pt. medical record #-if in pt. (hospital or long term care facility) |
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Term
Give an example of the "2 out of 3 rule use? |
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Definition
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Term
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Definition
following acceptable conduct as determined by national standard. EX: Drawing blood using CLSI guidelines (Clinical Lab Standards Institute) Write step by step procedures, if you follow you are legally protected. |
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Term
What is the most important thing you do as a phlembotomist? |
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Definition
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Term
Give an example of what could happen if standard of care is not followed? |
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Definition
Criminal action-acts or offences against the public welfare. Charges can be brought against you. Can lead to imprisonment. Civil action-injury to one person for which another person is legally responsible. Sued for $ damages. |
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Term
What is the difference between malpractice and negligence? |
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Definition
Malpractice-is the delivery of substandard care that results in harm to a pt.
Negligence-the failure to perform an action consistent with the standard of care is negligence. |
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Term
What is the difference between assault and battery? |
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Definition
Assault-the threat or attempt to touch someone without permission. (if you touch someone) Battery-the intentional touching of another person without consent. (Draw blood with out pt. consent) |
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Term
How do you obtain permission if the patient is unconscious? |
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Definition
absence of consent or implied consent-emergency treatment pt. unconscious. Book: pg 166 Never draw from a sleeping pt. try and wake them. If in ER, or ICU identify yourself and describe procedure. |
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Term
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Definition
Greek word. Phlebo means vein tomy means to make an incision |
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Term
Phlebotomy skills would not include which of the following? |
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Definition
Organization handling pt. correspondence interpersonal skills being able to handle stress |
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Term
The monitoring system for institutions that train phlebotomists is know as? |
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Definition
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Term
Once phlebotomists are certified continuing education programs allow them to earn? |
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Definition
CEUs (continuing educations units)to remain certified. |
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Term
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Definition
pt. must be informed of intended treatments and their ristks before they are performed. |
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Term
Which is not a required personal characteristic of a professional phlebotomist? |
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Definition
dependability honesty compassion sense of humor |
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Term
When a pt. in the hospital refuses to have blood drawn, the phlebotomist should? |
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Definition
notify the patient's nurse to ensure that the physician or other ordering practitioner is notified promptly. |
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Term
What is the average depth of an infant lancet? |
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Definition
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Term
What is the average depth of an adult lancet? |
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Definition
2.4mm deep (2.0 - 3.0 also seen) |
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Term
Give four reasons why a skin puncture might be performed? |
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Definition
pt. for whom only 1 blood test ordered. pt. requiring frequent blood tests. pt. glucose monitoring pt. under age 2. geriatric pt. obese pt. pt. rist for serious complications from venous puncture pt. rist for venous thrombois or pt. with burns or scars over venipuncture sites. risk of clotting within veins. |
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Term
List four different collection devices for the skin puncture blood.(what does the blood go in?) |
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Definition
microcollection tubes (bullets) Micropipets/Caraway/Natelson pipets Capillary tubes/microhematocrit tubes metabolic screening cards peripheral blood smear(slide) |
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Term
From the 100 Most Common Lab Test list. Name:4 antibiotics |
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Definition
Amikacin Gentamicin Tobraamycin Vancomycin |
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Term
From the 100 Most Common Lab Test list. Name:1 Heart Medication |
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Definition
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Term
From the 100 Most Common Lab Test list. Name: 2 Drugs for seizures(epilepsy) |
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Definition
Dilantin (Phenytoin Phenobarbital |
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Term
What are the drugs used/monitored for? Name: cyclosporine |
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Definition
anti rejection drug for transplant pt. |
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Term
What are the drugs used/monitored for? Name: lithium |
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Definition
drug for treatment of psychosis |
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Term
What are the drugs used/monitored for? Name: theophyllin/aminophyllin |
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Definition
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Term
What are the drugs used/monitored for? Name: ethanol |
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Definition
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Term
Dermal punctures are performed on? |
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Definition
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Term
Which of the following has a higher value in capillary blood as opposed to venous blood? |
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Definition
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Term
Good candidates for dermal collection include patients who? |
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Definition
require frequent collection, obese, severely dehydrated, all of the above |
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Term
Dermal puncture may be appropriate in elderly patients because |
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Definition
their veins tend to be small and fragile. |
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Term
An infant heel-warming device should be applied for approx |
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Definition
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Term
The depthof a heel puncture should not be more than? |
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Definition
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Term
Which finger is most widely used for capillary collection? |
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Definition
middle or ring finger on non dominate hand. |
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Term
In performing a dermal puncture, the puncture should be? |
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Definition
perpendicular to the whorls of the fingerprint. |
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Term
The location for heel sticks is the? |
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Definition
medial or lateral boarders of the plantar surface. back of the heel off to the side, fleshy side. |
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Term
In the dermal puncture, which test is collected first? |
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Definition
Blood smear #1 platelet counts#2 CBC#3 electrolytes#4 |
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