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Phlebotomy
Review # 1, Dermal Punctures Cpt.10 & Legal Issues Cpt.19
36
Other
Undergraduate 1
09/06/2012

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Cards

Term
What are the three parts of the "2 out of 3 rule?"
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)
Term
Give an example of the "2 out of 3 rule use?
Definition
Term
Define standard of care?
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.
Term
What is the most important thing you do as a phlembotomist?
Definition
identify the patient
Term
Give an example of what could happen if standard of care is not followed?
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.
Term
What is the difference between malpractice and negligence?
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.
Term
What is the difference between assault and battery?
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)
Term
How do you obtain permission if the patient is unconscious?
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.
Term
Phlebotomy means?
Definition
Greek word.
Phlebo means vein
tomy means to make an incision
Term
Phlebotomy skills would not include which of the following?
Definition
Organization
handling pt. correspondence
interpersonal skills
being able to handle stress
Term
The monitoring system for institutions that train phlebotomists is know as?
Definition
accreditation
Term
Once phlebotomists are certified continuing education programs allow them to earn?
Definition
CEUs (continuing educations units)to remain certified.
Term
Imformed consent means?
Definition
pt. must be informed of intended treatments and their ristks before they are performed.
Term
Which is not a required personal characteristic of a professional phlebotomist?
Definition
dependability
honesty
compassion
sense of humor
Term
When a pt. in the hospital refuses to have blood drawn, the phlebotomist should?
Definition
notify the patient's nurse to ensure that the physician or other ordering practitioner is notified promptly.
Term
What is the average depth of an infant lancet?
Definition
less than 2.0mm deep
Term
What is the average depth of an adult lancet?
Definition
2.4mm deep (2.0 - 3.0 also seen)
Term
Give four reasons why a skin puncture might be performed?
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.
Term
List four different collection devices for the skin puncture blood.(what does the blood go in?)
Definition
microcollection tubes (bullets)
Micropipets/Caraway/Natelson pipets
Capillary tubes/microhematocrit tubes
metabolic screening cards
peripheral blood smear(slide)
Term
From the 100 Most Common Lab Test list.
Name:4 antibiotics
Definition
Amikacin
Gentamicin
Tobraamycin
Vancomycin
Term
From the 100 Most Common Lab Test list.
Name:1 Heart Medication
Definition
Digoxin
Term
From the 100 Most Common Lab Test list.
Name: 2 Drugs for seizures(epilepsy)
Definition
Dilantin (Phenytoin
Phenobarbital
Term
What are the drugs used/monitored for?
Name: cyclosporine
Definition
anti rejection drug for transplant pt.
Term
What are the drugs used/monitored for?
Name: lithium
Definition
drug for treatment of psychosis
Term
What are the drugs used/monitored for?
Name: theophyllin/aminophyllin
Definition
astma medication
Term
What are the drugs used/monitored for? Name: ethanol
Definition

intoxication for alcohol

 

Term
Dermal punctures are performed on?
Definition
capillaries
Term
Which of the following has a higher value in capillary blood as opposed to venous blood?
Definition
hemoglobin
Term
Good candidates for dermal collection include patients who?
Definition
require frequent collection,
obese,
severely dehydrated,
all of the above
Term
Dermal puncture may be appropriate in elderly patients because
Definition
their veins tend to be small and fragile.
Term
An infant heel-warming device should be applied for approx
Definition
3-5 mins.
Term
The depthof a heel puncture should not be more than?
Definition
2.0mm
Term
Which finger is most widely used for capillary collection?
Definition
middle or ring finger on non dominate hand.
Term
In performing a dermal puncture, the puncture should be?
Definition
perpendicular to the whorls of the fingerprint.
Term
The location for heel sticks is the?
Definition
medial or lateral boarders of the plantar surface.
back of the heel off to the side, fleshy side.
Term
In the dermal puncture, which test is collected first?
Definition
Blood smear #1
platelet counts#2
CBC#3
electrolytes#4
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