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NHA Phlebotomy Exam 100% verified
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NHA Phlebotomy Exam 100% verified
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NHA Phlebotomy ExamOSHA - ANSEstablishes regulations and guidelines to direct phlebotomists to work at the
highest level of safety possible when handling bio hazards and chemicals.
The blood borne pathogens standard (OSHA) - ANS- addresses use of PPE
- availability to the Hep B immunization
- Each workplace must have a exposure control plan
- has guidelines to ensure safety
- provides standard plans for after an exposure.
- engineering controls and record keeping protocols
PPE for venipuncture and capillary (OSHA) - ANSwell fitting gloves
Airborne infection PPE (OSHA) - ANSN99 or N95 mask
What do you do when you have an accidental needle stick? (OSHA) - ANSFirst you wash the
area with soap and water (basic first aid), then undergo medical examination that includes you
and the patient get tested for HIV, HBV and HCV. Then document the exposure in sharps injury
log.
What do you include in a sharps injury log? (OSHA) - ANSdate and time of incident, type of
sharps used, who was involved (patient or staff w/o names), location and a detailed description
of how it occurred.
What is the joint commission? - ANS- accredits and certifies healthcare organizations
- independent, nongovernmental, and nonprofit
- focuses on continual improvement of patient safety and quality of care through regulations and
standards
The national patient safety goals program (JC) - ANSsets requirements for issues including
training of health care professionals, communication of test results, and accurate IDs (2-factor
method)
Clinical and Laboratory Standards Institute (CLSI) - ANS-develops standards and guidelines in
order for a laboratory to be accredited
- provides guidelines for phlebotomists for better accuracy and patient care (like for the use of
tubes and needles). standards include level of additives and their use for which tests, order of
draw, processing and handling, depth of needle and location needed for capillary collection
- provides guidelines for quality control, patient care, risk reductions, and time saving and cost
cutting measures.
,Centers for Disease Control and Prevention (CDC) - ANS- helps ID and and educate about
infections, illnesses and disease preventions.
- IDs new disease and works to prevent spreads
- Provides guidelines for PPE sharps handling and hand hygiene
- recommends standard precautions when handling body fluids
HIPPA - ANS- Protects every patients PHI (protected health info) which is any and all info that
relates to the patients medical record or electronic health record.
- details what info is confidential and any authorized release of that info
Info protected under HIPPA - ANSdemographic info, treatment, meds, diagnostic testing. Any
info w/o a way to ID the patient is not protected
When is the phlebotomist responsible for the patient? - ANSBefore, during and immediately
after venipuncture
What happens if you go through with the venipuncture without consent? - ANSIt would be
considered assult
Techniques to find a vein - ANSwarming the area, wiping it with an alcohol wipe, and lowering
the limb below the level of the patients heart
Why do phlebotomists avoid the wrist? - ANSpotential ulnar nerve damage or inadvertent
arterial access
Why is the basilic vein the least desirable for venipuncture? - ANSit is close to the brachial
artery and it is most painful
Why would a phlebotomist avoid the legs and feet of a patient who has diabetes mellitus? -
ANSTo prevent possible infection
What do you do if a hematoma develops? - ANSStop the procedure
What do you do if the patient shows early signs of a seizure or syncope? - ANSYou immediately
stop the procedure and lie them on the floor or in their bed. Give them a cold compress and stay
with them until they recover
Quality control - ANSa measure of precision or of how well an instrument is functioning over
time
Quality assurance - ANSensuring a test is as accurate as possible
What do you write in the equipment log - ANSThe time and date you ran a quality control test
and the results of the test
, How often should you clean lab equipment? - ANSseveral times per day
Why would a centrifuge be shaking excessively? - ANSThe tubes need to be about the same
size and volume. The tubes also have to be placed directly across from each other
What could happen if the centrifuge shakes too much - ANStube breakage or improper
centrifuging
What do you do if a piece of equipment is not working correctly or at all? - ANSMake a repair
report (state the date, description of issue, and the steps you took to try to fix the problem)
How can you ensure quality control when using glucometers? - ANSUse of external controls,
matching test strip codes and reviewing expiration dates
When do you use external controls when using a glucometer? - ANS- when opening a new
package of strips and each day you preform a test
- drastically out of range readings
- use at room temp and not past expiration date
What step should the phlebotomist take after seeing 2 widely divergent test results in a
glucometer? - ANSPreform liquid controls (running controls will help to troubleshoot the
problem)
What should the phlebotomist do about the defective glucometer strips? - ANSContact the
manufacturer and follow instructions for sending back the strips
While collecting a blood specimen, a phlebotomist notices the glass collection tube is cracked.
What would be the correct action? - ANSdispose of the tube in a sharps container
A phlebotomist is taking blood from a patient with a MRSA infected wound, what should they do
once once the procedure is done? - ANSDispose of their gown before leaving the room
A phlebotomist is performing a blood alcohol test. What antiseptic should they use? -
ANSChlorhexidine gluconate (ethanol, iodine tincture and isopropyl alcohol all has alcohol in it
and would skew the results)
If a centrifuge where to catch on fire, which class of fire would it be? - ANSClass C (it involves
electrical equipment)
What is the current procedure for CPR on an infant? - ANS30 compressions, 1.5 in deep (using
2 fingers)
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