Phlebotomy NHCO WITH 100% SURE ANSWERS
This is granted by the state or local government body giving the license holder legal
License
permission to practice in a particular health profession
State health department Contact this place to transfer your license to a different state
Any individually identifiable health information that is transmitted or stored
Protected Health Information (PHI)
electronically
Social media posts and gossip Two examples of HIPAA breaches
Lock the screen When PHI is accessed on a computer, what must you do before stepping away?
The group that that looks out for patients and establishes standards and practices of
The joint commission operations in all healthcare settings. Their mission is to improve healthcare offerings
to the public, particularly patient safety.
A non-profit organization that develops standards using representatives taken
Clinical and Laboratory Standards Institute
directly from fields they oversee. They innovate and update lab practices as well as
(CLSI)
set standards for certification.
Battery The unprivileged touching of a person without consent regardless of intent to harm
No, that is the physicians' job Are phlebotomists allowed to give patients results of explain what the tests check?
Under this, patients have a right to know what tests are being performed and decline
Patient's Bill of Rights
medical treatment
A competent person gives voluntary permission for a medical procedure after
Informed consent receiving adequate information about the risk of the procedures methods and
consequences
Informed consent Type of consent typically gotten from first time patients
Expressed consent Permission is given by the patient verbally or in writing for a procedure
Implied consent The patient's actions permit the procedure without verbal or written consent
Implied consent Holding preferred arm out when asked which arm
Patient identification the most important step to ensure accuracy in sample collection is _________
Patient identification the first step in preparing a laboratory specimen
1/5
, Patient identification The worst mistake a phlebotomist can make
Never eat drink smoke or chew gum in the Two important lab rules from OSHA
lab
Always wear PPE when working in the lab
(provided at no cost)
Ensure employee safety of any field OSHA's role
All supplies Which supplies are single use only?
Small veins (ie hand, peds), weak veins Which patients should you use a winged infusion set on?
(elderly)
5 degrees The angle of entry in a hand vein with the butterfly needle
Never Should you recap a needle?
Check requisition form for specimen ID Besides patient ID, what should you do before performing venipuncture?
code (ICD 10), duplicate orders,
discrepancies and any missing info
The diagnosis or disease code for providers to communicate with insurance
ICD 10 code
company for coverage
ID by a family member who knows their full For an unconscious patient, what is an acceptable form of patient ID?
name and DOB
Most common for phlebotomy procedures, uses a strait double-ended needle (or
Evacuated tube method
butterfly) and a color coded tube
Syringe method Less common method of blood draw for peds and fragile veins
The vein most commonly used for venipuncture procedures; large and does not
Median cubical vein
tend to move when needle inserted
Large vein on the outermost side of the upper arm; supposedly most easy to palpate
Cephalic vein
in bariatric patients
Vein that is least firmly anchored and is located near the brachial artery; most
Basilic vein
sensitive to pain
Stop the draw If the patient states that the draw abnormally hurts, itches, or is painful, do this.
Lumen Hollow part of needle shaft
Fleams Tabs on either side of the hub
Gauge The size of the lumen, larger number the smaller the needle
Must perform hand hygiene If you need to step away from patient for any reason, you must perform this.
After the venipuncture When should you label your tubes?
Contaminated Needles that touch ANYTHING before insertion are considered —.
Tourniquet, tube, gauze, safety Four steps for ending a draw
1. Remove the tourniquet
2. Remove the tube
3. Hover the gauze above needle
4. Lock in the safety and hear it click, throw
needle away immediately into sharps
5. Label tube and invert
6. Check patient for bleeding,
discoloration, swelling
*NEVER remove tube and needle
together!!!
2/5
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