OSHA - (CORRECT ANSWER)-Establishes regulations and guidelines to direct
b b b b b b b b
b phlebotomists to work at the highest level of safety possible when handling bio hazards
b b b b b b b b b b b b b
b and chemicals.
b
The blood borne pathogens standard (OSHA) - (CORRECT ANSWER)-- addresses use of
b b b b b b b b b b b
b PPE b
- availability to the Hep B immunization
b b b b b b
- Each workplace must have a exposure control plan
b b b b b b b b b
- has guidelines to ensure safety
b b b b b b
- provides standard plans for after an exposure.
b b b b b b b
- engineering controls and record keeping protocols
b b b b b b
PPE for venipuncture and capillary (OSHA) - (CORRECT ANSWER)-well fitting gloves
b b b b b b b b b b
Airborne infection PPE (OSHA) - (CORRECT ANSWER)-N99 or N95 mask
b b b b b b b b b
What do you do when you have an accidental needle stick? (OSHA) - (CORRECT
b b b b b b b b b b b b b
b ANSWER)-First you wash the area with soap and water (basic first aid), then undergo
b b b b b b b b b b b b b
b medical examination that includes you and the patient get tested for HIV, HBV and HCV.
b b b b b b b b b b b b b b
b Then document the exposure in sharps injury log.
b b b b b b b
What do you include in a sharps injury log? (OSHA) - (CORRECT ANSWER)-date and time
b b b b b b b b b b b b b b
b of incident, type of sharps used, who was involved (patient or staff w/o names), location
b b b b b b b b b b b b b b
b and a detailed description of how it occurred.
b b b b b b b
,What is the joint commission? - (CORRECT ANSWER)-- accredits and certifies healthcare
b b b b b b b b b b b
b organizations
- independent, nongovernmental, and nonprofit
b b b b
- focuses on continual improvement of patient safety and quality of care through
b b b b b b b b b b b b
b regulations and standards b b
The national patient safety goals program (JC) - (CORRECT ANSWER)-sets requirements
b b b b b b b b b b
b for issues including training of health care professionals, communication of test results,
b b b b b b b b b b b
b and accurate IDs (2-factor method)
b b b b
Clinical and Laboratory Standards Institute (CLSI) - (CORRECT ANSWER)--develops
b b b b b b b b
b standards and guidelines in order for a laboratory to be accredited
b b b b b b b b b b
- provides guidelines for phlebotomists for better accuracy and patient care (like for the
b b b b b b b b b b b b b
b use of tubes and needles). standards include level of additives and their use for which
b b b b b b b b b b b b b b
b tests, order of draw, processing and handling, depth of needle and location needed for
b b b b b b b b b b b b b
b capillary collection b
- provides guidelines for quality control, patient care, risk reductions, and time saving and
b b b b b b b b b b b b b
b cost cutting measures.
b b
Centers for Disease Control and Prevention (CDC) - (CORRECT ANSWER)-- helps ID and
b b b b b b b b b b b b
b and educate about infections, illnesses and disease preventions.
b b b b b b b b
- IDs new disease and works to prevent spreads
b b b b b b b b
- Provides guidelines for PPE sharps handling and hand hygiene
b b b b b b b b b
- recommends standard precautions when handling body fluids
b b b b b b b
HIPPA - (CORRECT ANSWER)-- Protects every patients PHI (protected health info) which
b b b b b b b b b b b
b is any and all info that relates to the patients medical record or electronic health record.
b b b b b b b b b b b b b b b b
- details what info is confidential and any authorized release of that info
b b b b b b b b b b b b
Info protected under HIPPA - (CORRECT ANSWER)-demographic info, treatment, meds,
b b b b b b b b b
b diagnostic testing. Any info w/o a way to ID the patient is not protected
b b b b b b b b b b b b b
, When is the phlebotomist responsible for the patient? - (CORRECT ANSWER)-Before,
b b b b b b b b b b
b during and immediately after venipuncture
b b b b
What happens if you go through with the venipuncture without consent? - (CORRECT
b b b b b b b b b b b b
b ANSWER)-It would be considered assult b b b b
Techniques to find a vein - (CORRECT ANSWER)-warming the area, wiping it with an
b b b b b b b b b b b b b
b alcohol wipe, and lowering the limb below the level of the patients heart
b b b b b b b b b b b b
Why do phlebotomists avoid the wrist? - (CORRECT ANSWER)-potential ulnar nerve
b b b b b b b b b b
b damage or inadvertent arterial access
b b b b
Why is the basilic vein the least desirable for venipuncture? - (CORRECT ANSWER)-it is
b b b b b b b b b b b b b
b close to the brachial artery and it is most painful
b b b b b b b b b
Why would a phlebotomist avoid the legs and feet of a patient who has diabetes mellitus?
b b b b b b b b b b b b b b b
b - (CORRECT ANSWER)-To prevent possible infection
b b b b b
What do you do if a hematoma develops? - (CORRECT ANSWER)-Stop the procedure
b b b b b b b b b b b b
What do you do if the patient shows early signs of a seizure or syncope? - (CORRECT
b b b b b b b b b b b b b b b b
b ANSWER)-You immediately stop the procedure and lie them on the floor or in their bed.
b b b b b b b b b b b b b b
b Give them a cold compress and stay with them until they recover
b b b b b b b b b b b
Quality control - (CORRECT ANSWER)-a measure of precision or of how well an
b b b b b b b b b b b b
b instrument is functioning over time b b b b
Quality assurance - (CORRECT ANSWER)-ensuring a test is as accurate as possible
b b b b b b b b b b b
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