A.m.t State Test Phlebotomy

Front 1

Lavender
Additive, Dept, Most commont test, special considerations/handling

Back 1

EDTA
Hematology
CBC, Reticulocyte count

Front 2

Pink
Additive, Dept, Most commont test, special considerations/handling

Back 2

EDTA
Blood Bank
Rh factor, blood type, cross
match
must provide age or D.O.B
sometimes requires 2nd verification

Front 3

Royal Blue
Additive, Dept, Most commont test, special considerations/handling

Back 3

EDTA,none, sodium heparin
Chemistry or Toxicology
common test are trace element testing
Trace element free (lead, copper, aluminum)
has special aluminum free needle.
Toxicology checks for mercury & arsenic

Front 4

Tan
Additive, Dept, Most commont test, special considerations/handling

Back 4

EDTA or sodium heparin
Chemistry or Toxicology
testing for lead

Front 5

*******Light Blue*****
Additive, Dept, Most commont test, special considerations/handling

Back 5

Sodium Citrate
Coagulation
PT (prothrombin time), PTT or aPTT ( activated partial thromboplastin time)
tube must be filled completely and/or have a 9:1 ratio blood to anticoagulant ratio. use a discard tube first for a butterfly draw.

Front 6

Gray
Additive, Dept, Most commont test, special considerations/handling

Back 6

Potassium Oxalate, Sodium Fluoride
Chemistry
Glucose & Alcohol (EtOH) testing
if testing alcohol for legal purposes: no alcohol to skin, may require a chain of custody

Front 7

RED
Additive, Dept, Most commont test, special considerations/handling

Back 7

None
Chemistry/Serology
Therapeutic drug levels, HIV and Hepatitis C Testin

Front 8

Light Green
Additive, Dept, Most commont test, special considerations/handling

Back 8

Lithium Heparin
Chemistry
STAT BMP (basic metabolic panel)
No lithium testing

Front 9

Green
Additive, Dept, Most commont test, special considerations/handling

Back 9

Sodium Heparin
Chemistry
Stat Chemistry Testing or Potassium
No Sodium testing or BMP (basic metabolic

Front 10

EDTA

Back 10

Binds Calcium to prevent Coagulation
Lavender, Pink, Pearl, Tan, Royal Blue

Front 11

Test that required Chilled Specimens

Back 11

ACTH, Acetone, Blood Ammonia, Catecholamines, Free fatty Acids, Lactic Acids, Renin Activity

Front 12

Recommend Dilution for Sodium hyochlorite for cleaning blood or body fluid spills

Back 12

1:100
a 10 min contact time is required for disinfectants to be effective.

Front 13

Test that required Chilled Specimens

Back 13

ACTH, Acetone, Blood Ammonia, Catecholamines, Free fatty Acids, Lactic Acids, Renin Activity

Front 14

Light Sensitive Testing

Back 14

Bilirubin, Erythrocyte Protoporphyrin, Carotene

Front 15

Disinfectants

Back 15

EPA regulated chemical substance or solutions that are used to remove or kill microorganisms on surfaces and instruments. Typically are corrosive and are not safe for use on human skin.

Front 16

Recommend Dilution for Sodium hyochlorite for cleaning blood or body fluid spills

Back 16

1:100
a 10 min contact time is required for disinfectants to be effective.

Front 17

Alternative to handwashing

Back 17

wipe hands with dergent containing wipes followed by an alcohol based hand cleaner.

Front 18

Sharps containers

Back 18

must be clearly marked with a biohazard symbol, be rigid, puncture resistant, leak proof, and disposable and have locking lids.

Front 19

Gauge

Back 19

number that relates to the diameter of the lumen. The larger the gauge the smaller the needle.

Front 20

Most common guage of needle

Back 20

21

Front 21

Butterfly gauge

Back 21

23

Front 22

FDA

Back 22

responsible for clearing medical devices for marketing

Front 23

Butterfly infusion aka

Back 23

winged infusion blood collection set

Front 24

ECHO
Most common Anticoagulants

Back 24

E (EDTA) C (citrate) H (heprin) O (oxalated

Front 25

GO

Back 25

Gray tubes typically contain Oxalate

Front 26

EDTA

Back 26

Prevents coagulation by binding or chelating Calcium

Front 27

Citrates prevent coagulation by..

Back 27

binding calcium

Front 28

Heparin prevents clotting by...

Back 28

inhibiting thrombin formation.

Front 29

Oxxxalates prevent coagulation by.....

Back 29

precipitating calcium.

Front 30

SPS (Sodium Polyanethol Sulfonate

Back 30

used in Yellow stopper tubes for blood cultures.

Front 31

Antiglycolyctic agent

Back 31

prevents glycolysis, the breakdown or metabolism of glucose (blood sugar) by blood cells
Glucose concentration decreases at a rate of 10mg/dL per hr.

Front 32

Thixotropic gel

Back 32

inert synthetic substance that seperates cells from plasma or serum.

Front 33

Ex. of timed test

Back 33

2 hr PP GTT, Cortisol cardiac enzymes, Enzymes, TDM, Blood Cultures
Electrolytes
Glucose
H&H

Front 34

OUTPATIENT

Back 34

Name and D.O.B, must match the test requisition, patient shows some time of id like DL, insurance card, etc.

Front 35

Inpatient

Back 35

Ask patient name & D.O.B. must match ID Band, contact nurse if it does not match, don't draw until error is corrected.

Front 36

unconscious patient in ER.

Back 36

nurse will attact a 3 part ID band, all three parts must match

Front 37

First choice of veins for venipuncture

Back 37

Median Cubital, cephalic, and basilic veins.

Front 38

Tourniquet Application

Back 38

Tourniquet should be applyed 3 to 4 inch above intended venipuncture site.

Front 39

First choice of veins for venipuncture

Back 39

Median Cubital, cephalic, and basilic veins.

Front 40

Tubes should be labled with the following....

Back 40

Patients First & Last
Patients ID number or D.O.B
Date & Time of Collection
Phlebs initials
Pertinent additional information

Front 41

ANA, RA, Or RF

Back 41

diagnose lupus and rheumatoid arthritis

Front 42

CBC test is used to

Back 42

Diagnose kidney function Disorders that may be responsible for problems such as confusion, coma, seizures, and tremors

Front 43

ESR

Back 43

Detect inflammation; identify collagen vascular diseas

Front 44

Glucose concentration is Normally higher in capillary blood specimens
True or False

Back 44

TRUE

Front 45

What fingers can you puse for a capillary puncture

Back 45

Middle or Ring finger

Front 46

Define Osteomyelitis

Back 46

inflammation of the bone marrow and adjacent bone

Front 47

Define Osetochondritis

Back 47

Inflammation of the bone and cartilage as a result of infection

Front 48

maximum depth of a heel puncture on a infant

Back 48

2.0

Front 49

Safe area for a heel puncture on a infant

Back 49

the plantar surface of the heel, medial to an imaginary line extending from the middle of the great toe to the heel or lateral to an imaginary line extending from between the fourth or fifth toes to heel.

Front 50

Define PKU (phenylketonuria

Back 50

a genetic disorder characterized by a defect in the enzyme that breaks down the amino acid phenylalanine.

Front 51

Define Galactosemia

Back 51

an inherited disorder characterized by lack of the enzyme needed to covert the milk sugar galactose into glucose needed by the body for energy. Untreated infants will fail to thrive.

Front 52

Blood Spot collection

Back 52

wipe away first drop of blood
don't allow paper to touch heel of foot.
Blood needs to completly feel the spot.
Allow to airdry before folding or stacking.

Front 53

Modified Allen Test

Back 53

a way to check for collateral circulation prior to an abg. Release presure on ulnar artery first.

Front 54

CDC (CENTER FOR DISEASE CONTROL AND PREVENTION)

Back 54

Is charged with the investigation and control of various diseases, they develope guidelines and recommend safety precautions to protect healthcare workers and others from infection

Front 55

HICPAC
Healthcare infection control practices advisory committee

Back 55

Advises the CDC on updating guidelines regarding prevention of nosocomial infections in hospitals and other healthcare facilities

Front 56

Vector Transmission

Back 56

The transfer of an infectious agent carried by an insect, arthropod, or animal.

Front 57

Vehicle Transmission

Back 57

the transmission of an infectious agent through contaminated food, water or drugs.

Front 58

PPE

Back 58

Gloves, gown, lab coat, mask, face shields and goggles

Front 59

Order to put on PPE

Back 59

Gown, mask, gloves

Front 60

What antiseptic does not contain alcohol

Back 60

Benzalkonium Chloride

Front 61

What is the nuber on side effect of an ABG

Back 61

Arteriospasm

Front 62

Prior to an ABG test you use the Modified Allen Test, which result do need to go ahead with an radial draw

Back 62

Positive

Front 63

What is an Accession Number

Back 63

a Uniques number for each specimen. It comes from the specimen requisition program.

Front 64

Examples of Warmed specimens

Back 64

Cryglobulins, cold aggultinin, cryofibrinogen

Front 65

intimate Distance

Back 65

Radius of 1-18 inch.

Front 66

Respondeat Superior

Back 66

Let the master respond, empolyers are responsiable for their employees actions.

Front 67

Vicarious Liablity

Back 67

healthcare facility is responsiable for a contractor.

Front 68

Res Ipsa Loquitur

Back 68

The thing speaks for itself
Gross negligent

Front 69

CLSI

Back 69

Sets the sandard of care for labatories.

Front 70

Protective or reverse Isolation

Back 70

for highly susceptible patiens
protects patients from healthcare workers and other.

Front 71

Class C Fire is a...

Back 71

electrical fire

Front 72

Class A fire is a....

Back 72

Ordinary materials

Front 73

PASS

Back 73

pull pin
aim nozzle
squeeze trigger
sweep Nozzle

Front 74

RACE

Back 74

Rescue individuals in danger
Alarm: sound the alarm
Confine the fire
Extinguish the fire with enarest suitable fire extinguisher

Front 75

Anterior (ventral)

Back 75

To the front of the body

Front 76

External (superficial)

Back 76

on or near the surface of the body.

Front 77

Medial

Back 77

toward the midline or middle of the body

Front 78

Palmar

Back 78

Concerning the palm of the hand

Front 79

Proximal

Back 79

nearest the center of the body, origin, pint of attachment

Front 80

Superior (cranial)

Back 80

Higher, or above or toward the head

Front 81

Posterior (dorsal

Back 81

to the back of the body

Front 82

Lateral

Back 82

toward the side of the body

Front 83

Plantar

Back 83

Concerning the sole of the foot

Front 84

Distal

Back 84

Farthest form the center of the body, origin, or point of the attachment

Front 85

inferior (caudal)

Back 85

beneath, or lower or away from the head

Front 86

Anatomical postion

Back 86

Standing erect
Arms to the side
Eyes and palms facing forward

Front 87

What body system makes blood Cells

Back 87

Skeletal System

Front 88

What organ produces clotting factors

Back 88

Liver

Front 89

What layer of the skin avascular

Back 89

Epidermis

Front 90

Whole blood Contains:

Back 90

Plasma & formed Elements

Front 91

Buffy coat is..

Back 91

white blood cells & platelets

Front 92

Serum is

Back 92

blood samles allowed to clot, fibrinogen used to make the clot

Front 93

Plasma

Back 93

Anticoagulant prevents clot, fibrinogen is present in the sample

Front 94

Complete Blood Count (CBC)
(full name)

Back 94

white blood Count
Hemoglobin
hematocrit
platelets

Front 95

CBC
by abrevation

Back 95

WBC
Hb
Hct
Plts
Diff

Front 96

Arteries

Back 96

Carry Blood Away form heart

Front 97

Veins

Back 97

have vales, take blood back to the heart

Front 98

What are the formed elements

Back 98

erythrocytes, Leukocytes, thrombocytes.

Front 99

Plasma contains...

Back 99

90% water and 10% dissolved substances inc. fibrinogen, antibodies nutrients, minerals, gases

Front 100

Basic Metabolic Panal
(by Name)

Back 100

Sodium
Potassium
Bicarbonate
Blood Urea Nitrogen
Creatinine
Glucose

Front 101

BMP
(by abrevation)

Back 101

NA+
k+
CI
HC03-
BUN
CR
GLU

Front 102

What is the composition of Capillary Blood

Back 102

Arterial Blood
Venous Blood
Capillary Blood
interstitial Fluid
Intracellular Fluid

Front 103

What does Capillary blood resembles

Back 103

Arterial blood

Front 104

Order of draw for capillary draws

Back 104

Slides
EDTA Specimens
Other additive Specimens
serum specimens

Front 105

What is used for Skin Antisepsis

Back 105

Chlorhexidine Gluconate

Front 106

Define Septicemia

Back 106

Toxin that bacteria leaks

Front 107

What sites can be used for a ABG

Back 107

Radial artery
Brachial Artery
Femoral Artery

Front 108

HIPAA stands for

Back 108

health
insurance
portability and
accountability act

Front 109

Gold/Tiger

Back 109

None (thixotropic Gel
Chemistry
BMP

Front 110

What is used for Skin Antisepsis

Back 110

Chlorhexidine Gluconate

Front 111

Define Septicemia

Back 111

Toxin that bacteria leaks

Front 112

What sites can be used for a ABG

Back 112

Radial artery
Brachial Artery
Femoral Artery

Front 113

HIPAA stands for

Back 113

health
insurance
portability and
accountability act

Front 114

hyperglycemia

Back 114

adnormally high blood sugar

Front 115

Sodium Fluoride prevents..

Back 115

Glycolysis

Front 116

The Pulmonary Vein....

Back 116

returns oxygenated blood to the left atrium and is not apart of the systemic cirulation.

Front 117

Mitral valve is located..

Back 117

between the left atrium and left ventricle

Front 118

Intima

Back 118

the inner layer of the a blood vessel

Front 119

Hemolysis

Back 119

Damage to red blood cells and release of hemoglobin in the serum or plasma.

Front 120

a persons pulse is created by a wave of pressure caused by

Back 120

Ventricular contraction

Front 121

LDH and CK are test for..

Back 121

Enzymes present in a the cardiac muscle, thery are released during a myocardial infarction.

Front 122

ALP & ALT are test for

Back 122

enzymes measured most commonly to determine liver function