Final - Htec 64B Phlebotomy Exam #1 Part 2 (Safety)

Front 1

Identify the basic role of the phlebotomist in providing healthcare to patients

Back 1

collect blood and other specimens for laboratory analysis

Front 2

List 4 essential characteristics that a phlebotomist must have

Back 2

1. good manual dexterity
2. special communication skills
3. Good organizational skills
4. A thorough knowledge of lab specimen requirements and dept policies

Front 3

List all requirements that must be met BEFORE applying for CPT-1 certification

Back 3

1. High school graduate or equivalent
2. 40 hrs didactic instructions (20-basic, 20-advanced)
3. 40 hours practical training in clinical setting
4. 50 venipunctures + 10 skin punctures + observe 2 arterial punctures
5. Examination by CDPH-LFS approved certifying organization

Front 4

Identify the acronym HIPAA and tell what it regulates

Back 4

Health Insurance Portability and Accountability Act of 1996.
Regulates privacy of personal health information

Front 5

List 6 clinical analysis areas (departments) in a clinical lab where testing is performed

Back 5

1. Hematology
2. Coagulation
3. Chemistry
4. Serology or Immunology
5. Urinalysis
6. Microbiology

Front 6

State the central principle of Universal Precautions

Back 6

The blood and certain body fluids of all individuals were considered potentially infectious

Front 7

List the 4 Bloodborne Pathogens occupational exposure routes

Back 7

1. Skin pierced by a contaminated sharp
2. Blood or body fluid splashes onto mucous membranes (eyes, mouth, nose)
3. Blood or body fluid gets onto non-intact skin (a cut, scraped, chapped skin)
4. Human bite that breaks the skin

Front 8

Define percutaneous exposure. List!

Back 8

a) Percutaneous exposure is exposure to biohazardous microorganisms in blood or body fluid that occurs through the skin by
i) Accidental needlesticks
ii) Injuries from other sharps
(1) Broken glass
(2) Specimen tubes

Front 9

9) List the three components of communication.

Back 9

a) Verbal skills
b) Active listening skills
c) Nonverbal skills (body language)

Front 10

List the five means of infection transmission in the chain of infection.

Back 10

a) Airborne
b) Contact (touching, contaminated objects)
c) Droplet (coughing, sneezing)
d) Vector (insects, arthropod, animal)
e) Vehicle (food, water, drugs)

Front 11

11) List the actions to take if electrical shock occurs.

Back 11

a) Shut off source
b) If not possible, use nonconducting material to remove source
c) Call for medical assistance
d) Start CPR
e) Keep victim warm

Front 12

a) the NFPA memory jogger for order of action in case of fire

Back 12

i) R = Rescue individuals in danger
ii) A = Alarm: activate the fire alarm
iii) C = Confine the fire by closing all doors and windows
iv) E = Extinguish the fire with the nearest suitable fire extinguisher

Front 13

14) List the three principles in radiation exposure.

Back 13

a) distance
b) shielding
c) time

Front 14

15) List three examples of situations in which a healthcare worker may be at risk of exposure to radiation.

Back 14

a) When collecting specimens from patients who have been injected with radioactive dyes
b) When collecting specimens from patients in the radiology department or nuclear medicine
c) When delivering specimens to radioimmunoassay sections of the laboratory

Front 15

16) State the purpose of the OSHA Hazardous Communication Standard.

Back 15

To protect employees who may be exposed to hazardous chemicals.

Front 16

17) List the four HAZCOM labeling requirements.

Back 16

a) A statement of warning such as “danger” or “poison”
b) A statement of the hazard (e.g., toxic, flammable, combustible)
c) Precautions to eliminate risk
d) First aid measures in the event of a spill or other exposure

Front 17

a) OSHA - Occupational Safety and Health Administration –

Back 17

Occupational Safety and Health Administration – U.S. government agency that mandates and envorces safe working conditions for employees.

Front 18

Bloodborne Pathogen

Back 18

b) BBP – Bloodborne Pathogen – Term applied to infectious microorganisms in blood or other body fluids.

Front 19

Clinical and Laboratory Standards Institute

Back 19

e) CLSI (NCCLS) – Clinical and Laboratory Standards Institute – A global, nonprofit, standards-developing organization comprising representatives from the profession, industry, and government.

Front 20

Clinical Laboratory Improvement Acto of 1988 (CLIA)

Back 20

f) CLIA – Clinical Laboratory Improvement Act of 1988 – a federal law that allows the Centers for Medicare and Medicaid Services (CMS) in the Department of Health and Human Services to regulate all sites performing laboratory testing in the United States.

Front 21

National Fire Protection Association

Back 21

g) NFPA – National Fire Protection Association
i) Federal agency that regulates disinfectant products and the disposal of hazardous waste, among other responsibilities associated with developing and enforcing regulations that implement environmental laws enacted by Congress.

Front 22

Define permucosal exposure.

Back 22

b) Permucosal exposure occurs when infectious microorganisms and other biohazards enter the body through
i) The mucous membranes of the mouth and nose
ii) The conjunctiva of the eyes in droplets generated by
(1) sneezing or coughing,
(2) splashes
(3) aerosols
(4) rubbing or touching the eyes, nose, or mouth with contaminated hands.

Front 23

List the 5 Biohazard Exposure Routes.

Back 23

Airborne
Ingestion
Nonintact skin
Percutaneous
Permucosal

Front 24

Review Box 3-4 on page 82 for General Laboratory Safety Rules.

Back 24

See page 82

Front 25

List 4 examples of Engineering Controls.

Back 25

1. Sharps containers
2. Safety needles
3. Eye wash faucets
4. Plastic blood tubes

Front 26

In the event of an exposure incident in our classromm, list 4 things you should do.

Back 26

1. If a sharp injury or non-intact skin exposure: immediately wash with running water & soap for 2 minutes
2. Then inform the instructor right away
3. If a mucous membrane exposure wash (mouth or eyes) immediately with running water for 10 minutes, then inform instructor
4. Report to DeAnza Student Health Service