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| Section | Objectives |
|---|---|
| Topic 1: Specimen Processing and Handling | - Specimen transport and storage - Quality assurance procedures - Common errors and rejection criteria |
| Topic 2: Safety and Compliance | - HIPAA and patient confidentiality - OSHA regulations and patient safety - Infection control and standard precautions |
| Topic 3: Routine Blood Collections | - Equipment selection and use - Venipuncture procedures - Order of draw |
| Topic 4: Patient Preparation | - Specimen labeling procedures - Patient identification and communication - Site selection and preparation |
| Topic 5: Special Collections | - Capillary puncture (fingerstick/heel stick) - Non-routine specimen collection methods - Pediatric and geriatric considerations |
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NEW QUESTION # 73
Which of the following sites should a phlebotomist use for collecting a capillary blood specimen from an adult patient?
Answer: A
Explanation:
For an adult capillary blood specimen, the third digit with the cut perpendicular to the fingerprint grooves is the best answer. The third digit is the middle finger, one of the preferred fingers for dermal puncture because it usually has adequate tissue depth and blood flow. The incision should be made perpendicular to the fingerprint lines so blood forms a rounded drop instead of running along the fingerprint grooves, which improves collection efficiency and reduces specimen smearing. The second digit, or index finger, is generally avoided because it may be more calloused or sensitive and is used frequently for touch. The fifth digit should be avoided because it has less tissue depth and greater risk of bone injury. A cut parallel to fingerprint grooves is technically poor because blood can track along the grooves and make collection more difficult. Correct adult capillary collection requires site warming when needed, antisepsis, complete drying, appropriate lancet depth, wiping away the first drop when required, and avoiding excessive squeezing. Reference topics: Routine Blood Collections; dermal puncture; adult capillary site selection; lancet orientation; microcollection technique.
NEW QUESTION # 74
Which of the following actions should a phlebotomist take when transporting specimens to an outside laboratory?
Answer: C
Explanation:
The phlebotomist should use appropriate leakproof transport packaging when specimens are transported to an outside laboratory. Specimen transport must protect the patient sample, courier, laboratory personnel, and documentation from leakage, breakage, contamination, and temperature-related instability. Requisitions should be kept separate from the specimen container, usually in an outer pouch, so paperwork is not contaminated if leakage occurs. Removing labels is never acceptable because identification must remain intact from collection through testing. Freezing all specimens is incorrect because temperature requirements are test-specific; freezing some specimens can destroy cells, alter analytes, or make the sample unsuitable. Proper transport includes correct labeling, biohazard identification, absorbent material when required, secure closure, upright positioning when appropriate, and compliance with time, light, and temperature requirements. The phlebotomist must know the difference between routine transport, chilled transport, frozen transport, and protected-from-light transport. Reference topics: Processing Specimens; specimen transport; leakproof packaging; biohazard handling; specimen integrity.
NEW QUESTION # 75
From which of the following sites should a phlebotomist take a capillary collection from a 3-year-old child?
Answer: C
NEW QUESTION # 76
Which of the following questions should a phlebotomist ask to verify fasting status?
Answer: C
Explanation:
The phlebotomist should ask, "When was the last time you had anything to eat or drink other than water?" This question directly verifies fasting status and avoids a vague yes/no answer. Patients may misunderstand fasting and think coffee, juice, gum, candy, or a small snack does not count. Asking about medication is important for some tests, but it does not verify fasting. Asking why the provider ordered the test is outside the phlebotomist's interpretive role and may lead to unauthorized clinical discussion. Asking whether the patient has had the test before does not confirm current preparation. Accurate fasting verification is part of patient preparation and preanalytical quality control. If the patient has not fasted as required, the phlebotomist should follow facility policy, notify appropriate personnel, document noncompliance if collection proceeds, or reschedule if instructed. Poor preparation can produce misleading chemistry results and unnecessary repeat testing. Reference topics: Patient Preparation; fasting verification; patient interview; basal-state requirements; preanalytical variables.
NEW QUESTION # 77
Which of the following forms accompanies a toxicology drug screen for legal purposes?
Answer: B
Explanation:
A toxicology drug screen performed for legal, forensic, workplace, or evidentiary purposes must be accompanied by a chain-of-custody form. Chain of custody documents each person who handles the specimen, the date and time of transfer, specimen condition, identification verification, sealing, storage, and delivery. Its purpose is to prove that the specimen belongs to the correct individual and was not substituted, altered, contaminated, or mishandled. A requisition identifies the ordered test and patient/order details, but it does not provide the legal transfer record required for forensic validity. An encounter form supports visit documentation or administrative capture, not specimen evidence control. CMS 1500 is a health insurance claim form and has no role in legal specimen tracking. The phlebotomist must follow strict identification, sealing, labeling, and documentation procedures because any break in custody can invalidate the specimen for legal use. NHA CPT processing content explicitly includes chain-of-custody guidelines when required, including forensic studies and blood alcohol specimens, and special collection requirements for drug screening. Reference topics: Processing Specimens; chain of custody; drug screening; legal specimen documentation.
NEW QUESTION # 78
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