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| Section | Objectives |
|---|---|
| Patient Preparation | - Patient identification and communication - Explaining procedures and obtaining consent - Site selection and preparation |
| Safety and Compliance | - OSHA standards and safety protocols - Infection control and PPE usage - Needlestick prevention and biohazard disposal |
| Specimen Collection | - Capillary puncture procedures - Venipuncture techniques - Order of draw and tube handling |
| Specimen Processing and Handling | - Specimen transport and storage - Labeling and documentation - Quality control and rejection criteria |
| Professional Practice | - Communication and professionalism - Ethics and patient confidentiality (HIPAA) |
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NEW QUESTION # 93
Which of the following tests is most likely to require collection in a chilled specimen tube?
Answer: A
Explanation:
Ammonia is most likely to require collection in a chilled specimen tube and rapid transport, depending on facility protocol. Ammonia is unstable and can be affected by delayed processing, temperature, and cellular metabolism after collection. Chilling slows metabolic activity and helps preserve specimen integrity. Total cholesterol is generally a routine chemistry test and does not usually require immediate chilling. Hemoglobin A1c is collected to evaluate long-term glycemic control and is not typically a chilled specimen. Blood cultures require aseptic technique, correct culture bottles, adequate volume, and timely incubation or transport, not chilling. The broader lesson is that special handling requirements are analyte-specific. Some specimens must be chilled, some kept warm, some protected from light, and some delivered immediately. The phlebotomist must review the requisition, laboratory directory, or facility procedure before collection. Improper temperature handling can produce inaccurate results even if the specimen was collected in the correct tube. Reference topics: Special Collections; chilled specimens; ammonia handling; specimen stability; transport requirements.
NEW QUESTION # 94
Which of the following actions is required before using a new lot number of point-of-care testing strips?
Answer: B
Explanation:
Quality control testing should be performed before using a new lot number of point-of-care testing strips. Lot-to-lot variation can affect test performance, and QC confirms that the strips, controls, meter, and operator process are producing acceptable results before patient testing begins. Freezing strips is incorrect unless a manufacturer specifically requires a storage condition, and most reagent strips have controlled storage requirements that must not be improvised. Mixing old and new lots is unsafe because it creates traceability problems and can invalidate quality control. Using strips only for "control patients" is meaningless; patient specimens should not be used to validate unverified supplies. For waived testing and point-of-care testing, the phlebotomist must follow manufacturer instructions, document QC results, check expiration dates, store materials properly, and stop patient testing when controls fail. If QC is outside range, patient results should not be reported until corrective action is completed. Reference topics: Safety and Compliance; Special Collections; point-of-care testing; quality control; reagent lot verification.
NEW QUESTION # 95
A phlebotomist discovers that they obtained a specimen in an expired additive tube. Which of the following actions should the technician take?
Answer: C
Explanation:
The specimen must be redrawn in an unexpired tube. Expired additive tubes cannot be trusted because the vacuum, sterility, additive concentration, stopper integrity, and chemical performance may be compromised. Once blood has been collected into an expired additive tube, the specimen is already affected by that collection environment; transferring it into another tube does not correct the original exposure and can introduce additional hemolysis, contamination, clotting, or additive-ratio errors. Placing the specimen on ice does not reverse an expired additive problem. Submitting the specimen because the tube is "within 30 days" of expiration is unsafe; expired means expired, and laboratory acceptance criteria are based on valid collection supplies. This is a preventable preanalytical error, and the phlebotomist should also remove expired supplies from use to prevent recurrence. Tube expiration checks must occur before collection, not after the draw. Reference topics: Processing Specimens; preanalytical error; expired supplies; specimen rejection; tube quality control; recollection procedures.
NEW QUESTION # 96
Which of the following actions should a phlebotomist take before palpating a vein?
Answer: A
Explanation:
The phlebotomist should put on gloves before palpating a vein. Gloves are required because the phlebotomist is preparing for an invasive procedure with potential blood exposure. Palpation helps assess vein size, depth, direction, resilience, and suitability, but it must occur after hand hygiene and glove application. Removing the needle cap before site selection is unsafe because it exposes the needle unnecessarily and increases needlestick risk. Labeling collection tubes before collection is improper because tubes must be labeled after collection in the presence of the patient to prevent misidentification. Asking the patient to bend the arm is not appropriate for vein palpation and is especially unsafe after needle removal because bending the arm can cause hematoma formation. The correct sequence is patient identification, hand hygiene, gloves, position patient, apply tourniquet, select/palpate vein, release/reapply tourniquet as needed, clean site, allow antiseptic to dry, anchor, and perform venipuncture. Reference topics: Routine Blood Collections; glove use; vein palpation; venipuncture sequence; patient safety.
NEW QUESTION # 97
From which of the following sites should a phlebotomist take a capillary collection from a 3-year-old child?
Answer: A
NEW QUESTION # 98
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