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| Section | Weight | Objectives |
|---|---|---|
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Venipuncture techniques and procedures - Capillary puncture procedures - Order of draw and tube selection |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
| Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) - Professional conduct and communication |
| Specimen Processing and Transportation | 10% | - Handling, storage and transport requirements - Specimen labeling and documentation - Processing and quality assurance |
| Infection Control and Safety | 16% | - Standard precautions and infection control - Biohazard handling and disposal - Needle safety and injury prevention |
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167. Frage
If a laboratory detects a suspected outbreak of an infectious disease, such as E coli infections, to which governmental agency should a report be made?
Antwort: B
Begründung:
If a laboratory detects a suspected outbreak of an infectious disease, such as E. coli infections, the laboratory should report this to their local or state health department. The health department will investigate and then report their findings to the Centers for Disease Control and Prevention (CDC) through the National Outbreak Reporting System (NORS). The CDC may take action depending on the information reported through NORS and their own investigations. The CDC maintains the Global Health Center, the goal of which is to protect the health and safety of Americans by tracking disease outbreaks and ensuring efforts to reduce disease incidence worldwide. The CDC monitors outbreaks throughout the world, takes measures to prevent spread, and provides technical assistance to public health organizations worldwide, often in conjunction with the World Health Organization.
168. Frage
When using a portable heat block to maintain a blood specimen at body temperature, the phlebotomist should expect the heat block to hold the temperature for approximately:
Antwort: D
Begründung:
When using a portable heat block to maintain a blood specimen at body temperature, the phlebotomist should expect the heat block to hold the temperature for approximately 15 minutes. Typically, the specimen tube should also be prewarmed to body temperature or 37 'C (98.6 The specimen should be transported to the lab as soon as possible and transferred to a heating device that will maintain the appropriate temperature.
169. Frage
Proper procedure for TB skin testing includes:
Antwort: C
Begründung:
When administering a tuberculosis (TB) skin test, avoid areas of the arm with scars, bruises, burns, or excessive hair because they may interfere with test results. Applying pressure to the site may force the antigen out of the site, while wiping the site with gauze may cause the antigen to be absorbed. Applying a bandage to the site may result in fluid absorption or irritation and may affect test results.
170. Frage
In the United States, all laboratory testing, except for research, is regulated by:
Antwort: C
Begründung:
In the United States, all laboratory testing, except for research, is regulated by Centers for Medicare and Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA). CLIA is implemented through the Division of Laboratory Services and serves approximately 244,000 laboratories. Laboratories receiving reimbursement from CMS must meet CLIA standards, which ensure that laboratory testing will be accurate and procedures followed properly. The CDC partners with CMS and the Food and Drug Administration (FDA) in supporting CLIA programs.
171. Frage
An electrolyte panel includes:
Antwort: A
Begründung:
An electrolyte panel includes HCO2 (bicarbonate), C1 (chloride), K (potassium), and Na (sodium), amongst others. Tests can be done using either plasma or serum. Evacuated collection tubes that can be used for the electrolyte panel include red top, red/black-top SST (serum separator tube), and green top. If the collection tube contains a clot activator, it should be inverted a minimum of 5 times. If the collection tube contains lithium heparin, an anticoagulant, it should be inverted at least 8 times.
172. Frage
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