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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Site selection and preparation - Patient verification and consent |
| Topic 3: Infection Control and Safety | 16% | - Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal |
| Topic 4: Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Handling, storage and transport requirements - Processing and quality assurance |
| Topic 5: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture procedures - Order of draw and tube selection - Non-blood specimen collection - Venipuncture techniques and procedures |
| Topic 6: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Ethical and legal responsibilities - Regulatory standards (OSHA, CLSI, HIPAA) |
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NEW QUESTION # 41
Tests that are NOT appropriate for delivery to the lab by pneumatic tube include:
Answer: A
Explanation:
Tests that are not appropriate for delivery to the lab by pneumatic tube include those in which damage to the cell membrane may affect the test results, such as lactate dehydrogenase, potassium, hemoglobin (plasma), and acid phosphatase. Additionally, samples that must be kept at body temperature, such as cryoglobulins and cold agglutinins, should not be transported by pneumatic tube. Pneumatic tubes are one of the most common methods used to transport specimens to laboratories.
NEW QUESTION # 42
A butterfly infusion set is used for venipuncture in all of the following types of patients EXCEPT:
Answer: C
Explanation:
A butterfly infusion set is used for venipuncture in patients with small, fragile veins, such as the elderly, infants and small children, and adults with small antecubital veins. A butterfly set is not routinely used in obese patients.
NEW QUESTION # 43
If the laboratory institutes policy and procedural changes, the phlebotomist should:
Answer: B
Explanation:
If the laboratory institutes policy and procedural changes, the phlebotomist should expect to receive appropriate training. If training is not already planned, the phlebotomist should ask for training explaining the reasons why the training is needed. Approaches to training may vary widely, depending on the type and extent of changes being instituted. Without training, new policies and procedures are often adopted piecemeal and without consistency, increasing risks to staff and patients as well as liability risks.
NEW QUESTION # 44
When using an evacuated tube system for venipuncture, how can the phlebotomist determine that the needle is correctly positioned in the vein?
Answer: D
Explanation:
When using an evacuated tube system for venipuncture, the phlebotomist must rely on sensing a decrease in resistance to determine if the needle is correctly positioned in the vein. There is no flash ofblood with an evacuated tube system, only with a needle and syringe. If the phlebotomist notes that the needle is vibrating, this is an indication that the needle is in a valve and needs to be repositioned. No blood will flow into the holder until the vacuum tube is inserted.
NEW QUESTION # 45
If less than the recommended volume necessary for blood cultures is obtained, how should the blood be distributed in the aerobic and anaerobic specimen tubes?
Answer: D
Explanation:
If less than the recommended volume necessary for blood cultures is obtained, the aerobic specimen tube should be filled completely first and then the remainder is placed in the anaerobic tube. The tubes should be inverted gently a few times to prevent clotting. The only anticoagulant that is acceptable for blood cultures is sodium polyanetholesulfonate (SPS), and the blood can be collected directly into tubes with SPS and then transferred to the medium for culture.
NEW QUESTION # 46
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