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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Topic 2: Patient Identification, Assessment, and Site Preparation | 17% | - Venipuncture site selection and preparation - Patient verification procedures |
| Topic 3: Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Venipuncture procedures and order of draw - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) |
| Topic 4: Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
| Topic 5: Infection Control and Safety | 16% | - Standard precautions and PPE usage - Bloodborne pathogen safety protocols |
| Topic 6: Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
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NEW QUESTION # 233
The POC test that is most accurate for monitoring heparin therapy is:
Answer: B
Explanation:
Even though aPTT is more commonly used to monitor heparin, the test that is most accurate is activated clotting time (ACT). Automated ACT analyzers measure how long it takes a blood sample to clot when activators are added to activate the clotting factors. This helps to determine how the body will respond to heparin and is more accurate than aPTT, especially if the patient is receiving high doses of heparin. The normal value for ACT may vary according to the equipment used, but it is generally 70-120 seconds. The therapeutic value is generally 150-600 seconds.
NEW QUESTION # 234
Which of the following tests should be available on a POC ABG analyzer?
Answer: C
Explanation:
The tests that are typically available on a point-of-care (POC) arterial blood gas (ABG) analyzer include the following:
NEW QUESTION # 235
Intraoperative blood collection may be used in which type of surgery?
Answer: C
Explanation:
Intraoperative blood collection is used for procedures in which the estimated amount of blood loss is 20% or more of the patient's blood volume. The blood is collected from the incision site, filtered, washed, and returned to the patient via an IV: it is a form of auto transfusion. It is typically used in patients undergoing cardiac, vascular, gvmecologic, trauma, or transplant surgery. Intraoperative blood collection is not used for cancer or lower GI tract surgery or for infants or small children due to the risk of anemia or cardiac arrest.
NEW QUESTION # 236
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under what conditions during the collection period?
Answer: B
Explanation:
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under refrigeration during the collection period. The patient is provided a large gallon container with a lid and written and verbal instructions. The patient should be cautioned to avoid contaminating the stool specimen with urine, which may alter the test results. One method of collecting the stool is to place plastic wrap securely over the back half of the toilet bowl. Special collection devices are also available.
NEW QUESTION # 237
Laboratory accreditation agencies generally require that laboratories follow the standards set by which of the following?
Answer: B
Explanation:
Laboratory accreditation agencies generally require that laboratories follow the standards of the CLSI (Clinical and Laboratory Standards Institute). CLSI, a nonprofit membership agency, publishes the Procedures for the Collection of Diagnostic Blood Specimens by Venipuncture: Approved Standard, which outlines the order of draw. CLSI provides voluntary consensus standards, guidelines, and reports as well as supporting products, such as software and wall charts. CLSI is ANSI (American National Standards Institute) accredited.
NEW QUESTION # 238
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