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| Section | Weight | Objectives |
|---|---|---|
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Professionalism and Regulatory Compliance | 18% | - Regulatory standards (OSHA, CLSI, HIPAA) - Professional conduct and communication - Ethical and legal responsibilities |
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Handling, storage and transport requirements - Processing and quality assurance |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient assessment and special considerations - Patient verification and consent - Site selection and preparation |
| Infection Control and Safety | 16% | - Needle safety and injury prevention - Biohazard handling and disposal - Standard precautions and infection control |
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Capillary puncture procedures - Venipuncture techniques and procedures - Order of draw and tube selection |
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NEW QUESTION # 258
Which of the following is NOT normally present in urine?
Answer: B
Explanation:
Bilirubin is normally present in blood, but not in urine: the presence of bilirubin in urine is indicative of liver or gallbladder disease or cancer. Albumin is the primary protein found in urine. Ketones are end products of fat metabolism and normally present in urine. Bacteria may be present in urine in small amounts; only large quantities of bacteria are indicative of pathology.
NEW QUESTION # 259
Physician office laboratories are most often accredited by:
Answer: B
Explanation:
Physician office laboratories are most often accredited by COLA (Commission on Laboratory Accreditation), which was founded in 1988 with the original intent of inspecting and accrediting physician office laboratories to ensure that they are in compliance with CLIA (Clinical Laboratory Improvement hnendments). COLA has since expanded its mission and now also accredits hospital laboratories and independent laboratories. CMS (Centers for Medicare and Medicaid Services) and The Joint Commission have granted deeming authority to COLA.
NEW QUESTION # 260
If category B infectious materials must be transported out of the area for testing, specimens must not exceed:
Answer: D
Explanation:
If category B infectious materials must be transported out of the area for testing, specimens must not exceed 500 mL or 500 g. The sample must be triple wrapped. The inner container must be watertight and have a screw-on cap. This container must be wrapped in absorbent material and placed in a leakproof bag, which is then placed in a third outer container made of rigid material (wood, metal, plastic, or corrugated fiberboard). Ice or dry ice is placed around the secondary container. The outer container must be leakproof if ice is used.
NEW QUESTION # 261
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, what venipuncture site should the phlebotomist select?
Answer: C
Explanation:
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, the phlebotomist should ask the physician for instructions regarding the appropriate site. If policy precludes the use of the lower extremities, the venipuncture site is usually the arm on the side with the most distant mastectomy because the healing is more advanced. However, placing a tourniquet on the side of a mastectomy increases the risk of lymphedema, and the impaired lymphatic filtering and drainage also increases the risk of infection.
NEW QUESTION # 262
Specimens for which of the following tests require centrifugation?
Answer: C
Explanation:
Specimens for cholesterol testing require centrifugation. Tests that are carried out on whole blood, such as CBC, hemoglobin A1c, whole blood lead analysis, and cyclosporine do not require centrifugation; however, if they are accidentally centrifuged, it may be possible to carry out testing on some specimens after the specimens are examined by a technician. Collection tubes with whole blood specimens are usually placed in a device that gently rocks the tubes while awaiting examination.
NEW QUESTION # 263
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