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| Section | Weight | Objectives |
|---|---|---|
| Specimen Processing and Transportation | 10% | - Specimen handling, storage, and transport conditions - Labeling and documentation |
| Equipment Selection and Maintenance | 10% | - Needle, tube, and collection device selection - Equipment handling and maintenance |
| Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification procedures - Venipuncture site selection and preparation |
| Collection of Blood and Non-Blood Specimens | 29% | - Capillary puncture techniques - Non-blood specimen collection (urine, swabs) - Special collection procedures (blood cultures, glucose tolerance tests) - Venipuncture procedures and order of draw |
| Infection Control and Safety | 16% | - Bloodborne pathogen safety protocols - Standard precautions and PPE usage |
| Professionalism and Regulatory Compliance | 18% | - Professional behavior and ethics in healthcare settings - Regulatory compliance (OSHA, HIPAA awareness) |
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NEW QUESTION # 111
Which of the following agencies provides standards for performance and testing of all types of laboratory functions, including clinical microbiology?
Answer: D
Explanation:
The Clinical and Laboratory Standards Institute (CLSI) provides standards for a wide range of performance and testing and covers all types of laboratory functions, including microbiology'. The institute comprises representatives from the healthcare professions, industry, and government. These standards are used as a basis for quality control procedures. Standards include labeling, security/information technology, toxicology/drug testing, statistical quality control, and performance standards for various types of antimicrobial susceptibility testing.
NEW QUESTION # 112
When carrying out a heelstick blood collection on a newborn, what should the maximum depth of the puncture be?
Answer: A
Explanation:
When carrying out a heelstick blood collection on a newborn, the depth of the puncture should be equal to or less than 2 mm. In a newborn, the blood supply is typically located 0.35-1.6 mm below the skin. Thus, a 2 mm depth provides an adequate flow of blood but is generally too shallow to cause injury to the calcaneus. The heelstick should be done on the lateral aspects of the heel rather than the middle or posterior aspects to ensure that the calcaneus is avoided.
NEW QUESTION # 113
Gloves should generally be donned prior to:
Answer: B
Explanation:
Gloves should generally be donned prior to cleansing the skin, although with concerns about infection, they may be donned earlier. For example, for COVID-19 precautions, gloves are typically worn for all patient contact. However, the usual procedure is to apply the tourniquet, palpate and select the vein, select the needed supplies, and then don gloves before cleansing the site and carrying out the venipuncture.
NEW QUESTION # 114
All laboratory testing in the United States, except for research testing, is regulated by the Centers for Medicare and Medicaid Services through the:
Answer: C
Explanation:
All laboratory testing in the United States, except for research testing, is regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA), which are 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 that procedures are followed properly.
NEW QUESTION # 115
Capillary puncture is the preferred method for obtaining blood from:
Answer: C
Explanation:
Capillary puncture is the preferred method for collecting blood from infants and young children due to their smaller blood volume and risk of injury or serious adverse events such as anemia or cardiac arrest, and is typically used for newborn screening. It is not appropriate for dehydrated patients or those with poor circulation. Capillary puncture cannot be used for coagulation studies, blood cultures, or tests requiring large volumes of serum or plasma.
NEW QUESTION # 116
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