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Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
Phlebotomy NHA/T NHA
94
bjoz2016
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Create a free
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What is Hematology?
Hematology is the study of blood and its components, fluids and cells. Also includes the study of blood forming organs and blood disease
What is Phlebotomy?
Phlebotomy is the practice of drawing blood for diagnostic purposes
What does the medical
Veins
term "Phlebos" mean? What does the medical
Incision
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 1 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
What does the medical
8/28/17, 3:31 PM
Incision
term "tome" mean? What are two other
Dermal or skin puncture
names for capillary puncture? What does POCT
Point-of-Care
mean? What is Point-of-Care?
Tests that can be at the patients bed side and results can be obtained right away. Examples: Blood Glucose, Hematocrit, Hemoglobin
What are capillaries?
Microscopic, one cell-thick vessels that connect arterioles and venules
What is the purpose of
Capillaries are the site of gas exchange between blood
a capillary?
& bodily tissues
What is the preferred
1. Antecubital Fossa
locations for
2. Upper aspect of the forearm
venipuncture?
3. Posterior aspect of the wrist 4. Dorsum (back) of the hand 5. Ankle and foot veins (Dorsalis Pedis)
What does the medical
Before
term "ante" mean? What are the three
1. Median Cubital Vein: Large and fixed
superficial veins
2. Cephalic Vein: Preferred in obese
located in the
3. Basilic Vein: Close to the brachial artery and median
Antecubital Fossa?
nerve
What is plasma
90% water, 7% proteins, the rest is all 1% (proteins, amino
composed of?
acids, gases, electrolytes, sugars hormones, lipids & vitamins)
What color is plasma?
Straw color
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 2 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
What is the difference
They both look the same, the only way to differentiate
in appearance of
them is by looking at the tube top color
plasma and serum? What is the buffy coat
Leukocytes and platelets
composed of? What is the percentage
55%
of plasma in the blood by volume? What is the percentage
45%
of formed elements? What are formed
Erythrocytes, Leukocytes, and Platelets
elements? What do these
Red blood cells and White blood cells
abbreviations mean
(erythrocytes and leukocytes)
"RBCs" "WBCs"? Another name for
Platelets
thrombocytes? Where are
In the red bone marrow
erythrocytes formed? What is the life span of
120 days
erythrocytes? What purpose does
It transports oxygen
hemoglobin have? Fact: White blood cells
...
have different size, shape, color and nucleus file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 3 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
What is the life span of
8/28/17, 3:31 PM
Approximately 24 hours
a leukocyte? What is the purpose of
Protect body against infection and disease
white blood cells? Number of leukocytes
5000 - 10,000
pet cubic millimeter There are two different
Granular or Agranular leukocytes
types of white blood
(Granular Leukocytes - perform phagocytosis)
cells, what are they?
(Agranular Leukocytes - produce antibodies)
Fact: Granular
...
Leukocytes are polymorphonuclear Examples of them are: Neutrophils, Eosinophils, and Basophils Their job is to perform Phagocytosis They usually react to inflammation Fact: Lymphocytes and
...
monocytes are examples of Agranular Leukocytes They produce antibodies Examples are: T cells and B cells What are the
Neutrophils: 40% - 60% - Never
differentials and their
Lymphocytes: 20% - 40% - Let
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 4 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
percentages?
8/28/17, 3:31 PM
Monocytes: 2% - 8% - Monkey Eosinophils: 1% - 4% - Eat Basophils: 0.5% - 1% - Bad Band: 0% - 3% - Bananas
Fact: Thrombocytes
...
are the smallest formed element Size: 1-4 micrometers What is the function of
Stoppage of bleeding
a thrombocyte? What is the life span of
9-12 days
a thrombocyte? Which gloves are used
Nonsterile, disposable latex, nitrile, neoprene,
to perform a
polyethylene and vinyl examination gloves are
venipuncture?
acceptable. A good fit is essential.
Where should the
Tied 3 to 4 inches above elbow immediately before
tourniquet be placed?
venipuncture. A tourniquet on for longer than 1 minute may alter test results.
Why is the tourniquet
To prevent venous flow out of the site, causing veins to
used?
bulge. The tourniquet makes veins easier to locate and puncture.
What is the most
70% isopropyl alcohol
common antiseptic
(alcohol does not sterilize skin; it inhibits reproduction of
used for venipuncture?
bacteria that might contaminate the sample)
How long should you
60 seconds
let the 70% isopropyl
(it should not be used when drawing blood alcohol test,
alcohol dry for?
instead use soap pads, benzalkonium chloride or povidone-iodine which is also known as BETADINE)
Fact: Blood is about
...
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 5 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
Fact: Blood is about
8/28/17, 3:31 PM
...
half cells and half liquid; for a test requiring 3 mls of serum 6 mls of blood must be collected What is an additive?
Any substance placed within a tube
Functions of additives
1. Preventing clotting/anticoagulant
are:
2. Preserves certain blood components 3. Clot activator/promotes clotting
Where is EDTA found?
Lavender topped tube (prevents platelet clumping and preserves appearance of blood cells for microscopic examination)
What is the full name
Ethylenediaminetetracetic
for EDTA? What are the following
SST: Serum separating tube
abbreviations "SST"
PST: Plasma separating tube
and "PST" What is thixotropic
Forms a barrier between red cells and plasma when
gel?
centrifuged (It is found in the green-gray marbled topped tubes)
What is the order of
Yellow, light blue, red/red gray, green, lavender, gray,
draw?
dark/royal blue top tube Mnemonic to easily it: STOP, LIGHT, RED, GREEN, LIGHT, GO AND DONT RUN!
Yellow top tube
Additive: sodium polyanetholsulfonate SPS or Acid Dextrose. Purpose: it tests blood culture for aerobes and anaerobes/2 VIALS
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 6 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
*** SPS aids in the recovery of microorganism by inhibiting the action of complement, phagocytosis and certain antibiotics *** Sterile tube AEROBE FIRST ANAEROBE SECOND FILL 8-10 MLS Light blue top tube
Additive: Sodium Citrate *** Fill completely Purpose: PT, Extrinsic pathway and Coumadin therapy and aPTT ( Activated partial thromboplastin time) RATIO: 9:1
Red top tube
Additive: None Purpose: Serum separator tube
Green top tube
Additive: Sodium, Lithium or Amonium Heparin Purpose: STAT electrolyte or ammonia
Lavender/Purple top
Additive: EDTA
tube
Purpose: CBC, ESR (erythrocyte sedimentation rate) and sickle-cell screening *** Tube has to be filled at least two thirds
Gray top tube
Additive: Antiglycolytic agent sodium fluoride Preserves glucose for 72 hours - lithium iodoacetate Preserves glucose for 24 hours - potassium oxalate / anticoagulant by binding with calcium
Dark royal blue tube
Additive: EDTA or sodium heparin
top
Purpose: Test toxicology and trace elements, zinc and copper and lead
What does STAT
As soon as possible, IMMEDIATELY
mean? What is the bevel of a
The shaft of the needle with one end cut at the angle
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 7 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
needle?
which is called the bevel
Fact: Gauge is
...
designated by a numeric value * The higher the number, the smaller the lumen ** 16, 19, 20, 21, 22 and 23 MOST COMMON USED GAUGE: 21 BLOOD BANKING GAUGE: 16 What is another name
Winged infusion set
for butterfly needle?
Needle size is 23 gauge
Tue or false, needles
FALSE! needles should never be recapped
should always be
THE SAFETY NEEDLE DEVICE SHOULD BE ACTIVATED
recapped ... NHA steps for
11. Stabilize the vein
venipuncture:
12. Swiftly insert the needle, 15-30 degree BEVEL UP
1. Greet and ID the
13. Once the needle has entered and you have attached
patient/verbal and/or
first tube, release the tourniquet
wrist band
14. When last tube fills quickly remove needle
2. Obtain consent from
15. Apply direct pressure to site with gauze, do not bend
a patient
arm
3. Ask if the patient has
16. Label the tube at time in front of the patient, date
had any problems with
time and your initials
venipuncture
17. Gently invert the tube several times
(syncope) 4. Ask if the patient is on blood file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 8 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
thinner/aspirin, Coumadin,plavix 5. Check for the order form and the patients chart 6. Have the patient sit down or lie down; do not perform venipuncture if the patient is standing 7. Assemble the equipment, wash your hands and put on non sterile gloves 8. Locate the suitable vein 9. Clean the venipuncture site 10. Apply the tourniquet 3-4 inches above the site continued ... How many times
3-4 times
should the light blue tube be inverted? How many times does
5 times
the red tube have to
(every other tube 8-10 times except light blue: 3-4)
be inverted? What is the average
4-10 times
number of how many times a tube has to be file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 9 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
inverted? True or false: a patient
FALSE! SMOKING INCREASES GLUCOSE AND
who is fasting can
CORTISOL LEVELS!
smoke as much as they please What must you have in
Patients name
order to be able to
Date of birth
take blood from a
ID number
patient?
Name of physician making the request Type of test requested Test status
What are some
syncope - fainting
complication of
Hematoma - resolves over time
venipuncture?
Pain Infection Tissue trauma
What should be
QNS which means quantity not sufficient
placed in the label of a tube if the patient does not let you finish the draw, and you don't have enough blood In what cases is
Older patients
capillary puncture
Pediatric patients (especially under the age of 2 years
necessary?
old) ALSO WHEN VERY LITTLE BLOOD IS NEEDED
Name the different
0-6 months old - use heels
kinds of punctures
6-3 years old - capillary
used from infant 0
3 years old - median cubital vein
months old to 3 years file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 10 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
old What does PKU stand
Phenylketonuria
for? What is PKU?
Represent metabolic disorder of the proteins in an infant (test is one of the first tests to be done on a newborn)
What is the tool used
Lancet
for capillary puncture? What is a Guthries
A filtered paper for capillary puncture
card?
(it is used for PKU test)
What kinds of tests
Drug and alcohol testing, DNA analysis or parentage
have to be followed by
testing
chain of custody? What is hemophilia?
Hemophilia is a bleeding disorder Hereditary, sex-linked disorder
What does ESR
General indication of inflammation
sometimes indicate? What is
Formerly called the blood bank
immunohematology? What are the 4 major
A, B, O and AB
blood groups? Two major antigen
ABO and Rh
systems are?
Person is either Rh positive or Rh negative
Blood types
Fact: All s are
...
taken in Red top tube file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 11 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
What is negligence?
8/28/17, 3:31 PM
Failure to exercise the standard care that a reasonable person would give under similar circumstances
What is battery?
Touching a patient without patients consent
What if informed
Giving the patient information about the procedure
consent? What is the age to be
17-66 years old
able to donate blood?
patient has to weigh atleast 110 pounds
What is agglutination?
Clumping
What is an autologous
When a person donated blood for his/her own use.
donation?
Minimum time between donation and surgery can be as little as 72 hours. To be eligible the patient must have order from physician.
Fact: CLSI guidelines
...
set the max time limit for separating serum and plasma from the cells is 2 hours. Fact: Ideally routine
...
blood specimen should arrive at the lab within 45 mins What is normal body
36.4 - 37.6
temperature in
Room temperature is usually 15-30 degree Celsius
Celsius?
Refrigerated temperature 2-10 degree Celsius Frozen temperature -20 degree Celsius
Fact: keep all specimen
...
at 37 degree Celsius EXAMPLES: COLD
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 12 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
AGGLUTININ CRYOFIBRINOGEN CRYOGLOBULINS Specimens to be
Bilirubin
protected from light
Carotene
are:
Red Cell Folate Serum Folate Vitamin B2, B6, B12 and vitamin C Urine Porphyrins Urine Porphobilinogen
Chill specimen in
Adrenocorticotropic hormone ACTH
crushed ice are:
Acetone Angio-tension-converting enzyme ACE Ammonia Catecholamins Free fatty acids Gastrin Homocystein Lactic acid Parathyroid hormone PH blood gas - ABG - Aterial blood gas Pyruvate Rening
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 13 of 13
8/28/17, 3:31 PM
Phlebotomy NHA/T NHA
94
bjoz2016
Like this study set? Create
Create a free
a free
Maybe later
to save it.
What is Hematology?
Hematology is the study of blood and its components, fluids and cells. Also includes the study of blood forming organs and blood disease
What is Phlebotomy?
Phlebotomy is the practice of drawing blood for diagnostic purposes
What does the medical
Veins
term "Phlebos" mean? What does the medical
Incision
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 1 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
What does the medical
8/28/17, 3:31 PM
Incision
term "tome" mean? What are two other
Dermal or skin puncture
names for capillary puncture? What does POCT
Point-of-Care
mean? What is Point-of-Care?
Tests that can be at the patients bed side and results can be obtained right away. Examples: Blood Glucose, Hematocrit, Hemoglobin
What are capillaries?
Microscopic, one cell-thick vessels that connect arterioles and venules
What is the purpose of
Capillaries are the site of gas exchange between blood
a capillary?
& bodily tissues
What is the preferred
1. Antecubital Fossa
locations for
2. Upper aspect of the forearm
venipuncture?
3. Posterior aspect of the wrist 4. Dorsum (back) of the hand 5. Ankle and foot veins (Dorsalis Pedis)
What does the medical
Before
term "ante" mean? What are the three
1. Median Cubital Vein: Large and fixed
superficial veins
2. Cephalic Vein: Preferred in obese
located in the
3. Basilic Vein: Close to the brachial artery and median
Antecubital Fossa?
nerve
What is plasma
90% water, 7% proteins, the rest is all 1% (proteins, amino
composed of?
acids, gases, electrolytes, sugars hormones, lipids & vitamins)
What color is plasma?
Straw color
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 2 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
What is the difference
They both look the same, the only way to differentiate
in appearance of
them is by looking at the tube top color
plasma and serum? What is the buffy coat
Leukocytes and platelets
composed of? What is the percentage
55%
of plasma in the blood by volume? What is the percentage
45%
of formed elements? What are formed
Erythrocytes, Leukocytes, and Platelets
elements? What do these
Red blood cells and White blood cells
abbreviations mean
(erythrocytes and leukocytes)
"RBCs" "WBCs"? Another name for
Platelets
thrombocytes? Where are
In the red bone marrow
erythrocytes formed? What is the life span of
120 days
erythrocytes? What purpose does
It transports oxygen
hemoglobin have? Fact: White blood cells
...
have different size, shape, color and nucleus file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 3 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
What is the life span of
8/28/17, 3:31 PM
Approximately 24 hours
a leukocyte? What is the purpose of
Protect body against infection and disease
white blood cells? Number of leukocytes
5000 - 10,000
pet cubic millimeter There are two different
Granular or Agranular leukocytes
types of white blood
(Granular Leukocytes - perform phagocytosis)
cells, what are they?
(Agranular Leukocytes - produce antibodies)
Fact: Granular
...
Leukocytes are polymorphonuclear Examples of them are: Neutrophils, Eosinophils, and Basophils Their job is to perform Phagocytosis They usually react to inflammation Fact: Lymphocytes and
...
monocytes are examples of Agranular Leukocytes They produce antibodies Examples are: T cells and B cells What are the
Neutrophils: 40% - 60% - Never
differentials and their
Lymphocytes: 20% - 40% - Let
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 4 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
percentages?
8/28/17, 3:31 PM
Monocytes: 2% - 8% - Monkey Eosinophils: 1% - 4% - Eat Basophils: 0.5% - 1% - Bad Band: 0% - 3% - Bananas
Fact: Thrombocytes
...
are the smallest formed element Size: 1-4 micrometers What is the function of
Stoppage of bleeding
a thrombocyte? What is the life span of
9-12 days
a thrombocyte? Which gloves are used
Nonsterile, disposable latex, nitrile, neoprene,
to perform a
polyethylene and vinyl examination gloves are
venipuncture?
acceptable. A good fit is essential.
Where should the
Tied 3 to 4 inches above elbow immediately before
tourniquet be placed?
venipuncture. A tourniquet on for longer than 1 minute may alter test results.
Why is the tourniquet
To prevent venous flow out of the site, causing veins to
used?
bulge. The tourniquet makes veins easier to locate and puncture.
What is the most
70% isopropyl alcohol
common antiseptic
(alcohol does not sterilize skin; it inhibits reproduction of
used for venipuncture?
bacteria that might contaminate the sample)
How long should you
60 seconds
let the 70% isopropyl
(it should not be used when drawing blood alcohol test,
alcohol dry for?
instead use soap pads, benzalkonium chloride or povidone-iodine which is also known as BETADINE)
Fact: Blood is about
...
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 5 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
Fact: Blood is about
8/28/17, 3:31 PM
...
half cells and half liquid; for a test requiring 3 mls of serum 6 mls of blood must be collected What is an additive?
Any substance placed within a tube
Functions of additives
1. Preventing clotting/anticoagulant
are:
2. Preserves certain blood components 3. Clot activator/promotes clotting
Where is EDTA found?
Lavender topped tube (prevents platelet clumping and preserves appearance of blood cells for microscopic examination)
What is the full name
Ethylenediaminetetracetic
for EDTA? What are the following
SST: Serum separating tube
abbreviations "SST"
PST: Plasma separating tube
and "PST" What is thixotropic
Forms a barrier between red cells and plasma when
gel?
centrifuged (It is found in the green-gray marbled topped tubes)
What is the order of
Yellow, light blue, red/red gray, green, lavender, gray,
draw?
dark/royal blue top tube Mnemonic to easily it: STOP, LIGHT, RED, GREEN, LIGHT, GO AND DONT RUN!
Yellow top tube
Additive: sodium polyanetholsulfonate SPS or Acid Dextrose. Purpose: it tests blood culture for aerobes and anaerobes/2 VIALS
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 6 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
*** SPS aids in the recovery of microorganism by inhibiting the action of complement, phagocytosis and certain antibiotics *** Sterile tube AEROBE FIRST ANAEROBE SECOND FILL 8-10 MLS Light blue top tube
Additive: Sodium Citrate *** Fill completely Purpose: PT, Extrinsic pathway and Coumadin therapy and aPTT ( Activated partial thromboplastin time) RATIO: 9:1
Red top tube
Additive: None Purpose: Serum separator tube
Green top tube
Additive: Sodium, Lithium or Amonium Heparin Purpose: STAT electrolyte or ammonia
Lavender/Purple top
Additive: EDTA
tube
Purpose: CBC, ESR (erythrocyte sedimentation rate) and sickle-cell screening *** Tube has to be filled at least two thirds
Gray top tube
Additive: Antiglycolytic agent sodium fluoride Preserves glucose for 72 hours - lithium iodoacetate Preserves glucose for 24 hours - potassium oxalate / anticoagulant by binding with calcium
Dark royal blue tube
Additive: EDTA or sodium heparin
top
Purpose: Test toxicology and trace elements, zinc and copper and lead
What does STAT
As soon as possible, IMMEDIATELY
mean? What is the bevel of a
The shaft of the needle with one end cut at the angle
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 7 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
needle?
which is called the bevel
Fact: Gauge is
...
designated by a numeric value * The higher the number, the smaller the lumen ** 16, 19, 20, 21, 22 and 23 MOST COMMON USED GAUGE: 21 BLOOD BANKING GAUGE: 16 What is another name
Winged infusion set
for butterfly needle?
Needle size is 23 gauge
Tue or false, needles
FALSE! needles should never be recapped
should always be
THE SAFETY NEEDLE DEVICE SHOULD BE ACTIVATED
recapped ... NHA steps for
11. Stabilize the vein
venipuncture:
12. Swiftly insert the needle, 15-30 degree BEVEL UP
1. Greet and ID the
13. Once the needle has entered and you have attached
patient/verbal and/or
first tube, release the tourniquet
wrist band
14. When last tube fills quickly remove needle
2. Obtain consent from
15. Apply direct pressure to site with gauze, do not bend
a patient
arm
3. Ask if the patient has
16. Label the tube at time in front of the patient, date
had any problems with
time and your initials
venipuncture
17. Gently invert the tube several times
(syncope) 4. Ask if the patient is on blood file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 8 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
thinner/aspirin, Coumadin,plavix 5. Check for the order form and the patients chart 6. Have the patient sit down or lie down; do not perform venipuncture if the patient is standing 7. Assemble the equipment, wash your hands and put on non sterile gloves 8. Locate the suitable vein 9. Clean the venipuncture site 10. Apply the tourniquet 3-4 inches above the site continued ... How many times
3-4 times
should the light blue tube be inverted? How many times does
5 times
the red tube have to
(every other tube 8-10 times except light blue: 3-4)
be inverted? What is the average
4-10 times
number of how many times a tube has to be file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 9 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
inverted? True or false: a patient
FALSE! SMOKING INCREASES GLUCOSE AND
who is fasting can
CORTISOL LEVELS!
smoke as much as they please What must you have in
Patients name
order to be able to
Date of birth
take blood from a
ID number
patient?
Name of physician making the request Type of test requested Test status
What are some
syncope - fainting
complication of
Hematoma - resolves over time
venipuncture?
Pain Infection Tissue trauma
What should be
QNS which means quantity not sufficient
placed in the label of a tube if the patient does not let you finish the draw, and you don't have enough blood In what cases is
Older patients
capillary puncture
Pediatric patients (especially under the age of 2 years
necessary?
old) ALSO WHEN VERY LITTLE BLOOD IS NEEDED
Name the different
0-6 months old - use heels
kinds of punctures
6-3 years old - capillary
used from infant 0
3 years old - median cubital vein
months old to 3 years file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 10 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
old What does PKU stand
Phenylketonuria
for? What is PKU?
Represent metabolic disorder of the proteins in an infant (test is one of the first tests to be done on a newborn)
What is the tool used
Lancet
for capillary puncture? What is a Guthries
A filtered paper for capillary puncture
card?
(it is used for PKU test)
What kinds of tests
Drug and alcohol testing, DNA analysis or parentage
have to be followed by
testing
chain of custody? What is hemophilia?
Hemophilia is a bleeding disorder Hereditary, sex-linked disorder
What does ESR
General indication of inflammation
sometimes indicate? What is
Formerly called the blood bank
immunohematology? What are the 4 major
A, B, O and AB
blood groups? Two major antigen
ABO and Rh
systems are?
Person is either Rh positive or Rh negative
Blood types
Fact: All s are
...
taken in Red top tube file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 11 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
What is negligence?
8/28/17, 3:31 PM
Failure to exercise the standard care that a reasonable person would give under similar circumstances
What is battery?
Touching a patient without patients consent
What if informed
Giving the patient information about the procedure
consent? What is the age to be
17-66 years old
able to donate blood?
patient has to weigh atleast 110 pounds
What is agglutination?
Clumping
What is an autologous
When a person donated blood for his/her own use.
donation?
Minimum time between donation and surgery can be as little as 72 hours. To be eligible the patient must have order from physician.
Fact: CLSI guidelines
...
set the max time limit for separating serum and plasma from the cells is 2 hours. Fact: Ideally routine
...
blood specimen should arrive at the lab within 45 mins What is normal body
36.4 - 37.6
temperature in
Room temperature is usually 15-30 degree Celsius
Celsius?
Refrigerated temperature 2-10 degree Celsius Frozen temperature -20 degree Celsius
Fact: keep all specimen
...
at 37 degree Celsius EXAMPLES: COLD
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
Page 12 of 13
Phlebotomy NHA/T NHA Flashcards | Quizlet
8/28/17, 3:31 PM
AGGLUTININ CRYOFIBRINOGEN CRYOGLOBULINS Specimens to be
Bilirubin
protected from light
Carotene
are:
Red Cell Folate Serum Folate Vitamin B2, B6, B12 and vitamin C Urine Porphyrins Urine Porphobilinogen
Chill specimen in
Adrenocorticotropic hormone ACTH
crushed ice are:
Acetone Angio-tension-converting enzyme ACE Ammonia Catecholamins Free fatty acids Gastrin Homocystein Lactic acid Parathyroid hormone PH blood gas - ABG - Aterial blood gas Pyruvate Rening
file:///s/tatenda/Documents/Phlebotomy%20NHA:T%20NHA%20Flashcards%20%7C%20Quizlet.webarchive
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