Download NHA Phlebotomy Certification-Answered-100% Correct and more Exams Nursing in PDF only on Docsity! NHA Phlebotomy Certification-Answered- 100% Correct Hemoglobin A1C Assay Measures sugar level in blood for past 3-4 months Normal Hemoglobin A1C Assay Result 4.0 and below Pre-diabetic Hemoglobin A1C Assay Result 7.0 and above Median Cubital Vein Most preferred for phlebotomy Select Lancet Size Phlemotomist should ____ prior to performing capillary puncture Chain of Infection 1) Agent 2) Reservoir 3) Portal of Exit 4) Mode of Transmission 5) Portal of Entry 6) susceptible host Infectious Agents Viruses, Bacteria, Fungi, parasites Portal of Exit Agent leaves its reservoir Standard precautions (or transmission-based precautions) Control measures aimed at preventing the spread of the disease as infectious agents exit the reservoir Blood Culture Checks for bacteria and septicemia 8-10 ML When obtaining a blood culture from an adult, you should collect _____ Portal of entry Allows infectious agent access to susceptible host (broken skin, mucous membranes, and body systems exposed to external environment such as gastrointestinal, respiratory, and reproductive) Limit Transmission of infectious agent Transmission-based precautions (gloves, mask), and aseptic technique (hand washing) Susceptible Host 'At risk', not resistant or immune Infection control at susceptible host level Identification of the patients at risk, treat their underlying condition for susceptibility, or isolate them from the reservoir Fasting Specimen Usually glucose, cholesterol, triglycerides, vitamins (anything that has to do with food) Lavender Tube Pregnancy, hemoglobin A1C Assay Successful Smear Will have 'feathered edge' Stool Specimens Occult Blood (or 'hidden blood'), analyze for dietary products and digestive secretions, decreased amount of bile in stool Guaiac Test Occult or 'hidden' blood in stool Steatorrhea Excessive amount of fat in stool- can indicate faulty absorption of fat from small intestine Measure substance without interference from food. Length of fast varies. Use regular urinalysis container Clean catch midstream urine specimen Wipe genitals with 70% alcohol isopropyl wipe. Begin urinating in toilet and catch sample midstream. Finish urinating in toilet 24-hour urine specimen Circadian rhythm. Quantitative tests for different substances, preservatives and refrigeration If patient becomes quiet or stares blankly after drawing blood, you should _____ Ask if pt is ok or if they feel they're going to faint If needle comes out, pt feels a sharp pain, or if hematoma starts to accumulate Always release the tourniquet first If pt has a history of fainting Position pt in supine position Yellow Tube Blood culture. Taken First. Light Blue Tube PT (prothrombin Time) NICU Natal intensive care unit. Most likely testing for hemolytic anemia if testing for hemoglobin, hematocrit, potassium OSHA Guidelines Standards for reduction of risks and injuries to the EMPLOYEE CLSI Clinical laboratory standard institute MSDS Material safety data sheet- most important information included is *chemical composition Compare order against____ especially if there is a duplicate order Requisition form (or prescription) Lavender Tube EDTA (additive) Chlorhexidine Used to clean site when testing blood alcohol level Venipuncture Complications Sclerosed veins, hemoconcentration, hematoma, phebitis, thrombus, petechaie (rupture of sm. capillaries, sm. red dots), thrombophlebitis, septicemia, trauma Hemolysis Breakdown of RBC. Most likely appears with 25 guage needle (too small) Providone-iodine solution Used for: More stringent infection control, blood cultures, arterial punctures, tests for alcohol Chain of custody Used when sample has to go through legal proceedings Contact Isolation Use gloves and gown Lifting heavy items Use leg muscles Patient refuses male/female technician Cannot perform procedure Obtain Consent Explaining procedure is meant to _____ Osteomyelitis Can occur if >2mm deep Syncope Fainting Point of Care Travel to patient(house call) for HIV patients and monitoring blood sugar level Mastectomy Must draw blood from opposite arm Arterial Blood Gas Put sample on ice Iatrogenic Anemia Can occur if you collect >20% of body weight in blood within a 3 month duration Quality Control Log Record test performed and reagent (chemical) used GTT Glucose tolerance test. Start test the second pt finishes drinking solution Capillary Specimen Order of Draw Lavender Green Grey SST Sodium Fluoride Preserves Alcohol Bilirubin Test Keep sample away from light Nosocomial infection Hospital acquired infection. Can be prevented by antimicrobial sanitizers Dorsal is pedis vein
