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NHA Phlebotomy Exam Latest Updated.
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NHA Phlebotomy Exam Latest UpdatedOSHA - (CORRECT ANSWER)-Establishes regulations and guidelines to direct
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b phlebotomists to work at the highest level of safety possible when handling bio hazards
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b and chemicals.
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The blood borne pathogens standard (OSHA) - (CORRECT ANSWER)-- addresses use of
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b PPE b
- availability to the Hep B immunization
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- Each workplace must have a exposure control plan
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- has guidelines to ensure safety
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- provides standard plans for after an exposure.
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- engineering controls and record keeping protocols
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PPE for venipuncture and capillary (OSHA) - (CORRECT ANSWER)-well fitting gloves
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Airborne infection PPE (OSHA) - (CORRECT ANSWER)-N99 or N95 mask
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What do you do when you have an accidental needle stick? (OSHA) - (CORRECT
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b ANSWER)-First you wash the area with soap and water (basic first aid), then undergo
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b medical examination that includes you and the patient get tested for HIV, HBV and HCV.
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b Then document the exposure in sharps injury log.
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What do you include in a sharps injury log? (OSHA) - (CORRECT ANSWER)-date and time
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b of incident, type of sharps used, who was involved (patient or staff w/o names), location
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b and a detailed description of how it occurred.
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,What is the joint commission? - (CORRECT ANSWER)-- accredits and certifies healthcare
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b organizations
- independent, nongovernmental, and nonprofit
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- focuses on continual improvement of patient safety and quality of care through
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b regulations and standards b b
The national patient safety goals program (JC) - (CORRECT ANSWER)-sets requirements
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b for issues including training of health care professionals, communication of test results,
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b and accurate IDs (2-factor method)
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Clinical and Laboratory Standards Institute (CLSI) - (CORRECT ANSWER)--develops
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b standards and guidelines in order for a laboratory to be accredited
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- provides guidelines for phlebotomists for better accuracy and patient care (like for the
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b use of tubes and needles). standards include level of additives and their use for which
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b tests, order of draw, processing and handling, depth of needle and location needed for
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b capillary collection b
- provides guidelines for quality control, patient care, risk reductions, and time saving and
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b cost cutting measures.
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Centers for Disease Control and Prevention (CDC) - (CORRECT ANSWER)-- helps ID and
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b and educate about infections, illnesses and disease preventions.
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- IDs new disease and works to prevent spreads
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- Provides guidelines for PPE sharps handling and hand hygiene
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- recommends standard precautions when handling body fluids
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HIPPA - (CORRECT ANSWER)-- Protects every patients PHI (protected health info) which
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b is any and all info that relates to the patients medical record or electronic health record.
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- details what info is confidential and any authorized release of that info
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Info protected under HIPPA - (CORRECT ANSWER)-demographic info, treatment, meds,
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b diagnostic testing. Any info w/o a way to ID the patient is not protected
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, When is the phlebotomist responsible for the patient? - (CORRECT ANSWER)-Before,
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b during and immediately after venipuncture
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What happens if you go through with the venipuncture without consent? - (CORRECT
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b ANSWER)-It would be considered assult b b b b
Techniques to find a vein - (CORRECT ANSWER)-warming the area, wiping it with an
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b alcohol wipe, and lowering the limb below the level of the patients heart
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Why do phlebotomists avoid the wrist? - (CORRECT ANSWER)-potential ulnar nerve
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b damage or inadvertent arterial access
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Why is the basilic vein the least desirable for venipuncture? - (CORRECT ANSWER)-it is
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b close to the brachial artery and it is most painful
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Why would a phlebotomist avoid the legs and feet of a patient who has diabetes mellitus?
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b - (CORRECT ANSWER)-To prevent possible infection
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What do you do if a hematoma develops? - (CORRECT ANSWER)-Stop the procedure
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What do you do if the patient shows early signs of a seizure or syncope? - (CORRECT
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b ANSWER)-You immediately stop the procedure and lie them on the floor or in their bed.
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b Give them a cold compress and stay with them until they recover
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Quality control - (CORRECT ANSWER)-a measure of precision or of how well an
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b instrument is functioning over time b b b b
Quality assurance - (CORRECT ANSWER)-ensuring a test is as accurate as possible
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