UCLA Phlebotomy Exam 1 Latest Update 2024-

UCLA Phlebotomy Exam 1 Latest Update 2024- 2025 500 Questions and 100% Verified Correct Answers Guaranteed A+ 1:10 bleach solution - CORRECT ANSWER: Surfaces in the specimen collection and processing area should be cleaned with

• 70% isopropyl alcohol.

b. 1:10 bleach solution.

• soap and water.
• any of the above.

• Sally let's the phone ring over 10 times, loses the nurse's call, and places the phone

down instead of putting the nurse on hold.

• Putting the phone down instead of on hold, because if she said private information

the nurse may overhear it.

• She should have answered immediately, kept track of the calls by maybe writing on a

notepad who was on each line, and put the nurse on hold.

• Their responsibilities include overseeing all operations involving physician and patient

care as well as supervising all laboratory functions. Therefore, they are responsible for

offering training on telephone etiquette. - CORRECT ANSWER: Case Study 1-

1:Telephone Etiquette and the Irate Caller

Sally is a new phlebotomist working for a small hospital in the suburbs of Chicago. As she finds out in a very short time, her coworkers have many different job responsibilities and are required to cover for one another. Today it is Sally's turn to cover the reception area of the lab while the regular person takes a few days off. This is Sally's first time, and she is rather hesitant to answer the first call because she is afraid that she does not know enough to answer all inquiries. Consequently, she lets the phone ring more than 10 times. She finally answers it. The caller, a nurse, sounds irritated. He has been anxious to obtain certain results on a patient. He tells Sally that they were to be faxed 2 days earlier and he has not yet received them. Sally tells him she will transfer him to the technician in the back. Being unfamiliar with this phone, she loses his call in the process. The nurse calls back in a few minutes and wants to speak to "someone who knows what he or she is doing." The other line starts ringing. This time, rather than losing the caller, Sally keeps the line open, puts the phone down on the counter, and calls out "someone please take this call. I have a call on the other line."

QUESTIONS

• Name three telephone etiquette errors that Sally made.
• Which error creates the chance for a HIPAA violation to occur? Explain why.
• What should Sally have done differently that would have prevented all three errors?
• What responsibility does the laboratory administrator have?

• She motioned because stating the race, gender, and medical procedure of the patient

within earshot of others PHI (Protected Health Information) violation, under HIPAA.

• He ignored the AMA patient care partnership document. 1 / 4

• wrongful disclosure, under PHI in the HIPAA law.
• Matt should have handled the conversation in private and waited for the requisition

from the nurse. - CORRECT ANSWER: Case Study 1-2: Phlebotomy and PHI The phlebotomist, Matt, is doing the morning blood collections on the surgery floor of the hospital. As he begins to put the last tube in his cart and head for the clinical lab, the nurse asks him to draw blood from one more patient. She quickly points in the direction of the patient's room and turns to get the requisition. Matt did not see the exact room, so he shouts across the common area, "Do you mean the young, Hispanic man in room 412 who just had an appendectomy?" The nurse put her finger to her mouth and says "shhh" as she hands him the lab requisition.

QUESTIONS

• Why did the nurse indicate Matt needed to be quiet?
• What policy had the phlebotomist ignored?
• What law governs Matt's actions?
• What should Matt have done?

• She should try to disinfect her wrist by washing the blood off her wrist with soap and

water for a minimum of 30 seconds

• She removed her PPE before the end of her shift, wore heels, rushed, and left her

injury open

• She should have covered her injury with a waterproof bandage
• It can be classified as a parenteral exposure. - CORRECT ANSWER: Case Study 3-

1: An Accident Waiting to Happen

A female blood drawer works alone in a clinic. It is almost time to close for lunch when a patient arrives for a blood test. The blood drawer is flustered because she has a special date for lunch. She is dressed up for the occasion, wearing a nice dress and high heels.She looks nice except for a large scratch on her left wrist, which she got while playing with her cat that morning. She quickly draws the patient's blood. As she turns to put the specimen in a rack, she slips and falls, and one of the tubes breaks. She does not get cut, but blood splashes everywhere, including on her left wrist.

QUESTIONS

• What is the first thing the phlebotomist should do?
• How did the phlebotomist's actions contribute to this accident?
• What should she have done that might have prevented the exposure, despite the

tube breaking?

• What type of exposure did she receive?

• This might be because the phlebotomist carried the microbes home with them,

infecting their child in the process.

• Washing their hands, putting on their lab coat for every draw, and changing before

making dinner.

• No, because HAIs happen in the clinical setting when a patient is infected. -

CORRECT ANSWER: Case Study 3-2: Hitch-Hiking Microbes 2 / 4

You are one of only two phlebotomists working this holiday. You are very busy and hardly have time to sanitize your hands, much less remember to put your lab coat back on over your scrubs for every draw. Besides, you are too warm with it on. Everyone you have drawn in the ER today seems to have the flu or some sort of diarrhea or stomach issue. As soon as your shift is over, you head straight home. No time to change clothes before you have to fix dinner for the family, but you do take a few minutes to throw your feet up in the recliner and relax. Your 18-month old, Daren, crawls onto your lap to snuggle. Four days later Daren ends up at Urgent Care because diarrhea and vomiting have made him very dehydrated.

QUESTIONS

• Daren's illness is similar to those of the ER patients. Why might this be?
• If the contamination came from an ER patient, identify three ways his illness could

have been avoided.

• Would this be considered an HAI?

• Yes it was wrong because that is not in their scope of duty. The phlebotomist should

have called a medical personal who's duty it was to transport patients, like a nursing personnel.

• Yes they may be liable because it was the hospital's job to ensure that the floors were

safe for patient travel.

• Vicarious liability is more likely as the phlebotomist is contracted by the hospital, but

the phlebotomist may be liable as well because the action was not in their scope of duty. - CORRECT ANSWER: Case Study 2-1: Scope of Duty A newly trained phlebotomist is sent to collect a blood specimen from a patient. The phlebotomist is an employee of a laboratory that contracts with the hospital to perform laboratory services, including spec- imen collection. The phlebotomist collects the speci- men with no problems. Before the phlebotomist has a chance to leave the room, the patient asks for help to walk to the bathroom. The patient is a very large woman, but the phlebotomist lends an arm to help her. On the way to the bathroom, the patient slips on some liquid on the floor. The phlebotomist tries but is unable to prevent her from falling.The patient fractures her arm in the fall.

QUESTIONS

• Was it wrong of the phlebotomist to try to help the patient? Explain why or why not.
• Is the hospital liable for the patient's injury? Explain why or why not.
• Can the phlebotomist be held liable for the patient's injuries? Explain why or why not.

A patient in ICU has an incision that becomes infected. - CORRECT ANSWER: Which

of the following situations involves an HAI?

• A man has a bladder infection upon hospital admission.
• An employee contracts hepatitis B from a needlestick.
• A patient in ICU has an incision that becomes infected.
• A baby in the nursery has a congenital herpes infection.
• / 4

a patient with severe burns - CORRECT ANSWER: Reverse isolation may be used for

• a patient with the measles.
• an adult patient with the flu.
• a patient with tuberculosis.
• a patient with severe burns.

actively involving patients in their own identification - CORRECT ANSWER: Proper patient identification means

• actively involving patients in their own identification.
• asking a second person to verify your ID procedure.
• checking the requisition against the patient's room number.
• scanning patient ID bands with barcode readers only.

antiseptic soap - CORRECT ANSWER: To destroy transient microorganisms when

washing hands, use

• antiseptic soap.
• bleach solution.
• plain soap.
• all of the above.

Attitude - CORRECT ANSWER: A factor that contributes to the phlebotomist's

professional image is

Being careful of the tone of your voice when answering the phone - CORRECT

ANSWER: Which of the following is proper telephone technique

CBC (complete blood count) - CORRECT ANSWER: The abbreviation for the routine

hematology test that includes hemoglobin, hematocrit, red blood count, and white blood count determination is

Clostridium botulinum - CORRECT ANSWER: According to the HAI prevalence survey

the most common HAI pathogen is

• Acinetobacter baumannii.
• Clostridium difficile.
• Mycobacterium tuberculosis.
• Staphylococcus aureus.

CLSI (Clinical Laboratory Standards Institute) - CORRECT ANSWER: A national

organization that develops guidelines and sets standards for laboratory procedures is the

• CAP.
• CLIAC.
• CLSI.
• NAACLS.
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