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Section 11. Safety and Compliance (26 of 100 scored items)Preview
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Summary
Know the rule, stop unsafe testing, protect PHI, use Standard Precautions, dispose of sharps immediately, and follow the exposure/emergency sequence. This domain is 26% of scored items.
Section 22. Patient Preparation (20 of 100 scored items)Preview
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Summary
Before puncture, verify the order, two identifiers, consent, preparation requirements, special risks, site restrictions, communication needs, and safe positioning. This domain is 20%.
Key Points
Review order/requisition: patient, provider, tests, priority (STAT/routine), timing, and special instructions.
Common Mistakes
Using room number as an identifier.
Exam Tips
Order + two IDs + consent before needle.
Section 33. Routine Blood Collections (28 of 100 scored items)Preview
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Summary
Highest-weight domain. Know devices, tube additives, venous and capillary order of draw, vein/site selection, tourniquet and antisepsis, insertion/removal sequence, complications, post-care, and labeling.
Key Points
Serum = liquid after clotting; plasma = anticoagulated liquid with clotting factors; whole blood = cells + plasma.
Section 44. Special Collections (12 of 100 scored items)Preview
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Summary
Special collections are protocol-heavy: cultures, newborn screening, donor/high-risk volume, nonblood/POC, tolerance tests, blood alcohol, and drug screening.
Key Points
Blood cultures are collected before routine tubes and require strict asepsis.
Common Mistakes
Touching a prepared blood-culture site.
Exam Tips
Special collection = follow the named protocol exactly.
Section 55. Processing (14 of 100 scored items)Preview
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Summary
Protect specimen integrity after collection: correct clotting/separation, time/temperature/light, aliquoting, transport, chain of custody, LIS communication, critical-result reporting, and authorized recollection.