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Who did what?!- PBT Legal & Ethical Issues

Total questions: 23

Worksheet time: 12mins

Name
Class
Date
1.

A phlebotomy technician discusses a patient’s abnormal lab results with another staff member while riding in a public elevator. This is an example of a (a)   .

Choose from the below words
Breach of informed consent
HIPAA privacy violation
Negligence
CLIA certification violation
2.

A patient clearly states that they do not want their blood drawn. The phlebotomy technician continues to encourage the patient and prepares the equipment anyway. This action could legally be considered:

a)

Negligence

b)

Battery

c)

Assault

d)

Implied consent

3.

A pediatric patient is brought to the emergency department by an aunt who is not the legal guardian. The child is suspected of ingesting a toxic substance, and the parents cannot be reached. What is the MOST appropriate action?

a)

Refuse to perform the blood draw

b)

Obtain consent from the aunt

c)

Proceed under implied consent

d)

Wait until the parents arrive

4.

A phlebotomy technician steps away from a computer workstation without logging out. Another patient can see names and test results on the screen. This situation represents a violation of:

a)

Scope of practice

b)

CLIA regulations

c)

HIPAA privacy requirements

d)

The Patient Care Partnership

5.

After completing a blood draw, a patient offers the phlebotomy technician a cash tip. What is the BEST response?

a)

Accept the tip if no one is watching

b)

Accept the tip and report it later

c)

Politely refuse the tip

d)

Donate the money to the facility

6.

An elderly patient with Alzheimer’s disease can state their name and date of birth but appears frightened and confused when the venipuncture procedure is explained. What is the BEST next action for the phlebotomy technician?

a)

Proceed with the blood draw

b)

Obtain implied consent

c)

Stop and notify the nurse

d)

Ask the patient to sign consent again

7.

A 15-year-old patient arrives with a parent who provides consent for lab testing. The patient verbally refuses the blood draw. The phlebotomy technician should (a)   .

Choose from the below words
Perform the draw because consent wa
Ask the parent to leave the room
Respect the refusal and notify the
Call security
8.

A phlebotomy technician accidentally faxes a patient’s lab results to the wrong physician’s office. This error is classified as a:

a)

CLIA violation

b)

HIPAA breach

c)

Negligence

d)

Scope of practice issue

9.

A patient asks the phlebotomy technician to explain what their lab results mean. What is the MOST appropriate response?

a)

Explain the results in simple terms

b)

Refer the patient to the nurse or provider

c)

Look up the results in the chart

d)

Ask another phlebotomy technician

10.

A phlebotomy technician observes bruises in various stages of healing on a dependent adult patient. What is the technician legally required to do?

a)

Ignore the findings

b)

Question the patient privately

c)

Report suspected abuse

d)

Document the findings only

11.
What is one of the reasons governments establish laws?
a)
(A) To ensure order and safety
b)
(B) To prevent citizens from making independent choices
c)
(C) To create jobs for police officers
d)
(D) To raise money through fines when people break laws
12.
What is one of the reasons governments establish laws?
a)
(A) To ensure order and safety
b)
(B) To prevent citizens from making independent choices
c)
(C) To create jobs for police officers
d)
(D) To raise money through fines when people break laws
13.
A phlebotomy technician drew blood from a patient daily during an extended hospital stay. The patient offers the PBT a gift on the day she is discharged. Which of the following is true?
a)
(A) It is illegal for the PBT to accept the gift.
b)
(B) It is unethical for the PBT to accept the gift.
c)
(C) There is no legal or ethical reason for the PBT to decline the gift.
d)
(D) The only reason to decline the gift if it is very valuable.
14.

Match each scenario with whether it is a breach of patient confidentiality or not.

a)

(A) Calling the physician who ordered a patient’s blood tests to clarify which tests were ordered

1.

Not a breach of patient confidentiality

b)

(B) Checking with a charge nurse to confirm the room number of a hospital patient with a blood draw ordered

2.

Not a breach of patient confidentiality

c)

(C) Calling a PBT colleague who has drawn blood from a particular patient before to the drawing station to assist in finding a good draw site

3.

Not a breach of patient confidentiality

d)

(D) Talking to a PBT colleague at lunch about a patient who was especially challenging

4.

Breach of patient confidentiality

15.

If a PBT finds a requisition sheet sitting on a counter in a break room, he should (a)   .

Choose from the below words
(A) Shred the form
(B) Throw the form in the break roo
(C) Give the form to a nurse/superv
(D) Find the patient’s file and pla
16.
CLIA waived tests can be performed by the following healthcare personnel:
a)
(A) Any healthcare personnel who have been trained to perform them
b)
(B) Medical technicians only
c)
(C) Nurses and medical technicians only
d)
(D) Physicians, nurse practitioners, and physician assistants only
17.
Which of the following is one of the American Society for Clinical Laboratory Science’s goals for quality laboratory testing?
a)
(A) Perform tests with minimal patient wait
b)
(B) Perform tests with no patient pain
c)
(C) Produce healing for the patient
d)
(D) Produce accurate test results
18.
Which of the following could be considered libel?
a)
(A) A PBT writes in a patient’s chart, “Patient is tough to stick and has it in for phlebotomists. Beware!”
b)
(B) A PBT writes in a patient’s chart, “Not able to complete venipuncture; alerted supervisor.”
c)
(C) A PBT makes a formal written report of verbally abusive behavior on a patient’s part.
d)
(D) A PBT says to a coworker, “That patient was a nightmare!”
19.
A patient says, “I’ve changed my mind. I don’t want to have these blood tests done after all.” Which one of these responses could be considered assault?
a)
(A) “I can answer any questions you have about the procedure if that might help.”
b)
(B) “Doctors order tests because they can help give you better care. Would you like to talk to your doctor again before you decide for sure?”
c)
(C) “We are going to do these tests. The doctor ordered them and you have to have them, so go ahead and roll up your sleeve.”
d)
(D) “If you’re worried about the pain, we can talk about ways to distract yourself. It can hurt a bit for some people, but it goes quickly.”
20.
Which of the following is true?
a)
(A) A signed general consent form means a PBT can draw blood from a patient no matter what.
b)
(B) A signed general consent form includes consent for blood draws, but the patient may still decline the procedure.
c)
(C) A signed general consent form does not extend to blood draws.
d)
(D) A signed general consent form means a patient can never decline any procedure ordered by a physician.
21.
Which area of the Patient Care Partnership relates directly to infection prevention and control?
a)
(A) Involvement in your care
b)
(B) Protection of your privacy
c)
(C) High quality hospital care
d)
(D) A clean and safe environment
22.

Match the following documents with their correct description as advance directives or not.

a)

(A) Laboratory requisition

1.

A document used to request laboratory tests.

b)

(B) Do-not-resuscitate order

2.

A legal order indicating that resuscitation should not be attempted in case of cardiac or respiratory arrest.

c)

(C) General consent form

3.

A form signed by a patient to give general permission for treatment.

d)

(D) Incident report

4.

A report documenting any unusual or unexpected event in a healthcare setting.

23.
Which of the following shows respect for patient rights?
a)
(A) Always drawing blood from the arm the PBT is most comfortable using
b)
(B) Asking patients which arm they would prefer for the blood draw
c)
(C) Not describing procedures so as not to alarm anxious patients
d)
(D) Doing and saying everything possible to convince a reluctant patient to have blood drawn