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Cheat sheet

AMT RPT Phlebotomy Cheat Sheet

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Obtaining Blood Samples

  • 34% of exam
  • Patient ID Site Choice Order of Draw Venipuncture Capillary Collection

Specimen Collection and Processing

  • 15% of exam
  • Specimen Integrity Special Handling Blood Cultures POCT Quality Assurance

Time and Organization

  • 10% of exam
  • Orders Priorities Timed Tests Workflow Escalation

Professional Communications

  • 5.5% of exam
  • Professional Speech Telephone Patient Instructions Staff Families

Clerical Skills and Duties

  • 5.5% of exam
  • Data Entry Reports Notations Inventory Computer Skills

Safety Standards

  • 15% of exam
  • Standard Precautions SDS Sharps Syncope Exposure

Legal and Ethical Practice

  • 10% of exam
  • Consent Confidentiality Scope Liability Professional Conduct

Terminology, Anatomy, Physiology

  • 5% of exam
  • Veins Arteries Serum Plasma Word Parts

Quick Facts

  • Credential AMT RPT
  • Exam items 200 questions
  • Testing time 2.5 hours
  • Passing score 70 scaled
  • Largest area Blood samples: 34%
  • Delivery Pearson VUE CBT
  • Retake wait 45 days
  • Maximum attempts Four total

ID First BL

  • Identify before you puncture.
  • Two identifiers Requisition match

Venous vs Arterial BL

Venous

  • Returns toward heart
  • Routine phlebotomy source

Arterial

  • Carries from heart
  • Different collection procedure
  • Do not treat sources alike

Collection Readiness BL

  • Order received → Verify requisition ( Tests and timing )
  • Patient present → Verify identifiers ( Before puncture )
  • Special test → Check requirements ( Timing or temperature )
  • Multiple tubes → Use draw sequence ( Limit carryover )
  • Difficult site → Assess alternatives ( Follow policy )
  • Collection complete → Provide site care ( Observe patient )
  • At patient → Label specimen ( Per protocol )
  • Before departure → Check transport ( Protect integrity )

Patient and Labels BL

  • Two identifiers Verify before collection
  • Requisition Confirm ordered testing
  • Container selection Match test requirements
  • Bedside label Label by patient
  • Blood bank label Follow strict protocol
  • Mismatch Stop and resolve

Label vs Correct BL

Labeling

  • Identify collected specimen
  • Use required protocol

Correction

  • Do not improvise
  • Escalate discrepancies
  • Identity errors need resolution

Venipuncture Basics BL

  • Patient preparation Explain before procedure
  • Site selection Assess before puncture
  • Venipuncture Collect venous blood
  • Arterial blood Different collection source
  • Collection device Use correctly
  • Post-puncture care Protect puncture site

Draw Sequence BL

  • Sequence purpose Limit additive carryover
  • Blood cultures Protect sterility first
  • Citrate specimen Before serum tubes
  • Serum specimen Before heparin tubes
  • Heparin specimen Before EDTA tubes
  • EDTA specimen Before fluoride tubes

Capillary and Integrity BL

  • Capillary puncture Small-volume collection
  • Infant heel puncture Age-specific technique
  • Gentle mixing Protect specimen quality
  • Hemolysis Damaged red cells
  • Specimen integrity Represents the patient
  • Tube identification Meet protocol requirements

Integrity Chain PR

  • Right patient, tube, label, handling.
  • Collection Transport

Special Processing PR

  • Special requirements Time, temperature, handling
  • Blood culture Aseptic collection
  • Non-blood specimen Preserve integrity
  • Specimen delivery Use correct department
  • Shipping Process for transport
  • POCT specimen Support bedside testing

Reschedule vs Retake WO

Reschedule

  • Before appointment change
  • Contact Pearson VUE

Retake

  • After failed examination
  • Wait 45 days
  • Different AMT processes

Workflow and Timing WO

  • Physician order Read before collection
  • Collection priority Set ordered sequence
  • Tolerance test Schedule intervals
  • Drug monitoring Honor collection time
  • Workflow path Follow laboratory flow
  • Supervisor referral Escalate problems

Professional Communication CO

  • Professional communication Patient, family, staff
  • Telephone etiquette Identify and document
  • Special instructions Explain requirements clearly
  • Patient questions Respond professionally
  • Family communication Maintain privacy
  • Staff handoff Share needed information

Clerical Duties CL

  • Laboratory reports File correctly
  • Collection data Enter and verify
  • Special notation Record accurately
  • Data retrieval Use approved sources
  • Inventory Restock needed supplies
  • Computer skills Use authorized systems

Patient Event SA

  • Stop, protect, report, then document.
  • Syncope Nerve pain

Safety vs Ethics SA

Safety

  • Prevent exposure and injury
  • Use precautions

Ethics

  • Protect rights and privacy
  • Obtain consent
  • Both guide each draw

Incident and Routing SA

  • Patient feels faint → Stop collection ( Prevent injury )
  • Nerve-pain report → Remove needle ( Escalate promptly )
  • Hematoma appears → Stop draw ( Provide site care )
  • Special specimen → Use handling instructions ( Time or temperature )
  • Culture ordered → Use aseptic technique ( Protect sterility )
  • Timed order → Record actual time ( Honor interval )
  • Data discrepancy → Hold specimen ( Resolve before release )
  • Problem exceeds scope → Refer supervisor ( Document appropriately )

Safety Controls SA

  • Standard precautions Apply to blood
  • SDS Chemical hazard information
  • Hazard communication Know workplace hazards
  • Sharps safety Prevent needlestick injuries
  • Isolation technique Limit infection spread
  • Environmental safety Maintain safe facilities

Complications and Response SA

  • Syncope Fainting risk
  • Nausea Protect and report
  • Convulsion Get immediate help
  • Nerve injury Stop collection
  • Accidental artery Follow incident protocol
  • Hematoma Blood in tissue

Legal and Ethical ET

  • Consent Obtain before procedure
  • Liability Practice within standards
  • Professional conduct Ethical legal behavior
  • Confidentiality Protect patient information
  • Scope Perform authorized duties
  • Documentation Record care accurately

Serum vs Plasma AN

Serum

  • Collected after clotting
  • No fibrinogen remaining

Plasma

  • Collected with anticoagulant
  • Retains clotting factors
  • Match specimen to test

Anatomy Basics AN

  • Vein Returns blood heartward
  • Artery Carries blood from heart
  • Capillary Links smallest vessels
  • Serum Fluid after clotting
  • Plasma Fluid with clotting factors
  • Hemostasis Process stopping blood loss

Common Traps

Scaled ≠ Percentage

  • 70 is scaled ≠ Not raw percent

Outline ≠ Live Questions

  • Review competencies ≠ Never memorize recalls

Retake ≠ Partial Test

  • Retake entire examination ≠ Review all weak areas

Tube Color ≠ Universal

  • Follow facility procedure ≠ Match additive requirements

Fainting ≠ Continue

  • Stop collection safely ≠ Protect patient first

Last Minute

  • 1. Start with patient identifiers
  • 2. Read tests and timing
  • 3. Select correct container
  • 4. Use correct draw sequence
  • 5. Label per protocol
  • 6. Protect specimen integrity
  • 7. Escalate patient complications
  • 8. Use standard precautions
  • 9. Honor consent and privacy
  • 10. Review all eight work areas

AMT RPT Registered Phlebotomy Technician

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