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Medical Orders

Module 7

what are the most common specimen tests that are ordered? (1) blood (2) urine (3) stool (4) sputum (5) wound drainage for C&S test
what types of specimens need invasive procedures to collect? (1) spinal fluid (2) fluid in the abdomen or pleural cavity (3) biopsy material (lungs, stomach) (4) pap smear
what common terms are used when ordering tests? (1) routine: test to be done the next scheduled rounds for technician (2) ASAP: test to be complete within 24 hours of requisition (3) timed order: will specify when or for how long test should be performed for (4) Stat order: done immediately
Lab Division: what does Hematology do? perform lab tests which analyse the physical properties of blood
Lab Division: what does Coagulation do? tests involving the clotting time of the blood (it is used for individuals on blood thinners and anticoagulants
Lab Division: what does Chemistry do? it studies and analyses chemical properties in living organisms (blood and urine specimens)
Lab Division: what does Bacteriology / Microbiology do? it studies the specimens for C&S in an attempt to identify disease causing organisms and the agent that is effective against it (turn around is min 48 hrs)
Lab Division: what does Histology / Cytology do? studies the specimens removed from the body tissue (all biopsy material taken in a hospital must be examined)
Lab Division: what does the Blood Bank do? stores reserve supply of whole blood and plasma for client use. Doctors will order type and x-match
what are the guidelines for completing lab requisitions? (1) check the correct test is ordered (2) complete all areas requiring client info (3) check priority and circle STAT tests (4) indicate time, date and physicians name (5) indicate time and date specimen if was collected on unit and initials of staff who collected it (6) indicate if phoning or faxing of results is required (7) indicate length client has been fasting for test (8) provide history and suspected infection if known (9) indicate if client is immunosuppressed and any medications
why are diagnostic tests ordered? (1) to assess client's current condition (2) make a diagnosis (3) determine effectiveness of current treatment
diagnostic tests are conducted in which departments? (1) Laboratory (2) Radiology (3) cardiovascular (4) endoscopy (5) respiratory (6) Gastrointestinal (7) Rehabilitation
to transcribe a diagnostic test order: (1) know what department and where the test is to be done (2) what form or requisition that department uses (3) who will collect specimen and how (4) where necessary equipment is located (5) what specific instructions need to be carried out
what types of tests are run in hematology? (1) CBC (2) RBC (3) hematocrit (4) hemoglobin (5) WBC (6) white blood cell differential (7) platelets
what are the five types of white blood cells? (1) neutrophils (2) eosinphils (3) basophils (4) lymphocytes (5) monocytes
what types of tests are done in Coagulation? PPT ( partial thromboplastin time) - blood clotting
what types of tests are done in Chemistry lab? (1) blood sugar levels (2) electrolytes (3) BUN (4) creatinine (produced by kidneys) (5) Cholesterol (6) triglycerides
what type of tests are done in Bacteriology / Microbiology lab? C&S tests
what is the HUC role in handling test orders? (1) transcription of orders and must communicate to all involved (2) need to know dietary restrictions or is transportation is needed (3) required to have sensitive, positive attitude, knowledge and effective communication skills (4) be aware that HUC will have influence on clients response to procedures & compliance of test requirements
Created by: KariTansowny