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clinical lab science
CLT101
| Question | Answer |
|---|---|
| What are CLT lab areas (6): | chemistry, hematology, coagulation, urinalysis, bloodbank, microbiology |
| What CLT do: | -collect, process and store blood and other speciments-identify causes of problems w/ equip. and procedures-monitor quality control-follow safety precautions |
| Name certifications NCA, ASCP, AMT | National Certifying Agency, Ammerican Soc for Clin. Pathologists, Ameri Med Technlogists |
| Name profesional Org: ASCLS, AABB, AACC, CLMA | AmerSoc of ClinLabScientists, AmmAsoc of BloodBankers, AmeriAssoc of ClinChemists, Cinic Lab of Managers Association |
| What are the scope of CLT practice: | -to assure reliable tests results-to develop and monior QA systems-to design and implement cost effective procedures for laboratories- to promote awareness & understanding of services to the public |
| What means CLIA'88? | Clinical Laboratory Improvement Act-ALL LAB TESTING FOR HUMAN BLOOD ARE REGULATED BY IT |
| Who establish regulations for CLIA '88?............A-CMMS...B-HSS | ANSWER B |
| What CLIA 88 requires? | -to provide quality control and quality assurance-use external proficiancy test-have levels of personel and supervisors-pacient test management |
| What are the criteria for test grouping? | -risk of harm to pacient-likelihood of erroneous results-type of testing method-degree of interpretation of test-availability of tests for home use |
| What kind of test is the ovulation test..etc? | Waived test |
| What is PPM? | Provider performed microscopy |
| direct wet mounts, pinworm prep, urine sedim exam, nasal or fecal white cell exam, qualitative semen analisis can be performed under physician direction w/ no control materials | limited handling; specimen labile |
| What tests are more regulated and require proficiency testing and quality assurance programs? | Moderate to High Complexity |
| What are the regulatory agencies:JCAHO, CAP, OSHA, CDC, FDA | jOINT COMMISSION ON ACREDIATION OF HEALTHCARE ORG, COLLEGE OF PATHOLOGISTS, OCCUP SAFETY & HEALTH ADMIN,CENTER OF DISEASE CONTROL AND PREVENTION |
| What agency mandate standards in reporting of infections disease? | CDC |
| What 2 voluntaring acrediting agencies act on Fed Gov behalf? | JCAHO and CAP |
| Accademic status of a school | Acreditation |
| Individuals are evaluated and recognized s meeting certain standards; given by a non-gov org.??? | Certification |
| Granting permision by a competent authority (gov)to indiv. or org. | Licensure |
| What is the process of assuring clinician of efficient info in diagnosis or managemnt of a patient. | Continuing Quality Improvement (CQI) |
| What lab have to do in order to contol the quality of material and ensure accuracy of test results | Proficiency testing (PT) |
| LAboratory work under the suppervision of a ....?? | Pathologist |
| People w/ BS in CLS or MT can do...?? | -perform lab essay-supervise-teach-research |
| What is POCT or POL? | point of carephysician laboratory |
| What departments are considered anatominal departments? | histology, cytology, autopsy |
| Laboratory medicine managers include: | chemistry, coagulation, hematology, immunology, microbiology, toxicology |
| What form states that the pacient is aware and understand the nature of testing performed and what will be done w/ the results...?? | Informed consent |
| What means Chain of Custody? | Doscument procurmant process |
| What acrediting agency gives fines to hospitals/labs if fail to meet the standards?? | JCAHO |
| Info about chemicals provided by manufacturers is called...? | MSDS = Material Safety Data Sheet |
| What org, agency was created to make certain thet the quality of work done in the laboratory is reliable? | CLIA 88 (cLINICAL lABORATOY IMPROVEMENT OF 1988. |
| Seta acreditation requirements for physician office laboratory? | COLA Comission on Office Laboratory Acrediatation |
| What administers both the CLIA 88 and Madicare Programs? | CMS Centers for medicare and medicaid services |
| CMS has given the deemed status to act on the government's behalf to certify the clinical laboratories? | CAP College of American Pathologists |
| NON profit education group thet establishes consensus standards for maintaining a high quality laboratory organization. | CLSI Clinical and Laboratory Standards Institute |
| Accredits health care facilities and sets standard for quality assestment programs in those facilities | JCAHO |
| Continuing process of evaluating and monitorig all aspects of the laboratory to ensure accuracy of test results. | QA quality assestment |
| Specific microscopic test (wet mounts) performed by a physician for his or her own patients. | PPM Provider- performed Microscopy |
| Means by witch quality control between labotatories are performed | PT Proficiency testing |
| What is the process of performing the laboratory testing at the bed site of the patient; a means of decentralizing the laboratory testing. | POCT Pont of care testing |
| Closeness to the true value | Accuracy |
| Comparison to a known physical constant | Calibration |
| the value is known | Control |
| How close tests results are when repeated | Precision |
| Process of monitoring accuracy and reproductibility of known control results | Standards |
| Purified substance of a known composition | Quality control |
| What ensure safety and mandates plans for chemical hygiene and for occupational exposure to blood -borne pathonens (exposure control plan); madates a copy of material safety data sheets readily accesible for employees | OSHA |
| Where the following info is found: safe handling, storage and disposal of hazardous chemicals | MSDS |
| Legislation on chemical hazard precaution, also called... | state "right to know" law and OSHA |
| hazard symbols for:red, blue, yellow | flamable, health hazard, reactivity warning |
| water reactivity, strong oxidizer, corosivity, radioactivity symbol is... | white |
| Hazard identification system was developed by: | NFPA |
| Osha sets PEL.. | permissible exposure limits |
| CDC recomands safety precautions concerning the handling of all patient speciments is known as... | universal precautions or standard precautions |
| infectious material or agents that prezent a risk for humans are named... | biohazard material |
| Safety guidelines for the control of infectious disease is recommended by | CDC |
| The study of blood; tests complete blood count;reticulocytes count, erytherocytes sedimentation rate (ESR) | Hematology |
| Laboratory that tests PT-prothrombin and aPTT-activated partial thromboplastin time; tests patients that take bllod thinners | Hemostasis and coagulation |
| this lab performes analtical pocedures on a variety of blood fluid; mainly:blood glucose, cholesterol, electrolites; looks for elevated serum protein and enzymes; monitor drug terapy-toxycology | Clinical Chenistry |
| This lab tests antigen-antibody reactions;measure antibody; identifies normal and bnormal levels of immune cells and serum components. | Immunology and serology |
| This lab identify pathogens; pathogenic flora, use gram staining techniques to separate gram-positive from gram-negative organisms; identify appripiate antibiotic for treatment. | Microbiology |
| It is a fast growing discipline of diagnostic laboratories; molecular diagnosis; finding from this tests can anticipate future disease. | Biotechnology |
| pernicutaneous -parenteral port of entry= | from niddlestick |
| What agency requires laboratoris to have a PPE program | OSHA |
| How long should you wash hands? | 15 min |
| Bleach can kill HIV in ________min; and HBV in ____min | 2;10 |
| CDC issued guidelines for health personall ho was expose to HIV called: PEP | post exposure profilaxis |
| When infected with HBV, ACIP recomemds immunoprofilaxis and ________vaccine | HBIG-contain antibodies |
Created by:
tatianat