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CCC-Medical Lab
chapter 5
| Term | Definition |
|---|---|
| CLIA | clinical laboratory improvement amendment |
| clinical laboratory improvement amendment | mandates labs are regulated using the same standards established the 3 levels of complexity |
| high complexity | test that requires close attention to detail, test may have numerous steps lab run by Pathologist |
| moderate complexity | test fall between waived and high complexity complex test requires formal training subcategory PPMP |
| PPMP | physician performed microscopic procedures |
| physician performed microscopic procedures | subcategory of a moderate lab microscopic use in this lab |
| waived lab | FDA cleared testing for home use & lab. simple test that are easy to interpret pose no reasonable risk if done wrong |
| certificate of waiver | certificate that allows laboratories to perform waived test |
| CLIAC | clinical laboratory improvement advisory committee |
| clinical laboratory improvement advisory committee | committee provides advice & guidance to HHS (health & human services) on improvement of labs |
| SOP | standard operating procedures |
| standard operating procedures | step by step procedures & values |
| pre exam phase | confirm test, ID patient, give patient pretest instructions, pre test instructions, collect specimen, label specimen, QC |
| exam phase | sample in this phase id checked on sample, control test done, test sample, interpret test results, record test , perform QC |
| post exam phase | reporting of the results, follow OSHA disposal and waste |
| ESR | erythrocyte sedimentation rate |
| erythrocyte sedimentation rate | the rate at which the cells settle in a calibrated tube for 1 hour testing for inflammation & arthritis |
| rouleaux formation | when inflammation is present plasma proteins increase causing RBC to stick to each other |
| Winthrobe, westergren & modified westergren | 3 manufactures for ESR test |
| FOBT | fecal occult blood test |
| guaiac card | cardboard holder used to sample stool that will turn blue when blood is present |
| microhematocrit | also refereed to as packed cell volume, Hct or crit is the % of rbc in a capillary tube to test for anemia |
| red tipped tube | heparin coated microhematocrit tube |
| blue tipped tube | no anticoagulant in this microhematocrit tube |
| black tipped tube | smaller in diameter in microhematocrit |
| reagent strip | diagnostic strips used for clinical analysis |
| hematocrit | % by volume of RBC's in blood sample |
| strep test | test used to test bacteria for group A streptococcus sample obtained from the back of the mouth |
| hCG | Human chorionic gonadotropin hormone produced by the placenta test for pregnancy |
| urine chemical screening | testing for chemicals normally not found in urine-nitrates, bilirubin, urobilinogen, ph, ketones, glucose, specific gravity |
| urinalysis | 3 parts to this physical, chemical & microscopic |
| POCT | point of care testing |
| point of care testing | testing done at the patients bedside |