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Phlebo Procedures-11
Hwk Packet #9
| Question | Answer |
|---|---|
| A central laboratory is not necessary to perform _______________ testing. | POCT - Point of Care Testing |
| POCT is routinely performed in all areas except _______________. Such areas include physician's offices, ICU's, and operating rooms. | Clinical Laboratory |
| Proficiency testing is required for all levels of CLIA complexity except _______________ tests. | Waived |
| Advantages of POCT include faster turnaround time of test results, providing faster patient treatment, limiting the amount of blood needed for testing, and _______________. | Providing a wider variety of lab tests |
| _______________ adminsters the CLIA '88 regulations. | CMS - Centers for Medicare and Medicaid Services |
| A test that can be purchased over the counter for home use is called _______________ according to the CLIA. | Waived |
| Under CLIA a phlebotomist is not authorized to perform the _______________ examination on urine. | Microscopic |
| A phlebotomist running a test on a standardized sample received from a monitoring agency is performing _______________ testing. | Profficency |
| Quality control of POCT should be performed by: | The person performing....??? |
| A procedure manual differs from a package insert by containing instructions for _______________. | Recording test results |
| _______________ is the standardization of an instrument used for POCT. | Calibration |
| To determine the proper maintenance of a Glucometer, the phlebotomist should read the ____________________. | Package insert |
| A _______________ in QC results on a Levy-Jennings chart indicates the possibility of instrument malfunction. | Shift |
| A _______________ in QC results on a Levy-Jennings chart indicates the possibility of gradual deterioration of reagents. | Trend |
| If a phlebotomist is not performing a test correctly, this will be detected through _______________. | QC - Quality Control |
| A HemoCue instrument can be used to measure hemoglobin and _______________. | Glucose |
| A _______________ urine specimen is the recommended specimen for uring pregnancy testing. | First morning |
| Immunoassay kits must contain reaction cards, positive and negative controls, and a _______________. | Color developer |
| Which of the following patients may have anemia? Male w/ Hgb of 15g/dL, Female w/ Hgb of 12 g/dL, Female w/ Hgb of 17 g/dL or Male w/ Hgb of 12 g/dL? | D. Male patient with a hemoglobin of 12 g/dL |
| The physical examination of uring includes reports on __________ and ___________. | Color and Apperance (Clarity/Turbidity) |
| The chemical results of a urinalysis strip are read by comparing with a _______________. | Specified color chart |
| The presence of ______________ in a Hemoccult test is indicated by the appearance of a blue color. | Blood (Hgb - Hemoglobin) |
| When instructing a patient prior to collection of a specimen for occult blood testing, the phlebotomist should provide a list of ____________________. | Foods and Meds not to be eaten or taken |
| The advatage of a rapid group A streptococcus kit is that the results are _______________. | Availabe sooner |
| Two swabs are collected for rapid streptococcus testing so that a _______________ can be performed, if necessary. | Culture |
| POCT cholesterol testing is performed primarily as a _______________. | Health screening test |
| If the Cholesterol LDX goes into "locking" mode, the phlebotomist must _______________. | Contact the tech. service representative |
| Specimens for activated clotting times performed on the HEMOCHRON Jr. are obtained by _______________. | Dermal puncture |
| Transcutaneous bilirubin testing cannot be used to monitor the need for _______________. | Exchange transfusion |
| Errors in the performance of a chemical examination of uring include incompletely dipping the strip in the uring, leaving the reagent strip in the urine __________, and comparing the color reactions to a chart after __________ minutes. | Too long/ 10 min. |
| Which of the following tests cannont be performed by POCT instruments? A. Electrolytes B. Platelet counts C. Hematocrits D. Arterial blood gases | B. Platelet counts |
| A patient's glucose reslut of 350 mg/dL is considered a _______________. | Critical value |
| Failure 2obtain QC results that are within acceptable limits when performing a blood glucose may be caused by storing the reagent strips in ___________, by the control covering half the testing area, and by prolonged exposure of reagent strips to ________ | The refridgerator/ Room air |
| Blood glucose POCT instruments work on the principle of _________________ and _______________ of the glucose reaction. | Color formation/ Electrical potential |
| A decrease in the amount of oxygen reaching the cells can be detected using a(an)_______________. | HemoCue |
| The HemoCue can accurately measure hemoglobin concentration in patients with high white blood cell counts because the reaction is read at ________________. | Two different wave lengths |
| A Urinalysis should be performed within ________________ hours of specimen collection. | 2 hours |
| T or F The dessicant should be removed from the storage bottle for proper reagent strip care and handling. | False |
| _______________ should be avoided for a week prior to collection of an occult blood sample because it may cause a false positive result. | Aspirin |
| The purpose of enzyme immunoassay tests for pregnancy is the detection of ________________. | HcG - Human Chorionic Gonadotropin |
| Failure to perform a pregnancy test on a first-morning urine specimen may cause a ________________ reaction. | False negative |
| Rapid tests for group A streptococcus detect Group A streptococcus _______________. | Antigens |
| A patient with a cholesterol result of 300 mg/dL is in danger of developing _______________ disease. | Coronary Artery |
| ________________ is the anticoagulant given to patients to prevent the release of clots into the circulatory system during surgical procedures. | Heparin |
| Laboratory tests performed in the patient care area. | POCT - Point of care testing |
| Substance used to produce a chemical reaction. | REAGENT |
| Amount of time between the request for a test and the reporting of results. | TURN AROUND TIME |
| Standardization of an instument used to perform diagnostic tests. | CALIBRATION |
| Performance of tests on specimens provided by an external monitoring agency. | PROFICIENCY TESTING |
| An abrupt change in the mean of quality control results. | SHIFT |
| Substance of known concentration used to monitor the accuracy of test results. | CONTROL |
| Gradual change above or below the mean of quality control results. | TREND |
| Methods used to monitor the accuracy of procedures. | QUALITY CONTROL (QC) |
| Laboratory test result critical to patient survival. | CRITICAL VALUE |
Created by:
luparl
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