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chap 7 McGraw-Hill
Patient & Specimen Requirements. Qs
| Question | Answer |
|---|---|
| What is the difference btw EMR & EHR? | EMR came 1st but EHR systems travel from facility to facility and cover more health info |
| What is HITECH? | Health Information Technology for Economic and Clinical Health an act that was pass in 2009. |
| what does HITECH do? | Encourages 90% of Dr.'s and 70% of hospitals to use EHRs. Gives standards for EHRs to allow nation wide exchange of patient info |
| What is EHR? | Electronic health record, containing demographics, progress notes, problems, medications, vital signs, medical history, immunizations,laboratory data and radiology reports |
| What is the Purpose of EHR? | to provide secure, real-time access to patient centered info. reducing delays in planning, treatment , reporting, quality management, and billing. |
| What is bed side manner ? | Courtesy and respect for the client, Rapport. |
| Can a phlebotomist discuss the test with the patient or family? | NO |
| What can happen if a phlebotomist intentionally harms patient's? | The patient can seek a civil suit. |
| what is an important LEGAL aspect of phlebotomy? | Consent |
| What do you do if your patient doesn't understand English? | use hand gestures, a demonstration of the procedure or other means to make the patient understand |
| What are the 3 C's to prevent Malpractice? | Caring, Competence, Communication |
| What are the Malpractice elements or 4 D's? | Derelict, Direct cause , Duty, Damages |
| What trace elements are found at Higher concentrations in those living near smelting plants? | Lead , Zinc |
| People living in areas with "hard" water have higher levels of what? | Lipid, Magnesium |
| Lack of physical activity can cause what in body tissues? | allow more water to enter the circulation , which increases plasma volume |
| Drawing blood without the patients consent is, what? | Battery |
| What is the usual basis for professional Malpractice claims? | Negligence |
| Who has the burden of proof in a Malpractice case? | The plaintiff |
| What are the 3 steps to patient Identification? | ASK, COMPARE, VALIDATE |
| Normal ranges are also called, what? | Reference ranges |
| In bedridden patients, calcium levels may be, what? | diluted |
| Is there more or less oxygen in higher elevations? | Less |
| What does higher elevation do to blood test results? | RBC count and hemoglobin and certain enzymes are higher. Urates are also higher |
| Which organization sets the standards for patient care? | The joint commission |
| Which agency is responsible for defining patient rights? | American Hospital Association |
| What happens to plasma protein levels during acute or severe exposure to heat? | Protein levels drop slightly |
| What Lab results vary by Age/gender? | RBC count, hemoglobin, WBC deferential and nutrient levels |
| When does the phlebotomy procedure begin? | When a physician or other qualified healthcare practitioner orders blood or other lab tests |
| Early morning Basal state collection is most accurate for what substances? | electrolytes, glucose, lipids, and proteins |
| When does testosterone DECREASE? | during the afternoon |
| When does thyroid-stimulation hormone Increase? | in the evening |
| What is the most common dietary restriction that affects collection? | Fasting |
| Why are tourniquets used? | to make it easier to locate a patients veins. |
Created by:
CcHayes
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