| Question | Answer |
| CLIA | Clinical Laboratory Improvement Amendment |
| Compares current lab test results with previous results for the same test on the same patient | Delta check |
| Implies voluntary and competent permission for medical procedure, test, or medication | Informed consent |
| Specimen receiving/processing | Sample acceptability
Blood gas sample acceptability
Chemistry sample acceptability |
| Injured party in the litigation process | Plaintiff |
| Which laboratory regulatory agency classifies laboratory tests by their complexity? | CMS |
| Legal actions in which the alleged injured party sues for monetary damanges | Civil action |
| Latin phrase meaning "let the master respond" | Respondeat superior |
| What book states the policies and procedures that apply to each test or practice performed in the laboratory? | Procedure Manual |
| Plebotomists' involvement with Patient's Bill of Rights does not include the patient's right to: | Examine their hospital bill |
| Federal agency that administers the CLIA | Centers for Medicare and Medicaid Services (CMS) |
| Failure to keep privileged medical information private | Breach of confidentiality |
| Act or threat causing another to be in fear of immediate battery | Assault |
| What book outlines hand washing and other decontamination procedures, precautions to take when dealing with patients or handling specimens, and how to handle accidental contamination? | Infection Control Procedure Manual |
| Liability imposed on one person for acts committed by another | Vicarious liability |
| These are set up to monitor all aspects of laboratory work? | Quality indicators |
| Ethics are defined as: | Standards of right and wrong |
| Deceitful practice or false portrayal of facts either by words or by conduct | Fraud |
| OSHA | Occupational Safety & Health Administration |
| CLSI | Clinical Laboratory Standards Institute |
| Person against whom a complaint is filed | Defendant |
| Intentional offensive touching or use of force without consent or legal justification | Battery |
| The law that specifically addresses privacy of health information is: | Health Insurance Portability and Accountability Act |
| When one party questions another under oath with a court reporter present | Deposition |
| Required before surgery or high-risk procedure.
Verbally or written.
Written-best protection-sign by pt & provide & witnessed by 3rd party.
Verbal-Documented fully in chart what was discussed.
Consent covers what procedure(s) will be done. | Expressed consent |
| Parental/guardian consent required for medical treatment.
Generally, minor cannot consent for medical treatment.
If violated, personnel is liable for assault and battery. | Minor consent |
| Specimen transport | Transit time
Stat transit time |
| Program designed to nationally standardize measurement of performance | Continuous Quality Improvement (CQI) |
| State laws specify what type of information can be given.
Legislation governing informed consent for HIV tests has been enacted in most states.
Usually, pt must be advised on test and purposes, how test may be used, & meaning of test and limitations | HIV consent |
| Test request | Ordering accuracy
Accuracy of order transmission
Verbal order evaluation |
| Low complexity testing phlebotomists can perform (5) | Pregnancy test
Urinalysis
Throat cultures
Blood sugar
Blood typing |
| Safety practices for protecting patients and advancing quality care | National Patient Safety Goals (NPSGs) |
| Necessary elements of risk management... | Education
Evaluation
Identification |
| When a pt refused to have blood drawn the phlebotomist should: | Notify pt healthcare provider & document the refusal |
| A phlebotomist who tells a pt who is refusing to have blood drawn to calm down or they will get someone to hold them down is committing: | Assault |
| JCAHO | Joint Commission Accreditation Healthcare Organization |
| CLIA federal regulations are administered by: | CMS |
| Implies voluntary and competent permission.
Pt given adequate info regarding method, risks, & consequences of procedure.
Info in pt language & nontechnical terms.
Pt consent before procedure.
Minor require parent/guardian consent | Informed consent |
| Formal process in litigation that involves taking depositions and interrogating parties involved | Discovery |
| A constitutional right to refuse a medical procedure | Refusal of consent |
| Length of time after alleged injury in which a lawsuit can be filed | Statute of limitations |
| Personnel | Employee retention
Competence evaluation |
| Process control | Safety |
| Organization that develops voluntary standards and guidelines for the laboratory | Clinical Laboratory Standards Institute (CLSI) |
| Level of care and skill that provides due care for patients | Standard of care |
| Level of acceptable practice beyond which quality care cannot be assured | Threshold value |
| A component of a CQI program that is a form of procedural control | Quality control (QC) |
| A core set of systems essentials for quality outcomes | Quality System Essentials (QSE) |
| Failure to exercise due care | Negligence |
| Violation of one's right to be left alone | Invasion of privacy |
| What book describes the chemical, electrical, and radiation safety for the laboratory? | Safety Manual |
| Any unfavorable event that is unexpected and results in death or serious physical or psychological injury | Sentinel event |
| What book describes the necessary steps to follow in patient preparation? | Specimen Collection Manual |
| Oldest & largest healthcare standard-setting body in the nation? | Joint Commission |
| Occurrence management | Incidents |
| Specimen collection/labeling | Wristband evaluation |
| Wrongful act committed against one's person, property, or reputation | Tort |
| Level of care a person with good sense provides under given circumstances | Due care |
| Patient assessment | Duplicate test ordering
Practice guideline implementation |
| QA program monitors: | Outcomes |
| Overall process that established policies and procedures for assured quality | Quality assurance (QA) |
| Areas to avoid when performing throat cultures (7) | Teeth
Cheeks
Gums
Uvula
Lips
Tongue
Roof of mouth |
| Consent is implied by actions.
Necessary in emergency/CPR situation.
Enacted at a state level - may differ state to state. | Implied consent |
| Performing an unauthorized arterial puncture that results in damage to the pt's use of arm is termed: | Malpractice |
| A phlebotomist who fails to change gloves and wash hands between patients is not observing: | Joint Commission Patient Safety Goals |
| Practices that emphasize quality assurance when in any laboratory setting | Good Laboratory Practices (GLPs) |
| Type of negligence implying a greater standard of care was owed to the injured person | Malpractice |
| Internal assessment | Self-assessments
On-site assessments |
| Guides used to monitor all areas of patient care | Quality indicators |
