Chapters 1&2 Flashcards
3 steps to patient identification
ASK the patient name and/or spelling
COMPARE given info with the lab requisition
CONFIRM the info with another source or identification
4 zones of interpersonal space
Intimate space ( up to 18 inches) Personal space (18 in - 4 ft) Social space (4 ft - 12 ft) Public space ( 12+ feet)
CLIA’88
Clinical Laboratory Improvement Amendments
regulations enforced to ensure the quality and accuracy of laboratory testing
Main area of responsibility for phlebotomist
Preanalytical or preexamination phase (Specimen collection and handling )
Phlebotomy meaning
Phleb- vein
-tomy- cutting
aka blood letting
2 most common phlebotomy techniques
Venipuncture- withdrawing from a vein
Skin puncture- puncturing a finger for capillary blood
Blood test results are used for 3 main reasons
Diagnostic and screening tests-figure out what’s wrong
Therapeutic assessments- to develop correct treatment or choose right drug
Monitoring health status- make sure treatment is working
Laboratory Director
Pathologist- establish lab policies, interpreting test results, perform bone marrow biopsies & autopsies, diagnose disease from tissue specimens.
Laboratory Manager (administrator)
Responsible for overall technical and administrative management of the lab, usually have masters degree
Lab supervisor
Medical technologist- Experience and expertise related to the particular lab section or sections
Tests performed in Hematology section
Diff (Complete blood count differential)- % of different types of WBC and evaluates RBC and platelets
RBC count
WBC Count
ESR-rate of red blood cell sedimentation
Tests performed in Chemistry section
BUN- kidney disorder if elevated
Chol- coronary risk if elevated
Electrolytes- body fluid balance
Glucose- diabetes if elevated
Blood bank
Where blood is collected,stored and prepared for transfusion
Most common test is cross match to dertimine compatibility for use in transfusion
Serology section
Tests to evaluate the body’s immune response
Most common tests: Anti-HIV, Group A Streptococcus( Strep throat)
Tests performed in Microbiology section
C&S- detects micorbial infection and determines antibiotic treatment