Clinical Lab Flashcards
The process by which specimens are logged in, labeled, and assigned a specimen identification code
Accessioning
A voluntary process in which an independent agency grants recognition to institutions or programs that meet or exceed established stands of quality
Accreditation
AABB, International association that sets blood bank standards, accredits blood banks, and promotes high standards or performance in the practice of transfusion medicine
American Association of Blood Banks
A chemical or substance that prevents blood coagulation
Anticoagulant
The study of bacteria
Bacteriology
Clinical lab department where blood components are tested and stored until needed for transfusion; immunohematology department; transfusion services; also the refrigerated unit used for storing blood components
Blood bank
CMS, agency within the DHHS responsible for implementing CLIA ‘88
Centers for Medicare and Medicaid Services
Testing outside the traditional lab setting, also called bedside testing
Point-of-care testing
Specifies minimum performance standards for all clinical labs
Clinical Laboratory Improvement Amendments of 1988
Under CLIA ‘88, certified labs are classified as preforming what? (Each level of certification can only do what specific test?)
Waived tests, test of moderate and high complexity, and provider-preformed microscopy procedures
Over half of registered CLIA labs are located where?
Physician office laboratories (POLs)
Labs in small hospitals (Less than 100 beds) primarily do what? (Responsibilies)
Routine tests, they send more complicated or infrequent tests to a larger laboratory
A lab in a medium hospital (Up to 300 beds) typically preforms what kind of tests?
Routine test as well as more complicated tests, only newly developed test, infrequent tests, and tests that require a high level of skill and special instrumentation need to be sent to a reference laboratory
Large hospital (300+ beds) labs can preform what tests?
Complex tests at large volumes
Tests that have a very low risk of error, includes hemoglobin, hematocrit, urine reagent strip, urine pregnancy tests, blood glucose, and occult blood tests
Waived Tests
Name for labs located inside physician offices that typically preform waived tests, over half of CMS-registered labs are these kinds of clinical lab
POLs
Privately owned, regional labs that preform high-volume tests, usually preform high complexity tests for hospital labs
Reference Laboratories
Every state has one of these facilities, which is operated by the state’s department of public health. In these facilities, tests preformed include those mandated by state regulations, like premarital blood tests and PKU testing of newborns, as well as other tests not typically available at other labs, like fungi and mycobacteria cultures and infectious diseases such as HIV
State laboratories
First level of CLIA certificate, can only preform WAIVED tests, which many of can be preformed at home like a urine pregnancy test
Certificate of Waiver (COW)
Second level of CLIA certification, preform microscopy-based tests on specimens not easily transported, include urine microscopic examinations, abbreviation of Provider-Preformed Microscopy Procedures
PPMP Certificate
3rd, 4th, and 5th levels of CLIA certification, preform moderate to high complexity tests
Registration Certificate, Certificate of Compliance, and Certificate of Accredation
Title for the director of a hospital laboratory
Pathologist
Title for a lab’s technical supervisor
Lab manager or chief technologist
Lab title for a technical consultant or general supervisor
Department head, section head, section supervisor, or technical specialists
Lab title for testing personnel
(In order of responsibilities) Medical/clinical lab scientist, medical/clinical lab technologist, medical/clinical lab technician, and lab assistant
Directly under lab director, would be educated in clinical lab science with additional management training or experience, also responsible for making the SOP available to all personnel
Technical supervisor
Department of the lab that preforms tests involving blood
Hematology
Tests preformed in the hematology department that diagnoses and monitors a patient with defects in their blood clotting system
Coagulation tests
Included in its own department or part of chemistry or hematology, where physical, chemical, or microscopic examinations and tests of urine are preformed
Urinalysis
The largest department in most labs, preforms tests on plasma, serum, urine, and other fluids
Clinical Chemistry
Specially trained personnel responsible for collecting specimens, sometimes this responsibility is shared with nursing personnel
Phlebotomist
In small labs, specimens are taken directly to the department where the test needs to be preformed. In larger labs, specimens are delivered to this area to be processed and logged into a computer to be given an identification code
Accessioning area
A voluntary process by which an independent agency grants recognition to institutions or programs that meet or exceed established standards or quality
Accreditation
In 1996, Congress passed this act, from which a privacy rule was issued, providing federal protections for personal health information
Health Insurance Portability and Accountability Act (HIPAA)
Educational requirements for a Medical Lab Scientist
Baccalaureate degree, completed specific on-site training, then after being certified they can preform analysis in all lab departments and work as a supervisor, have the title MLS
Educational requirements for a Medical Lab Technician
Associate’s degree or certificate from an accredited MLT program, and after certification they have the title MLT
Treating every patient, body fluid, substance, and unfixed tissues as potentially infectious
Standard Precautions
Exposure control methods
Standard Precautions, use of PPE, engineering controls (devices that eliminate or minimize worker exposure) and work practices (the manner in which a task is preformed to minimize the likelihood of exposure)
Tool used in sterilization that works by using steam under pressure to kill bacteria, viruses, and fungi
Autoclave
Common disinfection methods
Dilute chlorine bleach (1:10 dilution), alcohols 70% to 90%, phenols, and quarternary ammonium compounds
Chemicals used on skin or tissue to inhibit growth of microbes
Antiseptics
A measurement of 1/1000, 0.001, or 10^-3
Milli
Measurement of 1/100, 0.01, or 10^-2
Centi
Measurement of 1/10, 0.1, or 10^-1
Deci
Measurement of 1/1000000, or 10^-6
Micro
Measurement of 10^-9
Nano
Measurement of 10^-12
Pico
Converting an inch to a centimeter
Multiply the number of inches by 2.54
Convert an ounce to a gram
28oz = g
Convert a quart to a liter
Q0.95 = L
Convert teaspoons to mililiters
Multiply the number of teaspoons by 5 for the number of milliliters
Formula of Fahrenheit to Celsius
C= 5/9 (F-32)
Formula of Celsius to Fahrenheit
F= 9/5 (C) + 32