Clinical lab Flashcards
Laboratory is a facility that is involved in the ________________ where tests are done on specimens from the human body to obtain information about the health satus of a patient for the prevention, diagnosis, and treatment of diseases.
(a) pre-analytical, (b) analytical, (c.) and post-analytical procedures,
__ of all medical decisions are based on laboratory results
70%
Purpose of laboratory
● Detect disease or predisposition to disease
● Confirm or reject a diagnosis
● Establish prognosis
● Guide patient management
● Monitor efficacy of therapy
To successfully achieve its goal, a laboratory must use:
● Medical, scientific, and technical expertise
● Resources
○ Personnel, laboratory, and data processing equipment, supplies, and facilities
● Organization, management and communication skills
Transforms a test into a results report
Laboratory workflow
Laboratory workflow
- Clinician/doctor ordering a test
- Sample collection, transport, receiving, and
accessioning - Testing and review
- Report preparation and report delivery
- Accurate test results and interpretation back to the
physician
These are not controlled by medtech
-Clinician/doctor ordering a test
-Acurate test results and interpretation back to the physician
Test ordering may be done by other authorized health professionals(T or F)
True
The laboratory does not perform or control some of the processes in the workflow (T or F)
T
The laboratory collects all samples to be tested or examined (T or F)
F
Correct performance of all activities in the workflow is a MUST, whether or not the laboratory has control over them. (T or F)
True
It has added a level of transparency
Internet access
A single, core lab provides high volume, routine testing
Hub and spoke model
Regionalization
Hub and spoke
One or more other labs perform highly specialized
functions
○ Microbiology
○ Cytogenetics
○ Molecular diagnostics
○ Cytology/histopathology
○ Stat tests
LPD
LOCATION: situated in an area that is accessible both to clients and staff (T or F)
True
PRIVACY: provide audible and visual privacy to clients from specimen collection to releasing of results (T or F)
True
Conformance with building laws: planning and design, construction, renovation, maintenance, and repair of facilities
PD 1096 or the National Building Code
VENTILATION: Acceptable air changes per hour
?
4-12
Spaces required:
○ General Administrative Services and Public Areas
○ Clinical Working Area
○ Support Services Area
○ Reception area for information and
business transactions, receiving of
specimen, and releasing of results
○ Waiting area for clients
Business area
GENERAL ADMINISTRATIVE SERVICES AND PUBLIC AREAS
Business area
Collection area
Toilet facilities
May be within the premises or adjacent to the laboratory
Toilet area
Toilet facilities:
○ May be within the premises or adjacent to the laboratory
○ Conveniently accessible toilet to the public
○ Separate toilet for the staff
● Sufficient to accomodate its activities and allow for smooth and coordinated workflow
● Sufficient and appropriate storage and conditions provided for laboratory specimens, documents, records, manuals, equipment, reagents, supplies, slides and tissue blocks
Clinical working area
Support services area
● Sufficient storage for records and supplies ● Sterilization room/area
● Waste holding area
● Staff pantry
● Other spaces for staff such as offices, conference room, lockers, and changing room are optional
Collection area for blood extraction shall provided space, equipment, and furniture appropriate for its activity performed
○ With work counter/tray, space for patient seating, and handwashing stations
Pathologist’s area may be a _________
Separate room or cubicle
May be located outside the main clinical
laboratory, a designated cubicle in a toilet facility, or a dedicated toilet solely for specimen collection
Specimen collection area for urine/stool
Entrance to the clinical working area must be in high traffic areas(T or F)
False
Handwashing areas at the __________ points of the clinical working area is required
entry and exit
Sections of the laboratory shall be provided with a __________ with a depth of at least __________
stainless steel sink
8 inches and a gooseneck faucet
Each section of the laboratory shall be ________
Properly identified
Separate rooms are required for ___________
Histopathology, Microbiology, and Molecular Pathology