Laboratory Safety and Quality Assessment Flashcards
Safety Procedure Manuals is mandated by:
Centers for Disease Control and Prevention (CDC)
Occupational Safety and Health Administration (OSHA)
The Safety Procedure Manuals are updated _____ by the laboratory director
Annually
The Safety Procedure Manuals are updated annually by the _____
Laboratory Director
The _____ provides the guidelines for writing the procedures and policies in the Safety Procedure Manuals
Clinical and Laboratory Standards Institute (CLSI)
List down the Infectious Agents
Bacteria
Fungi
Parasites
Viruses
List down the Reservoir
Humans
Animals
Insects
Fomites
Blood/Body Fluids
List down the Portal of Exit
Nose
Mouth
Mucous Membrane
Specimen Collection
List down the Means of Transmission
Droplet
Airborne
Contact
Vector
Vehicle
List down the Portal of Entry
Nose
Mouth
Mucous Membranes
Skin
Unsterile Equipment
List down the Susceptible Host
Patients
Elderly
Newborns
Immunocompromised
Health-care Workers
How to break the link for the Reservoir?
Disinfection
Hand Hygiene
How to break the link for the Portal of Exit?
Sealed biohazardous waste containers
Sealed specimen containers
Hand Hygiene
Standard Precautions
How to break the link for the Means of Transmission?
Hand Hygiene
Standard Precautions
PPE
Patient Isolation
How to break the link for the Portal of Entry?
Hand Hygiene
Standard Precautions
PPE
Sterile Equipment
How to break the link for the Susceptible Host?
Immunizations
Patient Isolation
Nursery Precautions
Healthy Lifestyle
States that all patients are considered to be possible carriers of bloodborne pathogens
Universal Precautions (UP)
Universal Precaution guideline recommends _____ and _____
Wearing gloves
Wearing face shields
The CDC excluded _____ and _____ not visibly contaminated by blood from UP
Urine
Body Fluids
Major disadvantage of BSI guidelines
Do not recommend handwashing after removing gloves
In _____, the CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) combined the major features of UP and BSI Guidelines and called the new Guidelines Standard Precautions.
1996
In 1996, the _____ and _____ combined the major features of UP and BSI Guidelines and called the new Guidelines Standard Precautions.
CDC
HICPAC
In 1996, the CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) combined the major features of_____ and _____ and called the new Guidelines Standard Precautions.
UP
BSI
In 1996, the CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) combined the major features of UP and BSI Guidelines and called the new Guidelines _____.
Standard Precautions
Standard Precautions are as follows:
- Hand Hygiene
- Gloves
- Mouth, Nose, and Eye Protection
- Gown
- Patient Care Equipment
- Environmental Control
- Linen
- Occupational Health and Blood-borne Pathogens
- Patient Placement
- Respiratory Hygiene/Cough Etiquette
PPE used in the laboratory includes:
Gloves
Fluid-resistant Gowns
Eye and Face Shields
Plexiglas Countertop Shields
Wearing gloves is not a substitute for _____
Hand Hygiene
Wearing _____ is not a substitute for hand hygiene.
Gloves
Hand hygiene includes _____ and _____
Hand Washing
Using Alcohol Based Antiseptic Cleaners
All biologic waste, except _____, must be placed in appropriate containers labeled with the biohazard symbol
Urine
Empty urine containers can be discarded as _____
Non-biologically Hazardous Waste
Urine may be discarded by _____
Pouring it into a laboratory sink under a Plexiglas Countertop Shield
Disinfection of the sink using a _____ or _____ dilution of sodium hypochlorite should be performed daily.
1:5 or 1:10
Disinfection of the sink using a 1:5 or 1:10 dilution of _____ should be performed daily.
Sodium hypochlorite
Disinfection of the sink using a 1:5 or 1:10 dilution of sodium hypochlorite should be performed _____.
Daily
Sharp objects in the laboratory includes:
Needles
Lancets
Broken Glassware
All sharp objects must be disposed in _____, _____ with the biohazard symbol
Puncture-resistant
Leak-proof
True or False
Every chemical in the workplace should be presumed hazardous.
True
For chemical spills and exposures, when a skin contact occurs, the best first aid is to _____ then _____
Flush the area with large amounts of water for at least 15 minutes
Seek medical attention
Hazardous chemicals should be labeled with a description of their particular hazard, such as:
Poisonous
Corrosive
Flammable
Explosive
Teratogenic
Carcinogenic
The _____ requires that all employees have a right to know about all chemical hazards present in their workplace.
OSHA Federal Hazard Communication Standard
The information about chemical hazards present in their workplace of an employee is provided in the form of _____ on file in the workplace
Material Safety Data Sheets (MSDSs)
Information contained in an MSDS includes the following:
- Physical and chemical characteristics
- Fire and explosion potential
- Reactivity potential
- Health hazards and emergency first aid procedures
- Methods for safe handling and disposal
- Primary routes of entry
- Exposure limits and carcinogenic potential
Refers to the overall process of guaranteeing quality patient care and is regulated throughout the total testing system.
Quality Assessment
Refers to all of the laboratory’s policies, processes, procedures, and resources needed to achieve quality testing.
Quality System
Quality assessment program includes not only testing controls, referred to as quality control (QC), but also encompasses:
Preexamination Variables
Examination Variables
Postexamination Variables
A variable that occur before the actual testing
Preexamination Variables
These variables are the processes that directly affect the testing of specimens.
Examination Variables
True or False
Reagent strips must be refrigerated, and must be recapped immediately after removing each strip.
False
Reagent strips must be NEVER be refrigerated, and must be recapped immediately after removing each strip.
Frequently encountered instruments in the laboratory:
Refractometers
Osmometers
Automated Reagent Strip Readers
Automated Microscopy Instruments
Common equipment in the laboratory:
Refrigerators
Centrifuges
Microscopes
Water Baths
Temperatures of refrigerators and water baths should be taken _____ and recorded
Daily
The calibration of cetrifuges must be done _____ and the appropriate relative centrifugal force for each setting is recorded
Every 3 months
Centrifuges are routinely disinfected on a _____
Weekly basis
Refers to the materials, procedures, and techniques that monitor the accuracy, precision, and reliability of a laboratory test.
Quality Control
Quality Control refers to the _____, _____, and _____ that monitor the accuracy, precision, and reliability of a laboratory test.
Materials
Procedures
Techniques
Quality Control refers to the materials, procedures, and techniques that monitor the _____, _____, and _____ of a laboratory test.
Accuracy
Precision
Reliability
_____ are performed to ensure that acceptable standards are met during the process of patient testing.
QC Procedures
Used to verify the accuracy and precision of a test and are exposed to the same conditions as the patient samples.
External Quality Control
The ability to maintain both precision and accuracy.
Reliability
Reliability is the ability to maintain both _____ and _____
Precision
Accuracy
Consists of internal monitoring systems built in to the test system
Internal Quality Control
Internal Quality Control is also called _____
Internal or Procedural Controls
Uses a mechanical or electrical device in place of a liquid QC specimen
Electronic Controls
Can be internal or an external component inserted into a point of care (POC) instrument.
Electronic Controls
Verifies the functional ability of a testing device but it does not verify the integrity of the testing supplies.
Electronic Controls
True or False
Electronic Controls verifies the functional ability of a testing device and verify the integrity of the testing supplies.
False
Electronic Controls verifies the functional ability of a testing device BUT IT DOES NOT verify the integrity of the testing supplies.
The testing of unknown samples received from an outside agency, and provides unbiased validation of the quality of patient test results.
Proficiency Testing (External Quality Assessment)
The _____ mandates comparison testing for laboratory accreditation.
Clinical Laboratory Improvement Amendments (CLIA)
Are processes that affect the reporting of results and correct interpretation of data
Postexamination Variables