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HLUB Clinic Practical > Laboratory Tests and Protocol > Flashcards

Laboratory Tests and Protocol Flashcards

Blood Draw Lab Tests Blood Draw Lab Supplies and Set-up Lab Handling and Forms/Labels Lab Logout Protocol Lab Logout Team Time Sensitive Protocol and Common Time/Temperature Sensitive Labs

1
Q

For Blood draw lab tests, do patients have to do vitals? What are the exceptions? Who do you give the chart to?

A

No patients don’t have to do the vitals or wati for a room to be seen unless the doctor says so. You can keep the chart.
However, if a patient has a green blood draw slip for HgbAa1c, you must do vitals - only height and weight. You don’t have to give the chart to the UG Co-D and you can keep it.

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2
Q

What is a critical thing about the blood draw lab test?

A

You need to check with one of the preceptors in clinic to make sure that those blood tests are what needs to be ordered.

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3
Q

How do procedures differ when a patient is referred to by a MS/MD for a blood draw versus them self-requesting one?

A

If a patient is referred by a MS/MD for a blood draw, proceed with the regular protocols. However, if they are self-requesting, they must do vitals and be seen by the doctor first.

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4
Q

A patient comes in asking for specific services. What must happen first before they are allowed to get these services?

A

They need to see a doctor and get their approval first.

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5
Q

At the blood draw station, what procedures must you do?

A
  1. Print out the lab labels at the Lab Logout Station
  2. Bring labels to Blood draw station nad find an MS/Phlebotomist/RN/MD to draw the blood and return to the blood draw station. Patient may return to waiting room after labs have been drawn.
  3. Do not forget to ask for whomever drew the blood’s initials and signature for the problem sheet.
  4. Follow Lab Handling Protocol
  5. Follow Lab Logout Protocol
  6. Return reorganized chart to Receptionist, “Done done with lab”
    Make sure MS?Phlebotomist/RN/MD signs the Problem Sheet.
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6
Q

What is the first step you should do at the blood draw station?

A
  1. Print out the lab labels at the Lab Logout Station
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7
Q

After you print out the lab labels at the Blood draw station, what must you do next?

A
  1. Bring labels to Blood draw station nad find an MS/Phlebotomist/RN/MD to draw the blood and return to the blood draw station. Patient may return to waiting room after labs have been drawn.
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8
Q

After a patient gets their blood drawn and they return to the waiting room, what do you do with the problem sheet?

A

Make sure to get the initials and signature of whomever drew the blood.

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9
Q

After you get signatures from the staff who drew a patient’s blood, what do you do?

A

Follow the Lab handling protocol adn Lab logout Protocol. Afterwards, return the reorganized chart to the Receptionist.

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10
Q

What do you say to the Receptionist when you turn in a chart for blood draw?

A

Done done with lab

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11
Q

Who needs to sign the problem sheet after a blood draw is finished?

A

MS/Phlebotomist/RN/MD

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12
Q

Inside the basket of blood draw supplies, there are 5 items. What are those supplies?

A
  1. Tourniquet (wrap)
  2. Needle
  3. Test tube holder
  4. Bandage
  5. Alcohol wipe
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13
Q

On the table of blood draw supplies, there are 3 items. What are those supplies?

A
  1. Blue pad
  2. Test tubes
  3. Cotton balls
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14
Q

Explain the requirements for gloves for lab handling.

A

Wear gloves on both hands or keep a hand ungloved to write with.

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15
Q

If the person drawing the blood has not inverted the blood sample yet, what should you do?

A

Gently invert each sample ~8-10 times. Have the bag open for sample test tubes to be placed in.

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16
Q

What must you confirm with the person drawing the blood?

A

If there are any time/temperature sensitive labs

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17
Q

Where do you put the samples in?

A

The specimen bag?

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18
Q

Where should the chart number from the lab label be placed?

A

Closest to the test tube cap, or horizontal on the cup

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19
Q

What does the UCDMC laboratory services prefer you write?

A

No dash on your numbers or letters
open your 4’s
cap and tail your I’s
Date written MM/DD/YY
CAPITALIZED ONLY
Do not write SSN on Lab forms

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20
Q

If there is a change of address/phone numbers, what should you do?

A

Have the patient fill out a lab form directly with New Address and New Phone Number and also update their VIC forms.

21
Q

Can you abbreviate the name for Hepatitis on the Lab Logout Binder?

A

NO

22
Q

What are the HEP Labs. What do you do when your patient has one of the following labs?

A

Anything with Hep in it. CMP, AFP, CBC, etc
Checkmark the HEP column

23
Q

What is the first step of the Lab Logout Protocol?

A

Go to the Lab Log out table with all labs in the bags and the patient’s chart.

24
Q

What is the second step of the Lab Logout Protocol?

A

Fill out all boxes highlight in bed. Only check HEP box or FIT/H. Pylori if any of the labs from the list of HEP labs are listed.

25
Q

What is the Lab Logout Protocol?

A
  1. AD go to Lab Log Out table with all labs in bag(s) and patient’s chart.
  2. AD fills out ALL BOXES highlighted in red. (ONLY check HEP box or FIT/H. Pylori column if any of the labs from “List of HEP Labs/a FIT/H.Pylori test are listed in your list of labs.)
    a. AD box (in green box), AD writes First Name, Last Initial
  3. Hand chart to Lab Logout to give you labels to put on your tubes, number of labels depends on number of tubes.
  4. Have Lab Logout check your labs and chart information, they will initial once everything is correct.
  5. Get any Medical Student or RN to double check all your information and labs, they will initial once everything is correct. Do not ask a Preceptor unless necessary.
  6. Clip the patient number of the day onto the bag, and put the bag into the fridge to place in the appropriate location. (Time sensitive? Temperature Sensitive?)
26
Q

What is the fourth step of the Lab Logout Protocol? (after getting your labels for your tubes)

A

Have lab logout check your labs and chart information. they will initial once everything is correct

27
Q

What is the fifth step of the Lab Logout Protocol? (after you get your initals from lab logout)

A

Get any Medical student or RN to double check all your information and labs. they will initial once everything is correct. (don’t ask a preceptor unless necessary)

28
Q

What is the last step of lab logout?

A

Clip the patient number of the day onto the bag, and put the bag into the fridge to place in the appropriate location. (time sensitive? temperature sensitive?)

29
Q

What is the patient lab tracking sheet? Who do you give this list to at the end?

A

The tracking list you will make from a blank sheet of paper and use to keep track of centrifuging. give it to the receptionist to double check which patients had labs.

30
Q

For the patient lab tracking sheet, what does the number of specimens refer to?

A

the number of test tubes, urine tubes, urine cups, etc

31
Q

For the patient lab tracking sheet, does couble/triple-bagging coutn as more bags?

A

Nah

32
Q

For the patient lab tracking sheet, how should you keep track of:
1. if not centrifuged yet:
2. in centrifuge
3. done with centrifuge

A

circle
one slash
another slash – x mark

33
Q

For the patient lab tracking sheet, if a lab is time sensitive, what should you do write?

A

put time so that you can keep track of it and warn the MSes if they need to deiver it. communiate with the MS abt it if necessary

34
Q

What is the centrifuge protocol?

A
  1. push “open/start” button and turn the knob counterclockwise
  2. place the red test tube holder into the centrifuge symmetrically
  3. close lid and turn the knob clockwise until the “latched” button is on
  4. press the “start” button
  5. push the “open/start” button and turn the knob counterclockwise
35
Q

If a patient has an odd number of tubes, what should you do?

A

use the gray “control” tube full of water to baance it out. but if you can’t find it, fill an empty test tube with a similar level of liquid to the other tubes.

36
Q

Can you spin multiple patient’s test lab/tubes at the same time?

A

NO. Spin only one patient at a time to avoid misin the tubes. If there are separate bags for the same patient, centrifuge separately

37
Q

What tubes do you spin?

A

tubes with gel.
Red
Mint Green (CMP, Lipid Panel)
All Gold
Total Iron Serum (green cap)
Transferrin

38
Q

For all gold tubes with gel, what should you let the tubes do before centrifuging? They must be spun within how much time of collection? (Hep B, TSH)

A

let them sit 20-30 mins before centrifuging. must be spun within 2 hours of collection

39
Q

What tubes do you not spin?

A

Blue (PT/INR)
Grey (Glucose fasting)
Pruple (HGBA1C, CBC, Viral loads)

40
Q

What are the time sensitive labs?

A

APTT
Total Iron Serum (green cap)
Transferrin

41
Q

How do you store the time sensitive labs?

A

Refrigerator

42
Q

What are the temperature sensitive labs?

A

PT/INR

43
Q

How do you store the temperature sensitive labs?

A

Room temperature
Styrofoam box

44
Q

What labs are time and temeprature sensitive?

A

H. pylori
ESR

Hep C genotype

45
Q

How do you store H. Pylori and ESR?

A

In between ice

46
Q

How do you store Hep C Genotype?

A

Room temperature
Styrofoam box

47
Q

What are the light sensitive labs

A

Vitamin D
Vitamin B12

48
Q

How do you store the light sensitive labs?

A

Wrap in glove or aluminum foil

HLUB Clinic Practical (7 decks)

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