Module 3 Flashcards
What are the advantages of having an accession area?
Unified collection/data processing Pretest functions Patient comfort and safety Stored serum Central inquiry Central reporting
What is a requisition?
A formalization of a request for lab analysis.
How the lab recognizes the patient and the type of specimen required.
What are the different parts of a lab req?
Top- identified patient
Central- lists tests
Bottom- lab use
What are the different types of lab reqs?
Master/long form/prime form- lists all offered services
Multipart- acts as a req and report
Departmental- specific for a department
Computer generated
What information must a req contain?
Patients full name Second identifier DOB Gender Name of physician Date/time of collection Tests requested Accession no. Lab name Clinical data Tech's ID
What other information may be included on a req?
Hospital name/code Date/time of req Patient category Patient room location Medical history Healthcare no. Other insurance info Priority Time specifications Physician info Hours PC
What are the legal obligations associated with reqs?
Writing must be in water resistant ink
Corrections done with a single line and initialed
Collections are verified, date/time and collectors ID recorded
What is an addressograph?
A req imprint of he patient’s “credit card” with all their information.
How is date recorded?
Year/month/day
Who can request lab tests?
Licensed physicians, dentists and midwives.
Insurance co.s can make standing orders.
Who can translate the doctor’s orders into a req?
Nurses, unit clerks and receptionists.
What is the flow of info?
Physician-chart-nurse/unit clerk/receptionist-specimen collection-lab-results-doctor
What is turn around time (TAT)?
The time it takes for test results to get back to the doctor.
Should be minimized.
What is systems analysis?
The chain of events is examined to identify problem areas.
What are the requirements for the lab portion of the communication cycle?
Requisition
Reporting
Telephone
Referrals
What must reports include?
Patients full name Second identifier DOB Gender Physician Date/time of collection Test name and results Lab name Reference intervals Date of reporting Tech's ID
A written policy for reporting critical values must include:
Patients name Hospital no. Time of collection Test result Date and time Initials of person phoning and person receiving
A record of tests sent to other labs should include:
Patient name
Accession no.
Date of referral
Date of receipt of report
What is the function of the accession department?
Central processing, acts as a funnel to receive specimens and distributes them to the appropriate area for testing.
