Module 3

Question 1

What are the advantages of having an accession area?

Answer 1

Unified collection/data processing
Pretest functions
Patient comfort and safety
Stored serum
Central inquiry
Central reporting

Question 2

What is a requisition?

Answer 2

A formalization of a request for lab analysis.

How the lab recognizes the patient and the type of specimen required.

Question 3

What are the different parts of a lab req?

Answer 3

Top- identified patient

Central- lists tests

Bottom- lab use

Question 4

What are the different types of lab reqs?

Answer 4

Master/long form/prime form- lists all offered services

Multipart- acts as a req and report

Departmental- specific for a department

Computer generated

Question 5

What information must a req contain?

Answer 5

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

Question 6

What other information may be included on a req?

Answer 6

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

Question 7

What are the legal obligations associated with reqs?

Answer 7

Writing must be in water resistant ink

Corrections done with a single line and initialed

Collections are verified, date/time and collectors ID recorded

Question 8

What is an addressograph?

Answer 8

A req imprint of he patient’s “credit card” with all their information.

Question 9

How is date recorded?

Answer 9

Year/month/day

Question 10

Who can request lab tests?

Answer 10

Licensed physicians, dentists and midwives.

Insurance co.s can make standing orders.

Question 11

Who can translate the doctor’s orders into a req?

Answer 11

Nurses, unit clerks and receptionists.

Question 12

What is the flow of info?

Answer 12

Physician-chart-nurse/unit clerk/receptionist-specimen collection-lab-results-doctor

Question 13

What is turn around time (TAT)?

Answer 13

The time it takes for test results to get back to the doctor.

Should be minimized.

Question 14

What is systems analysis?

Answer 14

The chain of events is examined to identify problem areas.

Question 15

What are the requirements for the lab portion of the communication cycle?

Answer 15

Requisition

Reporting

Telephone

Referrals

Question 16

What must reports include?

Answer 16

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

Question 17

A written policy for reporting critical values must include:

Answer 17

Patients name
Hospital no. 
Time of collection
Test result
Date and time
Initials of person phoning and person receiving

Question 18

A record of tests sent to other labs should include:

Answer 18

Patient name
Accession no.
Date of referral
Date of receipt of report

Question 19

What is the function of the accession department?

Answer 19

Central processing, acts as a funnel to receive specimens and distributes them to the appropriate area for testing.