Notes

Question 1

define GLOBAL HARMONIZED SYSTEM (GHS)

Answer 1

single system for standardizing classification & labeling of chemicals

Question 2

the GHS requires employers to have written hazard communication program including what

Answer 2

• container labeling
• collection & availability of data sheets

Question 3

list benefits of GHS

Answer 3

• effectiveness, consistency, easy understanding
• define health, physical, & environmental hazards of chemicals
• classification process
• communicating hazard info, protective measures, and safety data sheets

Question 4

about how many sections are in a safety data sheet

Answer 4

15

Question 5

what information is included in sections 1-8 of a safety data sheet

Answer 5

chemicals, ID, hazards, composition, safe handling practices, emergency control measures

Question 6

what information is included in sections 9-11 of a safety data sheet

Answer 6

physical & chemical properties, stability & reactivity info, toxicological info, exposure control info, when contents were prepared, date of last revision

Question 7

what is special about sections 12-15 of a safety data sheet

Answer 7

required to be consistent w/GHS but won’t be enforced by OSHa

Question 8

what must be stated when the preparer doesn’t find info for a required element on a safety data sheet

Answer 8

“no applicable info found”

Question 9

aka: CLIA

Answer 9

clinical laboratory improvement amendments

Question 10

what are the 3 classifications of lab testing according to CLIA

Answer 10

waived, moderately complex, highly complex

Question 11

what is required for waived testing

Answer 11

certificate of waiver

Question 12

t/f: point of care testing is generally under waived testing

Answer 12

true

Question 13

give examples of Point of care testing that are waived

Answer 13

blood glucose, urine HCG, oxygen concentration

Question 14

what CLIA classification do provider performed microscopy procedures fall under

Answer 14

moderately complex

Question 15

who performs provider performed microscopy procedures

Answer 15

trained physicians or midlevel practitioners w/sueprvision

Question 16

an office must have who to perform moderately complex lab testing

Answer 16

• personnel director
• testing personnel
• technical consultant
• clinical consultant

Question 17

who regulates all lab testing on humans (except clinical trials & basic research) through CLIA

Answer 17

Centers for Medicare and Medicaid Services (CMS)

Question 18

quality insurance involves what components

Answer 18

• pt ID
• pt prep & specimen collection
• specimen processing & transportation
• instrumental & technical performance
• safety
• in-service training & education of all personnel

Question 19

what is tested in a comprehensive metabolic panel

Answer 19

glucose, calcium, sodium, potassium, chloride, CO2, BUN, Creatinine, Albumin, total protein, ALP, ALT, AST, total bilirubin

Question 20

what is tested in a basic metabolic panel

Answer 20

glucose, calcium, sodium, potassium, chloride, CO2, BUN, Creatinine

Question 21

what is tested in an electrolyte panel

Answer 21

sodium, potassium, chloride, CO2

Question 22

what is tested in a hepatic function panel

Answer 22

albumin, total protein, ALP, ALT, AST, total bilirubin, direct bilirubin

Question 23

what is tested in a lipid panel

Answer 23

cholesterol, triglycerides, HDL, LDL

Question 24

what are critically low values for serum glucose

Answer 24

<40 or 45 mg/dL

Question 25

what are critically low values for serum sodium

Answer 25

< 120 mEq/L

Question 26

what are critically low values for serum potassium

Answer 26

< 2.5 mEq/L

Question 27

what are critically low values for serum calcium (total)

Answer 27

< 7.0 mg/dL

Question 28

what are critically low values for WBC count

Answer 28

<2 x 10^-9 /L

Question 29

what are critically low values for platelet count

Answer 29

< 20 x 10^-9 /L

Question 30

what are critically high values for serum glucose

Answer 30

> 500 mg/dL

Question 31

what are critically high values for serum sodium

Answer 31

> 160 mEq/L

Question 32

what are critically high values for serum potassium

Answer 32

> 6 mEq/L

Question 33

what are critically high values for serum calcium (total)

Answer 33

> 13 mg/dL

Question 34

what are critically high values for WBC count

Answer 34

> 50 x 10-9 / L

Question 35

what are critically high values for platelet count

Answer 35

> 1000 x 10^-9 / L

Question 36

what are critically high values for prothrombin time

Answer 36

international normalized ration (INR) > 5

Question 37

what are critically high values for partial thromboplastin time

Answer 37

> 100 sec