Notes Flashcards
define GLOBAL HARMONIZED SYSTEM (GHS)
single system for standardizing classification & labeling of chemicals
the GHS requires employers to have written hazard communication program including what
- container labeling
- collection & availability of data sheets
list benefits of GHS
- effectiveness, consistency, easy understanding
- define health, physical, & environmental hazards of chemicals
- classification process
- communicating hazard info, protective measures, and safety data sheets
about how many sections are in a safety data sheet
15
what information is included in sections 1-8 of a safety data sheet
chemicals, ID, hazards, composition, safe handling practices, emergency control measures
what information is included in sections 9-11 of a safety data sheet
physical & chemical properties, stability & reactivity info, toxicological info, exposure control info, when contents were prepared, date of last revision
what is special about sections 12-15 of a safety data sheet
required to be consistent w/GHS but won’t be enforced by OSHa
what must be stated when the preparer doesn’t find info for a required element on a safety data sheet
“no applicable info found”
aka: CLIA
clinical laboratory improvement amendments
what are the 3 classifications of lab testing according to CLIA
waived, moderately complex, highly complex
what is required for waived testing
certificate of waiver
t/f: point of care testing is generally under waived testing
true
give examples of Point of care testing that are waived
blood glucose, urine HCG, oxygen concentration
what CLIA classification do provider performed microscopy procedures fall under
moderately complex
who performs provider performed microscopy procedures
trained physicians or midlevel practitioners w/sueprvision
an office must have who to perform moderately complex lab testing
- personnel director
- testing personnel
- technical consultant
- clinical consultant
who regulates all lab testing on humans (except clinical trials & basic research) through CLIA
Centers for Medicare and Medicaid Services (CMS)
quality insurance involves what components
- pt ID
- pt prep & specimen collection
- specimen processing & transportation
- instrumental & technical performance
- safety
- in-service training & education of all personnel
what is tested in a comprehensive metabolic panel
glucose, calcium, sodium, potassium, chloride, CO2, BUN, Creatinine, Albumin, total protein, ALP, ALT, AST, total bilirubin
what is tested in a basic metabolic panel
glucose, calcium, sodium, potassium, chloride, CO2, BUN, Creatinine
what is tested in an electrolyte panel
sodium, potassium, chloride, CO2
what is tested in a hepatic function panel
albumin, total protein, ALP, ALT, AST, total bilirubin, direct bilirubin
what is tested in a lipid panel
cholesterol, triglycerides, HDL, LDL
what are critically low values for serum glucose
<40 or 45 mg/dL
what are critically low values for serum sodium
< 120 mEq/L
what are critically low values for serum potassium
< 2.5 mEq/L
what are critically low values for serum calcium (total)
< 7.0 mg/dL
what are critically low values for WBC count
<2 x 10^-9 /L
what are critically low values for platelet count
< 20 x 10^-9 /L
what are critically high values for serum glucose
> 500 mg/dL
what are critically high values for serum sodium
> 160 mEq/L
what are critically high values for serum potassium
> 6 mEq/L
what are critically high values for serum calcium (total)
> 13 mg/dL
what are critically high values for WBC count
> 50 x 10-9 / L
what are critically high values for platelet count
> 1000 x 10^-9 / L
what are critically high values for prothrombin time
international normalized ration (INR) > 5
what are critically high values for partial thromboplastin time
> 100 sec
