ORGS Flashcards
HIPAA
Health Insurance Portability and Accountability Act
providers need written permission before disclosing info outside of provider team
Hemostasis
- vascular phase; injury to vessel causes it to constrict
- platelet phase; platelets adhere
- coagulation phase; convert plug to fibrin clot
- fibrinolysis phase; breakdown and removal of clot
PHI
protected health information
- treatment
- test results
- meds
- procedures
- appt times
- appt dates
TJC
The Joint Commission
- founded 1951
- oldest watchdog group
- establish standards and practices
- solely look out for patients
CLSI
Clinical and Laboratory Standards Institute
- develops standards
CLSI mission statement
to develop clinical and laboratory practices and promote their use worldwide
Informed Consent
competent person gives voluntary permission after receiving adequate info about risk and consequences
Expressed Consent
permission is given in writing or verbally for a procedure
Implied Consent
Patients actions permit the procedure w/o written or verbal consent
(going to the ER or holding out an arm)
HIV
special permission is needed to administer
parental consent for a minor
OSHA
occupational safety and health administration
- oversees the:
occupational safety and health act
torniquet timing
<1 min
- hemoconcentration and blood infiltration into tissue
venipuncture needle
21 gauge, 1.25”, 15-30 degrees bevel up
butterfly needle
23 gauge, 5 degrees
AC vein anatomy order
- mc
- c
- b
Plasma
Liquid of unclotted blood
Serum
Liquid of coagulated blood
Tubes with anti-coagulates
Lavender, green, pink, royal blue with lavender, light blue, grey
(Ladies, greet, people, royal with, (small) babies, good)
Tubes without anticoagulants
Clear, red glass and plastic, tiger top, royal blue with red
(Classy, regals, teach, royals with red)
CLSI order of draw
Page 52
First drop of blood
Wipe off because of thromboplastin contamination (clotting factor)
Not with alcohol because of hemolysis
Fingerstick site
3rd or 4th finger of non-dominant hand, slightly to the side of the center in the fleshy part
Heel Stick
Medial and lateral portions
Middle of the great toe to the heel and between fourth and fifth toes
Infants <2mm
Premises <.85mm
Heel warmer 2-t min before
Bilirubin Testing
2-3 days after birth presenting with jaundice
Caused by a lack of conversion of bilirubin conversion to bile
Treatment is phototherapy
Draw into amber tubes, or clear ones that you wrap in foil or place in a dark bag
Capillary Draw Order
EDAS-Ed Has A Sandwich
EDTA (pink/purple), Heparin (light and dark green), Any other additive, Serum (red, Gold, Tiger top, Marble)
thrombosis
never draw on the same side
Needlestick Safety and Prevention Act
- 2000
- stick log (type of instrument, department, explanation of how)
- pursuant of safer devices
Postprandial
After a meal
Basal state
Nothing by mouth and refraining from strenuous exercise 8-12 hours prior
