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Processing Laboratory Orders - 150 > Part 2. Quiz > Flashcards

Part 2. Quiz Flashcards

1
Q

define the microbiology department?

A

study of bacteria that produces disease

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2
Q

what different types of specimens may a C&S test be done on?

A
  1. blood
  2. feces
  3. cervical & wound swabs
  4. sputum
  5. throat swabs
  6. urine
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3
Q

microbiology may also be referred to as?

A

bacteriology

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4
Q

what are the 2 different ways that blood cultures can be ordered?

A
  1. Catheterized Specimen of Urine (CSU)

2. Midstream Urine (MSU)

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5
Q

while inputing urine C&S into medi-tech what will the computer as us?

A

if the patient is currently on any antibiotics (ABX)

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6
Q

how is Blood C&S ordered?

A

usually ordered x2

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7
Q

what are common C&S tests? (6)

A
  1. Blood C&S
  2. Sputum C&S
  3. Ears/Eyes/Nose/Throat/ swabs for C&S
  4. Wound swabs C&S
  5. Genital swabs C&S
  6. Urine swabs C&S
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8
Q

what are less common C&S tests? (4)

A
  1. Synovial fluid (joint fluid)
  2. Pleural fluid (fluid around the lungs)
  3. Ascites fluid (abdominal fluid)
  4. CSF (lumbar puncture/spinal tap)
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9
Q

what are common microbiology tests? (3)

A
  1. Chlamydia swabs (cervix/urethra/genital/eyes)
  2. Clostridium Difficile Toxin (C.Diff) - Stool sample
  3. Stool for Ova and Parasites (Stool O&P) - Stool sample
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10
Q

what are less common microbiology tests? (2)

A
  1. Enteric Pathogens - (bacteria in the intestines)

2. Fungus

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11
Q

what form is the nurse in charge of completing when a patient is admitted to the hospital?

A

admission history form

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12
Q

what are admission history forms referred to as?

A

48/6 form

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13
Q

what time frame must the ARO screening be done?

A

within 24 hours of the patient being admitted

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14
Q

if the patient has been admitted in the hospital for more than 48hrs within the last 3 months the nurse has to do what swabs?

A
  1. ARO swab

2. MRSA swab

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15
Q

(ARO Screening) the nurse obtains 2 swabs from the patient, where from?

A
  1. nose

2. groin

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16
Q

why are ARO/MRSA swabs done?

A

to determine if they are infected with the bacteria

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17
Q

if a patient is infected with ARO/MRSA they need to be put on?

A

contact precautions

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18
Q

what must the medical staff wear if a patient is infected with ARO/MRSA?

A
  1. gown
  2. gloves
  3. mask
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19
Q

unit clerk responsibilities with cultures and swabs:

A
  1. enter orders into medi-tech
  2. kardex under lab work
  3. symbolize with “EC” & “K”
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20
Q

what are blood cultures used for?

A
  1. detect presence of bacteria or fungi in the blood

2. identify type of infection and make the proper treatment for patient

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21
Q

blood cultures are usually ordered as?

A
  1. Blood C&S x2

2. Blood C&S x2 if temp is greater than 38.5

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22
Q

a blood C&S x2 if temp is greater than 38.5 would likely be ordered as a routine, urgent, stat or daily test?

A

urgent test

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23
Q

unit clerk responsibilities for blood culture orders? Order #1

A
  1. enter into medi-tech
  2. symbolize on order sheet “EC & K”
  3. kardex under lab work
24
Q

unit clerk responsibilities for blood culture orders? Order #2

A
  1. kardex under lab work

2. symbolize onto order sheet “K”

25
Q

A chlamydia swab may be taken from 4 different areas, what are they?

A
  1. cervix
  2. urethra
  3. genital
  4. eyes
26
Q

C. Diff, O&P and enteric pathogens are tested through which type of specimen from the patient?

A

Stool Specimen

27
Q

what is synovial fluid?

A

joint fluid

28
Q

what is pleural fluid?

A

fluid around the lungs

29
Q

what is ascites fluid?

A

abdominal fluid

30
Q

what is a cerebrospinal fluid test?

A
  1. lumbar puncture

2. spinal tap

31
Q

what is the definition of thoracentesis?

A

procedure performed by the doctor to remove fluid or air from the pleural cavity

32
Q

what is thoracentesis also referred to?

A

pleural tap

33
Q

NUA responsibilities before the thoracentesis (pleural tap) procedure:

A
  1. kardex order under “procedure section”
  2. symbolize onto order sheet “K”
  3. label consent form for patient to sign
  4. patient may be required to be NPO at midnight (put NPO order into med-tech and kardex)
34
Q

NUA responsibilities after the thoracentesis (pleural tap_ procedure:

A
  1. enter test into computer
  2. make labels for doctor/nurse to label specimens
  3. text porter to take the specimens down to lab
  4. kardex orders under lab work
  5. symbolize onto order sheet “EC, RMO, K”
35
Q

what is the definition of os histology?

A

study of the microscopic structure of tissue

36
Q

what is the definition of cytology?

A

study of the microscopic structure of the cells

37
Q

what cytology specimens are collected by the nurse?

A
  1. sputum
  2. bronchial aspirations
  3. urine
38
Q

what cytology specimens are collected by the doctor?

A
  1. pleural fluid

2. peritoneal fluid

39
Q

NUA responsibilities for processing cytology orders?

A
  1. label cytology requisition
  2. make sure hospital name is on requisition
  3. complete any info that may be missing
  4. send specimens and requisitions to lab
  5. kardex under lab work
  6. symbolize on order sheet “RMO, K”
40
Q

why are specimens sent to the provincial lab ?

A

to be analyzed for communicable disease

41
Q

pathology is made up of two other main components, what are they?

A
  1. histology

2. cytology

42
Q

what is an example of a test that would be sent to the provincial lab?

A
  1. TB
  2. Syphillis
  3. Viral disease
43
Q

what are two common ways that “syphillis” may be ordered as?

A
  1. VDRL

2. ART

44
Q

what are two different specimens that the lab can use to test for syphillis?

A
  1. blood specimen

2. CSF

45
Q

what is the definition of cerebrospinal fluid?

A

fluid around the brain and spinal cord

46
Q

what is CSF procedure called?

A
  1. spinal tap

2. lumbar puncture

47
Q

does a patient need to sign a consent form for a CSF procedure?

A

yes

48
Q

what are the 3 main responsibilities of the blood bank department?

A
  1. order blood from red cross
  2. store blood in a temperature controlled environment
  3. perform tests to match the patients blood with donor blood
49
Q

in order to ensure the donor’s blood is compatible with the patient’s blood, 2 primary tests are performed by the blood bank when blood is ordered, what are they?

A
  1. type and screen test

2. crossmatch test

50
Q

a crossmatch outdates in how many hours?

A

48 hours

51
Q

what is always needed when a patient is receiving blood products?

A

consent form

52
Q

what are 3 instances we need to notify RN about blood products?

A
  1. if blood is being transfused on nursing unit
  2. to make sure patient has IV and is ready to receive blood
  3. when blood arrives on the unit
53
Q

unit clerk responsibilities for ordering blood products?

A
  1. inform nurse
  2. enter into comp
  3. kardex under lab work
  4. symbolize “EC, K”
  5. send for blood when lab/nurse is ready
54
Q

name 4 types of blood products we can obtain from blood bank?

A
  1. platelet
  2. frozen plasma
  3. stored plasma
  4. 5% albumin
55
Q

what is culture and sensitivity ?

A

test to find germs that can cause infection

56
Q

define the two lab tests that are performed by the blood bank:

A
  1. crossmatch - patients blood is mixed with a sample of blood taken from a donor to ensure blood is compatible
  2. type and screen - to determine which blood group the patient is
57
Q

when does a type and screen test outdate?

A

28 days

Processing Laboratory Orders - 150 (9 decks)

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