Safety and Quality Management Flashcards

1
Q

What are the different types of laboratory hazards?

A

Biological, Sharps, Chemical, Radioactive, Electrical, fire/explosive, Physical

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2
Q

When do you perform handwashing?

A

Before patient contact
After gloves are removed
Before leaving the work area
Whenever the hands have been knowingly contaminated
Before going to designated break areas
Before and after using bathroom facilities

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3
Q

What is PPE?

A

Personal protective equipment

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4
Q

What does PPE include?

A

Gloves
Gowns or laboratory coats
Masks
Goggles
Face shields
Plexiglas countertop

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5
Q

Standard precautions

A

Made by the CDC
Assume every person in the health-care setting is potentially infected or colonized by transmittable organisms

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6
Q

What is included with bio waste?

A

materials with which specimen comes in contact, such as alcohol pads, gauze, and PPE placed in a bin with a bio hazard symbol

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7
Q

What is done to non-disposable material?

A

proper disinfection

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8
Q

Transporting patient specimens must meet what requirements?

A

DOT and IATA regulations
Watertight primary container (glass, metal, or plastic) with a screw on cap wrapped in absorbent material

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9
Q

What are some things to follow for handling sharps?

A

Never recap a needle
Dispose of sharps in a puncture-resistant, leakproof container labeled with the biohazard symbol
Refer to the Needlestick Safety and Prevention Act

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10
Q

What are some things to keep in mind for handling chemicals?

A

Avoid getting chemicals on body, clothes, and work area
Wear PPE
Immediately flush areas with water for at least 15 minutes if skin or eye contact occurs
Prepare reagents under a fume hood
Observe strict labeling practices

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11
Q

Safety data sheets are required for what?

A

for hazardous ingredient concentrations greater than 1%

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12
Q

Chemical hygiene plan

A

Appropriate work practices
Standard operating procedures
Personal protective equipment
Engineering controls
Employee training requirements
Medical consultation guidelines

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13
Q

Quality Management

A

Overall process of guaranteeing quality patient care

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14
Q

Agencies regulating the laboratory

A

Clinical Laboratory Improvements Amendments (CLIA)
College of American Pathologists (CAP)
Clinical Laboratory Standards Institute (CLSI)
The Joint Commission (TJC)

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15
Q

Pre-examination Variable

A

Specimen type
Time and date of collection
Patient’s first and last name
Patient’s gender
Patient’s age or date of birth
Person requesting test
Person to contact with critical results
Test name
Handling requirements
Time delivered to laboratory

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16
Q

Pre-examination Variables: Common errors

A

Patient misidentification
Wrong test ordered
Incorrect specimen type collected
Insufficient specimen volume
Delayed transport of specimen to the laboratory
Incorrect storage of specimen

17
Q

Quality Management: Examination Variables

A

Directly affect testing of specimens

18
Q

Examination variables include

A

Reagents
Instrumentation and equipment
Test procedures
Quality control (QC)
Personnel and facilities

19
Q

Quality Control (QC)

A

Ensures standards are met

20
Q

When Is QC performed?

A

Beginning of each shift
Before testing
When reagents are changed
When instrument malfunction has occurred
When test results are questioned

21
Q

What does QC include?

A

External controls: Verify accuracy and precision
Electronic controls: Verify functional ability of testing device
Proficiency testing (external quality assessment): Test unknown samples to provide unbiased validation

22
Q

Examination variables: common errors

A

Sample misidentification
Misinterpretation of QC data
Reagent deterioration
Instrument malfunction
Interfering substances present

22
Q

Quality Management: Postexamination Variables

A

Result errors

22
Q

Postexamination Variables: common errors

A

Patient misidentification
Poor handwriting or transcription error
Failure to send report or call critical values

23
Q

Quality System Essentials (QSES)

A

12 quality essentials to document quality work in the laboratory

23
Q

Lean system

A

Utilizes 6S

23
Q

Six Sigma

A

Guidelines to reduce variables and decrease errors