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Seminar Unit 1 Exam Flashcards

1
Q

What does Blue mean in HCS Label System?

A

Health Hazard

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2
Q

What does Red mean in HCS label system?

A

Fire Hazard

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3
Q

What does Yellow mean in HCS Label System?

A

Reactivity Hazard

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4
Q

What does White mean in HCS Hazard System?

A

Specific Hazard (oxidizer, alkaline, acid, corrosive)

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5
Q

What are Class A fire extinguishers used for?

A

cloth, wood, rubber, paper, plastics

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6
Q

What are Class B fire extinguishers used for?

A

gasoline, grease, oil (flammable substances)

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7
Q

What are class C fire extinguishers used for?

A

electrical fires

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8
Q

What are class D fire extinguishers used for?

A

combustible metals

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9
Q

what are class K fire extinguishers used for?

A

kitchen fires

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10
Q

What is the proper order to “don” PPE (put on)?

A

Gown, mask/respirator, goggles or face shield, gloves

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11
Q

What is the proper way to “don” PPE (take off)?

A

Gloves, goggles or face shield, gown, mask or respirator

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12
Q

Types of PPE used in clinical labs

A

Gown, Gloves, Masks and/or respirators, goggles, face shields

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13
Q

Where is the most common source of error: post-analytical, pre-analytical, or analytical?

A

Pre-analytical

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14
Q

Define RACE when it comes to fires

A 
R = rescue/remove people in danger
A = alarm 
C = contain (close windows and doors) 
E = extinguish or evacuate
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15
Q

Define PASS when it comes to extinguisher use

A 
P = pull the pin 
A = aim at the base of the fire 
S = squeeze the handles 
S = sweep back and forth
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16
Q

Internal Event and example

A

Within the hospital (ex. explosion in lab)

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17
Q

External Event and example

A

Outside of the hospital (ex. shooting at nearby school)

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18
Q

What is the purpose of CHP? What does it stand for?

A

Lab Chemical Hygiene Plan - To inform employees of chemical hazards within the laboratory, safety hazards when working around them, and what to do if an exposure is suspected

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19
Q

What is the most fundamental rule of chemical safety?

A

Awareness

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20
Q

What are engineering controls in clinical labs? List some examples.

A

Intended to isolate or remove bloodborne pathogen hazards from the workplace (Ex. fume hoods, ventilation, flammable cabinets, reagent bottle carriers, disinfectants, plexiglass, biohazard bags)

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21
Q

What is non-waived? What is the competency testing criteria?

A

Non-waived is more difficult than waived. It requires direct observation of patient testing, review of QC, direct observation of instrument maintenance, test performance on blind sample/proficiency sample, problem solving quiz

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22
Q

What is waived? What is the competency testing required?

A

Waived basically means anyone can do it, no proficiency testing is required. No education requirements for testing personnel. Quiz and direct observation is required.

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23
Q

Regulation

A

a rule or requirement imposed by a government agency

24
Q

Licensure

A

Government permission to operate or engage in a business practice or occupation, usually requiring some type of formal training and/or testing to demonstrate competency.

25
Accreditation
A voluntary process by which an agency or organization (usually non-governmental) evaluates and recognizes an institution or program as meeting certain predetermined criteria or standards
26
Certification
Voluntary process by which a non-governmental organization or agency recognizes an individual who has met certain pre-determined qualifications. Requires passing an exam
27
Competency
The possession of requisite abilities and qualities to meet performance obligations which may be attested to by the possession of a credential.
28
Proficiency
The measurement of an individual's competency to perform at a certain job level
29
Credentialing
Umbrella term that includes accreditation, licensure, registration, and certification.
30
CMS
Centers for Medicare & Medicaid - oversees CLIA, administers federal healthcare coverage plan for elderly and low income families
31
CLIA
Clinical Laboratory Improvement Amendments - initiated HIPAA
32
DOH
PA laboratory regulations, life safety of facilities, reportable diseases
33
DOT
Transportation of hazardous materials
34
OSHA
laws for workplace safety
35
FDA
manufacture of blood products, approval of instruments and testing kits, determines whether a lab test is waived, moderate, or highly complex
36
CAP
College of American Pathologists - accreditation agency
37
TJC
The Joint Commission - accreditation agency
38
OSHA standard precautions - what must be supplied to all employees?
Container labeling requirements, SDS, Chemical inventory list, employee (student) training
39
What is the single most important way to prevent the spread of infection?
Hand washing
40
When must you use soap and water to wash hands?
- when hands are visibly dirty or soiled - exiting a room where C. diff or Norovirus is suspected or known - exposed to or suspected B. anthracis
41
List 3 airborne transmission-based isolation precautions (ex. TB, measles, chickenpox)
- private room with negative pressure - wear respirators - door must be closed
42
List 2 droplet transmission-based isolation procedures
- Surgical mask - private room - limit patient transport
43
What are some components of the chemical hygiene plan?
- know where SDS is located - proper storage of chemicals - be aware of the chemical being used - wear appropriate PPE
44
How many different components are there to Safety Data Sheets (SDS)
16 components
45
Occupational exposure
percutaneous injury or contact by mucous membranes or nonintact skin with an infectious material
46
What is the #1 most infectious bloodborne pathogen?
Hepatitis B
47
Name 3 bloodborne pathogens
Hepatitis B, Hepatitis C, and HIV
48
What does Hepatitis B lead to?
chronic liver cancer or cirrhosis
49
What is least infective bloodborne pathogen?
HIV
50
Biosafety levels
BSL-1 (low risk microbes) to BSL-4 (high risk microbes)
51
What biosafety level is mycobacterium tuberculosis?
BSL-3
52
What is the numbering system for HCS degree of hazards?
``` 0 - minimal 1 - slight 2 - moderate 3 - serious 4 - extreme ```
53
Chemical spills requiring special considerations
Mercury, liquid nitrogen, ether and peroxide formers
54
Sources of error for pre-analytical monitoring
specimen quality and specimen labeling, blood culture contamination
55
Analytical sources of error
PT, SOP/process control, test and instrument validation, instrument maintenance, QC
56
Post-analytical sources of error
Critical value reporting, test utilization monitoring, and integration into the patient record

Seminar (2 decks)

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