Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

HLUB Clinic Practical > Special Laboratory Tests / Laboratory Tests > Flashcards

Special Laboratory Tests / Laboratory Tests Flashcards

Urinalysis (UA), Fecal Immunochemical Test (FIT), H. Pylori, Storing Labs, Lab Calls

1
Q

For the urinalysis (UA), what materials are required?

A

A specimen bag, 2 test tubes, 1 urine cup, and 1 wet wipe
1 additional orange-tipped test tube, 4 lab labels, and 2-3 bags

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the first step to urinalysis?

A

make sure to ask the MS/MD if they would like a first catch or clean clatch (aka mid-catch)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the difference between a first catch and clean catch?

A

First catch: collect sample as soon as you begin urinating
Clean catch: urinate a little bit, stop, and then resume urinating to collect sample

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the urinalysis protocol?

A
  1. VERY IMPORTANT: make sure to ask the MS/MD if they would like a first catch or clean catch (aka mid-catch).
  2. Grab a urine kit in the closet between rooms 2 and 3. Put gloves on both hands.
  3. Explain to the patient whether it is a clean or first catch. Tell them once they are done, meet you at the sink near room 2 with the sample. ALWAYS HANDLE URINE SAMPLE AT THE SINK!
  4. Give the patient the wet wipe and tell them to use it to clean from front to back before urinating in the sample cup.
  5. While you wait proceed to Lab Log Out; get 4 labels for the test tubes and urine cup.
  6. When the patient is done, glove both hands and fill up the tubes by inverting the tubes on the cup and allowing it to fill up by vacuum. Label the cup and tubes.
  7. Place label on cup horizontally.
    DOUBLE/TRIPLE BAG the samples. Put the cup in the 1st bag, and the test tubes in the 2nd bag. Place the 1st bag into the 2nd bag. Place those into a 3rd bag with other blood tests, if applicable.
  8. You can bag a urinalysis together with other labs that are stored in the fridge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the third step of urinalysis after you get the urine kit and glove your hands?

A

Explain to the patient whether it is a clean or first catch. tell them once they are done to meet you at the sink near room 2 with the sample

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Where shoudl you handle the urine sample?

A

ALWAYS AT THE SINK (near room 2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the fourth step of urinalysis after you explain the procedures to the patient?

A

Give the patient the wet wipe and tell them to use it to clean from front of back before urinating in the sample cup.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

While you wait for a patient to finish peeing for urinalysis, what should you do?

A

Proceed to lab log out and get 4 labels for the test tubes and urine cup.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the 6th step of urinalysis after you get the labels for the test tubes and urine cup and the patient is finished?

A

Glove both hands and fill up the tubes by inverting the tubes on the cup and allowing it to fill up by vacuum. Labe the cup and tubes. Place label on cup horizontally.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the 7th step of urinalysis after you fill up the tubes and label them?

A

Double/Triple bag the samples. Put the cup in the 1st bag and the test tubes in the 2nd bag. Place those into a 3rd bag with other blood tests if applicable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A patient has a APTT lab along with urinalysis. How many bags would you use?

A

1 bag for the cup. 2nd bag for the test tube nd cup bag. Store the urinalysis with APTT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

T/F You can bag a urinalysis together with other labs that are stored in the fridge.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

If a lab is non-time and non-temperature sensitive, where should you store the lab?

A

In the refrigerator

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

A patient comes in and has to do labs that are all stored the same. What can be done with bagging?

A

Labs can be stored in the same bag with the same lab form. ONLY if they are stored the same.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

A patient comes in and has to do multiple labs that are stored differently. What are the rules for lab forms?

A

Need a different lab form to go with the biohazard bag containing all the patient labs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Where does the lab form go into?

A

Biohazard bag pocket
should have the labs listed of the test tubes in the biohazard bag.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

T/F PAP Smear can be bagged with other labs.

A

Usually it is bagged on its own but ONLY HPV can be added into the same bag.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How many forms and bags are required for a PAP Smear and HPV Co-Test?

A

2 forms, 1 bag

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What materials are required for the FIT?

A

FIT Kit and the instructions sheet, FIT Kit with lab label attached to tube

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What does FIT stand for?

A

Fecal Immunochemical Test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the FIT Protocol?

A
  1. Obtain FIT Kit instructions sheet from the wall near the Lab Draw Station, lab form, and FIT Kit from cabinet by the sink.
    Check FIT Kit for expiration date. Check test tube.
  2. Complete a lab label and lab form with patient information and leave date/time blank. Place label on test tube.
  3. Explain FIT Kit Patient Instructions & use sample FIT Kit to demonstrate.
  4. Give the patient: FIT Kit instructions sheet, FIT Slip, &
    FIT Kit (label attached to tube)
  5. Remind the patient to fill in the time and date on the lab label, FIT Slip, and Lab Form and to mail back the envelope as soon as possible
  6. Log Out Fecal Immunochemical Test (write out completely)
  7. Notify the patient that the results will be sent to clinic and we will call them when the results are in.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the seconds step of FIT? After obtaining the sheets, forms, and kit?

A

Complete a lab label and lab form with patient information and leave date/time blank. Place label on test tube.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the third step of FIT after you complete the abel label and form.

A

Explain FIT Kit Patient Instructions and use sample FIT Kit to demonstrate.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the fourth step of FIT? After you explain the instructions to the patient

A

Give the patient the FIT KIT instructions sheet, FIT Slip, and FIT Kit (label attached to the tube)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is the fifth step to FIT? After giving the patient the materials they need.

A

Remind the patient to fill in the time and date on the lab label, FIT Sip, and Lab Form and to mail back the envelope as soon as possible.

26
Q

What is the 6th step of FIT? After you remind the patient to fill in the time and date of the forms and mail it back asap?

A

Log out Fecal Immunochemical Test (write this out completely)

27
Q

What is the 7th step of FIT? After you log out the Fecal Immunochemical Test

A

notify the patient that the results will be sent to clinic and we’ll call them back when the results are in

28
Q

What are the patient instructions for FIT?

A
  1. Place wax paper in toilet bowl.
  2. Deposit fecal matter onto paper.
  3. Use stick in the tube sampel and place the tip fo the stick in the fecal sample.
  4. put stick back into the test tube sample
  5. WRITE TIME AND DATE ON TEST TUBE LABEL AND FIT SLIP
  6. Roll napkin over test tube sample and place it into specimen bag
  7. Place sample with completed lab label (in specimen bag) in the pre-paid envelope
  8. Mail it asap.
29
Q

There are 2 envelopes for FIT Kit. Which one does the patient mail their sample in?

A

The prepaid envelope inside the envelope.

30
Q

What materials are required for the first week of H. Pylori?

A

Specimen bag, sample cup (green/white top) and lab label

31
Q

What is the H. Pylori (Week 1) protocol?

A

Protocol:
1. Obtain materials from the cabinet by the sink.
Check sample cup for expiration date.
2. Complete a lab label with patient information and leave date/time blank. Place it horizontally on cup.
3. Place lab form in the specimen bag pocket.
4. Explain Patient Instructions to patient.
5. Remind the patient to fill in the time and date on the lab label.
6. Log Out (First Week):
Put “H. PYLORI” with a 1 in a circle next to it.
7. “Done Done with NO LAB”

32
Q

What is the second step of H. Pylori (Week 1)? After obtaining the materials you need.

A

Complete a lab label with patient infromation and leave date/time bank. Place it horizontally on cup

33
Q

What is the third step of H. Pylori (Week 1)? After completing the lab label with patient info

A

Place lab form in the specimen bag pocket

34
Q

What is the fourth/fifth step of H. Pylori (Week 1)? After placing lab form in specimen bag

A

Explain Patient instructions to patient. Remind them to fill in the time and date on the lab label

35
Q

What is the 6th step of H. Pylori (Week 1)? After explaining instructions to patient.

A

Log out (First Week)
Write “H. PYLORI” with a 1 in a circle next to it

36
Q

What do you say when you’re done with the H. Pylori lab?

A

Done Done with NO LAB

37
Q

What are the patient instructions for H. Pylori (Week 1)?

A
  1. Once you finish your bowel movement, place some of the stool at least to the 60 line of the sample cup. Ask patient to do it with gloved hands or plastic utensils
  2. Write the time/date on the label of the sample cup and place in the specimen bag.
  3. Place sample into the freezer
  4. Return to the clinic within the month (but as soon as possible) of bowel movement with ice to drop off
38
Q

Are vitals required for H. Pylori (Week 2)?

A

No

39
Q

H. Pylori (Week 2) protocol? (8 steps)

A
  1. UG assigns you the patient. Confirm patient’s identity. No vitals needed!
  2. Bring the Patient to the sink, put gloves on both hands, and obtain sample from patient at the sink near room 2
  3. Ask patient to wait in the waiting room while AD confirms all label are correct and complete.
  4. Confirm lab label is completed and is within the month!
  5. Log Out (DROP OFF): Put “H. PYLORI” with a 2 in a circle next to it. (2)
  6. Patient may leave after MS/RN & Lab Log-Out Team have checked lab form & labels. Let the patient know that we will call them back when we receive their results.
  7. Follow the Time-Sensitive Lab Protocol
  8. Return chart to receptionist, “Done done with LAB”
40
Q

H. Pylori (Week 2): After AD confirms all labels are correct and complete, what shoudl you do

A

Confirm lab label is completed and within the month

41
Q

How should you log out for H. Pylori (Week 2)?

A

H. PYLORI (2)

42
Q

H. Pylori (Week 2): When can a patient leave? What do you tell them

A

After MS/RN and Lab Log-out team have checked lab form and labels. We will call them back when we receive their results

43
Q

H. Pylori (Week 2): What do you say to the receptionist when you return your chart?

A

Done done with LAB

44
Q

H. Pylori (Week 2) - This is a time-sensitive lab between how much time

A

2-4 hours

45
Q

What are the 3 similarities between FIT KIT and H. Pylori?

A
  1. check expiration date on test tube or sample cup
  2. patient is instructed to fill out the date/time of lab labels
  3. explain to patient their labs should be mailed/returned to clinic asap
46
Q

What are the 4 differences between FIT KIT and H. Pylori?

A

FIT Kit tests for colon cancer, comes with pre-paid evelope and has instructions on envelope. Plus you grab an extra instruction paper for the language the patient prefers

H. Pylori tests for stomach or duodenal ulcer and must have the sample test cup and biohazard bag.

47
Q

When you’re not helping a patient, what can you do?

A

lab calls

48
Q

How many times a day should you always do lab calls?

A

twice - once in the morning and again after 12

49
Q

Before doing lab calls, what must you always check?

A

the consent form in the patient’s chart to find the number to call and who you can speak to

50
Q

If the patient picks up, what are the 5 steps you must do?

A
  1. Hello this is Sandra from Hlub Clinic, may I please speak with (patient’s name)
  2. Confirm the identity of the patient (bday and address)
  3. inform patient of doctor’s notes
  4. log on the lab results in the chart and in Lab Call Binder: RD, date and time, first name and last initial
  5. place chart in Diabetes Box
51
Q

If a patient does not pick up (Week 1) AM, what are the 2 steps you do?

A
  1. Log on lab report in the chart and in Lab Call Binder
  2. Place chart back onto counter where you found it so the patient can be called again
52
Q

If a patient does not pick up (Week 1) PM, what are the 3 steps you should follow?

A
  1. Leave a voicemail. Hello this is Sandra from Hlub Clinic. I want to let (patient’s name) know that we have the lab results from (date of lab). Please give us a call back at — or you can come into clinic to receive your results.
  2. Log on the lab results in the chart and in Lab Call Binder: DPU, LV, Date and Time, First name and last initial
  3. Place chart back on lab call counter where you found it
53
Q

What’s the difference between am and pm for Week 1 lab call?

A

Leave voicemail for pm and write DPU, LV.

54
Q

If a patient did not pick up and it’s week 2, what are the 3 steps?

A
  1. Leave a voicemail. Hello, this is Sandra from Hlub Clinic. I want to let (patient’s name) know that we have the lab results from (lab date). Please give us a call back at ___ or you can come into clinic to receive your results.
  2. Log on the lab results int eh chart and in Lab Call Binder: DPU, LV, Date and Time, First name and last initial
  3. If am, place chart back on lab call counter
    if pm, place chart in metal tray “no pick up labs box” - UGs will take care of it
55
Q

What phone number should you use for lab calls?

A

Google voice number. Or *67 (patient’s number)

56
Q

On the Lab Result Interpretation document, if there are Hepatitis Labs, what must you do?

A

Have the Hep Co-D’s initials and letter if applicable before calling.

57
Q

If you need to schedule a patient for a follow up appointment, what should you do?

A

Call the patient, deliver the results and then walk to the UG desk to schedule the patient

58
Q

Active Follow Up list: If you have a patient who has been referred to outside clinics or non-committee referrals, what should you do?

A

go to the UG Co-Ds so they can be added to an active follow-up list
the PA will then be assigned to follow up with the patient periodically

59
Q

Before you make a lab call and you see a Hepatitis Vaccines/Green Monitoring Sheet, what should you do?

A

Speak to the Hepatitis Co-D. If the patient needs a Hepatitis vaccine, ask for the next vaccine dates or the patient’s next steps

60
Q

If you need to deliver lab results for new medications or med refills, what shoudl you do? 5 steps

A
  1. grab prescription refill
  2. ask preceptor to review the patient chart and write the prescription for the patient
  3. ask the patient abt their nearest pharmacy so you can call and fax the presrciption to the pharmacy
  4. follow the faxing protocol for the presrciption
  5. write “Done” by the ab results
61
Q

For new appoints for future clinic dates (lab calls), what should you do?

A

speak to a ug co-d to schedule the patient after asking for their availability and cheif complaint. if the patient wants more info, tell them they can come to clinic and consult with a preceptor for more info on their results

62
Q

Lab call - if the doctor needs you to ask the patient some questions, what should you do?

A

write down what the patient says

HLUB Clinic Practical (7 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions