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INTRO TO CLINICAL LAB > TEST 3 > Flashcards

TEST 3 Flashcards

1
Q

what helps prevent fraud, abuse, and waste in the clinical lab

A

regulatory compliance

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2
Q

what organization is in charge of inspecting

A

office of inspector general (OIG)

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3
Q

true or false: medicare will pay for every test your doctor orders

A

false

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4
Q

how would you classify overcharging or charging for unneeded test

A

fraud

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5
Q

what law prohibits payment for soliciting testing paid for by federal program

A

anti-kickback law

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6
Q

what law prohibits knowingly presenting a false claim to the govt

A

false claims act

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7
Q

what law covers QC, competency, and proficiency

A

CLIA

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8
Q

what law prevents MDs from having financial interest in lab selection

A

stark law

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9
Q

what law protects patient confidentiality of healthcare info

A

HIPAA

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10
Q

what is QA

A

cost of work/ value

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11
Q

where do most error occur

A

pre analytical phase

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12
Q

what are the 2 quality philosophies

A

lean and six sigma

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13
Q

accurate and timely results=

A

quality patient care

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14
Q

what does quality control ensure

A

test result accuracy and precision while detecting and eliminating error

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15
Q

accuracy def

A

how close the tested value is to the real “true” value

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16
Q

precision def

A

reproducibility of a testing procedure

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17
Q

why is QC so important

A

results are not going to be reported if they are not accurate

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18
Q

what is the range within which control values must fall for assay to be considered valid

A

control limits

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19
Q

what is plotted on a Level-Jennings chart

A

daily control specimen values

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20
Q

what is it called when data points move from one side of the mean to the other (abrupt change)

A

shift

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21
Q

what is it called when values on the same side of the mean for more than 6 consecutive date points (drift, subtle)

A

trend

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22
Q

what is the proportion of disease positives that are test- positive, true positives/ total with disease

A

sensitivity

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23
Q

what is the proportion of disease negatives that are test-negative, true negatives/ total without disease

A

specificity

24
Q

what kind of waste goes into the non hazardous waste

A

anything where you can’t ring out the blood

25
Q

what kind of waste goes into the biohazardous waste

A

anything contaminated with dripping blood or body fluids

26
Q

what kind of waste goes into the sharps

A

anything that can cut

27
Q

how full can the sharps container get

A

3 quarters

28
Q

what kind of trash does cultures go into

A

regular trash

29
Q

______ are chemicals used to kill microorganisms

A

disinfectants

30
Q

true or false: you can use disinfectants on skin

A

false

31
Q

_____ are chemicals used to inhibit the growth of microorganisms

A

antiseptics

32
Q

what is the minimal time for disinfectants to be effective

A

10 min

33
Q

define wet times

A

how long something needs to stay wet for it to be effective

34
Q

what is a protective barrier between worker and workplace hazard classified as

A

engineering controls

35
Q

what are the steps you should take if you are exposed to a blood borne pathogen

A

immediate first aid
report and document the incident to supervisor
medical evaluation and treatment

36
Q

if you get an infection from skin contact what is it called

A

cutaneous

37
Q

if you get an infection from injection what is it called

A

percutaneous

38
Q

what is designed to stop the spread via direct contact with skin or objects

A

contact precautions

39
Q

what is designed for respiratory-spreading diseases

A

airborne precautions

40
Q

what is designed to protect from blood borne infections and viruses

A

droplet precautions

41
Q

what is designed for patients particularly susceptible to infection

A

reverse isolation

42
Q

true or false: if a health care worker is exposed to a blood borne pathogen the pathogenic is not always transmitted

A

true

43
Q

study and analysis of the patterns, causes, and effects of health and disease

A

epidemiology

44
Q

what bioterrorism category is the highest priority, pose risk to national security

A

a

45
Q

what bioterrorism category is the second highest priority

A

b

46
Q

what bioterrorism category is the third highest priority

A

c

47
Q

what is the standard Clinical labs go by

A

gold standard

48
Q

why can’t you do central lab automation in the ER

A

the machines are too big

49
Q

what would decrease TAT, cost efficiency, patient convenience, and more responsive care

A

bringing the test to patient beside

50
Q

what test is designed to be used at or near where the patient is located

A

point of care testing

51
Q

what kind of test does not require permanent dedicated space and performed outside the clinical lab

A

decentralized test

52
Q

what kind of test is performed near a patient

A

localized testing

53
Q

what problems does point of care testing solve

A

rising healthcare cost
clinical lab staff shortages
aging and at risk populations

54
Q

what is the most widely used point of care test

A

diabetes management

55
Q

represents the RBC in a volume of whole blood (%)

A

hematocrit

56
Q

within RBC

transports O2 to the tissues

A

hemoglobin

57
Q

indicates infection

A

WBC

INTRO TO CLINICAL LAB (3 decks)

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