TEST 3

Question 1

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

Answer 1

regulatory compliance

Question 2

what organization is in charge of inspecting

Answer 2

office of inspector general (OIG)

Question 3

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

Answer 3

false

Question 4

how would you classify overcharging or charging for unneeded test

Answer 4

fraud

Question 5

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

Answer 5

anti-kickback law

Question 6

what law prohibits knowingly presenting a false claim to the govt

Answer 6

false claims act

Question 7

what law covers QC, competency, and proficiency

Answer 7

CLIA

Question 8

what law prevents MDs from having financial interest in lab selection

Answer 8

stark law

Question 9

what law protects patient confidentiality of healthcare info

Answer 9

HIPAA

Question 10

what is QA

Answer 10

cost of work/ value

Question 11

where do most error occur

Answer 11

pre analytical phase

Question 12

what are the 2 quality philosophies

Answer 12

lean and six sigma

Question 13

accurate and timely results=

Answer 13

quality patient care

Question 14

what does quality control ensure

Answer 14

test result accuracy and precision while detecting and eliminating error

Question 15

accuracy def

Answer 15

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

Question 16

precision def

Answer 16

reproducibility of a testing procedure

Question 17

why is QC so important

Answer 17

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

Question 18

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

Answer 18

control limits

Question 19

what is plotted on a Level-Jennings chart

Answer 19

daily control specimen values

Question 20

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

Answer 20

shift

Question 21

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

Answer 21

trend

Question 22

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

Answer 22

sensitivity

Question 23

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

Answer 23

specificity

Question 24

what kind of waste goes into the non hazardous waste

Answer 24

anything where you can’t ring out the blood

Question 25

what kind of waste goes into the biohazardous waste

Answer 25

anything contaminated with dripping blood or body fluids

Question 26

what kind of waste goes into the sharps

Answer 26

anything that can cut

Question 27

how full can the sharps container get

Answer 27

3 quarters

Question 28

what kind of trash does cultures go into

Answer 28

regular trash

Question 29

______ are chemicals used to kill microorganisms

Answer 29

disinfectants

Question 30

true or false: you can use disinfectants on skin

Answer 30

false

Question 31

_____ are chemicals used to inhibit the growth of microorganisms

Answer 31

antiseptics

Question 32

what is the minimal time for disinfectants to be effective

Answer 32

10 min

Question 33

define wet times

Answer 33

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

Question 34

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

Answer 34

engineering controls

Question 35

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

Answer 35

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

Question 36

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

Answer 36

cutaneous

Question 37

if you get an infection from injection what is it called

Answer 37

percutaneous

Question 38

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

Answer 38

contact precautions

Question 39

what is designed for respiratory-spreading diseases

Answer 39

airborne precautions

Question 40

what is designed to protect from blood borne infections and viruses

Answer 40

droplet precautions

Question 41

what is designed for patients particularly susceptible to infection

Answer 41

reverse isolation

Question 42

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

Answer 42

true

Question 43

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

Answer 43

epidemiology

Question 44

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

Answer 44

a

Question 45

what bioterrorism category is the second highest priority

Answer 45

b

Question 46

what bioterrorism category is the third highest priority

Answer 46

c

Question 47

what is the standard Clinical labs go by

Answer 47

gold standard

Question 48

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

Answer 48

the machines are too big

Question 49

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

Answer 49

bringing the test to patient beside

Question 50

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

Answer 50

point of care testing

Question 51

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

Answer 51

decentralized test

Question 52

what kind of test is performed near a patient

Answer 52

localized testing

Question 53

what problems does point of care testing solve

Answer 53

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

Question 54

what is the most widely used point of care test

Answer 54

diabetes management

Question 55

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

Answer 55

hematocrit

Question 56

within RBC | transports O2 to the tissues

Answer 56

hemoglobin

Question 57

indicates infection

Answer 57

WBC