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Questions And Answers
Accredation - correct answer ✅recognition granted by nongovernmental agency to institutions that meet certain standards-voluntary certification - correct answer ✅recognition granted by nongovernmental agency to individuals who meet education requirements and demonstrate entry-level competency by passing an exam- voluntary licensure - correct answer ✅permission granted by state to individuals/organizations to engage in certain professions/businesses. Mandatory. It is illegal to practice/operate in that state without a license AAB - correct answer ✅technical standards and accredation of blood banks CDC - correct answer ✅standards and guidelines primarily related to infection control and safe work practice
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CLSI (formerly NCCLS) - correct answer ✅Clinical Laboratory Service Institute- joined together to improve patient safety and ultimately proposed guidelines for laboratory methods ( voluntary consensus) CMS - correct answer ✅writes and regulates for and enforces clinical lab improvement ammendments of 1988 Department of Health and Human Services - correct answer ✅Gives services for Americans' health and basic needs; interprets and implements federal regulations related to health care; oversees CDC,CMS,FDA, SAMSHA DOT - correct answer ✅regulates packaging, labeling, and transportation of biological products EPA - correct answer ✅regulates disposal of toxic chemicals and biohazardous wastes
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Clinical Laboratory Improvement Amendments (CLIA) 88 - correct answer ✅Federal standards that regulate laboratory testing, handling, and processing Bloodborn Pathogen Standard - correct answer ✅federal law requiring that healthcare facilities protect employees from bloodborne health hazards HIPPA - correct answer ✅Health Insurance Portability and Accountability Act of 1996; regulates use and disclosure of protected health information (PHI) Waived complexity - correct answer ✅The tests are so simple that the likelihood of erroneous results is negligible, or no risk is posed to the patient if performed incorrectly No certification or educational requirements for testing personnel No PT (Proficiency testing)
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Certificate of Waiver can be given to laboratory that ONLY runs waived tests Ex: Home pregnancy tests, Blood glucose monitors Provider Performed Microscopy Procedure (PPMP) - correct answer ✅a CLIA term for those microscopic examinations that require the expertise of a physician or mid-level provider qualified in microscopic examinations. The PPMP is part of the CLIA's moderately complex category of tests. Moderate Complexity - correct answer ✅high school diploma or eq, and training for testing done high complexity - correct answer ✅associate degree in MLS or equivelant Bloodborne Pathogen Standard - correct answer ✅mandates to protect health care providers from diseases caused by exposure to body fluids
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cardboard, wood, or other material of equivalent strength with an external dimension of no less than 3.9 inches labeling - correct answer ✅biohazard label required on primary and mailing containers training for packing of specimens - correct answer ✅employees must be trained every 2-3 years, or when regulations change occupational exposures to hazadarous chemicals in laboratories stnadard - correct answer ✅aka Lab standard, chemical hygiene standard; made to limit the exposure to hazardous chemicals ro levels at or belowpermissible exposure levels (PEL) corrosive - correct answer ✅(adj.) eating away gradually, acidlike
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toxic substances - correct answer ✅chemicals that interfere with metabolic processes when injested, inhaled, or absorbed through the skin carcinogens - correct answer ✅Cancer causing agents blue diamondd on left - correct answer ✅What is the symbol for health on the NFPA hazard diamond red diamond on top - correct answer ✅What is the symbol for flammability NFPA hazard diamond yellow diamond on right - correct answer ✅what is the symbol for instability on the NFPA hazard diamond?
Questions And Answers
class A - correct answer ✅cloth, wood or paper class B - correct answer ✅Flammable and combustible material class C - correct answer ✅electrical equipment class D - correct answer ✅Combustible metals EDTA color tube - correct answer ✅lavender EDTA - correct answer ✅prevents clotting by chelating Ca2+ heparin tube color - correct answer ✅green
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heparin - correct answer ✅prevents clotting by neutralizing thrombin sodium citrate tube color - correct answer ✅light blue sodium citrate - correct answer ✅An anticoagulant that prevents clotting by binding calcium and is used for coagulation tests because it does the best job of preserving the coagulation factors. sodium fluoride tube color - correct answer ✅grey sodium fluoride - correct answer ✅inhibits glycolysis; not an anticoagulant blood culture bottles - correct answer ✅what must you draw first to avoid bacterial contamination from the needle?
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IV -
correct answer ✅use opposite arm or perform fingerstick, if possible; otherwise, have nurse turn off IV for 2 min, apply tourniquiet below IV, use a different vein, Document your methods fistula - correct answer ✅use other arm hematoma - correct answer ✅draw blood from below edema, scars, tattoos, burns - correct answer ✅select another site for veinpuncture mastectomy - correct answer ✅draw from other arm unidentified patient - correct answer ✅ask nurse to ID before drawing
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What tests require fasting - correct answer ✅Glucose, triglycerides, cholesterol, vitamin & mineral problems and pregnancy, insulin, lipid panel what tests require chilling - correct answer ✅ACTH, acetone, ammonia, gastrin, glucagon, lactic acid, pyruvate, pth, remin what tests rewuire warming - correct answer ✅cold agglutinins, cryoglobulins what tests require protection from light> - correct answer ✅bilirubin, carotene, erythrocyte protoporphyrin, vitamin A, vitamin B which tests require chain of custody - correct answer ✅any test used in legal proceedings possible effect of misidentifying patient - correct answer ✅treatment errors, possibility of transfusion fatality
Questions And Answers
effects of expired collection tubes on blood results - correct answer ✅decrease in vacuum, failure to obtain specimen effets of incorrect anticoagulaent or contamination from incorrect order of draw - correct answer ✅K2 eDTA before serum or heparin tube: decrease Ca, MG; increase K contamination of citrate tube with clot activator; erroneous coag results failure to hold bottom of tube lower than top during collection - correct answer ✅carryover from one tube to another. possible additive contamination Borosilicate glass - correct answer ✅nonreactive glass with high thermal resistance commonly used to make high-quality labware; can be heated and autoclaved
Questions And Answers
Aluminosilicate Glass - correct answer ✅6x stronger than borosilicate. better able to resist clouding due to alkali and scratching Boron-free glassware - correct answer ✅High resistance to alkali; poor heat reistant High silica glass - correct answer ✅Heat, chemical, and electrical tolerance. Excellent optical properties. Used for high-precision analytic work, optical reflectors, mirrors. flint glass - correct answer ✅A glass of high refractive index (1.65), containing lead; contains oxides of sodium, silicon and calcium; least expensive but poor resistance to high temperature and sudden change of temperature Low actinic glass - correct answer ✅used for light sensitive reagents; amber or red
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teflon - correct answer ✅extremely inert. excellent temperature tolerance and chemical resistance; used for stir bars, stop cocks, and tubing beaker - correct answer ✅A wide-mouthed container used to transport, heat or store substances; not accurate enough for critical measurements Erlenmeyer flask - correct answer ✅sloping sides/ graduated markings, used to hold liquids, mix substances, measure noncritical volumes Florence Flask - correct answer ✅Rarely used in first year chemistry, it is used for the mixing of chemicals. Narrow neck prevents splash exposur volumetric flask - correct answer ✅for making up solutions to a known volume; pear shaped; long neck with a single calibration mark. strict standards. RT
Questions And Answers
graduated cylinder - correct answer ✅upright, straight-sided tube with flared base; used for noncritical measurements. most are TD. come in different sizes volumetric pipet - correct answer ✅measures small amounts of liquids accurately Ostwald-Folin pipette - correct answer ✅bulb closer to delivery -accurate measurement of viscous fluids -etched ring near mouthpiece -blowout serological pipette - correct answer ✅pipettes that have graduations down to the tip. They are temperature calibrated which means that the volume markings on the side of the pipette are accurate within a certain temperature range usually 20-25oC (68-77oF).
