Clinical Lab Basics - Final

Venipuncture

puncturing a vein to draw blood

Capillary Puncture

collecting blood from the fingertip or heel tip

National Healthcare Organization that contributed to the evolution of phlebotomy 

CLIA, TJC, ASCP

Role of Phlebotomists

patient id, blood collection, specimen handling, infection control and safety, communication, support in diagnosis

Basic concepts of verbal communication

active listening

Basic concepts of nonverbal communication

appearance, touch, proxemics, kinesics

Telephone etiquette

answer promptly, state name and department, transfer and hold correctly, record info

Hospitals

In and out patient

Clinics and Ambulatory care centers

Outpatient only, freestanding or hospital owned clinics

Other healthcare institutions

home-bound, long-term facilities, and patients homes

Methods of health insurance coverage

ACA, third party payers, Medicare, Medicaid, ACOs, HMOs, and PPOs

CPT meaning

Current procedural terminology

List personnel levels in order

Lab director/pathologist, lab administrator/manager, technical supervisor, MT/MLS, MLT, MLA/CLA/CA, Phlebotomist

Lab procedures preformed in first three levels of personnel in order

(manages lab,) (oversees all patient and physician services,) (administers a lab section)

Lab procedures preformed in last three levels of personnel in order

(testing and reports in all areas of lab, preforms quality control, evaluates procedures,) (routine testing,) (specimen processing, assists MLS/MLT)

NAAClS

accreditation for programs

ISO

international standards

TJC

establishes standards for operation of hospitals

SAFER

TJC program to evaluate risk

SE

identifying and prevent safety issues

CLIA

quality standards for all labatories

CAP

collage of pathologists - proficiency testing and lab inspection

CLSI

develops standards and voluntary guidelines for labs

Define Quality

consistent, accurate, and safe care

Performance improvements

identifying weakness and implementing corrective action

Qa

scheduled reviews of appropriateness, applicabilty, and timeliness of patient care

areas subject to Qc 

collection, labeling, handling, equipment, documentation, and personal competence. 

Assault

threat or attempt to harm another

Battery

actually harming others

Negligence

failure to exercise standard of care

Malpractice

negligence that results in harm

Res lipu loquitur

obvious negligence