Unit 1 Test

  • Venipuncture: collection of blood by penetrating a vein w/ needle, syringe, etc.

  • Capillary puncture: puncture of skin, collecting blood

What can Phlebotomy do?

  • Diagnostic: helping doctors diagnose and treat patients

  • Blood donation: remove donor blood

  • Monitor Therapy: help determine the therapeutic level of certain drugs

  • Therapeutic: remove blood to treat diseases, polycthemia ( too many blood cells )

NAACLS:

National Accrediting Agency for Clinical Laboratory Sciences

Certification v. Lisensure:

Certification: academic, finish the training requirements

Licensure: From the state, official document, permit for practice.

RPT/ AMT: Registered phlebotomy Technician/ American Medical technologists

CPT/ NHA: Certified phlebotomy Technician/ National Health-career Association

PBT/ASCP: Phlebotomy technician/ American Society for clinical pathology

NCPT/NCCT: National Certified Phlebotomy Technician/ National Career Competency testing.

IACET: International Association for Continuing Education and Training

Continuing Education Units (CEUs)

Communication: (Verbal and Non-Verbal)

  • Kinesics( Study of Non-Verbal)

  • Kinesics Slip ( Non does not match Verbal)

  • Proxemics: Keep a certain proximity ( distance from patient)

  • Primary: Care by general practitioner who assumes ongoing responsibility for maintaining patients health ( Pediatrician, PCP)

  • Secondary : Care by a Practitioner ( specialist) who can perform more complex procedures in outpatient facilities ( plastic surgeon, ER doctors)

  • Tertiary: Highly complex care and therapy services from practitioners in a hospital or overnight facility (Specialists, Inpatient centers )

    • PRIMARY AND SEC. DESIGNED TO DECREASE TIME IN TERTIARY FACILITIES

Clinical Laboratory Improvement Amendments ( CLIA)

  • Regulates all cites performing lab tests

High deductible:

  • Pull out of pocket a certain amount of money for insurance to kick in

HMO ( Health maintenance org.):

  • prepaid med group, predetermined benefit package both insurers and providers

PPO ( Preferred Provider org.)

  • ( Group of hospitals and physicians, contract fee for service)

ACO ( Accountable care org.):

  • network who voluntarily offer to coordinate care for medicare patients ( Share cost of savings)

POS( Point of service ):

  • receive service from participating or non participating, Level of coverage reduced if using non patient.

ICD codes:

  • Used because of HIPAA

CPT

  • Procedures and testing, outpaitient

ICD-10:

  • diagnoses

STAT Lab:

  • immediately, take over

Direct Pay:

  • Patient pays directly for healthcare cost

Private Insurance:

  • Either buy individual insurance or group.

Inpatient ( non-ambulatory):

  • Once admitted by MD order

  • more than 23 hours

Outpatient (ambulatory):

  • Includes UO ( under observ.)

  • Less than 24 hrs. ( even if overnight)

  • Clinics, UC centers, Free standing labs

  • Hippocrates ( father of western medicine)

    • Theorized disease was the result of excess.

  • Bloodletting: Egypt 1400 BC

    • thought to be releasing the body of evil spirits, cleanse body of impurities, bring balance to body

  • Exsanguinate- drain of blood

  • Exsanguination- death caused by loss of blood