CLA 1 Quiz Question and Answers,100% CORRECT

CLA 1 Quiz Question and Answers routine - Correct Answerhealthy person comes in for a checkup ~6 hours timed - Correct Answergreen given a specific time asap - Correct Answerpurple ER patient 2-4 hours STAT - Correct Answerred immediate/now! Some one will die if we don't get results medical record number - Correct Answergiven to a patient for life from a facility account number - Correct Answertracks each visit or stay order number - Correct Answerwhen someone completes an order specimen number - Correct Answertracks every specimen needed to complete an order serum - Correct Answerblood that is allowed to clot watery part at the top that does not contain clotting factors plasma - Correct Answerblood that goes into a tube that contains an anticoagulant watery part at the top that still contains all clotting factors whole blood - Correct Answerblood that goes into a tube with an anticoagulant that is not spun in a centrifuge medical laboratory technologist - Correct Answer4 years + 2 years to specialize medical laboratory technician - Correct Answer2 year degree aliquot - Correct Answersecondary tube that the specimen used for testing is placed into point of care testing - Correct Answerany test that will produce results almost immediately add-on - Correct Answerany test that a doctory may want to add on to a specimen that has already been collected specimen must be retrieved by CLA ABG - Correct Answerarterial blood gas chemistry test always run and processed as STAT specimen placed on ice immediately after collection SRIC - Correct Answerionized calcium chemistry test cannot come into contact with air processed in an unopened clot tube HGBA1C - Correct Answerone of the few chemistry tests run on a lavender top tube and on whole blood diabetic patients - measures blood sugar over a period of time blood culture bottles - Correct Answercollected in pairs: anaerobic (no oxygen) and aerobic (with oxygen) must be collected from a sterile site (no contamination of bacteria that naturally grow on the skin) used in microbiology department universal blood type - Correct AnswerO- serology - Correct Answeralso called immunohematology assess the presence of a substance and/or disease and also studies antibody-antigen reactions ASCP - Correct Answerthe american society of clinical pathologist offer certification ASCLS - Correct AnswerAmerican Society for clinical laboratory science champion of the field professional code of ethics and pledge to the profession NAACLS - Correct Answernational accrediting agency for clinical laboratory sciences educational accreditation CLIA '88 - Correct Answerclinical laboratory improvement amendments of 1988 hire staff that is certified by a recognized professional association goal: high quality lab results from all labs proficiency training, management of patient testing, quality assessment programs, quality control, personnel requirements, inspections and site visits, consultations AMT - Correct Answeramerican medical technologists offer certification hematology - Correct Answerstudy of blood and it's cells collected primarily in lavender top tubes also offers cell counts for other body fluids examination of bone marrow coagulation - Correct Answeralso called hemostasis assess bleeding and clotting problems collected primarily in light/baby blue tope tubes sometimes part of hematology chemistry - Correct Answertesting for general analytes in blood quantitative analysis of body fluids (primarily serum or plasma) collected primarily in red top tubes or SSTs COLA - Correct Answercommission on laboratory accreditation accredits doctors offices private - helps labs stay in compliance with CLIA regulations CAP - Correct Answercollege of american pathologists accredits small and large facilities uses teams of lab professionals as inspectors TJC - Correct Answerthe joint commission accredits large facilities CMS - Correct Answercenters for medicare and medicaid services OSHA - Correct Answeroccupational safety and health administration protects the safety of employees maintain a safe atmosphere through labor laws and environmental regulations CDC - Correct Answercenters for disease control and prevention tracks disease outbreaks standards mandated by public health laws and reporting requiremets FDA - Correct Answerfood and drug administration certification and licensure requirements waived tests - Correct Answersimple tests low risk of error and harm reference laboratories - Correct Answerlarger labs that perform more complex tests not associated with a clinic or office tests for everyone POL - Correct Answerphysicians office laboratory tests only for patients coming to the practice, group, or clinic QA - Correct Answerquality assurance what you are doing to ensure quality - process a set of policies, practices, and procedures in place to ensure a laboratory's results are reliable TQM - Correct Answertotal quality management how supervisors manage to ensure quality results monitoring programs put in place by a lab to improve services accuracy - Correct Answerhow close a test result is to the true value (reference samples) calibration - Correct Answercomparison of instrument measurement or reading to a known physical constant control - Correct Answerspecimen similar in composition to the patients value is known and testend in the same manner as the patient's precision - Correct Answerhow close test results ore to one another when repreated reproducibility of results standards - Correct Answerhighly purified substances of a known composition QC - Correct Answerquality control tests run on machines to ensure you are producing correct results process that monitors the accuracy and precision on results through the use of control specimens PT or proficiency testing - Correct Answertests the accuracy and reliability of results from a lab test samples and snd results to a PT program where they are assessed and compared to other labs ISO 15189 - Correct Answerinternational organization for standardization general requirements for testing and calibration standards and guidelines that can be purchased by a lab informed consent - Correct Answerpatient is aware of, understands, and agrees to the nature of the testing done and what will be done with the results reported confidentiality - Correct Answerprivacy of patient information as required by HIPAA chain of custody - Correct Answerprocess of documentation when lab test results could potentially be used in a court of law pathologist - Correct Answerdirector of a clinical lab PhD HCT - Correct Answerhematocrit HGB - Correct Answerhemoglobin BUN - Correct Answerblood urea nitrogen CHP - Correct Answerchemical hygiene plan training, exposure, list of chemicals and how to handle them CHO - Correct Answerchemical hygiene officer serves on committee responsible for helping to update CHP safety officer - Correct Answerensures everything is complient tracks incidents/exposures trains new employees on safety standards and practices PPE - Correct Answerpersonal protective equimment basic: gloves, lab coat, goggles provided isolation: add disposable lab coats and masks high level isolation: add ventilator CLSI - Correct Answerclinical laboratory standards institute develop standards for the lab to follow facilities pay a fee to get those standards sent to them (along with training materials) hazard communication standard - Correct Answeresablished by OSHA identification of hazards - chemical hygiene, bloodborne pathogens MSDS - Correct Answermaterial safety data sheets provide information an allchemicals used within a facility HAZCOM - Correct Answerstandards for chemical hazard communication hazard rating - Correct Answer0-4 4 = extremely hazardous 0 = no hazard hazard identification/warning system - Correct Answeryellow - reactivity/stability, explosion, reaction - right red - flammability top blue - health hazards - left white - other (radioactivity, special biohazards, etc) - bottom TLV - Correct Answerthreshold limit values maximum safety exposure limits PELs - Correct Answerpermissable exposure limits limit on the amount or concentration of a substance in the air exposure control plan - Correct Answeroccupational exposure to bloodborne pathogens protect the safety of lab staff bioterrorism classifications - Correct Answera - high priority, national security issue (rarely seen in US) (3) b - second highest priority, moderate morbidity rates (2) c - 3rd highest priority, emerging pathogens, ease of production (1) disinfecting solutions - Correct Answer10% bleach solution with 10 minute contact time recommended by the EPA PEP - Correct Answerpost exposure prophylaxis fire classifications - Correct Answera - ordinary combustibles b - flammable liquids and gases c - electrical equipment d - powdered metal (combustible) materials e - cannot be extinguished RACE - Correct Answerrescue alarm confine extinguish PASS - Correct Answerpull the pin aim at the base squeeze the handle sweep droplet transmission - Correct Answertransfer of infectious microbe to mucus short distance ~3' airborne transmission - Correct Answerdroplet nuclei or dust particles that contain the infectious microorganism require special ventiilation w/HEPA filters common vehicle transmission - Correct Answercontaminated items such as food, water, equipment, that cause multiple cases of disease vector transmission - Correct Answerinfectious agents carried by other agents not affected by the disease (insects, ticks) basic QC requirement - Correct Answertwo levels of QC materials each day reagents - Correct Answerchemicals that mix with specimen to produce a result leevy-jennings chart - Correct Answercontrol results plotted on a chart in order to assess deviation from the mean standard deviation is 2 slots on either side, any more is out of control procedural changes are also noted on chart bell shaped curve - Correct Answerplots the median at the highest point of the bell and the standard deviation sloping down on either side delta checks - Correct Answercheck test results againts the last tests that were run abrupt changes issue a warning EQC - Correct Answerequivalent quality control acceptable alternative approches to QC allowed by CMS PPR - Correct Answerperiodic performance review formal standards evaluation required for accreditation Lean - Correct Answerfocus on reducing waste eliminate activities to reduce production time identify error prone steps and eliminate or control them six sigma - Correct Answermetric and methodology that focuses on reducing variability active error - Correct Answeroccurs beteen the health care worker and patient latent error - Correct Answerrelated to organization or design of the laboratory TTP - Correct Answertotal testing process 3 phases: preanalytical, analytical, postanalytical sensitivity - Correct Answerproportion of cases with a specific disease or condition that give a positive test result specificity - Correct Answerproportion of cases with the absence of the specific disease or condition that gives a negative test result mean - Correct Answermathematical average median - Correct Answermiddle value mode - Correct Answermost frequently occuring value standard deviation - Correct Answerspread or variability in a data set confidence intervals - Correct Answerplus or minus two standard deviation acceptable control range shift - Correct Answersudden and sustained change in one direction of control sample results trend or drift - Correct Answergradual change in control sample results dispersion - Correct Answerrandom error or lack of precision increases hierarchy of chemistry panels - Correct AnswerLYTES - 4 tests BMP - 8 tests (sometimes called CHEM 7) CMP - 14 tests (sometimes called CHEM 12) INR - Correct Answerresults of a pro time test (PT) chemistry test tube color - Correct Answerred tubes or SST glucose tolerance test - Correct AnswerGTTF GTT1HR, GTT2HR, etc. chemistry test with gray top tube! hematology test tube color - Correct Answerlavender tubes ammonia - Correct AnswerPLNH3 green PST chemistry hemoglobin A1C - Correct AnswerHGBA1C chemistry test with a lavender top tube! ESR - Correct Answererythrocyte sedimentation rate only hematology test that can come in a black top tube coagulation test tube color - Correct Answerlight/baby blue toxicology test tube color - Correct Answerred top tubes panels that never have overlap - Correct AnswerCBC LIPID red top - Correct Answeradditive: none mode of action: blood clots, serum is separated by centrifugation uses: chemistry, immunology and serology, blood bank (crossmatch) gold top - Correct Answeradditive: none mode of action: sst - contains a gel at the bottom to separate blood from serum on centrifugation uses: chemistry, immunology and serology light green top - Correct Answeradditive: plasma separator tube (PST) with lithium heparin mode of action: anticoagulates with lithium heparin, plasma is separated with gel at the bottom of the tube uses: chemistry red-gray top or yellow SST - Correct Answeradditive: SST with clot activator mode of action: forms clot quickly and separates serum with sst gel uses: chemistry purple top - Correct Answeradditive: EDTA liquid mode of action: forms calcium salts to remove calcium uses: hematology (CBC) and blood bank (crossmatch). requires full draw. invert 8 times to prevent clotting and platelet clumping light blue top - Correct Answeradditive: sodium citrate mode of action: forms calcium salts to remove calcium uses: coagulation. full draw required dark green top - Correct Answeradditive: sodium heparin or lithium heparin mode of action: inactivates thrombin and thromboplastin uses: for lithium level use sodium heparin. for ammonia level use sodium or lithium heparin light gray top - Correct Answeradditive: sodium fluoride and potassium oxalate mode of action: antiglycolitic agent preserves glucose up to five days uses: glucoses. requires full draw (may cause hemolysis with short draw) black top - Correct Answeradditive: sodium citrate (buffered) mode of action: forms calcium salts to remove calcium uses: ESR. requires full draw