Phlebotomy Chapter 2
Terms
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- Assault.
- Involves the act or threat of harm.
- Competencies.
- Educational Standards for program approval.
- Civil Action.
- Concerned with actions between private parties.
- Defendant.
- Person against whom a lawsuit is filed.
- Delta Check.
- Compares current results with previous ones.
- Deposition.
- Process in which an individual is questioned under oath.
- Implied Consent.
- Action indicate consent.
- Malpractice.
- Negligence by a professional.
- Plantiff.
- Injured party bringing a lawsuit.
- Proficiency testing.
- Involves testing sample unknowns.
- QA indicator.
- Monitors and important aspect of patient care.
- Respondeat superior.
- Employers are liable for action of employees.
- Threshold value.
- Level of acceptable practice.
- Tort.
- A civil wrong without just cause.
- Negligence.
- Failure to act in a reasonable and prudent manner.
- Vicarious Liability.
- Employers are liable for actions of their subcontractors.
- The abbreviation for an agency that has an approval process for phlebotomy program is the:
-
(NAACLS) National Accrediting Agency
for Clinical Laboratory Sciences. - Dr. W. Edwards Deming is famous for being a leader in:
- Advancing the concept of total quality management. (TQM)
- The abbreviation for a national organization that established quality standards to ensuere the accuracy, reliabilty, and timeliness of patient test results, regardless of the size, type, or location of the laboratory.
- CLIA'88
- The abbreviation for an agency that sets standards for phlebotomy procedures.
- The National Committee for Clinical Laboratory Standards. (NCCLS)
- Areas of phlebotomy subject to quality control (QA) procedures include:
- Patient identification, phlebotomy techniques, and specimen labeling.
- A lab technician asked a phlebotomist to recollet a specimen on a patient. When the phlebotomist asked what was wrong with the specimen, the technician replied, "The specimen was OK, but the results were inconsistent." How would the laboratory
- They did not compare with previous results when a delta check was conducted.
- The following principles make up total quality management:
- Constant improvement, customer satisfaction, and employeee participation.
- What organization provides voluntary laboratory inspections and proficiency testing?
- (CAP) College of American Pathologists)
- Quality control protocols prohibit use of outdated evaculated tubes because:
- Additives that prevent clotting may no longer work, specimens collected in these tubes may yield erroneuos results, the tubes may not fill completely.
- Examples of Quality Control are:
- Check expiration dates of evaculated tubes, document maintenance on centrifuge, and document maintenance on centrifuge.
- When the threshold value of a clinical indicator of quality assurance (QA) is exceeded and a problem is identified:
- A corrective action plan is implemented.
- What are some examples that represent a quality assurance (QA)procedure:
- Checking needles for blunt tips and barbs, following strict speciment labeling requirements, and recording results of refrigerator temperature checks.
- Which pre-analytical factor that can affect validity of test results is not always under the phlebotomist's control?
- Patient Preparation.
- What contains a chronologic record of a patient's care?
- Medical Record.
- The abbreviation for the agency that requires healthcare organizations to have a quality assurance (QA) program in place to be accredited is the:
- Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
- A specimen was mislabeled on the floor. You are required to fill out an incident report form. What information is included on the form:
- Description of the consequence, details of the corrective action taken, and explanation of the problem.
- An example of a quality assurance (QA) indictor is:
- The contamination rate for blood cultures will not exceed the national contamination rate.
- What laboratory document describes in detail the steps to follow for specimen collection?
- Procedure manuel/floor book.
- Drawing a patient's blood without his or her permission can result in a charge of:
- assault and battery.
- What does the term "tort" mean?
- A wrongful act for which damages may be awarded.
- What are steps in the risk management process?
- Education of employees and patients, identification of risk, and treatment of risk using procedures already in place.
- What would violate a patient's right to confidentiality:
- Indicating the nature of a patient's disease on the door, keeping a list of HIV positive patients posted in the laboratory, and posting a patient's laboratory results on a bulletin board in his or her room.
- Unauthorized release of confidential patient information is called:
- Invasion of Privacy.
- Civil actions involve:
- Actions betweeen private parties.
- Malpratice is a claim of:
- Improper treatment.
- What are examples of negligence?
- The phlebotomist does not return a bedrail to the upright position, the phlebotomist forgets to put a needle in the sharps container, and the phlebotomist fails to report significant changes in a patient's condition.
- A patient agrees to undergo treatment after the method, risks, and consequences are explained to him. This is an example of:
- Informed Consent.
- The period within which an injured party may file a lawsuit is known as:
- Statue of Limitation.
- The definition of a minor is anyone:
- Who has not reached the age of majority.
- Performing one's duties in the same manner as any other reasonable and prudent person with the same experience and training is referred to as:
- The standard of care.
- Doing something that a reasonable and prudent person would not do, or failing to do something that a reasonable person would do is:
- Negligence.
- A phlebotomist explains to an inpatient that he has come to collect a blood specimen. The patient extends his arm and pushes up his sleeve. This is an example of:
- Implied consent.
- A 12-year old inpatient who refused to have his blood collected was restrained by a healthcare worker while the phlebotomist collected the specimen. This is an example of:
- Assault and battery.
- The standard of care used in phlebotomy malpractice cased is often based on guidelines from this organization:
- National Committee for Clinical Laboratory Standards. (NCCLS)
- What must be present to claim negligence?
- A breaking of a legal duty or obligation owed by one person to another, a legal duty or obligation owed by one person to another, and harm done as a result of breach of duty.
- The process of gathering information by taking statements and interrogating parties involved in a lawsuit is called:
- Discovery.
- A patient is told that she must remain still during blood collection or she will be restrained. Which tort is involved in this example?
- Assault.
- Immunohematology
- Finding a lood type
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