Lab Orders and Specimen Handling

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Which of the following is NOT included in a lab order?

Diagnosis code (ICD-10-CM)

Signature of the ordering licensed provider

Patient's name and date of birth (correct)

Test names (CPT codes)

What types of specimens are typically needed to perform tests?

Blood only

Nasopharygeal and blood

Urine and stool only

Blood, urine, and stool (correct)

Where can you find handling, collecting, and processing information for each test?

In the lab order

In the lab requisition form

In the patient's chart

In the Test Directory (correct)

Which step should be done before the blood draw begins?

Checking if vacutainers are expired Signup and view all the answers

What should be done after the specimens are drawn?

Inverting the specimens Signup and view all the answers

What does the lab test directory provide?

All of the above Signup and view all the answers

What is the minimum amount of serum yielded from a gold tube containing 5mL of blood?

2.5mL Signup and view all the answers

Which type of tube is used for tests that require serum?

Gold tube Signup and view all the answers

Which type of tube is typically used for bleeding time tests?

Light blue tube Signup and view all the answers

What is the purpose of centrifugation in the blood processing procedure?

To separate formed elements from liquid Signup and view all the answers

Why is it important to perform inversions quickly when using anticoagulant tubes?

To mix the anticoagulant additive with the blood Signup and view all the answers

Every blood draw should have a plan for success created and individualized to that ______.

patient Signup and view all the answers

The lab order contains test names (CPT codes) and corresponding diagnosis code (ICD-10-CM) and must be signed by ordering licensed ______.

provider Signup and view all the answers

The Laboratory Test Directory provides all of the handling, collecting and processing ______ for each test.

information Signup and view all the answers

Clot activator tubes (Gold, Tiger-top, some red tubes) which yield serum must be given time to ______.

coagulate Signup and view all the answers

After 30 mins, the tube should be 'spun down' by running them in a ______ for 10 minutes.

centrifuge Signup and view all the answers

Anticoagulant tubes may yield ______ or plasma.

whole blood Signup and view all the answers

The 'Whole Blood' tubes, also having anticoagulant additives, contain EDTA, and can be tested right away. These are not to be ______, as the desire is to test the blood 'as a whole'.

centrifuged Signup and view all the answers

Before drawing blood, it is important to check the expiration date of the ______ used

vacutainers Signup and view all the answers

The lab test directory provides information about the ______ and processing requirements for each test

handling Signup and view all the answers

To determine the minimum amount of blood component needed for tests using the same colored vacutainer, you should ______ the minimum amounts of the blood component together

add Signup and view all the answers

In order to ensure specimen viability, it is important to label the specimens ______ and clean the draw area after the draw

appropriately Signup and view all the answers

Match the following document types with their descriptions:

Lab Order = Contains test names and corresponding diagnosis code, must be signed by ordering licensed provider Laboratory Test Directory = Provides handling, collecting and processing information for each test EMR System = Can be used to print lab orders Patient's Chart = All lab tests ordered must be entered into this for documentation Signup and view all the answers

Match the types of specimens with their corresponding tests in the course:

Blood = Every test in this course Urine = None in this course Stool = None in this course Nasopharyngeal = None in this course Signup and view all the answers

Match the following terms with their definitions:

CPT codes = Test names in a lab order ICD-10-CM = Diagnosis code in a lab order Test Directory = Used to determine the plan by providing handling, collecting and processing information Plan = Created for every blood draw and individualized to the patient Signup and view all the answers

Match the following tube types with their specific requirements or characteristics:

Clot Activator Tubes = Must sit for at least 30 minutes before centrifugation Anticoagulant Tubes = May yield whole blood or plasma Light Blue Tubes = Used for bleeding time tests and must be at least 9/10ths full Whole Blood Tubes = Not to be centrifuged, tested right away Signup and view all the answers

Match the following tube colors with their results after centrifugation:

Gold, Tiger-top, some red tubes = Yield serum Light blue, Green, Gray = Often can be used for testing right away Green Tubes = Can be centrifuged right away for immediate testing Light Blue Tubes = Must be at least 9/10ths full in order to be tested Signup and view all the answers

Match the following steps with their corresponding procedures in the lab:

Perform inversions = After collection and labeling tubes Wait for 30-120 minutes = After placing tubes upright in a tube rack Centrifugation for 10 minutes = After waiting for 30 minutes Place in specimen transport bag = After processing and handling requirements Signup and view all the answers

Match the following procedures with their purposes:

Performing inversions quickly = To mix the anticoagulant additive with the blood to stop any clotting Centrifugation = To separate formed elements from liquid Placing tubes in a tube rack = To give time to clot Placing tubes in a specimen transport bag = For storage prior to lab courier pick-up Signup and view all the answers

Match the following steps with their respective stages in the blood test process:

Determine the needed amount of all tubes = Final steps of plan formulation Ensure vacutainers used are not expired = Before the Draw Invert specimens 8-10 times = After the Draw Determine your patient’s condition, ask questions = Final steps of plan formulation Signup and view all the answers

Match the following considerations with their respective stages in the blood test process:

Is a test more accurate at different times of day = Before the Draw Labeled appropriately and the draw area is cleaned = After the Draw Determine your order of draw = Final steps of plan formulation Does the patient need to be fasting = Before the Draw Signup and view all the answers

Match the following actions with their respective stages in the blood test process:

Look at special considerations = Final steps of plan formulation Ensure vacutainers used are not expired = Before the Draw Draw a grid with the following headings = Initial steps of plan formulation Once specimens are drawn, inverted 8-10 times = After the Draw Signup and view all the answers

Match the following steps with their respective stages in the blood test process:

Put all tests with the same colored vacutainers together = Initial steps of plan formulation Ensure vacutainers used are not expired = Before the Draw Once the needed amount of all tubes are determined = Final steps of plan formulation Labeled appropriately and the draw area is cleaned = After the Draw Signup and view all the answers