Lab Orders and Specimen Handling

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Questions and Answers

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?

<p>Checking if vacutainers are expired (C)</p> Signup and view all the answers

What should be done after the specimens are drawn?

<p>Inverting the specimens (C)</p> Signup and view all the answers

What does the lab test directory provide?

<p>All of the above (D)</p> Signup and view all the answers

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

<p>2.5mL (D)</p> Signup and view all the answers

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

<p>Gold tube (A)</p> Signup and view all the answers

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

<p>Light blue tube (D)</p> Signup and view all the answers

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

<p>To separate formed elements from liquid (D)</p> Signup and view all the answers

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

<p>To mix the anticoagulant additive with the blood (A)</p> Signup and view all the answers

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

<p>patient</p> 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 ______.

<p>provider</p> Signup and view all the answers

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

<p>information</p> Signup and view all the answers

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

<p>coagulate</p> Signup and view all the answers

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

<p>centrifuge</p> Signup and view all the answers

Anticoagulant tubes may yield ______ or plasma.

<p>whole blood</p> 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'.

<p>centrifuged</p> Signup and view all the answers

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

<p>vacutainers</p> Signup and view all the answers

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

<p>handling</p> 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

<p>add</p> 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

<p>appropriately</p> Signup and view all the answers

Match the following document types with their descriptions:

<p>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</p> Signup and view all the answers

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

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

Match the following terms with their definitions:

<p>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</p> Signup and view all the answers

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

<p>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</p> Signup and view all the answers

Match the following tube colors with their results after centrifugation:

<p>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</p> Signup and view all the answers

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

<p>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</p> Signup and view all the answers

Match the following procedures with their purposes:

<p>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</p> Signup and view all the answers

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

<p>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</p> Signup and view all the answers

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

<p>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</p> Signup and view all the answers

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

<p>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</p> Signup and view all the answers

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

<p>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</p> Signup and view all the answers

True or false: Specimen handling and processing requirements must be initiated before the blood draw begins.

<p>True (A)</p> Signup and view all the answers

True or false: Specimen viability may be lost if blood is drawn before finding out important information about the patient and the test requirements.

<p>True (A)</p> Signup and view all the answers

True or false: The lab test directory provides information about the color of tube required, tube-fill requirements, storage and transportation requirements, and minimum blood component volume needed for testing.

<p>True (A)</p> Signup and view all the answers

True or false: Clot activator tubes must be centrifuged for at least 30 minutes before use?

<p>True (A)</p> Signup and view all the answers

True or false: Anticoagulant tubes containing plasma can be centrifuged right away?

<p>True (A)</p> Signup and view all the answers

True or false: Light blue tubes are typically used for whole blood tests?

<p>False (B)</p> Signup and view all the answers

True or false: Inversions should be performed quickly when using anticoagulant tubes to prevent clotting?

<p>True (A)</p> Signup and view all the answers

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