Patient Identification Chapter 6 Quiz
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Patient Identification Chapter 6 Quiz

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@CorrectSaxhorn

Questions and Answers

What are the orders for laboratory tests for inpatients?

  • Electronic health record (EHR) (correct)
  • Prescription
  • Telephone
  • Chart (correct)
  • What are the orders for laboratory tests for outpatients?

  • Fax (correct)
  • Chart
  • Prescription (correct)
  • Electronic health record (EHR)
  • What are laboratory requisitions?

    Documentation of tests ordered, entered in HIS or LIS, with a computer-provided accession number.

    What is required content for charts?

    <p>Patient's name, date of birth, MRN, ordering physician's name, type of test, test status, date and time to be performed.</p> Signup and view all the answers

    How should you greet the patient?

    <p>Smile, behave professionally, identify yourself, and reduce anxiety in outpatient settings by knocking and waiting for a response in inpatient settings.</p> Signup and view all the answers

    How to communicate with pediatric patients?

    <p>Talk directly to the child, never lie, and keep them distracted.</p> Signup and view all the answers

    What to do when talking to a sleeping patient?

    <p>Awaken gently, try not to startle them, talk softly, and inform them before turning on the lights.</p> Signup and view all the answers

    What is the code of ethics?

    <p>A set of written rules or guidelines that determine right from wrong and varies by individual and society.</p> Signup and view all the answers

    What are the legal terms relevant to patient care?

    <p>Respondent superior, assault, battery, negligence/malpractice, duty, derelict, direct cause, damages.</p> Signup and view all the answers

    How can you prevent malpractice?

    <p>Follow guidelines that include caring, communication, and competence.</p> Signup and view all the answers

    What are patient's rights?

    <p>Patients have the right to refuse care, be treated with respect, have confidential records, be informed about treatments, and access their medical records.</p> Signup and view all the answers

    What is informed consent?

    <p>Explaining the procedure, interpreting if necessary, gaining attention of distracted patients, and informing when a patient refuses.</p> Signup and view all the answers

    What does patient identification involve?

    <p>Asking, comparing, and validating the patient's identity.</p> Signup and view all the answers

    What does inpatient identification include?

    <p>Checking ID band, comparing with requisition, and asking for nurse verification if the patient is sedated.</p> Signup and view all the answers

    What does outpatient identification mean?

    <p>Asking the patient's name, requesting formal ID, verifying information on requisition forms with at least two unique items.</p> Signup and view all the answers

    What is labeling the specimen?

    <p>Label specimens immediately after collection, before leaving the patient, and apply the label properly.</p> Signup and view all the answers

    What information is required for patient identification?

    <p>Patient's name, date of birth, unique patient identifier, collection time and date, collector's identification.</p> Signup and view all the answers

    What factors can affect lab tests?

    <p>Altitude, geographical location, temperature, hydration, posture, exercise, and stress.</p> Signup and view all the answers

    What are other factors that can affect lab tests?

    <p>Timing of specimen collection, patient basal state, fasting for at least 12 hours, and diurnal variation.</p> Signup and view all the answers

    What dietary restrictions can affect tests?

    <p>Food, liquids, smoking, and special diets.</p> Signup and view all the answers

    Can medications interfere with lab tests?

    <p>Yes, they can cause abnormal color in blood or urine and alter chemical levels.</p> Signup and view all the answers

    How to transport specimens?

    <p>Prompt transportation is required for STAT tests and those needing quick processing; may require medical courier service for off-site transfers.</p> Signup and view all the answers

    How to track lab specimens?

    <p>Record identification and update lab records regarding quality, test collections, and completion times.</p> Signup and view all the answers

    What is confidentiality?

    <p>Health Insurance Portability and Accountability Act (HIPAA) sets standards for protecting patient privacy.</p> Signup and view all the answers

    What are HIPAA guidelines?

    <p>Close patients' room doors, do not talk about patients in public, turn computer screens away from public view, log off computers when finished, close medical records.</p> Signup and view all the answers

    What are electronic health records?

    <p>Health Information Technology for Economic and Clinical Health Act (HITECH) encourages EHRs and establishes standards for use.</p> Signup and view all the answers

    Summarize chapter 6.

    <p>Laboratory tests ordered by licensed healthcare practitioners must include detailed patient and test information, with a focus on professional communication and ethical standards.</p> Signup and view all the answers

    Study Notes

    Laboratory Test Orders

    • Orders for laboratory tests include inpatient and outpatient methods.
    • Inpatients utilize charts or electronic health records; outpatients may require prescriptions, phone calls, or faxes.

    Laboratory Requisitions

    • Requisitions are entered in Health Information System (HIS) or Laboratory Information System (LIS).
    • They document tests ordered and provide an accession number through the computer.

    Required Chart Content

    • Essential information includes patient's name, date of birth, medical record number (MRN), ordering physician's name, test type, status, and scheduled date and time.

    Patient Interaction

    • Greet patients with a smile, professional demeanor, and self-introduction.
    • In outpatient settings, reducing anxiety is key; in inpatient settings, respect privacy by knocking before entering.

    Communication with Patients

    • Pediatric patients require direct communication and distractions; maintain honesty.
    • For geriatric patients, repeating instructions and showing compassion is important.

    Interacting with Sleeping Patients

    • Gently awaken sleeping patients without startling; speak softly and inform them before turning on lights.
    • Specimens should never be collected from sleeping patients.
    • Ethics consist of rules and guidelines determining right from wrong, influenced by various factors.
    • Legal terms include respondent superior, assault, battery, negligence, and malpractice criteria.

    Malpractice Prevention

    • Malpractice can be mitigated by the plaintiff's burden of proof and adhering to guidelines of caring, communication, and competence.

    Patient Rights

    • Patients possess rights to refuse care, respectful treatment, confidentiality, understand procedures, and access their medical records.
    • Patients must be clearly informed about procedures and implications; consent is especially crucial for minors.

    Patient Identification

    • Confirmation methods require asking, comparing data, and validating patient identity through means like checking ID bands for inpatients.

    Specimen Labeling

    • Specimens must be labeled immediately after collection to avoid errors; always label your own collected specimens.

    Required Information for Specimens

    • Each specimen label should include patient's name, date of birth, a unique identifier, collection date and time, and collector's ID.

    Factors Affecting Lab Tests

    • Environmental factors like altitude, temperature, and hydration can impact results.
    • Patient conditions such as posture, exercise, stress, and fasting state also significantly influence test outcomes.

    Specimen Transport and Tracking

    • Specimens require prompt transport, using medical courier services if necessary, especially for critical tests.
    • Document identification and update lab records to monitor specimen quality and test statuses.

    Confidentiality and HIPAA

    • HIPAA establishes national standards for the protection of patient privacy in electronic healthcare transactions.
    • Compliance includes measures such as closing patients' room doors, restricting conversations in public areas, and ensuring computer screens are not visible to the public.

    Electronic Health Records (EHR)

    • The Health Information Technology for Economic and Clinical Health (HITECH) Act promotes the use of EHRs and sets standards for their implementation.

    Chapter Summary

    • Laboratory tests must be ordered by licensed practitioners, with requisitions detailing patient and test information. Patient engagement and ethical conduct are vital for maintaining trust and preventing liability issues. Two unique identifiers are necessary for patient identification, and proper labeling is critical for specimen management. Factors affecting specimen quality include a multitude of environmental and patient-related conditions. Compliance with EHR regulations is also essential for effective patient record management.

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    Description

    Test your knowledge on patient identification and specimen requirements outlined in Chapter 6. This quiz covers laboratory test orders, requisitions, and essential chart content. Perfect for healthcare students and professionals looking to reinforce their learning.

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