Phlebotomy Essentials 7th Edition - Chapter 2
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Questions and Answers

What does CLSI stand for?

  • Clinical Laboratory Standards Institute (correct)
  • Clinical Laboratory Services International
  • Clinical Laboratory Safety Initiative
  • Clinical Laboratory Standards Integration
  • Define Assault and Battery in a phlebotomy context.

    Drawing a patient's blood without his or her permission.

    What constitutes negligence for a phlebotomist?

    Failing to put the needle and holder in the sharps container.

    What is malpractice in phlebotomy?

    <p>Claim of improper treatment.</p> Signup and view all the answers

    What is the National Patient Safety Goal (NPSG) from 2018 in the laboratory?

    <p>Improve communication.</p> Signup and view all the answers

    What is an example of a high risk in the Survey Analysis for Evaluation Risk?

    <p>Recurrent problems with patient identification.</p> Signup and view all the answers

    Why do QC protocols prohibit the use of outdated evacuated tubes?

    <p>Tubes may not fill completely thus changing additive-to-sample ratios.</p> Signup and view all the answers

    What does Good Laboratory Practices (GLP) aim to address?

    <p>Gaps in the quality of testing practices in physician's offices.</p> Signup and view all the answers

    What does the Joint Commission do?

    <p>Evaluates and accredits different types of healthcare facilities.</p> Signup and view all the answers

    Who is considered a minor in legal terms?

    <p>Anyone who is not the age of majority.</p> Signup and view all the answers

    What does the Joint Commission's Sentinel Event QI program policy aim to do?

    <p>Demonstrate flexibility in setting QC measures.</p> Signup and view all the answers

    What should a phlebotomist do if they are unfamiliar with a test ordered by a physician?

    <p>Refer to the procedure manual for instruction.</p> Signup and view all the answers

    What is invasion of privacy in a medical context?

    <p>Two phlebotomists are overheard discussing a patient's condition.</p> Signup and view all the answers

    What is the term for the unauthorized release of confidential patient information?

    <p>Invasion of privacy.</p> Signup and view all the answers

    What occurs when a clinical indicator of a QA is exceeded?

    <p>A corrective action plan is implemented.</p> Signup and view all the answers

    Which action will compromise the quality of a specimen?

    <p>Partially filling a liquid EDTA tube.</p> Signup and view all the answers

    Which analyte test result is adversely affected by chilling?

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

    Sharing collection site information on a difficult patient would violate a patient's right to confidentiality.

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

    What is a well-defined example of a QA indicator?

    <p>The blood culture contamination rate will not exceed the national rate.</p> Signup and view all the answers

    Which is an example unrelated to quality control?

    <p>Employees filling out their time sheets daily.</p> Signup and view all the answers

    Which is NOT a phase of malpractice litigation?

    <p>A healthcare institution is informed of an injury to a patient.</p> Signup and view all the answers

    What is typically found in a procedure manual?

    <p>Listing of all revision dates for the procedure.</p> Signup and view all the answers

    What is patient preparation?

    <p>A preanalytical factor that can affect validity of test results.</p> Signup and view all the answers

    Study Notes

    Phlebotomy Essentials - Key Concepts

    • CLSI: Clinical Laboratory Standards Institute sets national standards for phlebotomy procedures, ensuring quality and consistency in practice.

    • Assault and Battery: Unauthorized drawing of a patient's blood is classified as assault and battery, emphasizing the need for patient consent.

    • Negligence in Phlebotomy: A phlebotomist's negligence is identified when they fail to dispose of needles properly in a sharps container.

    • Malpractice: Refers to claims made against healthcare providers for improper treatment or care leading to patient harm.

    • National Patient Safety Goals (NPSG): The 2018 NPSG in laboratories focuses on the importance of improving communication among healthcare staff to enhance patient safety.

    Quality Control and Laboratory Practices

    • High-Risk Areas: Recurrent patient identification issues are significant risks highlighted in risk evaluation surveys.

    • Outdated Evacuated Tubes: Quality control protocols restrict the use of expired tubes to prevent incomplete filling and incorrect additive-to-sample ratios.

    • Good Laboratory Practices (GLP): Address gaps in testing quality among physician's offices, ensuring adherence to regulations.

    Regulatory Bodies and Standards

    • The Joint Commission: A not-for-profit organization that sets the "standard of care" for phlebotomy practices, evaluating and accrediting various healthcare facilities.

    • Sentinel Event QI Program: The Joint Commission's policy focuses on improving quality; however, it does not promote flexibility in quality control measures.

    Patient Rights and Ethical Practices

    • Minor Definition: A minor is anyone who has not reached the legal age of majority, requiring special attention in healthcare interactions.

    • Invasion of Privacy: Discussing a patient's condition publicly without consent constitutes an invasion of privacy, either through unauthorized sharing of information or overhearing private discussions.

    Quality Assurance and Corrective Actions

    • Corrective Action Plan: When a clinical indicator's threshold is exceeded, it triggers the implementation of corrective measures to address identified problems.

    • Specimen Quality Compromise: Partially filling liquid EDTA tubes jeopardizes specimen integrity, affecting test results.

    • Chilling Effect on Analytes: The potassium test results can be negatively impacted by exposing the specimen to chilling temperatures.

    Procedures and Documentation

    • Procedure Manual: Contains critical information such as all revision dates, serving as a reference guide for phlebotomists.

    • Patient Preparation: A critical preanalytical factor that can influence the accuracy of test results, often beyond the control of phlebotomists.

    Miscellaneous Concepts

    • Quality Control Indicators: A clear example of a QA indicator includes maintaining blood culture contamination rates within national standards.

    • Quality Control Variability: Daily timesheet submissions by employees do not relate to quality control, illustrating the need for focused quality monitoring in practice.

    • Malpractice Phases: Initial notification of injury to a patient is not classified as a phase of malpractice litigation, highlighting the complexity of legal processes in healthcare.

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    Description

    Test your knowledge on key terms and definitions from Chapter 2 of 'Phlebotomy Essentials, 7th Edition'. This quiz covers important concepts such as CLSI standards, legal issues in phlebotomy, and the responsibilities of a phlebotomist. Perfect for students and professionals looking to enhance their understanding of phlebotomy practices.

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