Chapter 42 Notes

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Riverside County Office of Education - Career Technical Education *

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MA

Subject

Medicine

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Apr 3, 2024

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docx

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3

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Chapter 42 Notes The Physician's Office Laboratory Jenette Rios Evaluating the Environment -Use a checklist to perform safety inspections according to institution policy. -Prepare a report on your findings. -Verify that safety needles are used and properly disposed of. -Identify safety techniques that can be used in responding to accidental exposure to blood, other body fluids, and chemicals. Safety in the POL -Be alert and conscientious. -Practice standard precautions when collecting specimens including: -Gloves -Face shields -respirators -Hand-washing is critical. -Comply with standards and guidelines set by regulatory bodies. -Focus on accuracy and efficiency of procedures and charting of information. -Wear protective barriers. -Wear appropriate attire. -Keep immunizations up to date. -Federal and State regulations -OSHA -Global Harmonized System (GHS) -Safety data sheets -Safety signs, symbols, and labels -Biohazard waste receptacles are lined with red plastic bags -Fire regulations -Fire prevention -PASS -Clean spills and dropped objects. -Personal safety -Infection control -Lab protocol for disposal of biological chemical materials: -All universal (standard) precautions are followed and contaminated materials are properly disposed of. -wear gloves, face shield, protective eyewear -wear aprons, gowns, and hair and shoe coverings Lab Classifications -Numerous governmental agencies involved in promotion of safety and security in health care industry: -CLIA -CMS -OSHA -The complexity of lab tests performed determines the classification. -For moderately complex tests, CLIA mandates that there be a clinical consultant with a minimum of a doctoral degree
Categories of Testing -Waived -The waived status for diagnostic testing is granted according to the difficulty in performing the test -Moderately complex -Provider-performed microscopy procedures (PPMP) -Highly complex -Laboratory tests on a certificate of waiver may be billed to Medicaid and Medicare Quality Assurance -Refers to all evaluative services and the results compared with accepted standards -Quality assurance involves proper: -Patient identification -Instrumental and technical performance -Patient preparation and specimen collection -Safety -Specimen processing and transportation -In-service training and education of all health care personnel Quality Control -A process of assessing testing procedures, reagents, and technique of individual performing test -A quality control program monitors -Instruments used in testing -Personnel technique in performing tests -Reagents used in testing -Use of test kit controls -Value range of control -Reagent strip test The Microscope -Must be handled with care -Carry microscope with one hand under base, and other hand on arm -Follow appropriate maintenance Parts of the Microscope -Arm -Supports eyepiece -Eyepieces -Contains lens to magnify item being examined -Binocular: two eyepieces -Monocular: one eyepiece -Body tube -Leads to revolving nosepiece, which has 3-4 small lenses (objectives) -Low-power field (lpf) objective: magnifies x10 -High-power field (hpf) objective: magnifies x40 -Oil-immersion lens: magnifies x100 Parts of the Microscope -Stage -Has two clips to hold the specimen
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