guide 2024 complete update.
historical use of phlebotomy -to cure disease by removing "bad" blood
methods of bleeding in history -- venesection
- cupping
- leeches
bleeding (therapeutic phlebotomy) use in modern times -- polycythemia vera
- hereditary hemochromatosis
centralized phlebotomy -the phlebotomist is part of the laboratory team and is
dispatched to hospital units to collect blood samples
decentralized phlebotomy -all members of the health care team share responsibility to
collect blood samples
patient-focused care -takes the laboratory out of a physical location and to the patient
11 areas of the laboratory -- phlebotomy
- chemistry
- hematology
- coagulation
- histology
- urinalysis
- microbiology
- immunology
- immunohematology (blood bank)
- cytology
- molecular diagnostics
3 phases of sample testing -- pre-examination
- examination
- post-examination
, pre-examination (preanalytical phase) -all processes from collecting the sample to
having it ready for testing
examination (analytical phase) -all processes done to sample to achieve result
post-examination (postanalytical phase) -process in which the results of the testing are
communicated to the health care provider
HMO -health maintenance organization
PPO -preferred provider organization
affordable health care act -enacted to help those who could not afford insurance and
requires all people to have health insurance
12 patient rights -- considerate and respectful care
- receive understandable info
- make decisions about plan of care (includes refusing treatment)
- advanced directive
- privacy
- medical record confidentiality
- review records
- reasonable response to patient requests
- info about hospital business relationships
- consent / decline research studies
- continuity of care
- info on hospital policies and practices
advanced directives -documents written before incapacitating illness that give
instructions about a persons' health care, if in the future, they cannot speak for
themselves
nosocomial infection -hospital acquired infection
community acquired infection -picked up prior to admission
local infection -restricted to one area of the body
systemic infection -affects the entire body
autogenous infection -caused by patient's own flora
5 means of infection transmission -- contact (direct and indirect)
- droplet
- vehicle
- airborne