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Implied consent is
Indicated by a patient's nonverbal actions
Consent should be sought out by an MLA ______ they perform a procedure on a
patient
Every time
Non-adherence to confidentiality policies at work can cause an MLA to:
Be fired and charged legally
ISO 15189
International organization for standardization - governmental and international
organizations that plays a role in QA as it contains general requirements for testing and
calibration labs for: provision of advice to users of the laboratory services, collection of
patient samples, interpretation of results, how testing is performed in emergencies, and
the lab's role in education and training of healthcare staff.
The patient's information on a specimen container must:
Match the patient's requisition exactly
What is not an employment standard?
All collection tubes have an expiration date, if they're out of date they should be:
Discarded
Tort law
covers acts that result in harm to another - most common for health care
Quality Assurance (QA)
Encompasses a ranges of activities that enable labs to achieve and maintain high levels
of accuracy and proficiency despite's changes and methods and volumes of specimens
tested
Quality Assurance (QA) includes:
Standard operating procedures (SOP), defining administrative requirements (record-
keeping, data evaluation, etc.), specifies corrective actions, and high quality employee
performance.
Contract law
Voluntary agreements between two or more parties - can exist between healthcare
employer and employee, patient's and healthcare professionals, etc.
Preanalytical errors are mistakes made
before laboratory testing - including improper specimen collection or labeling
Analytical errors are mistakes made
During the examination process - inaccurate resulting
Postanalytical errors are mistakes made
Post examination- including incorrect reporting of results (verbally)
All hazards are risks, true or false?
True.
It is a good idea for employees to participate in the hazard assessment and
control process, true or false?
, True.
Are psychological hazards included in hazard assessment?
Yes.
For hazard assessment, it is useful to consider:
The worst case scenario
In risk assessment, the likelihood that a hazard may result in an injury is
considered:
Probability
In risk assessment, the degree of harm or injury that may result from an exposure
to a hazard:
Severity
Hazard assessment procedures should include a requirement to identify control
measures using the hierarchy of controls, true or false?
True.
What should be included on the hazard assessment documents?
Who should implement additional controls
Hazard assessments are useful for:
Due diligence, identifying deficiencies and recommended additional controls, and
training new employees
An external accreditation committee perform accreditation, true or false?
True.
What does LEAN focus on?
Reducing waste
What is an example of identifying, documenting, and reporting a deficiency in the
laboratory?
Noticing that a patient has no ID band and reporting it to a nurse.
POCT
Point of care testing= testing performed at the patient's side rather than sent off to a lab/
(e.g. sugar, urinalysis, cholesterol)
TAT
Turn around time - quality indicator of when a lab test is ordered, to when it is collected,
to when it is resulted and reported.
Quality Control (QC)
Specific techniques or procedures used to detect errors at the testing phase - in the lab,
the QC is most commonly used as a control specimen
QSE
Quality system essentials - developed by ISO and consists of 12 fundamental
components that are used to monitor quality in lab workflow.
Components of QSE
Organization, process management, customer focus, document and records, facilities
and safety, information management, personnel , nonconfirming event management,
assessments, equipment, and continual improvement
What is of the utmost importance in a clinical lab?
Quality and safety
An external QC sample that is run by all labs and then compared is called:
Proficiency testing