Phlebotomy chapter 1

phlebotomy

to cut into a vein

Clinical and laboratory standards institute (CLSI)

Formerly known as the National Committee for Clinical Laboratory Standanrds (NCCLS) that give established principles and techniques for phlebotomists

phlebotomist

to obtain blood specimens for diagnostic testing, either by phlebotomy/venipuncture or capillary/dermal puncture.

microsurgery

reconstruction of small tissue structures

Use of leeches

Used to remove blood that has collected at newly transplanted tissue sites, in order to decrease the swelling following microsurgery. They have an anticoagulant and vasodilation properties.

aseptic

microorganism-free

Role of phlebotomist

responsible for the collection, processing, and transport of blood specimens to the lab. (pre-examination phase), removal of blood from donors for blood transfusions and from patients with a condition called polycythemia(overproduction of red blood cells)

National Accrediting Agency for Clinical Laboratory Sciences (NAACLS)

agency that has established standards to which approved programs must adhere.

point of care testing (POCT)

blood-glucose monitoring. performed at bedside or a work area using portable instruments. Taking vital signs.

anesthesiology

management of pain before, during, and after surgery.

cardiology

study, diagnosis, and treatment of conditions pertaining to the heart and circulatory system

diagnostic imaging (radiology)

use of ionizing radiation, x-rays, and specialized procedures such as computed tomography (CT) scans, positron emission tomography (PET), magnetic resonance imaging (MRI), and ultrasound to produce diagnostic images.

Electrocardiography

study of the heart's electrical patterns

electroencephalography

study of electrical activity of the brain. nurses and EEG technicians place electrodes on the scalp.

endocrinology

study, diagnosis, and treatment of hormone disorders

internal medicine

diagnosis and treatment of disorders related to the interal organs.

nephrology

study, diagnosis, treatment of disorders of the kidneys

nuclear medicine

imaging and treatment of tumors using injectable radionuclides.

occupational therapy

enables people to perform meaningful and purposeful activities within the limits of a disability

oncology

study, diagnosis, and treatment of malignant tumors

pathology

study and diagnosis or disease

pharmacy

ensures the safe and effective use of therapeutic drugs

respiratory therapy

assessment and treatment of breathing disorders

urology

study, diagnosis, and treatment of male and female urinary tract disorders and disorders of male reproductive system.

histologic technicians

prepare small sections of surgical specimens for microscopic examination by a pathologist

cytologists

perform microscopic examination of human cells in order to detect cancer and other diseases.

cytology

investigation of human cells for the presence of cancer

histology

study of human body tissues and cells. embedding surgically removed tissues in paraffin, cutting ultrathin slices of embedded tissues, and affixing them to slides and applying various stains

clinical chemistry

evaluation of chemical constituents of the human body. determine levels of enzymes, glucose, hormones, lipids, proteins, vitamins, iron and other nutrients, therapeutic drugs, drugs of abuse, and trace elements such as lead.

hematology

study of blood and blood-formulating tissues; also evaluation of hemostasis (coagulation system)

immunohematology

blood bank. collection and preparation of donor blood for transfusion

immunology and serologt

study of the body's resistance to disease and defense against foreign substances.

medical microbiology

study of medically significant microscopic organisms.

molecular diagnostics

detection and classification of disease states using molecular and DNA-based testing.

urinalysis

examination of urine for physical, chemical, and microscopic characteristics

toxicology

detection and study of adverse effects of chemicals on living organisms.

pre-analytical/ pre-examination

every step in testing process that occurs before the actual performance of a lab test: ordering and requisitioning of tests, patient identification, specimen collection processes including prioritization, and integrity of the specimen (handling and transp

Analytical/examination

every step in testing process that occurs during the actual performance of a lab test: quality assurance of equipment and reagents, adherence to standards or practices, quality control procedures, test analysis and interpretation, and resolution of result

post-analytical/post-examination

every step in testing process that occurs after actual performance of lab test: reporting results, ensuring proper handling of critical results, follow-up on reflex testing, documentation of errors in reporting, variances to reporting SOP, and corrective

American Association of Blood Banks (AABB)

Accredits blood banks and develops standards for blood donor, blood product, and blood recipient safety.

American society for histocompatibility and immunogenetics (ASHI)

inspects and accredits labs that perform histocompatibility testing

Centers for Disease control and prevention (CDC)

categorizes newly developed lab tests

Centers for Meicare and medicaid services (CMS)

agency that established regulations to implement CLIA '88

Clinical and Lab standards institute (CLSI)

sets standards for clinical lab testing procedures

College of American Pathologists (CAP)

accredits hospital and reference labs

Commission on office lab accreditation (COLA)

accredits physician office labs

Department of health and human services (HHS)

oversees the operations of the CMS

Department of Transportation (DOT)

sets requirements for safe packaging and transport of HAZMATS

Environmental protection agency (EPA)

ensures correct disposal of medical waste

Food and drug administration (FDA)

approves medical equipment, pharmaceuticals, reagents, and diagnostic test before use - laboratory issued pharmaceuticals include blood products

National Accrediting agency for clinical lab services (NAACLS)

approves phlebotomy training programs

Nuclear Regulatory Commission (NRC)

regulates handling and disposal of radioactive materials

Occupational safety and health administration (OSHA)

regulates practices to ensure worker safety in the workplace

The Joint Commision (TJC)

accredits healthcare facilities to ensure high standards of patient care.

professionalism

sincere interest in providing healthcare, a standard of excellence, advanced training, accountability, and pride in your work.

public image

good posture, being well rested, fresh breath, no unpleasant body odor, clean hair that doesnt cover face, minimal to no facial hair, no facial or tongue piercings, no visible tattoos, no high heels.

communication loop

sender --> message --> receiver --> feedback. sender begins communication by encoding message to be sent. message is the thought, idea, or info. receiver is person who decodes the meaning of the message. feedback is when the receiver decodes the message.