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Phlebotomy Chapter 2


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Involves the act or threat of harm.
Educational Standards for program approval.
Civil Action.
Concerned with actions between private parties.
Person against whom a lawsuit is filed.
Delta Check.
Compares current results with previous ones.
Process in which an individual is questioned under oath.
Implied Consent.
Action indicate consent.
Negligence by a professional.
Injured party bringing a lawsuit.
Proficiency testing.
Involves testing sample unknowns.
QA indicator.
Monitors and important aspect of patient care.
Respondeat superior.
Employers are liable for action of employees.
Threshold value.
Level of acceptable practice.
A civil wrong without just cause.
Failure to act in a reasonable and prudent manner.
Vicarious Liability.
Employers are liable for actions of their subcontractors.
The abbreviation for an agency that has an approval process for phlebotomy program is the:
(NAACLS) National Accrediting Agency
for Clinical Laboratory Sciences.
Dr. W. Edwards Deming is famous for being a leader in:
Advancing the concept of total quality management. (TQM)
The abbreviation for a national organization that established quality standards to ensuere the accuracy, reliabilty, and timeliness of patient test results, regardless of the size, type, or location of the laboratory.
The abbreviation for an agency that sets standards for phlebotomy procedures.
The National Committee for Clinical Laboratory Standards. (NCCLS)
Areas of phlebotomy subject to quality control (QA) procedures include:
Patient identification, phlebotomy techniques, and specimen labeling.
A lab technician asked a phlebotomist to recollet a specimen on a patient. When the phlebotomist asked what was wrong with the specimen, the technician replied, "The specimen was OK, but the results were inconsistent." How would the laboratory
They did not compare with previous results when a delta check was conducted.
The following principles make up total quality management:
Constant improvement, customer satisfaction, and employeee participation.
What organization provides voluntary laboratory inspections and proficiency testing?
(CAP) College of American Pathologists)
Quality control protocols prohibit use of outdated evaculated tubes because:
Additives that prevent clotting may no longer work, specimens collected in these tubes may yield erroneuos results, the tubes may not fill completely.
Examples of Quality Control are:
Check expiration dates of evaculated tubes, document maintenance on centrifuge, and document maintenance on centrifuge.
When the threshold value of a clinical indicator of quality assurance (QA) is exceeded and a problem is identified:
A corrective action plan is implemented.
What are some examples that represent a quality assurance (QA)procedure:
Checking needles for blunt tips and barbs, following strict speciment labeling requirements, and recording results of refrigerator temperature checks.
Which pre-analytical factor that can affect validity of test results is not always under the phlebotomist's control?
Patient Preparation.
What contains a chronologic record of a patient's care?
Medical Record.
The abbreviation for the agency that requires healthcare organizations to have a quality assurance (QA) program in place to be accredited is the:
Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
A specimen was mislabeled on the floor. You are required to fill out an incident report form. What information is included on the form:
Description of the consequence, details of the corrective action taken, and explanation of the problem.
An example of a quality assurance (QA) indictor is:
The contamination rate for blood cultures will not exceed the national contamination rate.
What laboratory document describes in detail the steps to follow for specimen collection?
Procedure manuel/floor book.
Drawing a patient's blood without his or her permission can result in a charge of:
assault and battery.
What does the term "tort" mean?
A wrongful act for which damages may be awarded.
What are steps in the risk management process?
Education of employees and patients, identification of risk, and treatment of risk using procedures already in place.
What would violate a patient's right to confidentiality:
Indicating the nature of a patient's disease on the door, keeping a list of HIV positive patients posted in the laboratory, and posting a patient's laboratory results on a bulletin board in his or her room.
Unauthorized release of confidential patient information is called:
Invasion of Privacy.
Civil actions involve:
Actions betweeen private parties.
Malpratice is a claim of:
Improper treatment.
What are examples of negligence?
The phlebotomist does not return a bedrail to the upright position, the phlebotomist forgets to put a needle in the sharps container, and the phlebotomist fails to report significant changes in a patient's condition.
A patient agrees to undergo treatment after the method, risks, and consequences are explained to him. This is an example of:
Informed Consent.
The period within which an injured party may file a lawsuit is known as:
Statue of Limitation.
The definition of a minor is anyone:
Who has not reached the age of majority.
Performing one's duties in the same manner as any other reasonable and prudent person with the same experience and training is referred to as:
The standard of care.
Doing something that a reasonable and prudent person would not do, or failing to do something that a reasonable person would do is:
A phlebotomist explains to an inpatient that he has come to collect a blood specimen. The patient extends his arm and pushes up his sleeve. This is an example of:
Implied consent.
A 12-year old inpatient who refused to have his blood collected was restrained by a healthcare worker while the phlebotomist collected the specimen. This is an example of:
Assault and battery.
The standard of care used in phlebotomy malpractice cased is often based on guidelines from this organization:
National Committee for Clinical Laboratory Standards. (NCCLS)
What must be present to claim negligence?
A breaking of a legal duty or obligation owed by one person to another, a legal duty or obligation owed by one person to another, and harm done as a result of breach of duty.
The process of gathering information by taking statements and interrogating parties involved in a lawsuit is called:
A patient is told that she must remain still during blood collection or she will be restrained. Which tort is involved in this example?
Finding a lood type

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