Rules and Regulations

provide guidelines that promote test accuracy

Clinical Laboratory Standard Institute

CSLI

regulates lab testing and requires clinical labs to be state certifies; distributes funds to labs

Clinical Laboratory Improvement Amendment

provides the funds for CLIA to distribute; administers Medicare program and works together with Medicaid

Center for Medicare and Medicaid Services

identifies and educates about different diseases, infections, and illnesses

Center for Disease Control and Prevention

regulates workplace safety with biological and chemical hazards

Occupational Safety and Health Administration

hospital/Dr.'s office accreditation aimed to improve patient safety and quality of care

Joint Commision-Accredits Healhcare Organizatino

no

informed, written, expressed, implied

signed consent

practitioners (not phlebotomists)

all types of forensic testing

based on the patient's state or non-verbal response

expressed verbally or written

patient is required to file a refusal form

touching/handling a patient without permission

threatening to move forwards with a procedure without consent

protects patient confidentiality whether written, verbal, or electronic

Health Insurance Portability and Accountability Act

signed/written consent

patient health info

all information that pertains to patient care

blood alcohol level test

nurse or family relative

notify nurse

review of requisition sheet and checking ID

wake patient, speak soft and clear

wrist or ankle

ER

blood clot that may arise from blood draws

legal issues and the #1 complication in phlebotomy

1. stop drawing and withdraw
2. apply pressure for 5 mins
3. ice for 15 mins
4. report incident to manager

measures how well an instrument functions to yield consistent results

checking if test is accurate and regularly maintained

glucometer

time and date of control test results, expiration date, maintenance/serial #

expiration dates

nurse or respiratory therapist

nurse

misidentification

written error

error in procedure

- ask patient name (spelt) and DOB
- compare info with requisition sheet and ID band

insurance card and govt. ID

to break the chain of infection

handwashing

1. infectious agent
2. reservoir
3. exit pathway
4. mode of transmission
5. entry pathway
6. susceptible host

microorganism that cause infection/disease and spread to others

place where microorganism grows and lives

the way out of a body/ reservior host

the way a microorganism moves from one person/object to the next

way into the body

person that the microorganism is spread to; may have decreased ability to resist infection

precautions in place whenever there is a possibility of encountering blood/ bodily fluids

patient wears PPE

precautions where there is known bodily fluids/ blood

blood borne pathogen

HIV and HBV

vaccines

precaution whenever there is a known/suspected infection/disease