ORGANIZATIONS
The agency that manages the federal healthcare programs of Medicare and Medicaid is the
a) CMA
b) CMS
c) AMA
d) CAP
B- CMS
____ is the wrongful act other than breach of contract committed against someone's person, property, reputation or other legally protected right.
a) Quality Assurance
b) Tort
c) Vicarious liability
d) Respondeat superior
B- Tort
A process in which one party to a lawsuit is questioned under oath while a court reporter records every word is a:
a) civil action
b) deposition
c) discovery
d) tort
b- Deposition
___ is that the pt's actions or circumstances. This type of consent may be necessary in an emergency situation.
a) Refusal of consent
b) Expressed consent
c) Implied consent
d) HIV consent
C- Implied consent (key point, pg. 67)
___ is a level of acceptable practice beyond which quality pt care?
a) CLSI
b) Threshold value
c) QC
d) Quality Indicators
1- B- Threshold value
Which of the following can identify trends for risk management?
a) The pt's record
b) The procedure manual
c) incident reports
d) Safety data sheets
C)- Incident reports
Dr. Donald Sweeney is sued for negligence due to the actions of an inexperienced, contracted phlebotomist, named Arie, to cover his employee Carolyn, who is out due to surgery. This is an example of:
a) Res ipsa Liquitur
b) Vicarious liability
c) Battery
d) Assault
B- Vicarious Liabiity
____ are a method TJC uses to promote and enforce major changes related to pt. safety
a) CLIA'88
b) NAACLS
c) SE
d) NPSGs
1- D- NPSGs
When a ______ consent issue goes to court, the court typically takes the word of the pt. as to what they understood was to take place.
a) HIV consent
b) Consent for Minors
c) General consent
d) Expressed consent
C- General consent
___ is defined as the chance of loss or injury
a) CLIA
b) Tort
c) Function
d) Risk
d- Risk
A national organization that develops guidelines and sets standards for laboratory procedures is:
a) CLSI
b) CLIAC
c) NAACLS
d) CAP
A)- CLSI
Failure to keep privileged medical information private is called:
a) Indicators
b) Invasion of privacy
c) Breach of confidentiality
d) Vicarious liability
C- Breach of Confidentiality
1) Kimberly, the phlebotomist, is using an armband for pt ID. What else is Kimberly to do, along with the armband ID.
a) have the pt. state his or her full name and DOB
b) check the room number for additional verification
c) match the order date with the date on the wristband
c) write down location of the pt. on the requisition
1) A- have the pt. state his or her full name and DOB
1-Julianna was performing CPR on an unconscious man while on the beach. The pt.'s condition was an emergency. What type of consent was Julianna covered by;
a) Expressed
b) Informed
c) implied
d) Refusal of consent
C- Implied (pg. 66)
A delta check refers to:
a) checking the wristband with the requisition
b) documenting all of the results of the QC checks
c) Reporting new infection control precautions
d) Comparing current test results with previous ones
D) Comparing current test results with previous ones
Which is the oldest and largest healthcare standards-setting body in the nation?
a) The joint commission
b) American Medical Association
c) Centers for Medicare and Medicaid
d) College of American Pathologists
A) The Joint Commission
1-Failure to exercise due care is:
a) invasion of privacy
b) negligence
c) assault and battery
d) Re ipsa liquitur
2- The statute of limitations timing can begin:
a) a month after the injury was discovered
b) the first fay of consulting with a lawyer
c) on the day the negligent act took place
d) the first day in a series of medical treatments
1-B- Negligence
2- C- On the day the negligent act took place (pg. 65)
1) Blood culture contamination is a quality indicator for the:
a) microbiology department
b) environmental service area
c) infection control department
d) chemistry department
2) ____ is an internal process focused on identifying and minimizing situations that pose risk to pts and employees
a) publishing
b)Civil actions
c) Risk Management
d) Harassment
1) A- microbiology
2) C- Risk Management
Informed consent means that a:
a) nurse has the right to perform a procedure on a pt. even if the pt. refuses
b) pt. agrees to a procedure after being told of the consequences associated with it.
c) pt has the right to look at all of their medical records and test results
d) phlebotomist tells the pt why the test is ordered and the meaning of the test
1) B- pt. agrees to a procedure after told of the consequences associated with it.
____ is a global nonprofit, standards-developing organization with representatives from the profession, industry and government.
a) clinical laboratory improvement amendments of 1988 (CLIA'88)
b) National Accrediting agency for Clinical Laboratory Sciences (NAACLS)
c) Clinical and Laboratory Standards institute (CLSI)
d) International organization for Standardization (ISO)
C- Clinical and Laboratory Standards Institute- CLSI
____ is an independent, not for profit organization charged with, among other things, establishing standards for the operation of hospitals and other health-related facilities and services.
a) Institute for Healthcare Improvement (IHI)
b) Clinical Laboratory Improvement Advisory Committee (CLIAC)
c) The Joint Commission (TJC)
d) National Patient Goals
C)- The joint Commission (TJC)
1- The level of care that a person with ordinary intelligence and good sense would exercise under the given circumstances is the definition of:
a) due care
b) quality care
c) critical care
d) standard of care
2- There are many guidelines to avoid lawsuits, your book spoke of several. Which one below is not one of the guidelines:
a) Accurately and legibly record all information
b) Listen and respond appropriately to pt. request
c) During the venipuncture move quickly, always monitoring your tubes and the inversion.
d) Never perform procedures that you are not trained to do.
1) A- Due care (pg. 65)
2) C- During the venipuncture move quickly, always monitoring your tubes and the inversion. (pg.66)
1) There are many guidelines to avoid lawsuits. Which one below is not one of them:
a) Never perform procedures that you are not trained to do
b) focus on identifying trends and understanding the underlying or root causes of an event
c) carefully monitor the pt before, during and after venipuncture
d) use proper safety containers and devices
2- An example of QC measure in phlebotomy is:
a) recording pt. census daily in the computer
b) checking the expiration dates of evacuated tubes
c) logging hours worked on the timesheet daily
d) documenting every missed venipuncture
B- focus on identifying trends and understand the underlying or root causes of an event.
B- Checking the expiration dates of evacuated tubes
Which one below is a consent used to perform abdominal surgery on a pt.
a) Informed
b) Express
c) Implied
d) Refusal
B- Implied
1) The NPSGs are:
a) CLSIs voluntary stands and guidelines
b) NAACLS national educational guidelines
c) safety rules set by the CDC and OSHA
d) TJCs annual safety requirement goals
2) Which of the following are set up to monitor all areas of care that tend to cause problems?
a) Internal report forms
b) Quality indictors
c) sentinel events
d) Threshold values
1- D- TJC annual safety requirement goals
2- B- Quality Indicators