Central Receiving
List 3 duties performed in central receiving:
Identifying specimens; Sorting of specimens (by department); Prioritizing specimen processing:- Stat- Urgent- Routine; Receiving specimens in the LIS; Registering patients in the LIS; Accessioning; Centrifugation; Aliquoting; Preparing specimens for dispatch to:- Other hospitals- Reference laboratories; Loading/unloading specimens on laboratory instruments; Preparing specimens for testing; Evaluating specimen suitability for testing; Specimen storage; Specimen disposal; Printing and delivery of laboratory reports; Processing reports from reference laboratories
What does LIS stand for?
Laboratory Information System
46-68% of laboratory errors occur when?
Prior to analysis/preanalytical
Explain the primary container:
Original container that the specimen was collected in.
Serum or plasma should be separated from the cells after how long?
2 hrs
Study of matter and the various compounds of the elements as it relates to the human body
Chemistry
What must accompany all specimens coming into the lab?
Requisition
What are the 3 'benches' in CR?
Receiving bench
Dispatch bench
Processing bench
List 3 purposes for the LIS:
File results.
Accumulate statistics to determine workload.
Generate reports.
Monitor quality assurance.
Monitor quality controls.
What can happen when a tube is mixed vigorously?
Hemolysis
What is the UN# for dry ice?
1845
Ammonia should be kept where and how long until it needs to be separated?
Kept on ice and 15 minutes
Study of blood, blood morphology and blood diseases
Hematology
What should you do if you receive a specimen totally unlabeled in a bag alone with a req?
Fill out a near miss/occurrence form and report it to whomever collected it. Follow hospital procedure for discrepancies.
What makes up the unique specimen accessioning number?
- The date
- The testing department
- The specimen number
- The priority status
What are the 3 basic components of a computer?
Means to input information
Way to process information
Method to output information
What happens to Bilirubin after just 1 hour of light exposure?
Decrease up to 50%
Explain an accidental release.
Any unplanned or accidental explosion, discharge, or escape of dangerous goods that are being shipped
PTT should be spun within how long?
4 hrs
Study of microorganisms including algae, bacteria, fungi, protozoa and viruses
Microbiology
What does specimen integrity refer to?
The quality of the specimen
Which comes first Urgent or STAT?
STAT
What is the most common means of inputting information into a computer?
Keyboard
Why do we put certain specimens on ice?
It slows down the metabolic process
What are the 2 classes of TDG used by hospital labs?
Class 6.2: Category A & Category B
Class 9
Within 6 hours
Study of tissues and organs
Histology
What does QNS stand for?
Quantity Not Sufficient
Why is inventory maintenance important?
Cost reduction due to ordering only the right amount of quality resources
Reducing excess stocks in your inventory
Workplace optimisation
Maximising productivity
The functions of the LIS can be grouped into 3 categories, what would they be?
Preanalytical
Analytical
Postanalytical
What causes a hemolyzed specimen?
What classification would Rabies be under?
Class 6.2 Category A
List five tests that need to be on ice:
Venous blood gases
Ammonia
Lactic acid
Catecholamines
Homocysteine
PTH
ACTH
Microscopic interpretation of cells to detect cancer and other abnormalities.
Cytology
What are the 2 numbering systems and when do they restart?
The numbering system restarts at number 1 at midnight.
Microbiology and Pathology have a yearly wheel. The numbering system restarts at 1at midnight on January 1.