Department Procedures
What am I ?
"We are Special"
Who am I?
Potpourri
100
I am what the doctor orders if he wishes a specific x-ray image to be taken.
What is "Patient Positioning" ?
100
I can penetrate solid material, such as bone: this in turn produces a shadow that is recorded
What is an "X-Ray "
100
I am what needs to be completed before this special image is taken.
What is the "Checklist for the MRI"?
100
I am the type of blood tests that are ordered when a myocardial infarction (heart attack) is suspected.
What are “Cardiac Enzymes “that are resulted in the Chemistry division? The common tests are the CK-MB, LDH-1 and Troponin –this is the test performed to diagnose an acute myocardial infarction (AMI) from a few hours to as long as 120 hour after onset. It is more sensitive than the CK-MB in detecting unstable angina with minor myocardial cell damage. Two subtypes may be ordered: troponin I and troponin T.
100
I am the area that studies specimens for color, clarity, pH, 9degree of acidity or alkalinity) specific gravity (degree of concentration), protein (albumin), glucose (sugar), blood, bilirubin, and urobilinogen. Sediment is viewed microscopically for organisms, intact cells, and crystals.
What is the “Urinalysis” division of the lab? May also be considered “Urine, Feces, and Fluids” Procedures for obtaining these specimens are: “Voided” (patient voids into a clean container); “Clean catch” ( midstream, urine specimen): The nursing staff uses a special cleansing technique to obtain this type of specimen. Catheterized urine specimen: This specimen is sterile and is obtained by catheterizing the patient. This procedure is usually done for culture and sensitivity testing performed by microbiology. Many times a Dr. will order a UA/C&S this means the Dr.wants two urine specimens: 1. Routine urine 2, urine for culture and sensitivity. This department also receives “Stool” specimens. A common Drs’ order for a stool specimen is “Stool for Occult Blood” occult (blood that is undetectable to the eye) Usually collected in sets of three. (Stool for Occult Blood x 3) Each specimen is numbered.
200
You need to know who I am in order to be able to a diagnostic imaging order.
What is the "clinical indication"?
200
We are the two common x-rays that are done on most Patients.
What is a "PA & Lat. Chest x-ray" and "Portable chest x-ray"
200
There are three of us that must be ordered in a special way" They call us "Sequencing and Scheduling"
What is the "IVP" "BE" & "UGI"?
200
I am the scientific study of poisons, their detection, their effects, and method for conditions they produce. Tests that are included in my area detect drug and alcohol abuse and also helps for monitoring drug usage.
What is “Toxicology”? Sometimes certain medications the patient is receiving may cause toxic blood levels accumulate instead of being excreted. Antibiotics such as amikacin, gentamycin, kanamycin, and tobramycin. Other drugs may include Dilantin, and Digoxin. These tests require the blood to be collected at different times These medications are ordered for a peak and trough levels. “Trough” means a set time prior to the drug being given and “Peak” a set time given to draw the blood after the med is given. ordered by the doctor and drawn by the nurse. The RN will give you the set of times.
200
I am a test that requires two specimens to study kidney function. It requires testing the blood and a timed urine specimen that is collected over 12 to 24 hours.
What is a “Creatinine Clearance” Test? The urine is collected in an Amber colored container obtained from the lab. It is collected over 12 to 24 hours
300
The Doctor loves me because he can be sitting on the beach and use me to help him diagnose the pts condition or disease.
What is "PACS"? Picture Archiving and Communication System. Computer or network that retrieves images of the following: Ultrasounds, MRIs, Computed Tomography, Endoscopy.
300
I am what the Doctor chooses in order to identify the pts. condition or disease.
What is a "Modality"?
300
We are x rays performed under the direction of a radiologist or performed by an interventional radiologist.
What are 'Special Invasive X rays"?
300
I am the study of microorganisms that cause disease.
What is “Microbiology”? These specimens are cultured, grown in a reproducing medium, identified with the use of biochemical tests, and then tested for antibiotic sensitivity. Clues: C & S, Culture and Sensitivity (can be ordered on almost any specimen, including blood, urine, stool, sputum, wound drainage, pleural fluid, bronchial wash fluid, cerebrospinal fluid, intravenous and urinary catheters and nose and throat specimens. Common test: Blood Cultures (Can be drawn at different times and sites) Ex: Blood Cultures X 3 Q 15 minutes apart. AFB (Acid Fast Bacilli) – performed to detect tuberculosis. “Gram Stain” is treatment that begins immediately while awaiting the results of cultures thus allowing for differential diagnosis of the causative agent. It classifies bacteria into gram negative or gram positive groupings.
300
3. We are what the Dr. needs to add to the lab orders so that the nurse and HUC know how to carry it out.
What are the time “details” for ordering a lab test? “routine” – when the Dr. does not specify a time. Ex: CBC with Plt. Ct.; “timed”- Dr. orders a specific time. Ex: CBC with Plt. Ct. at 1500; “stat” – Dr. orders the test to be done now immediately. Ex: CBC with Plt. Ct. stat.
400
We are the three special considerations that must be answered before we can complete a diagnostic Imaging order.
What is "mode of transportation" "oxygen" "IV"?
400
We are methods of applications or choices a Doctor will order to highlight the image of target areas of the pt. in order to help diagnose their condition or disease.
I am a "modality"
400
One of the common standard types of a test that is ordered as a group includes NA, K, CL, C02 + glucose, BUN, creatinine, and CA.
What is a “BMP” (Basic Metabolic Panel or Profile)? This test includes the “lytes” (electrolytes) NA, K, C02, CA. Old terminology “Astra 8” “Sma. 4-8”, Chem. 4-8, A-8
400
I am the test performed on stool specimens to identify an infection. It often occurs while an individual is in the hospital. (Nosocomial). The patient may be put in isolation.
What is “C-diff or C. difficille (Clostridium difficille) Toxin?
400
My area is usually a part of the clinical lab. We have the responsibility of typing and crossmatching patient blood, obtaining blood for transfusions, storing blood, and blood components.
What is the “Blood Bank”? Clues to recognize a Blood Bank order. T & C; T & X; Type and X-Match; Give ____units of PRBC; Transfuse _____ units of PRBC. Three things that can be transfused. Blood, Plasma, and Platelets. Other blood tests done in blood bank are Coombs test, type and screen, type and tag. The pt. needs to sign an informed consent or a consent for refusal if pt. declines transfusion.
500
We are standard types of orders suggested by the radiologist to prepare the patient for a diagnostic imaging study.
What is a "Routine Preparation"?
500
If I am used I can help the doctor visualize internal organs.
What is "contrast media"?
500
One of the common standard types of a test that is ordered as a group includes NA, K, CL, C02, glucose, BUN, creatinine, and CA, albumin, total bilirubin, alk phos, total protein, AST, ALT
What is a “CMP” (Complete Metabolic Panel or Profile; Comprehensive Metabolic Panel or Profile)? This test includes the “lytes” (electrolytes) NA, K, C02, CA Old terminology “SMAC”; “Sma 9-24” ; “Chem. 9-24” “Chemistry Profile”
500
I am the study of antibodies and antigen useful in detecting the presence and intensity of a current infection. It also may be useful in identifying a previous infection or exposure to an organism.
What is “Serology”? Studies autoimmune diseases and pretransplant and posttransplant conditions evaluated and treated. Tests for syphilis, rheumatoid arthritis, human immunodeficiency virus (HIV). Common tests: ANA-(Antinuclear Antibody); RA (Rheumatoid Factor) –tests for rheumatoid arthritis.
500
I am the study of the nature and cause of disease as seen in body changes. Most of my specimens come from surgery.
What is “Pathology”? Histology and Cytology are subdivisions of the pathology dept. “Histology” is the study of microscopic structure of tissue. “Cytology” is the study of cells obtained from body tissues and fluids to determine cell type and to detect cancer or a precancerous condition.
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