AGENCY
The agency that manages the federal healthcare programs of Medicare and Medicaid is the _____
a) CAP
b) CLSI
c) AMA
d) CMS
D- CMS
___ is that the pt's actions or circumstances; This type of consent may be necessary in an emergency situation.
a) HIV consent
b) Implied
c) Expressed/Express
d) Resfusal of Consent
B- Implied
This tube is for stat serum determination in chemistry. It has a thrombin based clot activator
a) Red top
b) gray top
c) Orange top
d) Yellow top
C) Orange top- pg. 551
Failure to exercise due care is___.
a) Assault and Battery
b) RE ipsa Loquitur
c) Negligence
d) Invasion of Privacy
C- Negligence
_____ is a level of acceptable practice beyond which quality pt. care cannot be assured.
a) Quality Indicators
b) QC
c) CLSI
d) Threshold value
D) Threshold value
This is a 2-part question:
#1- A national organization that develops guidelines and sets standards for laboratory procedures is:
a) NAACLS
b) CAP
c) CLSI
d) CLIAC
#2- This is another agency that influences quality care through standards for the laboratory and phlebotomy is the___________.
a) National Accrediting Agency for Clinical Laboratory Sciences (NAACLS)
b) International Organization for Standardization (ISO)
c) Clinical and Laboratory Standards Institute (CLSI)
d) College of American Pathologists (CAP)
#1-C- CLSI
#2-D- CAP
This is a 2-part question:
#1- The definition of a minor is anyone:
a) who is not self-supporting
b) who is not the age of majority
c) younger than 18 years of age
d) younger than 21 years of age
#2- Jenna, a trainee, tells a pt that she is going to collect a blood specimen and the pt hold out their arm. The pt's action is which form of consent?
a) Implied
b) Informed
c) Expressed
d) HIV
#1- B- who is not the age of majority
#2- Implied
Which tube below is not yellow:
a) Acid Citrate Dextrose
b) Sodium Polyanethol sulfonate
c) Trisodium Citrate
d) Sodium Fluoride
D- Sodium Fluoride
This is a 2-partf question:
#1___ is the wrongful act other than breach of contract committed against someone's person, property, reputation or other legally protected right.
a) vicarious liability
b) Respondeat superior
c) Tort
d) Civil
#2- True or False:
When a general consent issue goes to court, the court typically takes the word of the provider as to what and how the pt. understood directives
#1- C Tort
#2- False (pg. 66)
The question is a 2-part:
#1- A delta check refers to:
a) Documenting all of the results of the QC checks
b) Reporting new infection control precautions
c) Comparing current test results with previous ones
d) Checking the wristband with the requisition
#2- ____ is defined as a the chance of loss or injury.
a) Clumsy
b) CLIA
c) Risk
d) Function
#1- C- Comparing current test results with previous ones
#2- Risk
This is a 2-part question:
#1-___ is a global nonprofit, standards-developing organization with representative from the profession, industry and government.
a) Clinical and Laboratory Standards Institute (CLSI)
b) International Organization for Standardization (ISO)
c) College of American Pathologist (CAP)
d) The Joint Commission (TJC)
#2- ____ 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) National Patient Safety Goals (NPSGs)
b) Clinical Laboratory Improvement Advisory Committee (CLIAC)
c) The Joint Commission (TJC)
d) Institute for Healthcare Improvement (IHI)
#1- A- CLSI
#2- C- The Joint Commission (TJC)
This is a 2-part questions:
#1- ____ consent is a variation of informed consent. It is required for treatment that involves surgery.
a) General
b) Implied
c) Expressed
d) Consent for HIV
#2- True or False:
If a pt refuses medical treatment is normally required 2 weeks prior to the procedure.
#1- Expressed
#2- False (pg. 67)
This is a 2-part question:
#1-The following test requires which tube additives: Thyroid Panel, Ammonia, Titer and ETOH#2- What is the correct order of draw for the above test:
#1- Plain (nothing) ,SST Gold (Tiger Top, Speckle Top), Sodium/Lithium Heparin Green and (Potassium Oxalate Sodium Fluoride Gray
#2- Red, Gold, Green and Gray
This is a 2-part question:
#1- There are many guidelines to avoid lawsuits. Which one below is not one of them.
a) Uses proper safety containers and devices
b) Carefully monitor the pt before, during and after venipuncture
c) Focus on identifying trends and understanding the underlying or root causes of an event
d) Never perform procedures that you are not trained to do.
#2- Failure to keep privileged medical information private is called.
a) Vicarious liability
b) Indicators
c) Invasion of privacy
d) Breach of confidentiality
#1- C- Focus on identifying trends and understanding the underlying or root causes of an event
#2- D- Breach of confidentiality
This question is 2-part:
Which of the following can identify trends for risk management?
a) incident reports
b) Safety data sheets
c) Sentinel Event
d) The procedure manual
#2- Which one below is not found in a procedure manual?
a) Approval signatures and dates
b) Limitations and variables of the method
c) Delta Checks
d) Specimen type and collections method
#1- A- Incident reports
#2- C- pg. 59
This is a 2-part Question:
#1- Which is the oldest and largest healthcare standards-setting body in the nation?
a) College of American Pathologists
b) Centers for Medicare and Medicaid Services
c) The Joint Commission
d) American Medical Association
#2- The ______ is a nonprofit organization focused on the pt's safety agenda.
a)Clinical Laboratory Improvement Advisory Committee (CLIAC)
b) Institute for Healthcare Improvement (IHI)
c) National Patient Safety Goals (NPSGs)
d) Clinical Laboratory Improvement Amendments of 1988
#1- C- The Joint Commission
#2-B Institute for Healthcare Improvement (IHI)
A young adult comes to an outpatient lab, to have his blood drawn. Grace, the phlebotomist refuses to draw the pt.'s blood, because:
a) the pt. did not fast
b) the pt. has a Hx of fainting
c) the pt. has never had his blood drawn
d) pt. has not reach the age of majority in the state
d- pt. has not reach the age of majority in the state
This is a 2-part question:
#1- ____ is the tube that has been the source of more carryover problems than any other additive.
a) Heparin
b) K2 EDTA
c) Potassium Oxalate
d) Sodium Citrate
#2- ____ causes the least interference in tests other than coagulation tests because it also occurs in blood naturally.
a) EDTA
b) Sodium Citrate
c) SPS
d) Heparin
#1- A-EDTA
#2- D- Heparin
This is a 2-part question:
#1- Dr. Cooper is sued for negligence due to the actions of an inexperienced, contracted phlebotomist, named, Asia, to cover his employee Genie Francis who is out due to maternity leave. This is an example of:
a) Battery
b) Res ipsa Loquitur
c) Vicarious liability
d) HIPAA
#2- The Litigation Process has 4 phases. The phase that begins with an appeal of the jury's decision is the _____.
a) Phase 1
b) Phase 2
c) Phase 3
d) Phase 4
#1- C- Vicarious Liability
#2- D- Phase 4
This is a 2-part question:
#1- The _____ is called the performance improvement plan.
a) Equipment Check form
b) Control Manual
c) QC Document
d) Internal Report
#2- The _____ contains policies and procedures related to chemical, electrical, fire and radiation safety.
a) Safety Manual
b) Procedure Manual
c) Internal Reports
d( QA form
#1- C-QC Document
#2- A- Safety Manual
This is a 2-part question:
#1- _____ is a federal regulations passed by Congress and administered by the Centers for Medicare and Medicaid Services.
a) Clinical Laboratory Improvement Advisory Committee (CLIAC)
b) The Institute for Healthcare Improvement (IHI)
c) Clinical Laboratory Improvement Amendments of 1988
d) Certificate of Waiver (CoW)
#2- ____ are a method TJC uses to promote an enforce major changes related to pt. safety.
a) CLIAA'88
b) NAACLS
c) NPSGs
d) SE
#1- C- Clinical Laboratory Improvement Amendments of 1988
#2- C- NPSGs
True or False: Laws involving implied consent are enacted at the state level and may differ greatly from state to state.
True pg. 66
The following tubes ______ clots in 5minutes. While the _____ clots in 30 minutes.
a) PST and SST
b) SST and PST
c) RST and PST
d) RST and SST
#2- Complete the order of draw: SPS, ___ RED, ___
____ Green ____ ___
#1- D- RST & SST
#2- (pg. 246): Sodium Citrate, SST, PST, EDTA, Oxalate
This is a 2-part question:
#1- The Latin phrase that means "let the master respond". An employer is liable for the actions of an employee.
a) Respondeat superior
b) Vicarious liability
c) Res ipsa Loquitur
d) Malpractice
#2- ___ is concerned with actions between two private parities, such as individuals or organizations;
a) Civil
b) Criminal
c) Risks
d) Criminal
#1- A Respondeat superior
#2- A- Civil
This is a 2-part question:
#1- Good laboratory practices involve keeping the manufacturer's current product insert for the lab test in use. True or False.
#2- ____ is a level of acceptable practice beyond which quality pt care cannot be assured.
a) Data Collection
b) Delta Check
c) Threshold value
d) Quality Control
#3- ____ are measurements or values that provide information on the effectiveness or quality of processes.
a) Quality Indicators
b) Safety Data Sheet
c) CAPA (Corrective action preventative action)
d) Quality Control (QC)
#1- True
#2- C- Threshold value
#3- A- Quality Indicators