Safety
Quality Management
Specimen Collection
Professional practice
Critical thinking
100
Name aerosol precautions
- Avoid spinning tubes that don't have stable lids
- Use sealed centrifuge lids
- If a tube breaks while centrifuging allow to settle for 30 min and open in a BSC
100
Confidentiality, requisitions, records, and LIS systems fall under what QSE category?
Information management
100
Name the correct order of draw
Blood cultures, Citrate, non additive glass, red top, SST, PST, Heparin, EDTA, Grey, ESR
100
What is informed consent
A patient must have sufficient information and understanding before making decisions about their medical care
100
What is the order of priority when collecting routine, pre-op, and fasting samples?
Pre-op is most important time wise, then fasting, then routine
200
Name the classes of fire extinguishers
200
State the post analytical checks used in the lab
-Clinical correlation
-Delta checks with previous and current results
-Linearity checks (reporting results above/below AMR)
-Absurd value checks
200
What test result would increase or decrease in a urine sitting at room temp for 3 hours?
-Nitrites could increase due to bacteria
-leukocytes may begin to disintegrate, bilirubin and urobilinogen may decrease as they are oxidized
200
What are determinants of health?
Determinants of health are the broad range of personal, social, economic and environmental factors that determine individual and population health. The main determinants of health include:
- Income and social status
- Employment and working conditions
- Education and literacy
- Childhood experiences
- Physical environments
- Social supports and coping skills
- Healthy behaviours
- Access to health services
- Biology and genetic endowment
- Gender
- Culture
- Race / Racism
200
You find a bottle of cleaning agent only labelled by hand, why cant you use it?
A workplace label with SDS information is required
300
Acid spills should be neutralized with
Sodium bicarbonate
(weaker base and safer to use than sodium hydroxide)
300
The length of the DAP accreditation cycle is:
4 years
300
How does leaving the lid open on a specimen affect the pH?
Air will falsely increase the pH levels
300
What agency is responsible for the regulation of human pathogens and toxins
Public health agency of Canada
300
You spill a small bottle of sodium hydroxide in the lab, what do you do?
First contain the spill, second neutralize the base with an acid, absorb and clean the spill leaving a sign if you need to walk away.
400
In what order should acid and water be mixed
Always add acid into water to avoid strong reactions and splashing
400
Define the six sigma process
A quality evaluation tool for process improvement
(define, measure, analyze, improve, control)
400
What is the gauge of a routine phlebotomy needle?
21g
400
What is Canadas federal privacy law called
PIPEDA
(Personal Information Protection and Electronic Documents Act)
400
A lawyer asks for medical records or test results what do you do?
Tell them we can only release that information to the ordering physician
500
Name the top 3 classes of Hazardous materials
Class 1: Explosives
Class 2: Gasses
Class 3: Flammable/Combustible liquids
500
Quality control, sample management, and method validation fall under what QSE category?
Process Control
500
What are the most common preservatives used in 24 hour urines?
Boric, hydrochloric, acetic, and oxalic acid
500
What agency is responsible for radiation safety regulations?
Canadian nuclear safety commission
500
A patient comes in with fatigue and weight loss. Their urine results show: pH 5.5, Glucose 0 mmol/L, GFR is low, and their ACR is high
Kidney Disease
-Glucose is often low due to decreased appetite and kidney function
-A low GFR indicates acute or chronic damage to the glomeruli impairing their ability to filter
-A High ACR indicates albumin is escaping the kidneys and they are not functioning properly