Overview
This manual is designed to be used as a reference tool to help WIC staff safely and accurately perform hemoglobin tests.
What is the Arizona WIC Lab Manual?
The umbrella term that refers to approaches to minimize occupational exposure to bloodborne pathogens.
What is Universal Precautions?
To remove gloves use these steps.
1. Using a gloved hand, pinch the palm area of the other gloved hand and peel off the first glove.
2. Using the gloved hand only, roll-up the removed glove into a ball, and hold it in the palm of the gloved hand.
3. Using your ungloved hand, slide a finger under your gloved hand and peel off the second glove over the first rolled-up glove.
4. Discard both gloves in the waste container designated by your local agency.
Source: CDC
Prior to any lab testing (including the completion of a hemoglobin blood test via capillary sampling), the Authorized Representative must provide and sign this.
What is participant consent?
This is the position a participant should be in while being tested with the Masimo.
What is Position the participant comfortably seated with their arm extended, (but lower than their heart), with their palm facing down?
The Arizona WIC Program conducts THIS testing on its participants as a screening tool for a condition resulting from low levels of healthy red blood cells.
What is Anemia and Hemoglobin Testing?
The Centers for Disease Control and Prevention (CDC) defines this as
“Cleaning your hands using either handwashing (washing hands with soap and water), antiseptic hand wash, antiseptic hand rub (i.e. alcohol-based hand sanitizer including foam or gel), or surgical hand antisepsis.”
What is "Hand Hygiene"? (Will accept Handwashing protocol)
Lancets and microcuvettes are disposed of in THIS container after use.
What is a "Sharps" container?
The proper testing sites for all WIC participants.
What is the ring finger, middle finger, and heel?
This is the age range children can be Masimo tested but can still receive capillary testing at the WIC worker's discretion.
What is 2-4 years old?
The Arizona WIC Program utilizes two different types of hemoglobin tests. (HINT: One test type is non-invasive and the other is not.)
What is Masimo Pronto and Capillary sampling? (Hemocue is also acceptable answer)
You must do THIS immediately before touching a patient.
What is Use alcohol based hand sanitizer?
Where trash saturated with blood must be discarded.
The Risk code for low hemoglobin.
What is WIC Risk code 201.2?
You can't use the Pronto Masimo on fingers with nail polish or acrylic nails.
What is False?
The Arizona WIC Lab can be found here. (Be specific)
The amount of time hand sanitizer must be rubbed over all parts of the hand until your hands feel dry.
What is 20 seconds?
Lint-free tissue, alcohol preps, gloves, bandages & wrappers, that contain blood but are not dripping, can be discarded here.
What is the trash can?
The Risk code for the Nutritionist Range for hemoglobin.
What is WIC Risk code 201.1?
Cover the sensor with a hand (either your hand or a caregivers) or cloth to shield the sensor from excessive light. Excessive light may increase the time needed to complete tests and cause tests to fail more often.
What is Light Shielding?
5 Key symptoms of anemia assessed in WIC participants.
What is poor appetite, tiredness, weakness, developmental delays and learning problems?
These three situations require the WIC worker to change gloves.
What is 1) Change gloves in between capillary sampling tests, even if performing the tests on members of the same family. 2) if gloves ever become damaged while performing a capillary sampling test. AND 3) If gloves become visibly soiled with blood or other body fluids.
The Section of Standard Precautions detailing that all lab work surfaces are cleaned thoroughly at least once a day, but also must be cleaned immediately if they are visibly soiled. Lab work surfaces must be cleaned using either a 10% bleach solution or a disinfectant approved for use in your local agency.
What is Cleaning and Disinfection?
This table includes ranges for testing values in addition to clinic elevation references.
What is the Cutoff values for Hemoglobin Levels table?
Once the Masimo testing is results are ready to view, push this button to view results.
What is the SpHb button?