Laboratory Safety and Quality Assessment Flashcards

1
Q

Safety Procedure Manuals is mandated by:

A

Centers for Disease Control and Prevention (CDC)
Occupational Safety and Health Administration (OSHA)

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2
Q

The Safety Procedure Manuals are updated _____ by the laboratory director

A

Annually

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3
Q

The Safety Procedure Manuals are updated annually by the _____

A

Laboratory Director

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4
Q

The _____ provides the guidelines for writing the procedures and policies in the Safety Procedure Manuals

A

Clinical and Laboratory Standards Institute (CLSI)

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5
Q

List down the Infectious Agents

A

Bacteria
Fungi
Parasites
Viruses

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6
Q

List down the Reservoir

A

Humans
Animals
Insects
Fomites
Blood/Body Fluids

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7
Q

List down the Portal of Exit

A

Nose
Mouth
Mucous Membrane
Specimen Collection

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8
Q

List down the Means of Transmission

A

Droplet
Airborne
Contact
Vector
Vehicle

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9
Q

List down the Portal of Entry

A

Nose
Mouth
Mucous Membranes
Skin
Unsterile Equipment

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10
Q

List down the Susceptible Host

A

Patients
Elderly
Newborns
Immunocompromised
Health-care Workers

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11
Q

How to break the link for the Reservoir?

A

Disinfection
Hand Hygiene

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12
Q

How to break the link for the Portal of Exit?

A

Sealed biohazardous waste containers
Sealed specimen containers
Hand Hygiene
Standard Precautions

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13
Q

How to break the link for the Means of Transmission?

A

Hand Hygiene
Standard Precautions
PPE
Patient Isolation

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14
Q

How to break the link for the Portal of Entry?

A

Hand Hygiene
Standard Precautions
PPE
Sterile Equipment

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15
Q

How to break the link for the Susceptible Host?

A

Immunizations
Patient Isolation
Nursery Precautions
Healthy Lifestyle

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16
Q

States that all patients are considered to be possible carriers of bloodborne pathogens

A

Universal Precautions (UP)

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17
Q

Universal Precaution guideline recommends _____ and _____

A

Wearing gloves
Wearing face shields

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18
Q

The CDC excluded _____ and _____ not visibly contaminated by blood from UP

A

Urine
Body Fluids

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19
Q

Major disadvantage of BSI guidelines

A

Do not recommend handwashing after removing gloves

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20
Q

In _____, the CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) combined the major features of UP and BSI Guidelines and called the new Guidelines Standard Precautions.

A

1996

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21
Q

In 1996, the _____ and _____ combined the major features of UP and BSI Guidelines and called the new Guidelines Standard Precautions.

A

CDC
HICPAC

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22
Q

In 1996, the CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) combined the major features of_____ and _____ and called the new Guidelines Standard Precautions.

A

UP
BSI

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23
Q

In 1996, the CDC and the Healthcare Infection Control Practices Advisory Committee (HICPAC) combined the major features of UP and BSI Guidelines and called the new Guidelines _____.

A

Standard Precautions

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24
Q

Standard Precautions are as follows:

A
  1. Hand Hygiene
  2. Gloves
  3. Mouth, Nose, and Eye Protection
  4. Gown
  5. Patient Care Equipment
  6. Environmental Control
  7. Linen
  8. Occupational Health and Blood-borne Pathogens
  9. Patient Placement
  10. Respiratory Hygiene/Cough Etiquette
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25
Q

PPE used in the laboratory includes:

A

Gloves
Fluid-resistant Gowns
Eye and Face Shields
Plexiglas Countertop Shields

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26
Q

Wearing gloves is not a substitute for _____

A

Hand Hygiene

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27
Q

Wearing _____ is not a substitute for hand hygiene.

A

Gloves

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28
Q

Hand hygiene includes _____ and _____

A

Hand Washing
Using Alcohol Based Antiseptic Cleaners

29
Q

All biologic waste, except _____, must be placed in appropriate containers labeled with the biohazard symbol

A

Urine

30
Q

Empty urine containers can be discarded as _____

A

Non-biologically Hazardous Waste

31
Q

Urine may be discarded by _____

A

Pouring it into a laboratory sink under a Plexiglas Countertop Shield

32
Q

Disinfection of the sink using a _____ or _____ dilution of sodium hypochlorite should be performed daily.

A

1:5 or 1:10

33
Q

Disinfection of the sink using a 1:5 or 1:10 dilution of _____ should be performed daily.

A

Sodium hypochlorite

34
Q

Disinfection of the sink using a 1:5 or 1:10 dilution of sodium hypochlorite should be performed _____.

A

Daily

35
Q

Sharp objects in the laboratory includes:

A

Needles
Lancets
Broken Glassware

36
Q

All sharp objects must be disposed in _____, _____ with the biohazard symbol

A

Puncture-resistant
Leak-proof

37
Q

True or False

Every chemical in the workplace should be presumed hazardous.

A

True

38
Q

For chemical spills and exposures, when a skin contact occurs, the best first aid is to _____ then _____

A

Flush the area with large amounts of water for at least 15 minutes
Seek medical attention

39
Q

Hazardous chemicals should be labeled with a description of their particular hazard, such as:

A

Poisonous
Corrosive
Flammable
Explosive
Teratogenic
Carcinogenic

40
Q

The _____ requires that all employees have a right to know about all chemical hazards present in their workplace.

A

OSHA Federal Hazard Communication Standard

41
Q

The information about chemical hazards present in their workplace of an employee is provided in the form of _____ on file in the workplace

A

Material Safety Data Sheets (MSDSs)

42
Q

Information contained in an MSDS includes the following:

A
  1. Physical and chemical characteristics
  2. Fire and explosion potential
  3. Reactivity potential
  4. Health hazards and emergency first aid procedures
  5. Methods for safe handling and disposal
  6. Primary routes of entry
  7. Exposure limits and carcinogenic potential
43
Q

Refers to the overall process of guaranteeing quality patient care and is regulated throughout the total testing system.

A

Quality Assessment

44
Q

Refers to all of the laboratory’s policies, processes, procedures, and resources needed to achieve quality testing.

A

Quality System

45
Q

Quality assessment program includes not only testing controls, referred to as quality control (QC), but also encompasses:

A

Preexamination Variables
Examination Variables
Postexamination Variables

46
Q

A variable that occur before the actual testing

A

Preexamination Variables

47
Q

These variables are the processes that directly affect the testing of specimens.

A

Examination Variables

48
Q

True or False

Reagent strips must be refrigerated, and must be recapped immediately after removing each strip.

A

False

Reagent strips must be NEVER be refrigerated, and must be recapped immediately after removing each strip.

49
Q

Frequently encountered instruments in the laboratory:

A

Refractometers
Osmometers
Automated Reagent Strip Readers
Automated Microscopy Instruments

50
Q

Common equipment in the laboratory:

A

Refrigerators
Centrifuges
Microscopes
Water Baths

51
Q

Temperatures of refrigerators and water baths should be taken _____ and recorded

A

Daily

52
Q

The calibration of cetrifuges must be done _____ and the appropriate relative centrifugal force for each setting is recorded

A

Every 3 months

53
Q

Centrifuges are routinely disinfected on a _____

A

Weekly basis

54
Q

Refers to the materials, procedures, and techniques that monitor the accuracy, precision, and reliability of a laboratory test.

A

Quality Control

55
Q

Quality Control refers to the _____, _____, and _____ that monitor the accuracy, precision, and reliability of a laboratory test.

A

Materials
Procedures
Techniques

56
Q

Quality Control refers to the materials, procedures, and techniques that monitor the _____, _____, and _____ of a laboratory test.

A

Accuracy
Precision
Reliability

57
Q

_____ are performed to ensure that acceptable standards are met during the process of patient testing.

A

QC Procedures

58
Q

Used to verify the accuracy and precision of a test and are exposed to the same conditions as the patient samples.

A

External Quality Control

59
Q

The ability to maintain both precision and accuracy.

A

Reliability

60
Q

Reliability is the ability to maintain both _____ and _____

A

Precision
Accuracy

61
Q

Consists of internal monitoring systems built in to the test system

A

Internal Quality Control

62
Q

Internal Quality Control is also called _____

A

Internal or Procedural Controls

63
Q

Uses a mechanical or electrical device in place of a liquid QC specimen

A

Electronic Controls

64
Q

Can be internal or an external component inserted into a point of care (POC) instrument.

A

Electronic Controls

65
Q

Verifies the functional ability of a testing device but it does not verify the integrity of the testing supplies.

A

Electronic Controls

66
Q

True or False

Electronic Controls verifies the functional ability of a testing device and verify the integrity of the testing supplies.

A

False

Electronic Controls verifies the functional ability of a testing device BUT IT DOES NOT verify the integrity of the testing supplies.

67
Q

The testing of unknown samples received from an outside agency, and provides unbiased validation of the quality of patient test results.

A

Proficiency Testing (External Quality Assessment)

68
Q

The _____ mandates comparison testing for laboratory accreditation.

A

Clinical Laboratory Improvement Amendments (CLIA)

69
Q

Are processes that affect the reporting of results and correct interpretation of data

A

Postexamination Variables