Lab Orientation & Quality Assessment

Question 1

Must be readily available in the laboratory

Answer 1

Safety procedure manuals

Question 2

It states that all patients are considered to he possible carriers of bloodborne pathogens

Answer 2

Universal precautions

Question 3

Consider all body fluid and moist body substances to be potentially infectious

Answer 3

Body substance isolation guidelines

Question 4

Who combined the major features of UP and BSI Guidelines?

Answer 4

CDC (Centers for Disease Control and Prevention) and HICPAC (Healthcare Infectious Control Practices Advisory Committee

Question 5

What are the Standard Precautions

Answer 5

1. Hand hygiene
2. Gloves
3. Mouth, nose, and eye protection
4. Gown
5. Patient care equipment
6. Environmental control
7. Linen
8. Patient placement

Question 6

Includes both handwashing and using alcohol based antiseptic cleansers

Answer 6

Hand hygiene

Question 7

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

Answer 7

Urine

Question 8

Empty urine confainers can be discarded as

Answer 8

Non-biologically hazardous waste

Question 9

Urine may be discarded by pouring it into laboratory sink under a

Answer 9

Plexiglas countertop shield

Question 10

All sharp objects must be disposed in

Answer 10

Puncture-resistant, leak-proof container with biohazard symbol

Question 11

Information contained in an MSDS

Answer 11

• physical and chemical characteristics
• fire and explosion potential
• reactivity potential
• health hazards and emergency first aid procedures
• methods for safe handling and disposal
• primary routes of entry
• exposure limits and carcinogenic potential

Question 12

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

Answer 12

Quality assessment

Question 13

Refers to all laboratories policies, professes, procedures, and resources needed to achieve quality testing

Answer 13

Quality system

Question 14

Quality assessment program referred to as

Answer 14

Quality control

Question 15

What is PPPR

Answer 15

Policies
Processess
Procedures
Resources

Question 16

Referring to three phases of examination

Answer 16

Quality assessment program

Question 17

What are the QAP

Answer 17

• procedure manuals
• internal quality control
• external quality control
• electronic quality control
• standardization
• record keeping

Question 18

Contains all the procedures performed in the urinalysis section and must be available for reference in the working area and must comply wity the CLSI guidelines

Answer 18

Procedure manual

Question 19

Occur beforr the actual testing of the specimen

Answer 19

Preexamination

Question 20

What are examples of preexamination?

Answer 20

Test requests, patient preparation, timing, specimen collection, handling and storage

Question 21

We reject tye sample if the specimen is:

Answer 21

• contaminated
• insufficient sanple of urine
• improper transport or improper behavior reservatives
• delay

Question 22

Policy for handling mislabled specimen

Answer 22

• do not assume any information about the specimen or patient
• do not relabel an incorrectly labeled specimen
• do not discard the specimen until investigation is complete

Question 23

Process that directly affect the testing of specimens

Answer 23

Examination variables

Question 24

Example of examination variables

Answer 24

• reagents
• instrumentation or equipment
• quality control
• testing procedure
• preventive maintenance

Question 25

It should be checked against known negatige and positive control solutions on each shift or at a minimum once a day

Answer 25

Reagent strip

Question 26

Frequently encountered instruments

Answer 26

Refractometers , osmometers

Question 27

Common equipment

Answer 27

Refrigerator, centrifuge, microscope

Question 28

Used to calibrate centrifuge

Answer 28

Tachometer

Question 29

When do you perform QC?

Answer 29

At the beginning of each shift or before testing the patient samples

Question 30

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

Answer 30

External Quality Control

Question 31

Consists of internal monitoring systems built in to the test system and are called internal and procedural controls

Answer 31

Internal quality control

Question 32

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

Answer 32

Electronic control

Question 33

Can be internal or external component inserted into a point of care instrument

Answer 33

Electronic controls

Question 34

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

Answer 34

Proficiency testing or external quality assessment

Question 35

Proficiency testing also known as

Answer 35

External quality assessment

Question 36

RA4688

Answer 36

Clinical Laboratory Law

Question 37

NRL for clinical chemistry

Answer 37

Lung Center of the Philippines

Question 38

NRL for hematology

Answer 38

National Kidney and Transplant Institute

Question 39

NRL for toxicology, water testing analysis and drug testing

Answer 39

East Avenue Medical Center

Question 40

NRL for microbiology and parasitology

Answer 40

Research Institute for Tropical Medicine

Question 41

Process that affect the reporting of results and correct interpretation of data

Answer 41

Postexamination variables

Question 42

Quality assessment error in preexamination

Answer 42

- patient misidentification - wrong test ordered - insufficient urine volume - delayed transport of urine to the laboratory - incorrect storage or preservatives of urine

Question 43

Quality assessment errors in examination

Answer 43

- sample misidentification - poor testing technique - instrument malfunction

Question 44

Quality assessment errors of postexamination

Answer 44

- patient misidentification - poor handwriting - transcription error - failure to send report - poor quality of instrument printer