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13) Lab Safety

14) Complications

Reading Assignment:

Reading Assignment:

Chapter 3: 101 - 122

Chapter 9: 324 - 359 (all) Chapter 8: 308 - 319 Chapter 3: 111, & 114 - 115 Appendix D: A29 - 30

Objectives:

Objectives:

  • 1.

    Discuss the biohazard, sharps, chemical, fire, electrical and radiation hazards that a phlebotomist might encounter, and identify the safety procedures associated with each hazard.

  • 2.

    Identify the symbols for: Radiation Hazard, Sharps Hazard, Chemical Hazard, Biohazard, Fire Hazard, Electrical Hazard, Radiation Hazard, and Physical Hazard.

  • 3.

    Discuss the purpose of a Chemical Hygiene Plan.

  • 4.

    Discuss the purpose and use of Material Safety Data Sheets.

  • 5.

    Correlate the classifications of fires to the types of fire extinguishers.

  • 6.

    List the common work related injuries in the laboratory setting, including latex allergies, and their prevention techniques.

7.List the causes of stress in the work environment and discuss the coping skills and techniques used to deal with stress in the work environment.

  • 1.

    Describe how to answer inquiries concerning tests, and the protocol for handling a patient's refusal to have a blood sample collected.

  • 2.

    Identify and describe the procedural errors that lead to the inability to obtain a blood specimen, and explain how to handle them.

  • 3.

    Describe measures used to ensure patient safety in various patient settings, i.e., inpatient, outpatient, pediatrics, emergency situations, etc.

  • 4.

    List the site selection areas to avoid.

  • 5.

    Identify vascular access devices managed by nurses.

  • 6.

    Describe signs and symp- toms of physical problems (syncope, nausea, vomiting, convulsions, allergic reaction, hematoma, cardiac arrest, etc.) in the patient that may occur during phlebotomy and the appropriate phlebotomist response.

  • 7.

    Describe the basal state and list the physiologic variables of the patient that influence this state.

  • 8.

    Describe unique require- ments associated with drawing special populations including geriatric, pediatric, and long-term care patients.

9. List the symptoms of shock, cardiac arrest, and external hemorrhage and their appropriate first aid procedures.

Chapter 11: 401 - 452

Chapter 12: 453 - 477

(all)

(all)

15) Tests & Requirements

16) Arterial Specimens

Reading Assignment:

Reading Assignment:

Chapter 6: 204 - 206

Objectives:

Objectives:

  • 1.

    Identify the most common tests performed in the chemistry section of the laboratory and the most common reasons for performing these tests.

  • 2.

    State the requirements for fasting specimens and name three tests that require fasting specimens.

  • 3.

    Explain the procedure for a 2 hour postprandial glucose test and glucose tolerance tests.

  • 4.

    List the different reasons for performing Toxicology tests and differentiate between trough and peak drug levels.

  • 5.

    Describe "chain of custody" requirements for legal specimens and list the tests frequently requested for forensic studies.

  • 6.

    Describe the additional identification procedures required for Transfusion testing specimens and identify medical consequences if patients receive the wrong unit of blood.

  • 7.

    Discuss the aseptic techniques and timing sequence for the collection of blood cultures, and the reasons for multiple collections.

  • 8.

    List the most common point- of-care tests (POCT) and the reasons for performing these tests.

  • 1.

    State the primary reason for performing an arterial puncture procedure.

  • 2.

    Identify the sites that can be used for arterial puncture, the criteria used for the selection of the site, and the advantages and disadvantages of each site.

  • 3.

    List the additional equipment and supplies needed for arterial puncture.

  • 4.

    Describe patient assessment and preparation procedures.

  • 5.

    Explain the performance of the Allen test, its purpose, define what constitutes a positive or negative result, and give the procedure to follow for either result.

  • 6.

    List the correct order of steps in performing arterial blood gas collection on both an artery and a capillary site.

  • 7.

    List complications associated with arterial puncture, identify factors that may affect the integrity of the blood gas sample, and describe the criteria for sample rejection.

  • 8.

    Identify how heparin prevents blood from clotting.

9. Evaluate the advantages and disadvantages of using liquid and lyophilized heparin for blood gas testing.

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