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Chapter 45 - Laboratory equipment and safety. This chapter will introduce you to various types of common laboratory equipment and their use. You will learn about safety in the laboratory mandated by OSHA regulations and steps to aid in preventing accidents.
PowerPoint® to accompany Medical Assisting Chapter 45 Second Edition Ramutkowski Booth Pugh Thompson Whicker Copyright © The McGraw-Hill Companies, Inc Permission required for reproduction or display Laboratory Equipment and Safety Objectives: 451 Describe the purpose of the physician’s office laboratory 452 List the medical assistant’s duties in the physician’s office laboratory 453 Identify important pieces of laboratory equipment 454 Operate a microscope 455 Identify the regulatory controls governing procedures completed in the physician’s office laboratory 456 Identify measures to prevent accidents 457 Describe correct waste disposal procedures Laboratory Equipment and Safety Objectives (cont.) 458 Describe the need for quality assurance and quality control programs 459 Maintain accurate documentation, including all logs related to quality control 4510 List common reference materials to consult for information on procedures performed in the physician’s office laboratory 4511 Communicate with patients regarding test preparation and followup 4512 Identify the medical assistant’s recordkeeping responsibilities Introduction Laboratory testing is an testing integral component of patient care You will learn safety in the laboratory mandated by OSHA and steps to aid in preventing accidents You must understand quality assurance, quality control procedures and required record keeping Role of Laboratory Testing in Patient Care Analysis of blood, urine, or other body fluids and substances provides three kinds of information Regular monitor for normal results Specific tests for diagnosis To determine and monitor medications Kinds of Laboratories Reference Laboratory Owned and operated by an organization outside the practice Have technological resources beyond the (POL) Physician’s Office Laboratory (POL) Laboratory that is operated from the physician’s office Processing tests in the POL produces quicker turnaround No need for patient to travel to other test sites Some managed care companies have contracts with laboratory companies requiring their subscriber to use a specific reference laboratory Medical Assistant’s Role You may be responsible for processing tests done in the POL: Preparing the patient for the test Collecting the sample Completing the tests Reporting the results Telling the results to the patient Use of Laboratory Equipment Learn by on the job or formal training You may routinely use the following: Autoclave Centrifuge Microscope Electronic equipment Equipment used for measurement Name the parts of this 5.Eyepiece s Parts of the Microscope MICROSCOPE 7.Nosepiec Objective es 8.Slide 9.Clips Stage 10.Condense 11.Iris r 1.Arm 2.Fine 3.Adjustment Coarse Adjustment 12.Light Source 4.Base Click the Page Down button to see answers Safety in the Laboratory You must always be aware of and observe guidelines for laboratory safety OSHA guidelines Universal precautions Hazard communication standards OSHA Bloodborne pathogens standard Hazardous Waste Operations and Emergency Response Final Rule 10 Quality Assurance Programs Design to monitor the Labs under Health quality of the patient Care Financing care a medical lab Administration provides (HCFA) and CDC regulations Clinical laboratory improvement amendments (CLIA) 21 Certificate of Waiver Tests Tests pose insignificant risk to the patient if they are performed or interpreted incorrectly Procedures involved are simple and accurate to such a degree that risk of obtaining incorrect results is minimal Tests have been approved by the Food and Drug Administration for use by patients at home 22 Quality Assurance Program Must include : Quality control Instrument and equipment maintenance Proficiency testing Training and continuing education Standard operating procedures documentation 23 Quality Control Focus is to ensure accuracy in test results by carefully monitoring test procedures Must follow these procedures: Calibration regularly of all equipment Control samples serves as a check on the accuracy of the test Reagent Control formulated to react in specific ways when exposed to special conditions 24 Quality Maintenance Testing instruments and equipments must be properly maintained and procedures documented Documentation includes: Careful adherence to procedures to identify problems Careful documentation of all procedures 25 Proficiency Testing Measures accuracy of test results and adherence to standard operating procedures A passing mark indicates that your laboratory can continue to perform that particular test Failing mark means that your laboratory must stop the test and possibly other tests as well 26 Training, Continuing Education & Documentation Must provide training, written reference materials and procedures conducted in the POL MSDS Standard operating procedures Safety manuals Equipment manufacturers’ user or reference guides Clinical Lab Technical Procedure Manuals OSHA standards Maintenance and housekeeping schedules 27 Communicating With the Patient Before the patient submits samples for lab tests During the specimen collection procedures After the interpreted lab results have been given to the patient 28 Record Keeping Accurate and complete record keeping can be summed up: “If it is not written down, it was not done” Keep Records on: Inventory control Patient records Specimen identification 29 Apply Your Knowledge Congress placed all laboratory facilities under what federal agencies? 30 Apply Your Knowledge Answer Congress placed all laboratory facilities under what federal agencies? Health Care Financing Administration (HCFA) and CDC regulations 31 Apply Your Knowledge #2 When you arrive at work one morning you notice a fellow medical assistant putting on some lip balm in the POL . What should you do? 32 Apply Your Knowledge #2 Answer When you arrive at work one morning you notice a fellow medical assistant putting on some lip balm in the POL . What should you do? Lip balm should not be put on in the POL. You may want to remind your fellow employee that it is for her safety not to put on makeup in the laboratory 33 Summary Medical Assistant The physician’s office lab offers many opportunities for interesting and satisfying work in your role as a medical assistant Keeping a level head and applying common sense will go a long way toward making your work in the lab efficient and accurate 34 End of Chapter 35 ...Laboratory Equipment and Safety Objectives: 45 1 Describe the purpose of the physician’s office laboratory 45 2 List the medical assistant’s duties in the physician’s office laboratory 45 3 Identify important pieces of laboratory equipment... 45 3 Identify important pieces of laboratory equipment 45 4 Operate a microscope 45 5 Identify the regulatory controls governing procedures completed in the physician’s office laboratory 45 6 Identify measures to prevent accidents 45 7 Describe correct waste disposal procedures... 45 7 Describe correct waste disposal procedures Laboratory Equipment and Safety Objectives (cont.) 45 8 Describe the need for quality assurance and quality control programs 45 9 Maintain accurate documentation, including all logs