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CLINICAL LAB SCIENEC

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xxvi

PREFACE

that are not revenue generating. Therefore, the medical center provides for the

administrative support of departments such as the laboratory on a facilitywide

basis.

Safety in the Laboratory and Patient Areas

Safety is the responsibility of everyone in the laboratory, and at times it extends

to the patient areas where the laboratory worker or phlebotomist might visit

to collect specimens or to take possession of specimens collected by physicians

and other health care workers. Safety in the laboratory includes handling of

specimens and disposal of specimens after processing. The proper manner in

which to dispose of specimens is thoroughly covered in this book, delineating

the responsibility of the student, the instructor, and the health care workers with

whom laboratory personnel interface. Not only biohazardous wastes, such as

blood and other body fluids, but also bacterial growth for identification and

sharp instruments must be discarded properly after use. Any accident that could

include exposure to biohazardous or toxic materials must be investigated and

documented properly, as well as other injuries that may occur in the course of

the laboratory worker’s duties. Other areas included in an overall safety plan are

those related to adverse weather conditions, fire, release of toxic materials, and

outbreaks of contagious illnesses that are treated in the hospital.

Infection Control

Infection control is a two-prong responsibility. Both health care workers and

patients must be protected from becoming infected as a result of working with

other patients or with equipment and wastes generated by providing patient

care. Some of the requirements are mandated by government agencies for certain

organisms called “covered” organisms (e.g., tuberculosis, human immunodeficiency

virus, and hepatitis B virus). Large multidisciplinary committees

within health care institutions have responsibility for developing policies and

procedures for preventing and eliminating threats to those working in, visiting,

or being treated in health care facilities. Representative samples from a simulated

infection control manual are provided in this book to make the orientation

to infection control more realistic and to avoid gaps in coverage of the topics

that should be taught in this important area of health care.

Laboratory Economics

The economics of the laboratory are complex and contain a number of components.

The laboratory exists primarily to serve the physician in diagnosing and

treating various maladies. But in the economic scheme of the medical facility,

the laboratory is mandated to be efficient and economically viable, contributing

to the overhead for the entire facility. The methodology for testing, the equipment

used, and even the manner in which the equipment is bought or leased are

essential components of the laboratory’s ability to fulfill its dual role as a major

provider of diagnostic information and a “cost center.”

Copyright 2010 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part. Due to electronic rights, some third party content may be suppressed from the eBook and/or eChapter(s).

Editorial review has deemed that any suppressed content does not materially affect the overall learning experience. Cengage Learning reserves the right to remove additional content at any time if subsequent rights restrictions require it.

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