474INDEXNormal reference ranges, 253–256problems related to, 255–256Normal solutions, measuring of,219–220Nosocomial infections, 119Notice of privacy practices, 73, 74fNova CCX analyzer, 382, 383fNursing Creed, 65–66, 76OOath of Hippocrates, 65–66, 76Occupational exposure, to TB,workers most at risk for,144, 145Occupational Exposure to Tuberculosis,Proposed Rule 29 CFR1910.1035, 143Occupational Safety and HealthAdministration (OSHA), 36,90, 98–99, 116, 117Blood Borne Pathogens Standardof, 131Standard 1910.1200 of, 117Office for Civil Rights, of HHS, 75OPIM. See Other potentially infectiousmaterials (OPIM)Order of draw, in venipuncture, 271,273tOSHA. See Occupational Safetyand Health Administration(OSHA)Osmosis, reverse, 217–218Other causes, defined, 104Other potentially infectious materials(OPIM), 121–122exposure to, postexposuretreatment for, 132Out-of-range controls, steps in correctionof, 247–248Overgarments, as barriers againstcontamination, 122f–125f,124–126PPap smears, 29Pasteur, L., in history of infectioncontrol, 113Pasteur pipettes, 192, 197–199,198fPathogen(s)airborne, 112–113bloodborne. See BloodbornepathogensPathologist(s), described, 28–30, 29fPathology, clinical, 79Patient(s), expectations and rights of,66–69, 67tPatient’s Bill of Rights, 61–66, 67t,76Paydirect, 159indirect, 159Penicillin, discovery of, 386Penicillium spp., 386PEP. See Postexposure prophylaxis(PEP)Percent solutions, measuring of, 218Permeability, glomerular, 313Personal medical information,limited and specified use of,confidentiality and, 69, 69f,74Personal protective equipment (PPE),122, 122f–124fas barriers against contamination,122f–125f, 124–126gowns, 122f–125f, 124–126protective laboratory clothing,122f–125f, 124–126required PPE, 124–126, 125fin bloodborne- and airbornepathogen–related infectionprevention, 150required, 124–126, 125fin TB prevention, 142–143pH meter, 220–221, 220fpH-adjusted solutions, measuring of,220–221, 220fPhlebotomist(s), 266–267. See alsoPhlebotomy; Venipuncturedescribed, 32, 266, 267finjuries to, causes of, 271professionalism of, 266–267in venipuncture, procedures,271–276, 273f–276f, 273t.See also Venipuncture, performanceofPhlebotomy, 265–286. See alsoVenipuncturedescribed, 265–266inability to obtain specimen during,280–281patient injuries related to, causesof, 271performance of, evaluation of,283, 283t, 284t, 285fproblems encountered duringspecimen collection and processing,280–283, 282f, 283t,284t, 285fQA in, 267–268, 269fvacuum tube system in, 266, 267f,268, 269fPhoenix, 390Physical requirements, for medicallaboratory workers, 12Physicians’ office laboratories(POLs), 164on QA, 232Pipette(s), 191–199, 193f–195f,197f, 198f. See also specifictypes; Pipettingaccessories, 194f, 199–200, 200fBeral, 198, 198f, 199Buret, 195–196, 195fcalibration of, 203–204in clinical laboratory, 192to contain, 195to deliver, 194–195fixed volume, 202–203introduction to, 186–188, 186f,188fMohr, 192–194, 194fPasteur, 192, 197–199, 198fpiston-driven air displacement,199quantitative, 192–195, 193f, 194fselection of, 191–192semiquantitative, 197–199serological, 192–194, 194fset volume, 202–203transfer, 192volumetric, 193, 193fwashing of, 187–188, 188fPipetting. See also Pipette(s)accuracy in, 200–204errors in, factors leading to,201–203Piston-driven air displacement pipettes,199Plant fibers, 308fPlasma, 368in RBCs, 419Copyright 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.
INDEX 475in total protein, 369Plastic, glassware vs., cleanliness anduse of, 187–188, 188fPOCT. See Point-of-care testing(POCT)Point-of-care testing (POCT), 15, 48costs related to, medical servicecosts impacted by, 169–170,170f, 170t, 171felements of, 170, 170tregulation of, 170, 170tsites of, 170, 170f, 171fPOLs. See Physicians’ office laboratories(POLs)Population norms, defined, 235tPostanalytical error, 259defined, 235tPostexposure considerations, inbloodborne- and airbornepathogen–related infectionprevention, 151–152Postexposure prophylaxis (PEP), 127Postzone reaction, 403Potential exposureassessment of, 128–129, 129fdescribed, 126–127Power cords, hazards related to,92–93, 93fPPD (TB skin test), 140, 141ffirst-time positive reaction to,144–145PPE. See Personal protective equipment(PPE)PPMP, 22tPPO (preferred provider option), 72,158, 160Preanalytical error, 258, 366defined, 235tPrecisionaccuracy vs., 246, 246fcomparison, 248–250, 249tdefined, 236Predictability values, calculation of,250Predictive value, 249–250Predisposition, genetic, advances in,15Preexposure, infection preventionand, 129Preexposure precautions, inbloodborne- and airbornepathogen–related infectionprevention, 150–151Preexposure records, storage andmaintenance of, 131Preferred provider option (PPO), 72,158, 160Prefix(es), 210t, 211Primary cause, defined, 103Privacy, medical law and, relationshipbetween, 69–71, 69fProbe(s), gene, 390Professional societies, 66Professionalismdefined, 65ethics and, relationship between,65–66formal statements of, 65–66Proficiency programs,defined, 235tProphylaxis, defined, 138Protective laboratory clothing, asbarrier against contamination,122f–125f, 124–126Protein(s)C-reactive, in serum, determinationof, 407–410. See alsoC-reactive protein, in serum,determination oftotal, determination of, 368–372,369f, 370f. See also Totalprotein, determination ofin urine, measurement of,313–319confirmatory semiquantitativetest for, 313–316, 314f. Seealso Urinalysis, proceduresfor, confirmatory semiquantitativetest for total proteinin urineProthrombin, 329Prothrombin time (PT), 81manual, determination of,360–362, 361fequipment and supplies, 360principles, 360procedure, 360–361, 361freporting of results, 361–362Protozoan cells, 305fProzone reaction, 403PSB. See Psychological ServicesBureau (PSB)Psychological Services Bureau (PSB),13PT. See Prothrombin time (PT)Puncture(s), capillary, defined, 266Pure water, preparation of, methodologyfor, 217–218QQA. See Quality assurance (QA)QC. See Quality control (QC)QNS. See Quantity not sufficient(QNS)Quality assurance (QA), 231–263accuracy in, 250–253, 251fCLIA on, 232clinical vs. statistical significancein, 260clinically consistent, 260CUSUM, 241–242described, 232efficiency in, 261erroneous samples and, 256–258errors related to, 258–259introduction to, 232–233in medical laboratory, 232normal reference ranges in,253–256patient testing in, acceptability of,243–244personnel qualifications for,232–233in phlebotomy, 267–268, 269fPOLs on, 232proficiency testing in, 232–233programs for, 233–236, 235t–236t. See also Quality assurance(QA) programsQC results, analysis of, 247–248quality improvement in, 233random error in, 237reproducibility in, 250–253, 251fresults related tocomputer processes and, 261–262administrative functions andrelated personnel tasks, 262central computer memory, 261software for mechanical functionsand calculation ofresults, 262specimen management, 262interpretation of, 259–260Copyright 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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Essentials ofCLINICALLABORATORYSCIE
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ContentsPREFACE xxiiiWhy This Book
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CONTENTSviiRequirements for Credent
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CONTENTSixPhysical Hazards 92Fires
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CONTENTSxiTypes of Workplaces Cover
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CONTENTSxiiiIntroduction 186Standar
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CONTENTSxvClearance Tests 227Summar
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CONTENTSxviiSteps for Proper Collec
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CONTENTSxixHematology and Coagulati
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CONTENTSxxiSummary 430Review Questi
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PrefaceEssentials of Clinical Labor
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PREFACExxvOrganization of the Textb
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PREFACExxviiLaboratory MathematicsM
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About the AuthorJohn W. Ridley rece
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History and Developmentof Medical L
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CHAPTER 1: HISTORY AND DEVELOPMENT
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Hospital andLaboratory Organization
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CHAPTER 5: LABORATORY SAFETY 91of a
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Laboratory MathematicsCHAPTER 9LEAR
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Clinical ChemistryCHAPTER 14LEARNIN
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Immunohematology(Blood Banking)CHAP
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