Laboratory Testing for Ambulatory Settings : A Guide for Health Care Professionals

by Garrels & Oatis

• ISBN13: 9780721647845
• ISBN10: 0721647847
• Edition: CD
• Format: Paperback
• Copyright: 2005-12-23
• Publisher: Elsevier

Summary

Laboratory Testing for Ambulatory Settings is designed to provide students with a complete understanding of the most common procedures and techniques of all the new CLIA waived, point-of-care tests, and some moderately complex tests as they apply to the ambulatory care setting. Each chapter presents a consistent triad' organization by first focusing on the fundamental concepts, followed by the application of these concepts to the CLIA waived procedures, and then concluding with an application of advanced concepts to stimulate thinking. Procedure boxes are integrated throughout with step-by-step instructions and reinforced with numerous full color photos or illustrations. Throughout the text, there is also a strong emphasis placed on safety and government compliance.

Table of Contents

List of Procedures	xiii
Introduction to the Laboratory	1	(48)
Fundamental Concepts	3	(28)
Overview of the Laboratory	3	(13)
Safety Training in the Laboratory	16	(15)
Microscope Procedure	31	(4)
Preparation: Identifying the Parts and Functions of a Microscope	31	(4)
Advanced Concepts	35	(14)
CLIA: Government Regulations and Quality Assurance in the Laboratory	35	(3)
Good Laboratory Practices	38	(1)
Quality Assurance	39	(2)
Quality Control	41	(2)
HIPAA Privacy Rule	43	(1)
Risk Management	44	(1)
Electronic Medical Records and Bar Coding	45	(4)
Urinalysis	49	(33)
Fundamental Concepts and Collection Procedures	50	(8)
Anatomy of the Urinary System	50	(3)
Urine Specimen Collection	53	(5)
CLIA Waived Tests	58	(10)
Urinalysis	58	(10)
Advanced Concepts	68	(14)
Microscopic Urinalysis	68	(8)
Calculating a Microscopic Urinalysis	76	(6)
Blood Collection	82	(34)
Fundamental Concepts	83	(4)
Function and Structures of Blood Vessels	83	(2)
Federal Law Concerning Safety Equipment	85	(1)
Procedure Preparation	86	(1)
Blood Collection Procedures	87	(24)
Capillary Puncture	87	(3)
Venipuncture	90	(21)
Advanced Concepts	111	(5)
Complications	111	(2)
Risk Management	113	(3)
Hematology	116	(44)
Fundamental Concepts	117	(17)
Overview of Hematology and Blood	117	(5)
Preparing a Blood Smear and Observing Results	122	(7)
Theory of Hemostasis	129	(5)
CLIA Waived Hematology Tests	134	(12)
Hemoglobin	135	(1)
Hematocrit	136	(1)
Erythrocyte Sedimentation Rate	136	(2)
Prothrombin Time	138	(8)
Advanced Concepts	146	(14)
Complete Blood Count	146	(4)
Abnormal CBC Findings	150	(2)
CLIA Nonwaived (Moderately Complex) Automated Hematology Systems	152	(8)
Chemistry	160	(33)
Fundamental Concepts	161	(10)
Blood Plasma	161	(1)
Blood Chemistry Specimens	162	(3)
Glucose Metabolism and Testing	165	(3)
Lipid Metabolism and Testing	168	(3)
CLIA Waived Chemistry Tests	171	(14)
Principle of Photometers and Spectrophotometers	171	(1)
CLIA Waived Glucose Tests	172	(1)
Cholesterol and Lipid Profiles with the Cholestech LDX	172	(1)
Fecal Occult Blood Testing with the Guaiac Method	173	(1)
CLIA Waived Drug Screening Tests	173	(1)
Summary of CLIA Waived Tests	174	(11)
Advanced Concepts	185	(8)
Metabolic Panels: Basic and Comprehensive	185	(3)
Individual Analytes and Their Disease Associations	188	(1)
Summary	188	(5)
Immunology	193	(26)
Fundamental Concepts	194	(7)
Overview of Immunology	194	(5)
Types of Immunologic Testing	199	(2)
CLIA Waived Immunology Tests	201	(8)
Pregnancy Testing	201	(1)
Mononucleosis Testing	201	(1)
Helicobacter pylori Testing	201	(1)
Human Immunodeficiency Virus	202	(7)
Advanced Concepts	209	(10)
Agglutination Reactions (Non--CLIA Waived Tests)	209	(1)
Enzyme-Linked Immunosorbent Assay: Quantitative Analysis	210	(1)
Summary of Immunologic Tests	211	(8)
Microbiology	219	(62)
Fundamental Concepts	220	(14)
Overview of Microbiology	220	(2)
Collecting, Transporting, and Processing Microbiology Specimens	222	(3)
Microbiology Smears, Stains, and Wet Mounts	225	(3)
Pinworm	228	(6)
CLIA Waived Microbiology Tests	234	(5)
Streptococcus Group A Testing	234	(1)
Influenza	234	(5)
Advanced Concepts	239	(16)
Growth Requirements of Bacteria	239	(1)
Media Used for Growing Bacteria	240	(1)
Microbiology Equipment	241	(1)
Culturing Methods	242	(1)
Biochemical Testing	243	(1)
Sensitivity Testing	243	(1)
Pathogenic Organisms Seen Frequently in Physician Office Laboratories	244	(6)
Bioterrorism	250	(2)
Emerging Infectious Diseases	252	(3)
Appendices
1. Reference Values	255	(4)
2. Herb/Laboratory Test Interactions	259	(3)
3. Common Laboratory Tests	262	(8)
4. Frequent Medical Diagnoses and Laboratory Tests	270	(11)
Glossary	281	(6)
Index	287