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

by Garrels, Marti; Oatis, Carol S.

• ISBN13: 9781437719062
• ISBN10: 1437719066
• Edition: 2nd
• Format: Paperback
• Copyright: 2010-11-12
• Publisher: Elsevier Science Health Science

Summary

Learn the lab testing skills you need to know! Laboratory Testing for Ambulatory Settings: A Guide for Health Care Professionals, 2nd Edition provides in-depth coverage of the most common procedures and techniques of all the new CLIA waived, point-of-care tests along with some moderately complex tests. Clear, step-by-step instructions and full-color photographs make it easy to master each test and procedure. Written by noted educators Marti Garrels and Carol S. Oatis, this edition adds a new chapter on toxicology and information on five new procedures. A companion Evolve website lets you practice clinical laboratory skills. Complete coverage includes the most common CLIA waived tests for any healthcare professional in the ambulatory setting. A "triad" organization gives chapters a consistent, easy-to-follow format: Fundamental Concepts: basic information related to tests and procedures. CLIA Waived Procedures: step-by-step instructions for CLIA waived tests. Advanced Concepts: further application of basic knowledge and skills towards a higher level of critical thinking and decision making, such as handling non-CLIA waived tests. Procedure boxes provide clear step-by-step instructions along with numerous full-color photos and illustrations. Key terms are defined and reinforced within each chapter. Common abbreviations associated with CLIA waived testing are cited at the beginning of chapters. 7-10 review questions conclude each chapter, to reinforce learning. A companion Evolve website includes various activities and exercises to enhance learning with problem-solving scenarios. A workbook matches the chapters in the textbook, offering activities and exercises to reinforce laboratory concepts, terminology, and procedures. Skills sheets help you work through the competency-based procedures, and meet government standards for good laboratory practice. Sold separately.Over 60 new photographs and drawings clarify topics and show examples of laboratory specimens so you will be able to identify them on the job. New chapter on toxicology. More extensive coverage of working with the microscope prepares you for the lab. Updated, expanded information about quality control and quality assurance provides relevant information so you can accurately and effectively perform in the lab. Updates on proper collection and processing of urine specimens, microbiology specimens, blood capillary and venipuncture specimens, which includes new urine culture using vacutainer system, new drawings for urine and influenza specimen collections, and the latest order of blood draw including the plasma separator tube, ensure that you have the most current information. Five new procedures with corresponding skill check-off sheets help you understand the most up-to-date protocols: Clinitek Analyzer Standard Hematocrit INRatio New A1c+ Ki+ iFOB method for fecal occult blood

Table of Contents

Introduction to the Laboratory and Safety Training

Fundamental Concepts

Overview of the Laboratory

Safety Training in the Laboratory

Regulations, Microscope Set-up, and Quality Control

CLIA: Government Regulations

CLIA Levels of Complexity and Their Certification Requirements

Microscope Procedure

Preparation: Identifying the Parts and Functions of a Microscope

Good Laboratory Practices

Quality Control

HIPAA Privacy Rule

Risk Management

Electronic Medical Records and Bar Coding

Urinalysis

Fundamental Concepts and Collection Procedures

Anatomy of the Urinary System

Urine Specimen Collection

CLIA Waived Tests

Urinalysis

Advanced Concepts

Microscopic Urinalysis

Calculating a Microscopic Urinalysis

Blood Collection

Fundamental Concepts

Function and Structures of Blood Vessels

Federal Law Concerning Safety Equipment

Procedure Preparation

Blood Collection Procedures

Capillary Puncture

Venipuncture

Preparing Blood Specimens for Laboratory Pick Up

Advanced Concepts

Complications

Risk Management

Hematology

Fundamental Concepts

Overview of Hematology and Blood

Preparing a Blood Smear for Observation by Physician or Lab Tech

Theory of Hemostasis

Summary of Fundamental Concepts

CLIA Waived Hematology Tests

Hemoglobin

Hematocrit

Erythrocyte Sedimentation Rate

Prothrombin Time

Becoming Proficient at CLIA Waived Hematology Tests

Advanced Concepts

Complete Blood Count

Abnormal CBC Findings

CLIA Nonwaived (Moderately Complex) Automated Hematology Systems

Chemistry

Fundamental Concepts

Blood Plasma

Blood Chemistry Specimens

Glucose Metabolism and Testing

Lipid Metabolism and Testing

CLIA Waived Chemistry Tests

Principle of Photometers and Spectrophotometers

CLIA Waived Glucose Tests

Fecal Occult Blood Testing with the Guaiac Method

Summary of CLIA Waived Tests

Becoming Proficient at CLIA Waived Chemistry Testing

Advanced Concepts

I-STAT

Picollo

Metabolic Panels: Basic and Comprehensive

Individual Analytes and Their Disease Associations

Summary

Immunology

Fundamental Concepts

Overview of Immunology

Two Types of Allergy Testing

CLIA Waived Immunology Tests

CLIA Waived Enzyme-Linked Immunoassays

Pregnancy Testing

Mononucleosis Testing

Helicobacter pylori Testing

Human Immmunodeficiency Virus

Fecal Occult Blood Testing using iFOB Kits

Advanced Concepts

Agglutination Reactions (Non-CLIA Waived Tests)

Enzyme-Linked Immunosorbent Assay: Quantitative Analysis

Summary of Immunologic Tests

Microbiology

Fundamental Concepts

Overview of Microbiology

Collecting, Transporting, and Processing Microbiology Specimens

Microbiology Smears, Stains, and Wet Mounts

Pin Worm Specimen Collection and Microscopic Results

CLIA Waived Microbiology Tests

Streptococcus Group A Testing

Influenza

Advanced Concepts

Growth Requirements of Bacteria

Media Used for Growing Bacteria

Microbiology Equipment

Culturing Methods

Biochemical Testing

Sensitivity Testing

Pathogenic Organisms Seen Frequently in Physician Office Laboratories

Emerging Infectious Diseases

Bioterrorism

Toxicology NEW!

Fundamental Concepts

Overview of Toxicology

Drugs of Abuse

CLIA Waived Drug Screening Tests

Testing for drugs of abuse

Advanced Concepts

Therapeutic Drug Monitoring

Pharmcokinetics

Drug Half-Life and Specimen Collection

Other Toxicology Tests

Summary

Appendices

Reference Values

Herb/Laboratory Test Interactions

Common Laboratory Tests

Frequent Medical Diagnoses and Laboratory Tests

Glossary

Index

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