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Hematology Internship Section 1
Part C: Laboratory Operations (Quality Assurance, QC, and Safety)
51
Biology
Undergraduate 4
09/25/2015

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Cards

Term
The MOST Important procedure for prevention of transmission of disease in hospitals is:
Definition
Hand Washing
Term
Which of the following is NOT an accepted protocol after the exposure of blood or body fluids:
A. Report to employee health service or ER
B. Unless symptoms develop, do not worry about it
C. Flush mucous membranes with water
D. Flush wound with soap and water
Definition
B. Unless symptoms develop, do not worry about it
Term
Why is maintenance performed on all lab equipment?
A. Gvt agencies requirement
B. State regulatory agencies requirement
C. Ensure accurate and precise results
D. Keep up warranty
E. All of the above
Definition
E. All of the above
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

New patient with 35 suspected blasts. Other counts normal
Definition
D. Get Pathologist or Supervisor Review
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Pancytopenia on a chemotherapy inpatient
Definition
B. Report Results Normally
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Marked Schistocytes on a patient in intensive care
Definition
A. Call result to nursing station or doctor
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

MCH and MCHC of 41 pg and 44% respectively
Definition
C. Repeat/Further Testing
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Confirmed platelet of 2,000 / microliter on an ER patient
Definition
A. Call result to nursing station or doctor
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Hemoglobin of 6.1 g/dL on an obstetrical patient (indices okay)
Definition
A. Call result to nursing station or doctor
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Cells that look like Pelger-Huet cells on a new admission
Definition
D. Get Pathologist or Supervisor Review
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

PTT of 90 seconds on an outpatient with lipemic plasma
Definition
C. Repeat/Further Testing
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

PT of 19 seconds on a Coumadin patient
Definition
B. Report Results Normally
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

PT of 50 seconds on a Coumadin patient
Definition
A. Call result to nursing station or doctor
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Confirmed malaria organisms on ER patient
Definition
A. Call result to nursing station or doctor
Term
Match the following situations with the best course of action to take:
A. Call result to nursing station or doctor
B. Report results routinely
C. Repeat/Further Testing
D. Get pathologist or Supervisor Review

Hematocrit of 31% on a post surgical patient
Definition
B. Report Results Normally
Term
The normal control is greater than +2SD from the mean for WBC and the abnormal control is acceptable.

Is this an example of random or systemic error?
Definition
Random
Term
The normal control is greater than +2SD from the mean for WBC and the abnormal control is acceptable.

What should be done to correct the problem?
Definition
Repeat control once;
If In, Continue with Run;
If Out, Dilute a new control
Term
Both coagulation controls have shifted up 1.5 SD above the mean.

Is this an example of random or systemic error?
Definition
Systemic
Term
Both coagulation controls have shifted up 1.5 SD above the mean.

What should be done to correct the problem?
Definition
Check reagents for lot number, expiration date;
Check Instrument
Term
The RBC count, Hct, and Plt counts are low on both controls.
White counts and Hgb are Okay.

What is the most likely explanation?
Definition
RBC aperture has debris
Term
The WBC Count and Hgb are above the upper testing range for both controls.
Other values are Okay.

What is the most likely explanation?
Definition
Tubing popped off lyse
Term
What does the following DOT Hazard Classification signage/label stand for?
[image]
Definition
Infectious Biohazard
Term
What does the following DOT Hazard Classification signage/label stand for?
[image]
Definition
Radiation
Term
What does the following DOT Hazard Classification signage/label stand for?
[image]
Definition
Poison
Term
When working with hazardous materials, the technologist should look in the Material Safety Data Sheet (MSDS) to find all of the following EXCEPT:
A. Identification of substance
B. How to make the substance
C. Emergency Protocols
D. Physical Data
Definition
B. How to make the substance
Term
What is the CORRECT procedure for handling sharps?
Definition
Do NOT Recap Needles, place them immediately in the Sharps Container
Term
Which of the following is NOT a part of quality control?
A. Making sure reagents are NOT outdated
B. Calibrating manual pipettes
C. Wearing proper protective wear
D. Running a high control and low control
Definition
C. Wearing proper protective wear
Term
A technologist ran a total of 10 tests on the cell counter before noticing that the controls had not been run for the day. When controls were finally run, they were out of range. What should the technologist do?
Definition
Take corrective action; rerun controls and all 10 patient's samples/results
Term
All of the following are part of the pre-analytical QA testing EXCEPT:
A. Patient Idenification
B. Sample Handling
C. Sample transport and storage
D. Interpretation of results
Definition
D. Interpretation of results
Term
With Whom should standard precautions be used with?
Definition
The care of ALL Patients
Term
Four patients in a row had a PT of over 35 seconds.

What is likely the explanation for this occurrence?
Definition
These results are probably not correct.
Check the Instrument
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Shift
Definition
A
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Normal Distribution
Definition
C
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Trend
Definition
B
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Ideal QC Chart
Definition
C
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Violates 10x Westgard Rule
Definition
A/B
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Violates 2-2s Westgard Rule
Definition
A
Term
Use the following charts to answer the following QC terms:
A[image]
B[image]
C[image]

Violates 1-3s Westgard Rule
Definition
B
Term
Which test parameter in hematology is actually the coefficient of variation?
Definition
RDW is the CV of MCV
Term
What is the calculation for CV?
Definition
CV = (SD/Mean) x 100
Term
What are paired T test used for in the lab?
Definition
Determines how great the difference between 2 means must be in order to be judge significant.
Term
What is an example for when a paired T test may be used in the lab?
Definition
Comparing of a new method which gives the same mean as a reference method
Term
Which of the following is considered an EARLY Step in QA:
A. Identify a problem prone high impact problem
B. Correcting a problem
C. Monitoring compliance with solution
D. Determine is solution was effective
Definition
A. Identify a problem prone high impact problem
Term
Define the term specific as related to hematology testing.
Definition
Results patients to specific condition
Term
Define the term sensitive as related to hematology testing.
Definition
Detect all who have disorder
Term
Give an example of a test which is Specific, but NOT Sensitive
Definition
LE Prep
All people who have + LE Prep have SLE, but NOT all people with SLE have a + LE Prep
Term
Give an example of a test which is Sensitive, but NOT Specific
Definition
ANA
All people with SLE have + ANA, but NOT all people with + ANA have SLE
Term
What is a delta variance?
Definition
Comparing a patient result with his/her previous results
Term
What is a good example of delta variance's use in the lab?
Definition
If a patients Hct went from 20% to 26% in 1 day, you would want to make sure it was the same patient and find out if the patient had recently been transfused.
Term
The moving average QC method for hematology involves what parameters?
Definition
RBC Indices
Term
One control value exceeding +/= 2 SD will on average occur how often even with a normal distribution?
Definition
Once Every 20 Days
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