CLS 113 Final Review Outline

Dry Heat time

1 to 2 hours

Cleaning spills use

10% solution of household bleach

Elevate a strain or sprain for

2 to 3 days

Surgical scrub hand washing

2 to 6 minutes

Viral conjunctivitis incubation

24 hours to days

Autoclave temp

250 F and 270 F

Shelf Life

30 days

Ice the area of a strain or sprain for

48 to 72 hours

Influenza treatment

Bed rest, increased fluid intake, antipyretics

CLIA is administered by

CMS

Bodies that provides regulatory inspections

COLA, CMS, OSHA

Peas or Beans

DO NOT use water to irrigate

Chemicals used:

Dihydrogen monoxide

Universal Precautions - Blood-borne pathogens/CDC:

Hep B, Hep C, HIV & Treat All body fluids like they are contaminated

Billed

Medicare and Medicaid

Dilating, probing, and visualizing instruments

Olsen Hegar, Needle holder

Clamping and grasping instruments

Olsen Hegar, backhaus, adson forceps

Herpes Simplex virus symptoms:

Painful blisters on lips

Whooping cough known as:

Pertussis

Not the most common position for surgery

Trendelenburg

The CDC recommends the following steps to be taken immediately following an exposure to blood:

Wash needle-sticks and cuts w/ soap & water, flush splashes to the nose, mouth or skin w/ water, irrigate eyes w/ clean water, saline or sterile irrigation

Most common anesthetic used

Xylocaine and Novocaine

Waived

a certificate of waiver that allows only those test to be performed in a POL

CMS regulates

all lab testing performed on humans, bio testing, urine testing and blood testing

HCS requires

all labels to have pictograms on them. Alerting all users of chemical hazards their being exposed to.

Biological chemical materials:

all universal precautions are followed and contaminated material are properly disposed of by wearing gloves, face shield,protective eye wear, apron, gowns, hair and shoe coverings

Severely bleeding wound

apply pressure bandage & get medical attention

Biohazard waste receptacles

are lined w/ red plastic bag

Three laboratory Classifications (CLIA 88)

are waived, moderately complex, highly complex & PPMP

Sterilization Techniques

autoclave, dry heat

Sterilization methods

autoclave, gas, dry heat

Screening patients over the phone

brief history, cause of injury, time of injury, victims condition

Chemical burns

by contact, ingestion, inhalation or injection of acid or alkalines

Suture or staples not removed

can cause an infection

Before you remove the sutures or staples

check the chart report for tetanus booster, check the recommendation that the provider gave and always ask the provider to check and inspect the wound

Animal and Human wound care

clean with antiseptic soap, bandage, mobilize and get to ED

Progress note documentation

condition of the site, type of antiseptic applied; type of bandage applied

Hemophilia history

document in the chart, notify provider immediately

Wound on the trunk instructions

don't take a bath or shower w/o providers approval

Hazard Communication Standard

employers must develop; implement and maintain at the workplace written comprehensive programs that include provision for container labeling, collection, availability of SDS, and an employee training program

The laboratory provides

formalin solution containers preserve tissue specimen for biopsy

Where do patient's go to get sutures removed

general practioners

Proper PPE when handling specimens

gloves, face shields and respirators for airborne pathogens

Low-level disinfectant

household bleach

Following suture or staple removal, patients should be advised to

keep wound clean and dry for 24 hours

Clean lens with

lens tissue paper

Procedure steps for eyewash

locate the eyewash covers and make sure it is functioning

Well-managed and efficient POL include

maintain all safety data sheet in notebook that is accessible to all employees, recording all lab work in a log, keeping long hair tight back, securely

Aseptic technique

maintaining sterilization during surgery procedures

First Aid

mobilize & get to ER

What items would you not touch with contaminated gloves

nothing

When using oil-immersion you should use

oil sparingly

Standard instruction for moist heat

on 20 off 10

Monocular

one eye piece

Cutting and dissecting instruments

operating scissors

Fungi is

parasite plant that depends on other life forms for nutritional source

Burns are classified by three methods

percent of body surface, rule of nine, lund & browder chart

Routine Hand washing

perform vigorously for at least 15 seconds

Sterilization

process of destroying all micro-organism

Local anesthesia administered by

provider or anesthesiologist

Method for removing foreign body under the eyelid

pull upper lid down over lower lid

Patients should report to the provider any of the following

redness, swelling, and sensation of pain or fever

Engineering Control:

remove blood-borne pathogens from workplace

Emergency room report

review ED notes to see if PT was given a Tetanus, also how many sutures were put in

MRSA symptoms

skin infections that may look like pimples or boils and can be red, swollen, painful and full of pus

Staple extractor is known as

staple remover

Splinter can be removed with

sterile needle or thumb forceps

Autoclave use

sterilization

Scarlet fever symptoms

strawberry tongue

Human bite immunization

tetanus (if they haven't had one in 5 years)

Instrument care and handling

the detergent in the soaking solution should be of a neutral pH, which will help prevent corrosion of the surface of the instrument. Separate sharp instruments from others when cleaning and storing. Damaged instruments should not be used and should be either repaired or replaced.

The acute stage

the disease that reaches it's highest point of development in which stage of infectious disease process

Reservoir

the place where conditions are ripe for replication

Spores

they are not always killed by disinfectant

Animal Bites are dangerous because

they are possible for infection & transmission of rabies

Quality Control Program

they monitor instruments used in testing personal techniques and performing test and reagents used in testing

Infected wound specimen

tip of the swab gets inserted into the middle (center) of the wound

Quality Assurance Program

to ensure the quality and effectiveness of healthcare; to ensure of procedures and ensure validity of testing

SDS in health care

to provide information about working with and handling a particular chemical substance

Chicken pox treatment

topical antipruritics

Cough can travel

up to 3 feet

Disinfectant cleanser

used after every use

Surgical instruments

used in the medical office are very costly; function can often be determined by visual inspection and must be properly labeled and sterilized.

Antiseptic

used to prep a patient's skin before surgery

Cryosurgery

uses liquid nitrogen to destroy tissue

Infectious Agent Classifications:

viruses, parasites, rickettsiae

Soak Instruments

warm detergent solution for about 20 minutes after each use.

Microscope cord should be

wrapped loosely

High power field

x 40

Vasovagal Syncope

your body overacts to certain triggers, such as the sight of blood or extreme emotional distress