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