Presentation is loading. Please wait.

Presentation is loading. Please wait.

Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 71 Booth, Wallace, and Fitzgerald PowerPoint Presentation.

Similar presentations


Presentation on theme: "Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 71 Booth, Wallace, and Fitzgerald PowerPoint Presentation."— Presentation transcript:

1

2 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 71 Booth, Wallace, and Fitzgerald PowerPoint Presentation to Accompany PowerPoint ® Presentation to Accompany

3 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 72

4 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 73 Objectives Describe certification for phlebotomists. Identify the need for phlebotomy continuing education. Define quality assurance (QA) as it pertains to phlebotomy. Define quality control (QC) as it pertains to phlebotomy. Upon completion of this chapter, you should be able to:

5 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 74 Objectives Contd List at least three factors that affect laboratory values. Identify reasons for specimen rejection. Define risk management. Describe risk management issues of liability and safety as they relate to phlebotomy.

6 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 75 Certification and Accreditation Certification and Continuing Education Certification Process that ensures successful completion of academic and training requirements Purpose of certification is to protect the public by setting standards for individuals working at various levels of responsibility Accreditation Process that evaluates the quality of the training programs The National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) ensures that the competencies taught are adequate to provide accurate laboratory results

7 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 76 Agencies Responsible for Phlebotomy Certification American Certification Agency (ACA) American Society of Clinical Pathologists (ASCP) National Certification Agency for Medical Laboratory Personnel (NCA) American Society of Phlebotomy Technicians (ASPT) National Healthcareer Association (NHA) National Center for Competency Testing (NCCT) American Medical Technologists (AMT) Certification Examination

8 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 77 Phlebotomy Continuing Education Required in order to maintain certification A lifelong process necessary to stay current in your field! Methods of obtaining continuing education: Internet Seminars WorkshopsDevelopment Programs

9 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 78 Apply Your Knowledge Which process evaluates the quality of phlebotomy training programs? ANSWER: Accreditation BRAVO!

10 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 79 Total Quality Management An institution-wide concept that involves all members of the health care team in creating quality processes to improve customer satisfaction is total quality management (TQM). This satisfaction is achieved as a result of both the health care encounter and the accuracy of the results. Health care team members must do more than just the bare minimum in order to achieve customer satisfaction. Some health facilities ask patients to complete surveys or other rating systems to ascertain their level of satisfaction with the care they received.

11 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 710 Total Quality Management Part 2 Patients requiring phlebotomy services rate the care they receive not just on lab results but also on the following: How long they had to wait for the procedure Presence or absence of bruising to the site Number of needlesticks or attempts required Their perception of the phlebotomist (e.g., dress, communication skills)

12 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 711 Quality Assurance in Phlebotomy System for evaluating performance, as in the delivery of services to consumers Set forth to guarantee quality patient care Uses specific indicators to track outcomes of patient care Performance improvement addresses the performance of all workers, not just clinical personnel Quality performance starts with the physicians order and continues until the laboratory results are given

13 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 712 Clinical Indicators and Outcome Evaluation Indicators are designed to assess areas of care that tend to cause negative outcomes. Help to ensure that the test results are as accurate and reliable as possible Average Poor Indicator

14 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 713 Clinical Indcts. and Outcome Eval. Part 2 Indicators measure the following: Quality Accuracy Timeliness Customer satisfaction Evaluation is to show not only outcome, but also process, so that events can be retraced to improve quality An unwanted outcome or negative outcome is called a variance.

15 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 714 Apply Your Knowledge The core of total quality management is: A. Increased team member participation B. Increased customer satisfaction C. Decreased liability claims Answer: B. The core of TQM is customer satisfaction. Good Job!

16 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 715 Phlebotomy Quality Control Quality control is the process in which each procedural step is evaluated to guarantee quality patient outcomes. In order to evaluate a process adequately, parameters or limits must be established. Laboratory tests require preparation of both the equipment and the patient in order to ensure quality outcomes. Laboratory user manuals describe procedures and special preparations that must be followed.

17 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 716 Phlebotomy Quality Control Part 2 Quality Control Activities Checking supplies to be sure they are not outdated Checking for damaged equipment and/or supplies Calibrating equipment Performing function checks Validating results Documention of testing Prior to using any equipment, it is important to ensure that it is functioning properly.

18 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 717 Equipment used for point-of-care testing must undergo system checks. The system may have both a high and a low control If the system check yields a value outside the established parameter, it may warrant: -Repair -Calibration -Replacement of the equipment

19 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 718 Phlebotomy Quality Control Part 4 Equipment must be accurate and capable of duplicating results. If a blood specimen were to be drawn on a patient at 0700, and again at 0705, we would expect the results to be similar. Results that do not match previous results, expected results, or the patients clinical symptoms require repeating the test.

20 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 719 The results of tests for potassium and other blood samples can be affected by: Prolonged tourniquet placement The dietary state of the patient Incorrect volume of blood drawn into the tube The order of draw Any special instructions regarding a sample

21 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 720 Specimen Rejection Reasons for Rejecting a Specimen Specimen lacks proper identification Hemolyzed blood samples Incorrect tube for the specimen Improper handling of the specimen Contamination of the specimen Clotted specimens in an anticoagulated tube Inadequate sample to perform the test Incorrect time for specimen collection Outdated equipment No date or time on the specimen Label does not match the requisition

22 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 721 Apply Your Knowledge Part 3 You have just collected a blood glucose specimen and the result is much higher than all other previous readings. Which of the following actions would be best? A. Repeat the test B. Contact the physician immediately C. Record the results immediately Answer: A. When results do not mirror earlier results and do not agree with the patients symptoms, always repeat the test. Great!

23 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 722 Risk Management and Reg. Agencies Risk Management departments generate policies and procedures to protect from loss or injury. These departments are designed to protect the institution from litigation and liability.

24 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 723 Risk Mangmt. and Reg. Agencies Part 2 Patient Issues Related to Phlebotomy Venipuncture procedures, if improperly performed, can cause temporary or permanent injury to the extremity. Most injuries resulting from phlebotomy procedures are considered to be either malpractice or negligence. The burden of proof always resides with the patient.

25 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 724 Comn. Causes Of Liability for Phlebotomists Common Causes of Liability for Phlebotomists Misidentification of the patient Breach of confidentiality Improperly labeled specimens Performing venipuncture without consent Injury to nerves or blood vessels Poor sterile technique resulting in patient infection Permanent scarring or disfigurement Acting outside the scope of practice Starting an IV or performing ABGs Mishandling a specimen

26 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 725 Preventing Liability Suits Be aware of standards of care Do not perform procedures you are not fully trained to do Avoid destructive and unethical criticism of other team members Communicate with tact and professionalism when dealing with patients Always document results and variances immediately Do not give false reassurance to patients

27 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 726 Risk Mangmt. and Reg. Agencies Part 3 Health Care Personnel Issues Exposure to bloodborne pathogens is a serious risk to health care employees Phlebotomists must adhere to CDC and OSHA guidelines OSHA Mandated that all health care facilities maintain exposure action plans All employees at greatest risk are to be given the hepatitis B vaccination free of charge

28 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 727 Risk Mangmt. and Reg. Agencies Part 4 OSHA Hazardous Communication Standard Also called OSHA HazCom Governs the identification of potentially harmful chemicals in the workplace All essential information must be labeled for all chemicals. The information is kept on material safety data sheets (MSDS).

29 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 728 Risk Mangmt. and Reg. Agencies Part 5 MSDS books are available for all health care personnel. MSDS Sheets: Provide emergency information about the chemical product for immediate treatment in the event contact with it occurs Indicate specific data about each substance, such as: -Whether it is flammable -What other agents react with it - How to dispose of it

30 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 729 Apply Your Knowledge Part 4 The physician has requested that Bob draw ABGs. Bob indicated that he was not trained fully to do ABGs, but the physician insisted that someone perform it STAT, so Bob does it. The patient sustains temporary paralysis of her arm. Who is liable in this situation? A.The physician B.The patient C.The phlebotomist Answer: C. The phlebotomist should NEVER perform any skill he or she is not fully trained to perform. Great!

31 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 730 CHAPTER SUMMARY Certification ensures successful completion of an examination by a certifying body and sets standards for practice. Phlebotomy continuing education is necessary to ensure that knowledge and skills are up to date. Quality assurance (QA) is a system that guarantees quality patient care by evaluating processes.

32 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 731 CHAPTER SUMMARY Quality Control (QC) ensures accuracy by setting standards for procedures, equipment, validating results, and accurate documentation. Factors that affect lab values include extended tourniquet use, dietary intake, volume of blood, order of draw, and handling of the specimen. Specimen rejection can occur for many reasons, including improper ID, hemolysis, incorrect tube handling, and improper labeling

33 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 732 CHAPTER SUMMARY Risk management identifies policies and procedures to protect patients, employees, and the employer from loss or injury Phlebotomist should work within their scope of practice. Phlebotomists must follow standard precautions and utilize MSDS information when necessary

34 Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 733 END OF CHAPTER 7 Success means having the courage, the determination, and the will to become the person you believe you were meant to be. -- George Sheehan


Download ppt "Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display Chapter 71 Booth, Wallace, and Fitzgerald PowerPoint Presentation."

Similar presentations


Ads by Google