By James Nichols, Carol Rauch, Michael Laposata
As with different volumes within the Diagnostic criteria of Care sequence, medical Chemistry focuses in particular on realizing capability difficulties and assets of mistakes in administration of the medical chemistry checking out strategies, find out how to expect and stay away from such difficulties, and the way to regulate them in the event that they happen. The discussions are concise, functional, particular, and problem-based so the ebook at once addresses the occasions and matters confronted via the scientific pathologist or different supervisor or employees member of the chemistry staff. dialogue of every challenge is augmented by means of a case dialogue giving a real-world instance of ways the difficulty can ensue and the way it may be successfully handled by means of the chief. The aim is to help the pathologist, supervisor or technologist in supplying the top attainable caliber of care and powerful, well timed session to the scientific employees.
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Extra info for Clinical Chemistry: Diagnostic Standards of Care
Indd 16 12/09/13 6:39 PM Preanalytical Errors 17 Case with Error The laboratory began to notice higher rates of hemolysis from samples collected in the emergency department (ED). Upon investigation, the rate of hemolysis from the ED was 5 times that of other inpatient units. The problem coincided with a change in the flexible catheter that was implemented in the ambulance and ED. This catheter is made from a plastic that is firm at room temperature allowing for easy line insertion, but becomes flexible at body temperature for increased patient comfort.
So, when the lid is removed, the container has no label. Explanation and Consequences A label placed on the lid rather than the container of a urine specimen provides little assurance that the specimen actually belongs to the patient, since lids and specimen containers can easily become separated and intermingled during collection and handling. A urine container should be properly labeled on the specimen container, before handing the container to the patient for collection, since an unlabeled urine specimen could sit in a common bathroom or on a cart next to other unlabeled specimens prior to labeling.
When the ordering physician refuses to accept a critical value, the laboratory has to contact other physicians who may know the patient and can take action (some health systems escalate critical calls to attendings, department chairs, and even the Chief Medical Officer of the institution), or call the patient to request that they come to the ED for evaluation. Some states, like Massachusetts, have adopted critical value policies where the medical board can take action against the licensure of physicians who fail to respond to critical value calls.
Clinical Chemistry: Diagnostic Standards of Care by James Nichols, Carol Rauch, Michael Laposata