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Identity Information and Courses from MediaLab, Inc.

These are the MediaLab courses that cover Identity and links to relevant pages within the course.

Learn more about laboratory continuing education for medical technologists to earn CE credit for AMT, ASCP, NCA, and state license renewal and recertification. Or get information about laboratory safety and compliance courses that deliver cost-effective OSHA safety training and continuing education to your laboratory's employees.

Laboratories Individuals

Antibody Detection and Identification
What is an advanced technique that can help to determine the identity of other clinically significant antibodies that are present if a patient has a warm autoantibody?View Page
Example 4- Multiple Antibodies

In this example the patient's plasma tests positive with both screening cells at a strength of 4+. In the panel below, reaction patterns show varying strengths, 2+ to 4+ (highlighted in green).4+ could indicate one strong antibody or a combination of several antibodies that increases the strength of the reaction.3+ could indicate one strong antibody.2+ could indicate one the reaction between one weak antibody and the corresponding antigen that is present on with the other target antigen not present on that testing cell. If the panel cell is in the heterozygous state, the reaction of the antibodies present may be weaker if they commonly exhibit dosage. Since Cw, Kpa, Jsa, Lua are not present on the testing cells they are probably not causing these reactions. Perform rule outs using panel cells 5 and 7 (sample had no reaction in any phase with these panel cells) Cells that have at least 1 out of the 3 rule outs needed: C, c, e, K,k, Kpb, Jsb, Fya, Jkb, Lea, M, N, s, P1, Lub Antibodies that could not be ruled out with this panel: D,E, K, Fyb, Jka, Leb, S Predominant pattern of 4+ in panel cells 1,2,3,4,10 matches D Varying strengths in reactions indicates a possible second antibody so selected cells should be picked to aid in identification Find a panel cell negative for D (antibody you suspect) and homozygous positive for the antibody you are trying to rule out. For example: D E e K k Fya Fyb Jka Jkb Lea Leb S s Donor cell 1 0 0 + 0 + 0 + + + 0 + 0 + Donor cell 1 could be used as a rule out test for e, k, Fyb and Leb. Reactions should be negative if these antibodies are not present.You should have a total of 3 negative reactions with panel or screen cells to rule out potential antibodies. If reactions with this panel cell are negative, then e and k can be ruled out with a total of 3 to rule out reactions. Selected cells should be picked for each antibody that needs to be ruled out in order to determine the identity of the other antibody

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CLIA General Laboratory Review
Identify the reaction seen in IllustrationView Page
Identify the reaction seen in Illustration:View Page
Identify the reaction seen in IllustrationView Page

Department of Transportation (DOT) & Federally Regulated Urine Specimen Collection Training
Positive identification must be obtained before collection

Remember!If the donor cannot produce positive identification, the collector must contact the employer or a designated employer representative (DER) to verify the identity of the donor. The collection must not proceed until positive identification is obtained.

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Fundamentals of Molecular Diagnostics
Hybridization

Hybridization is the pairing or annealing of two strands of DNA. Hybridization is therefore based on the formation of double stranded hybrids from single stranded nucleic acids. These double stranded hybrids form under precise conditions and are detected using probes. A probe is a set of nucleic acids of known identity which seeks out the target of interest. Depending on the detection technique, probes and/or targets can either be labeled or unlabeled and the reaction can take place with one attached to a matrix or in solution, thus dividing the techniques into two broad categories: Solid phase Solution phase

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HIPAA Privacy and Security Regulations
Case Study: Accessing PHI: You are answering the office phone today. A person claiming to be a patient, whose voice you do not recognize, calls demanding all his test results for the past 6 months. He threatens to complain to the government if you won't immediately read him the results over the phone. Under the HIPAA Privacy Regulations, you must immediately give the patient the requested information over the phone, regardless of your office policy as it pertains to release of patient results.View Page

Introduction to Bioterrorism
Electronic Security

Cyberterrorism is the use of the internet for criminal purposes such as identity theft and destruction of systems. You can help your facility protect its computer system by: Never installing unlicensed or pirated software Never giving out your Username and password Avoiding improper websites and downloads

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Medical Error Prevention
Joint Commission Patient Safety Goals Joint Commission adopted national patient safety goals for healthcare organizations, including specific goals for laboratories. 2009 Laboratory Services National Patient Safety Goals These goals are directly quoted.View Page

Medicare Compliance for Clinical Laboratories
Confidentiality

All employees have a responsibility to maintain the confidentiality of medical information. Medical information should never be discussed outside of the laboratory. It should only be discussed with the ordering doctor or an authorized representative of the doctor. Employees should verify the identity of the individual requesting such information Employees who communicate with patients, physicians or their office staff, insurance company representatives or government employees about any laboratory activity should only give information they know to be true and accurate. Employees should never give false information and should never guess the answer to any question. In case of doubt, refer the person to a supervisor.

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Medicare Compliance for Clinical Laboratories (updated 2009)
Confidentiality

All employees have a responsibility to maintain the confidentiality of medical information. Medical information should never be discussed outside of the laboratory. Do not leave test orders or test results in areas where they can be viewed by patients. Do not discuss test results or any patient information in areas where patients can overhear the conversation. Be careful not to discuss confidential information on the telephone where patients can overhear the conversation. Employees should verify the identity of an individual requesting patient information.

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Parasitology Review
A 4 year old female from South Carolina was rushed to the emergency room who was suffering from malaise, bloody diarrhea and abdominal pain. Examination revealed rectal prolapse. Stool was submitted for parasitic examination and this suspicious form was seen. It measures 45 µm by 20 µm. Which of the following is the correct identity of this suspicious form?View Page

Phlebotomy
Patient Identification

Make sure the name, medical record number, and date of birth on your order/requisition match those on the patient’s armband.Verify the patient’s identity by politely asking them to state their full name.

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Routine Venipuncture
Proper Patient Identification

In order to prevent errors that affect specimen quality, the phlebotomist must pay close attention to detail during the entire venipuncture process. All steps of the phlebotomy procedure must be included for every venipuncture. This will help to maintain specimen integrity during the collection, transport, and handling of blood specimensProperly identify the patient every timeThe phlebotomist is responsible for correctly identifying the patient using two unique patient identifiers that include the patient's complete first and last name, medical record or hospital number, and/or date of birth. The patient location or room number, bed tag and chart are not reliable forms of identification and should not be used for patient identification. Every patient must verbalize his/her name to the phlebotomist, if able to do so. It is unacceptable for the phlebotomist to ask the patient to confirm his/her name that was verbalized by the phlebotomist. For example, the phlebotomist should say, "Would you please tell me (or spell) your name and birthdate. " The phlebotomist should NOT say, "Are you Sally Brown, and is your birthdate June 1, 1925?" If this is a hospital inpatient, check the information on the patient's wristband and confirm that the name and hospital number or medical record number matches the patient information on the test order. Never rely on identification attached to a bed, chart or door. NEVER draw a patient whose identity is not established or is in conflict. If there is a discrepancy, the phlebotomist must STOP and seek assistance to have the discrepancy resolved before proceeding with the venipuncture. If this is an outpatient that does not have a wristband, ask the patient (or guardian/caregiver) to state the patient's date of birth. A picture ID, such as a driver's license, can also be used for positive patient identification.

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Semen Analysis
In summary the procedure will involve the following:

The following aspects of semen analysis will be described in further detail during this course: Check the identity of the patient Record information that has been obtained from the patient including: time of collection, collection method, problems during collection, medications the patient is taking Note time to liquefaction Measure the volume by pouring into a graduated test tube or by drawing the specimen into an appropriately sized graduated serological pipet Assess viscosity Note color Measure pH by putting a drop on a strip of pH paper Count the sperm in the specimen Assess motility Count round cells, if present Assess the proportion of round cells that are white cells Fix and prepare specimen for morphology assessment; assess morphology

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Identity of patient

When doing a semen analysis it is important to be certain that the patient has been correctly identified prior to collection. At some locations the patient is asked to show a picture ID at the time of collection or when accepting a specimen produced at home. In situations where rape is suspected or paternity is in question, law enforcement officials should be consulted. It may be necessary for law enforcement officials to be present to identify the patient and to ensure that chain of custody has been correctly established.

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