Subscriber Login   Users   Administrators
Online CE, compliance, and document control for clinical and histology laboratories

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.



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
Multiple Antibodies: Example

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 the presence of just one strong antibody.2+ could indicate a weaker reaction of an antibody that commonly exhibits dosage if the panel cell is in the heterozygous state.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)Antibodies that can probably be ruled out at this point because the corresponding antigens are present on cell 5 and/or 7: C, c, e, k, Kpb, Jsb, Fya, Jkb, Lea, M, N, s, P1, LubAntibodies that could not be ruled out with this panel: D,E, K, Fyb, Jka, Leb, SPredominant pattern of 4+ in panel cells 1,2,4,10 matches anti-D Varying strengths in reactions indicates a possible second antibody so selected cells should be picked to aid in identificationFind panel cells that do not contain D (antibody you suspect) and are homozygous positive for the antibodies you are trying to rule out.

View Page

Body Fluid Differential Tutorial
Candida albicans - Germ Tube Formation

Candida albicans is known to be a germ tube producer. The elongated, but not quite hyphal, structures that are present in this fungal group are consistent with germ tubes (see arrows).While it is possible to speculate about fungal identity from the cytospin preparation, this is truly the microbiology laboratory's role. This cytospin would be reported as "positive" for yeast and after correlating results with the microbiology laboratory, and according to your laboratory's protocols.

View 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.

View Page

Dermal Puncture and Capillary Blood Collection
Patient Identification

Patient safety when performing a capillary blood collection includes positive patient identification prior to performing the procedure. The accepted policy in most healthcare facilities is to use two forms of identification, including a unique number if possible, such as a hospital number or medical record number.Ideally, the patient (or the parent/guardian if the patient is a small child) should be asked to spell his/her name and state his/her date of birth. This may not always be possible, but it will aid in positive patient identification whenever it can be done.The phlebotomist should LOOK at the patient's paperwork while they LISTEN to the patient's response. For inpatients, the patient identification bracelet, which must be attached to the patient's wrist or ankle, should be used to verify patient identity. A hospital number recorded on the bracelet may be used as a second identifier in the case of an inpatient.Paying close attention to these details and correcting any discrepancy discovered will greatly reduce the risk of misidentifying a patient. Always follow the policy of your facility for identification and never shortcut the patient identification procedure.

View Page

Erythrocyte Inclusions
The inclusions that are indicated by the arrows on this Wright-Giemsa stained peripheral blood smear are most likely Pappenheimer bodies.View Page

Fundamentals of Molecular Diagnostics (retired 2/12/2013)
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

View Page

General Laboratory Question Bank - Review Mode (no CE)
Identify the reaction seen in IllustrationView Page
Identify the reaction seen in Illustration:View Page
Identify the reaction seen in IllustrationView Page

HIPAA Privacy and Security Rules
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.True or false: 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

View Page

Medical Error Prevention (retired)
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. 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.

View Page

Medicare Compliance for Clinical Laboratories (retired)
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.

View Page

Parasitology Question Bank - Review Mode (no CE)
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.

View Page

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.

View Page

Semen Analysis
Procedural Steps

The following aspects of semen analysis will be described in further detail during this course:Positive patient identificationSample collection and handling informationTime to liquifactionMacroscopic sample characteristics Sperm motilityViabilitySperm differential

View Page
Specimen Identification

As with any laboratory specimen, it is critical to patient safety that the semen specimen container is labeled with at least two identifiers. The information used to identify the specimen must be unique to the patient so that results are not associated with the wrong patient. Positive identification may include first and last name and unique number, such as a medical record number, hospital number, or the patient's birthdate. Once the patient has been registered in the laboratory's computer system, printed labels that contain identifying information can be used to ensure positive identification of all aliquot containers, microscope slides, and counting chambers used for the semen analysis. Some laboratories require outpatients to show a picture ID when registering for laboratory testing to ensure positive identification.

View Page

Special Topics in Phlebotomy
Cultural Diversity and the Phlebotomist

It is very important for phlebotomists to recognize and respond appropriately to cultural differences they encounter during performance of their job duties. Patient-centered care includes respecting the patient. If necessary, procedures should be adjusted to accommodate cultural customs, keeping in mind that patient safety must be maintained. For example, in some cultures, the male is the spokesperson for the female members of the family. If this is the case, the female patient may not speak directly to a male health care worker. This may pose a challenge to the phlebotomist when positively identifying the patient prior to venipuncture. The male may verbalize answers to all of the phlebotomist's questions but the phlebotomist must adhere to precise identification procedures. The phlebotomist, while respecting the patient's cultural customs, must be sure that accurate patient identity is established.

View Page


MediaLab, Inc.

http://www.MediaLabInc.net    |    (877) 776-8460 (tollfree)    |    sales@medialabinc.net