A report of laboratory results is required to have which of the following information?
Date of specimen collection
Phlebotomist's initials
Patient diagnosis
Values of previous tests
The Correct Answer is A
Choice A reason:
The date of specimen collection is crucial for a laboratory report as it provides the context for the test results. It helps in assessing the timeliness and relevance of the results, especially when monitoring conditions that can change rapidly over time.
Choice B reason:
While the phlebotomist's initials may be recorded as part of the internal process for tracking specimen collection, they are not typically included in the patient's laboratory report. The focus of the report is on the patient and the test results, rather than on the personnel who collected the sample.
Choice C reason:
Patient diagnosis is not usually included in a laboratory report because the purpose of the report is to provide test results that may inform a diagnosis. The diagnosis is made by the healthcare provider based on the test results, along with other clinical information.
Choice D reason:
Values of previous tests may be referenced in a patient's medical record but are not a required element on a laboratory report. Each report typically presents the results of the current tests only. Comparisons to previous values, if needed, are made by the healthcare provider.
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Correct Answer is C
Explanation
Choice A Reason:
Notifying the provider about the error is an important step, but it does not correct the error in the patient's chart. Communication with the provider ensures that they are aware of the mistake and can make informed decisions regarding patient care. However, the physical correction of the documentation is also necessary to maintain accurate medical records.
Choice B Reason:
Asking an administrator to erase the error is not a recommended practice. Erasing or using correction fluid can make the chart appear tampered with, which can have legal implications. It is essential that the original entry remains visible to preserve the integrity of the medical record.
Choice C Reason:
Striking a line through the error and initialing is the correct method for correcting a written error in a patient's chart¹². This approach allows the original entry to remain legible, which is crucial for legal and clinical reasons. It also shows that the correction was made by an authorized individual, as the initials indicate who made the change.
Choice D Reason:
Erasing the error and entering the correct information is not an acceptable practice for the same reasons as choice B. It is important not to remove or conceal the original entry, as this could be considered falsifying medical records.
Correct Answer is A
Explanation
Choice A Reason:
Proper hand hygiene is one of the most effective measures to prevent the spread of infections within health care settings. By thoroughly cleaning hands, phlebotomists and other health care workers can significantly reduce the transmission of pathogens that can lead to health care-associated infections (HAIs). These infections are a major cause of morbidity and mortality among hospitalized patients and can be prevented by adhering to strict hand hygiene protocols.
Choice B Reason:
While hand hygiene is crucial for preventing contamination and infection, it does not directly increase the accuracy of laboratory results. The accuracy of laboratory results is more dependent on the proper collection, handling, and processing of specimens, as well as the precision of the testing equipment and methodologies used.
Choice C Reason:
Good hand hygiene can help decrease the rejection of laboratory specimens by preventing contamination. Contaminated specimens can lead to inaccurate results and may need to be recollected, which is inconvenient for the patient and can delay diagnosis and treatment. However, the primary outcome of proper hand hygiene is the prevention of HAIs, rather than the reduction of specimen rejection.
Choice D Reason:
Proper hand hygiene leads to a decrease, not an increase, in the potential sources of pathogens. By effectively removing germs from the hands, the risk of transmitting infectious agents is minimized. This is essential in a health care setting where patients may be vulnerable to infections due to weakened immune systems or open wounds.
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