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Clinical Laboratory Antonio Rivas PA-C 2009
Clinical or Medical Laboratory ,[object Object],[object Object],[object Object],[object Object]
Clinical Laboratories ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Regulations of Clinical Laboratory ,[object Object],[object Object],[object Object]
Objectives of CLIA’88 ,[object Object],[object Object]
CMS ,[object Object]
Laboratory Personnel ,[object Object],[object Object]
Laboratory personnel ,[object Object],[object Object],[object Object],[object Object],[object Object]
Departments of the Clinical Laboratory ,[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical Chemistry ,[object Object],[object Object],[object Object],[object Object]
Hematology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Microbiology  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Blood Bank ,[object Object],[object Object],[object Object],[object Object],[object Object]
Support Services ,[object Object],[object Object]
POCT ,[object Object],[object Object],[object Object],[object Object]
Quality Assessment System ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
safety ,[object Object],[object Object]
PPE ,[object Object],[object Object],[object Object],[object Object]
Biohazards ,[object Object],[object Object],[object Object],[object Object]
Evolution on Biological safety ,[object Object],[object Object],[object Object],[object Object]
Evolution on Biological safety ,[object Object],[object Object],[object Object],[object Object]
Evolution on Biological safety ,[object Object]
Standard Precautions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Standard Precautions,cont. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Standard Precautions,cont. ,[object Object],[object Object],[object Object],[object Object],[object Object]
General laboratory equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
General laboratory equipment ,[object Object],[object Object],[object Object],[object Object],[object Object]
General laboratory equipment ,[object Object],[object Object],[object Object],[object Object]
General laboratory equipment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Microscope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Light microscope images A-stained cell seen with bright field microscope B-phase contrast image C-epi-fluorescence microscopy,Borrelia burgdorferi
Parts of the Microscope
Parts of the Microscope ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Microscope safety ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Transporting the Microscope
Using the Microscope ,[object Object],[object Object],[object Object],[object Object]
Using the Microscope ,[object Object],[object Object],[object Object]
Using oil immersion lenses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
After using the Microscope  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Calculate Magnification ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Blood collection ,[object Object],[object Object]
Capillary Puncture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Capillary Puncture Sites ,[object Object],[object Object],[object Object]
Capillary Puncture Sites
Lancets ,[object Object],[object Object],[object Object]
Collection Containers
Procedure
Routine Venipuncture ,[object Object],[object Object],[object Object],[object Object],[object Object]
Venipuncture Supplies ,[object Object],[object Object],[object Object],[object Object],[object Object]
Venipuncture Supplies
Venipuncture Supplies ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Safety Precautions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Select Equipment
Patient Preparation ,[object Object],[object Object],[object Object],[object Object]
Patient Preparation
Apply Tourniquet ,[object Object],[object Object]
Identify Suitable Vein ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perform Venipuncture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Perform Venipuncture
Adverse situations ,[object Object],[object Object],[object Object]
Complete Procedure ,[object Object],[object Object],[object Object],[object Object]
Patient care  ,[object Object],[object Object],[object Object],[object Object]
In Case of Accident ,[object Object],[object Object],[object Object],[object Object],[object Object]
Label the samples ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinician's Role ,[object Object],[object Object]
Laboratory and diagnostic tests are tools to gain additional information about the patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
selecting tests to use: ,[object Object],[object Object],[object Object],[object Object],[object Object]
selecting tests to use: ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
Basic screening (frequently used with wellness groups and case finding) ,[object Object],[object Object]
Establishing (initial) diagnoses ,[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object]
Evaluating current medical case management and outcomes  ,[object Object],[object Object],[object Object],[object Object]
Grading Guidelines for Scientific Evidence ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
The diagnostic testing model ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
The clinical value of a test is related to ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object]
Predictive values ,[object Object],[object Object]
test outcome deviations ,[object Object],[object Object],[object Object],[object Object]
Reasons for deviations may include the following ,[object Object],[object Object],[object Object]
Reasons for deviations may include the following ,[object Object],[object Object],[object Object],[object Object]
Patient factors that can alter test results may include the following ,[object Object],[object Object],[object Object],[object Object],[object Object]
Patient factors that can alter test results may include the following ,[object Object],[object Object],[object Object],[object Object]
Patient factors that can alter test results may include the following ,[object Object],[object Object],[object Object],[object Object]
avoid costly mistakes ,[object Object],[object Object]
Educate the patient and family  ,[object Object],[object Object]
Educate the patient and family  ,[object Object]
Educate the patient and family  ,[object Object],[object Object],[object Object]
Educate the patient and family  ,[object Object],[object Object],[object Object]
Educate the patient and family  ,[object Object],[object Object],[object Object]
Educate the patient and family  ,[object Object]
Educate the patient and family  ,[object Object]
normal or reference values ,[object Object],[object Object]
normal or reference values ,[object Object]
normal or reference values ,[object Object],[object Object]
clinical laboratory data values  ,[object Object],[object Object]
clinical laboratory data values  ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Recognize margins of error ,[object Object],[object Object],[object Object]
Cultural Sensitivity ,[object Object],[object Object]
 
END
 

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