Chapter 44 Your Answer sheet.

Name: Camarillo, Chris AM 02/06/2017

Chapter 44 Knowledge Base and Check your knowledge questions at end of
Chapter. Pages 977-984.
Directions: Use this sheet as your answer sheet for this chapter. Be sure to
submit via Moodle by Wednesday Feb. 8th by 0800 hours.
1. 1. binocular- pertaining to the use of both eyes; possessing two
eyepieces as with a microscope.
2. compensate- to make amends; be equivalent to
3. condenser- part of a microscope sub-stage that regulates the
amount of light directed on a specimen
4.control- testing of machines and testing kits in the laboratory to
detect any deficiencies prior to testing patient specimens
5. high-power field (hpf)- refers to microscope lens
6. low-power field (lpf)- refers to microscope lens
7. magnify- to make something larger than it really is
8. minute- a measurement of time equal to 60 seconds; very small,
tiny
9. monocular- possessing a single eyepiece, as with a microscope
10. objectives- on a microscope, a lens or series of lenses
11. ocular- eyepiece of a microscope
12. physicians office laboratory (POL)- a designated room in the
physicians office where laboratory procedures and tests are performed
by qualified persons
13. provider-performed microscopy procedures (PPMP)- refers to
microscopic procedures done in the physicians office laboratory
14. proficient- well advanced in an art, occupation, skill, or branch of
knowledge
15. quality assurance (QA)- inclusive policies, procedures, and
practices as standards for reliable laboratory results that includes
documentation, calibration, and maintenance of all equipment, quality
control, proficiency testing, and training
 16. quality control (QC) inclusive laboratory procedures as standards to
provide reliable performance of equipment, including test control
samples, documentation, and analyzing statistics for diagnostic tests
17. stage- two clips that hold the specimen slide to be viewed
18. waived- laboratory testing that is simple in nature and
nonthreatening to the patient if performed or interpreted incorrectly
2. Identify and describe the three laboratory classifications of testing under
the Clinical Laboratory Improvement Amendments if 1988.
-Waived: those that have been manufactured for patient home testing and
cleared by the FDA
- Moderately Complex: Should be done under stricter regulations and with a
more knowledgeable staf
-Highly Complex: Go beyond the preceding requirements in that the testing
personnel must have very specific and specialized training to perform tests
3. List and describe the regulatory bodies that govern the physicians office
laboratory (POL)
-Unannounced visits by CLIA can be made at any time, as well as OSHA and
CMS.
4. List and describe the laboratory practices that yield quality assurance in
the POL
1.Patient Identification
2.Patient preparation and specimen collection
3. Specimen processing and transportation
4.Instrumental and technical performance
5.Safety
6.In-service training and education of all health care personnel
These actions must be followed to ensure reliable and accurate date in order
to ensure quality care to all patients.
5. Define the terms Quality Assurance and Quality Control
quality assurance (QA)- inclusive policies, procedures, and practices as
standards for reliable laboratory results that includes documentation,
calibration, and maintenance of all equipment, quality control, proficiency
testing, and training
quality control (QC) inclusive laboratory procedures as standards to provide
reliable performance of equipment, including test control samples,
documentation, and analyzing statistics for diagnostic tests
6. Describe guidelines for a well-managed and efficient POL
Follow regulations and keep them on file
Make sure files are all up to date
Maintain material safety data sheets in a notebook
Have a copy of the biohazards communications manual
Retain copies of all biohazard box pickups per state regulation
Keep a log on all accidents
7. Discuss safety precautions that should be taken when working in the POL
Individuals should wear protective barriers such as PPE equipment, have
appropriate attire, and keep all immunizations up to date
8.Explain the general purpose of the microscope in a medical office
A microscope is present in the medical office to identify and examine minute
objects that cannot be seen by the eye
9. Identify the parts of the microscope and the purpose for each
- A binocular microscope has two eyepieces and a monocular only has one
- Eyepiece or Ocular lens: magnifies what is being seen
-Objectives: have diferent magnifying powers
-Stage: Contains two clips that hold a specimen slide to be viewed
-Condenser: Regulates the amount of light directed on the magnified
specimen
10. Describe the proper way to adjust and focus the objectives and state
their magnification powers
The lower-power field will magnify items by 10 times their original size. To
position it, one must rotate the nosepiece until a clicking sound occurs. The
higher-power field will magnify an object by 40 times their original size. It
positions like the lower-power field. When used with oil, the higher-power
field can magnify object by 100 times their original size.
11. Explain how to maintain the microscope properly
All microscopes must be handled with great respect. All of them have a slight
diference, therefore manuals should always be kept on file. Maintenance
time also varies among diferent microscopes. Each POL must keep a
maintenance log of all equipment. Routine inspections should be done, as
well as recorded.

Check Your Knowledge

1. The waived status is granted according to what?
C. The difficulty in performing the diagnostic tests and whether they can be
performed in a medical office following package insert directions
2. Which of the following properly describes inspections of laboratory
facilities?
D. All of the above
3.Why should the operations and care manual for the microscopic be kept?
D. It needs to be kept because all the microscopes are slightly diferent
4. How many injections are involved with the hepatitis B vaccine?
B. 3
5. High-power field, without oil submersion, magnifies objects by:
A. 40 times
6. Low-power field magnifies objects by
B. 10 times