1 Phlebotomy: Past and Present and the Healthcare Setting

Unit I. The Healthcare Setting

Phlebotomy: Past and Present

and the Healthcare Setting

1

OBJECTIVES

Study the information in your TEXTBOOK that

corresponds to each objective to prepare

yourself for the activities in this chapter.

1. Demonstrate basic knowledge of terminology for

healthcare settings including the national healthcare

organizations that contributed to the evolution of

phlebotomy and the role of the phlebotomist today.

3. Compare types of healthcare institutions and the

methods used by providers for coverage.

4. List the personnel levels in the clinical analysis

areas of the laboratory and the types of

laboratory procedures performed in each of the

areas.

2. Describe the basic concepts of verbal and nonverbal

communication as they relate to the professional

image and proper telephone protocol in healthcare.

1

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Unit I The Healthcare Setting

MATCHING

Use choices only once unless otherwise indicated.

MATCHING 1-1: KEY TERMS AND DESCRIPTIONS

Match the key term with the best description.

Key Terms

Descriptions

1. ______ AHA

2. ______ Ambulatory

3. ______ Blood bank/immunohematology

4. ______ C&S

5. ______ Certification

6. ______ CEUs

7. ______ Chemistry

8. ______ CLIA ¡¯88

9. ______ CMS

10. ______ Coagulation

11. ______ Communication barriers

12. ______ CPT

13. ______ Cytogenetics

14. ______ Cytology

15. ______ Ethical behavior

16. ______ Ethics

17. ______ HCWs

18. ______ Hematology

19. ______ HIPAA

20. ______ Histology

21. ______ HMOs

22. ______ IACET

23. ______ ICD-10-PCS

24. ______ Kinesic slip

A. A system of moral principles that govern conduct

B. Another name for outpatient

C. Biases that are major obstructions to verbal

communication

D. Centers for Medicare and Medicaid Services

E. Clinical Laboratory Improvement Amendments of

1988

F. Conforming to a standard of right and wrong

conduct

G. Current procedural terminology codes

H. Evidence that an individual has mastered

competencies in a technical specialty

I. Healthcare workers

J. Health Insurance Portability and Accountability Act

K. Health maintenance organizations

L. International Association for Continuing Education

and Training

M. International Classification of Diseases, 10th

Revision

N. Laboratory department that typically performs the

most tests

O. Laboratory department that performs tests to

identify chromosome deficiencies

P. Laboratory department that studies cells to detect

malignant and premalignant conditions

Q. Laboratory department where type and screen tests

are performed

R. Laboratory department that performs protime tests

S. Organization that published The Patient Care

Partnership brochure

T. The study of blood and blood-forming tissues

U. The study of the microscopic structure of the tissue

V. Type of test performed in the microbiology

department

W. Units awarded for participating in continuing

education activities

X. Verbal and nonverbal messages that do not match

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Chapter 1 Phlebotomy: Past and Present and the Healthcare Setting

Key Terms

Descriptions

25. ______ Kinesics

A.

B.

C.

D.

E.

26. ______ MCOs

27. ______ Medicaid

28. ______ Medicare

29. ______ Microbiology

30. ______ MLS

F.

G.

31. ______ MLT

32. ______ NAACLS

H.

I.

33. ______ Nonambulatory

J.

34. ______ PHI

K.

35. ______ PHS

36. ______ Phlebotomy

L.

37. ______ PPOs

38. ______ Primary care

39. ______ Proxemics

40. ______ Reference laboratories

M.

N.

O.

P.

Q.

41. ______ Secondary care

42. ______ Serology/immunology

R.

S.

43. ______ TAT

44. ______ Tertiary care

45. ______ Third-party payer

T.

U.

V.

3

A patient¡¯s main source of routine medical care

An agency that approves phlebotomy programs

Another name for inpatient

Care by a specialist

Entity that pays for healthcare services on behalf of

a patient

Federal and state health insurance program for

eligible low-income Americans

Federal health insurance program for seniors who

are 65 and older

Highly specialized care

Laboratory department that identifies antigens and

antibodies

Laboratory department that performs culture and

sensitivity (C&S) testing

Laboratory department with the same name as the

most common test it performs

Large independent laboratories that test specimens

from many different facilities

Managed care organizations

Medical laboratory scientist

Medical laboratory technician

Preferred provider organizations

Promotes and administers programs for public

health

Protected health information

Study of an individual¡¯s concept of and use of

space

Study of nonverbal communication

Term with the same meaning as venesection

Turnaround time

46. ______ UA

MATCHING 1-2: CERTIFICATION AGENCIES

Match the certification agency with the title awarded. A title may be used more than once.

Certification Agency

1. ______ American Society for Clinical Pathology

2. ______ American Medical Technologists

3. ______ National Center for Competency Testing

Title Awarded

A.

B.

C.

D.

RPT

CPT

PBT

NCPT

4. ______ American Certification Agency

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Unit I The Healthcare Setting

MATCHING 1-3: METHODS OF PAYMENT AND DIAGNOSIS CODING

Match the methods of payment and diagnosis coding with the appropriate definition.

Method of Payment and Diagnosis Coding

1. ______ Ambulatory patient classification

2. ______ ICD 10th Revision

3. ______ Fee for service

4. ______ Diagnosis-related groups

5. ______ Prospective payment system

Definitions

A. Begun in 1983 to limit and standardize the

Medicare/Medicaid payments made to hospitals

B. Reimburses healthcare facilities a set amount for

each patient procedure using established disease

categories

C. A classification system implemented in 2000 for

determining payment to healthcare facilities for

Medicare and Medicaid patients only

D. Traditional payment model of reimbursement for

healthcare service after service is rendered

E. A procedural classification system for use in U.S.

hospitals with a broad range of codes and greater

specificity

MATCHING 1-4: LABORATORY TESTS AND DEPARTMENTS

Match the laboratory tests with the departments that perform them using the letters shown below.

Departments can be used more than once.

Laboratory Departments

Laboratory Tests

1. ______ BUN

16. ______ Immunoglobulins

2. ______ PT

17. ______ Creatinine

3. ______ Hct

18. ______ aPTT

4. ______ WBC

19. ______ Plt ct

5. ______ Nitrites

20. ______ hs-CRP

6. ______ ANA

21. ______ pH

7. ______ Fibrinogen

22. ______ Occult blood

8. ______ ALT

23. ______ Urobilinogen

9. ______ d-dimer

24. ______ Potassium

10. ______ Pap smear

25. ______ diff

11. ______ Blood culture

26. ______ Hgb

12. ______ EBV

27. ______ Electrolyte panel

13. ______ Type and Rh

28. ______ Blood glucose

14. ______ Gram stain

29. ______ HIV NAAT

15. ______ DAT

30. ______ Specific gravity

B.

C.

Co.

Cy.

H.

I.

M.

U.

Blood bank

Chemistry

Coagulation

Cytology

Hematology

Immunology

Microbiology

Urinalysis

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Chapter 1 Phlebotomy: Past and Present and the Healthcare Setting

5

MATCHING 1-5: PATIENT CONDITIONS AND MEDICAL SPECIALTIES

Match the specialties with types of patient conditions they serve. One choice will not be used.

Patient Conditions

1. ______ Tumors, benign and malignant

2. ______ Eye examinations

3. ______ Endocrine gland disorders

4. ______ Diseases of the heart

5. ______ Disorders of the brain and spinal cord

6. ______ Well checkups for children

7. ______ Kidney function

8. ______ Urinary tract disease

9. ______ Conditions of the skin

10. ______ Emergency care due to accident

11. ______ Injuries resulting from athletic activities

12. ______ Respiratory system conditions

13. ______ Inflammation and joint diseases

14. ______ Contagious, pathogenic infections

Medical Specialties

A.

B.

C.

D.

E.

F.

G.

H.

I.

J.

K.

L.

M.

N.

O.

P.

Q.

R.

S.

T.

U.

Allergy and immunology

Anesthesiology

Cardiology

Dermatology

Emergency medicine

Endocrinology

Family medicine

Gastroenterology

Gerontology

Hematology

Infectious diseases

Nephrology

Neurology

Oncology

Ophthalmology

Pediatrics

Psychiatry

Pulmonary medicine

Rheumatology

Sports medicine

Urologist

15. ______ Disorders of the blood

16. ______ Disorders causing hypersensitivity

17. ______ Aging and age-related disorders

18. ______ Clinical depression

19. ______ Digestive tract disorders

20. ______ Continuous, comprehensive care

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