Case Study

A technologist in the hematology laboratory has been observed wearing blood-spattered gloves. Her colleagues in the laboratory are uncomfortable working with her, and they have confronted her on this issue. Her explanation for her behavior is that gloves are expensive and that frequent changing leads to excessive spending on gloves and other disposables. Her colleagues are concerned for their safety, and because they have been unsuccessful in changing her behavior, they consult the hematology supervisor for guidance. How should this employee be counseled?

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12 PartI • Basic Hematology Principles

Insights to the Case Study

The employee is jeopardizing the health of her co-workers because of her noncompliance. Standard laboratory precautions clearly state that she is to remove soiled or contaminated gloves and replace them with clean gloves. She should be counseled as such. Although her concern for the laboratory budget is commendable, issues of finances are under the auspices of administration and not a matter for her concern. The employee needs to review the safety manual, a mandatory document that she has already signed stating that she understands and will comply with all of the safety requirements of the laboratory.

(Continued)

Insights to the Case Study

The employee is jeopardizing the health of her co-workers because of her noncompliance. Standard laboratory precautions clearly state that she is to remove soiled or contaminated gloves and replace them with clean gloves. She should be counseled as such. Although her concern for the laboratory budget is commendable, issues of finances are under the auspices of administration and not a matter for her concern. The employee needs to review the safety manual, a mandatory document that she has already signed stating that she understands and will comply with all of the safety requirements of the laboratory.

Review Questions ^fl_

1. Standard precautions involve a. behavior that prevents contact with virally infected patients.

b. behavior that prevents direct contact with bodily fluids or contaminated surfaces.

c. behavior that prevents contact with pediatric patients.

d. behavior that prevents contact with terminally ill patients.

2. Which one of the following is considered personal protective equipment?

a. Operating room attire b. Head nets c. Laboratory coats d. White shoes

3. What types of samples are used primarily in the clinical laboratory?

a. Blood and bodily fluids b. Solid organs c. Bone d. Skin

4. Which setting(s) on the microscope is (are) used for focusing?

a. Oculars b. Stage c. Diaphragm d. Coarse and fine adjustments

5. Which one of the following is a postanalytic factor?

a. Calling results when a critical value is noticed b. Tube checked for clots c. Patient identification d. Sample mixing

6. The proper definition for a standard is a. materials used to monitor a method.

b. normal distribution curve.

c. a target range.

d. solutions with a known amount of the analyte.

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