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Fiscal Services
- Admissions, Records
- Billing, Accounting
- Other Finances
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Support Services
- Cleaning, Maintenance
- Security, Food
- Purchasing and Human Resources
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Nursing Services
Direct care to patient
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Professional Services
Aid in diagnosis and treatment of patient
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List Professional Services (8)
- Physical, Occupational, Respiratory Therapy
- Radiology, Nuclear Med, Radiation Therapy
- Pharmacy, Clinical Lab
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Clinical Laboratory
Where Phlebotomist works
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Clinical Lab Supervisor
Pathologist
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Pathologist
Studies tissues and fluids in lab
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Clinical Lab Scientist
BS Degree
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Medical Technologist
BS Degree
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Clinical Lab Technician
AS Degree
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Medical Lab Technician
AS Degree
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Histology
- Prepares tissues for microscope exam by pathologist
- Study of tissues
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Cytogenetics
Examines chromosomes for genetic diseases
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Clinical Lab Departments (Clinical Lab Departments)
- Hematology
- Coagulation & Hemostasis
- Chemistry
- Specimen Collection for Chemistry
- Microbiology
- Urinalysis & Clinical Microscopy
- Serology / Immunology
- Blood Bank / Immunohematology
- Molecular Diagnosis
- Referrals
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Hematology (Clinical Lab Departments)
- Analyzes blood for disease RBC, WBC, Platelets, and clotting ability
- Most common test CBC
- CBC tests for anemia, leukemia, infections (anything affects # of blood cells)
- Cytometry tests for HIV/AIDS (CD4/8 ratios)
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Coagulation & Hemostasis (Clinical Lab Departments)
- Coagulation tests performed on Plasma
- Coag - depends on clotting factors and platelets
- Hemo - process by which body stops blood leaking out wound
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Chemistry (wide range of tests) (Clinical Lab Departments)
- Electrophoresis - separates chemical components of blood based on electrical charge
- Toxicology - analyzes plasma for drugs / poisons
- Immunochemistry - uses antibodies in tests
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Specimen Collection for Chemistry (serum / plasma) (Clinical Lab Departments)
- Icteric Serum - dark yellow = too much bilirubin (liver disease)
- Lipemic Serum - cloudy = recent ingestion of fats / lipids
- Hemolized Serum - pink = breakage of RBC
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Microbiology (Clinical Lab Departments)
- Isolates / identifies pathogenic microorganisms
- Responsible for infection control in facility
- Most common test C&S
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Urinalysis & Clinical Microscopy (Clinical Lab Departments)
Assesses kidney disease and metabolic dissorders (Paper test strips)
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Serology / Immunology (Clinical Lab Departments)
Detects antibodies in serum (infection)
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Blood Bank / Immunohematology (Clinical Lab Departments)
- Transfusions, blood type, compatability testing
- Can be fatal if test done incorectly
- Autologous - donate own blood for future use
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Molecular Diagnosis (Clinical Lab Departments)
- Diagnose genetic disorders
- Forensic evidence
- Track disease
- Identify microbiologic pathogens
- Analyze DNA
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Referrals (Clinical Lab Departments)
Handles and ships specimens for all tests not in local lab
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CLIA '88
Mandated all regulations for all facilities that perform patient testing
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CLSI
- Sets standards and guidelines
- Awards accreditation
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Accreditation
Grants reimbursment of Medicare / Medicaid
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JCAHO
Inspects facilities every 2 years for compliance of standards
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