By Frances Fischbach RN BSN MSN, Marshall B. Dunning III BS MS PhD

ISBN-10: 0781771943

ISBN-13: 9780781771948

Now in its 8th version, this prime complete guide is helping nurses bring secure, powerful, and expert deal with sufferers present process diagnostic checks and approaches. The booklet covers a wide variety of laboratory and diagnostic exams and reviews which are dropped at assorted sufferer populations in assorted settings. exams are grouped in line with specimen and function/test variety (e.g. blood, urine, stool, cerebrospinal fluid, etc.). each one try out is defined intimately, with step by step advice on right process, assistance for actual interpretation, and directions for sufferer coaching and aftercare. medical signals spotlight severe safeguard info.

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11. To expect to have access to test results and to be informed in a timely manner of test results and implications, treatment, and future testing if necessary. 12. To expect to be counseled appropriately regarding abnormal test outcomes as well as alternative options and available treatments. qxd 2/26/08 3:05 PM ● Page 25 Intratest Phase: Elements of Safe, Effective, Informed Care 25 13. To expect to have acceptable pain control and comfort measures provided throughout the testing process. 14.

Do not freeze SST tubes. If frozen specimen is needed, separate serum into a labeled plastic transfer vial. Serum separation tubes must not be used to obtain therapeutic drug levels because the gel may lower the values. Red-topped (plain) tube: no anticoagulant, no additive For serum chemistry, serology, blood bank, collection of clotted blood specimens. Mix by inverting 5 times. Royal blue–topped tube: without ethylenediaminetetraacetic acid (EDTA) or sodium heparin (no anticoagulant—blood will clot) For aluminum, arsenic, chromium, copper, nickel, and zinc levels; tube free of trace elements Gold or red marbled–topped tube: serum gel separator tube (SST) For serum, used for most chemistry tests; these tubes should be gently inverted 5 times after collection to ensure mixing of clot activator with blood and clotting within 30 minutes.

Health care personnel should make an effort to understand the cultural differences of populations they serve without passing judgment. Most people of other cultures are willing to share this information if they feel it will be respected. Sometimes, a translator is necessary for accurate communication. Many cultures have diverse beliefs about diagnostic testing that requires blood sampling. For example, alarm about having blood specimens drawn or concerns regarding the disposal of body fluids or tissue may require health care workers to demonstrate the utmost patience, sensitivity, and tact when communicating information about blood tests.

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A Manual of Laboratory and Diagnostic Tests by Frances Fischbach RN BSN MSN, Marshall B. Dunning III BS MS PhD

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