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Running head: LABORATORY VALUES
Laboratory Values
Cassandra McAvoy
Bryant & Stratton College
LABORATORY VALUES
2
Laboratory Procedure Manual
Procedures
Procedure steps
Supplies/Equi
pment
1.Glucose
1. Clean work area. Gloves,
Testing
2. Wash hands.
googles,
3. Record control
safety lancet,
ranges, lot number, alcohol wipes,
and test strip lot
glucose
numbers.
analyzer,
4. Perform a
adhesive strip,
control.
gauze, control
solutions, test
strips,
laboratory
tissue, cotton
balls
2.Hemoglobin 1.Assemble/organi Gloves,
Testing
ze supplies
biohazard
2. Wash hand/ put container,
on gloves
sharps
3. Calibrate
container,
instruments
isopropyl
4. Introduce
alcohol, safety
yourself to patient lancet, cotton
5.Explain
ball, gauze,
procedure to
bandage,
patient
hemoglobin
6.Select site &
analyzer
perform capillary
puncture(wipe first
drop away)
7. Apply second
drop of blood to
slide
8. Apply cotton
ball with pressure
9.place slide into
analyzer
10. Make note of
results in chart
11. Apply bandage
to patient
12. Disinfect
analyzer
PPE
Gloves,
googles,
mask
Gloves
Standard
Precautions
Wash hands,
wear gloves,
use biohazard, wear
a mask
Waste
Disposal
Biohazard
Wash hands,
wear gloves,
sharps
container,
biohazard
container
Biohazard,
sharps
container
LABORATORY VALUES
3.Strep A
Testing
4.HCG
Testing
5.Wound
Culture
13. Remove
gloves, dispose,
and wash hands
14. Document
results
1. Wash
hands/apply PPE
2. Assemble
equipment/supplies
3. Introduce
yourself
4. Explain
procedure
5. Use tongue
blade and light
source to obtain
specimen
5. Ask patient if
they have
questions
6. Dispose of
supplies
7. Fill out report
and provide results
8. Document
procedure
1. Wash hands &
put on gloves
2. Assemble
supplies
3. Perform test
4. Record results
5. Disinfect
reusable equipment
6. Remove gloves
7. Document
procedure
1. Wash hands
2. Set up supplies
3. Use a sterile
needle to aspirate
wound
4, Make sure swab
is deep in wound
3
Gloves, Strep
A testing kit,
controls,
reagents,
sterile cotton
tip swabs, test
tubes, tongue
blade, light
source, report
form
Gloves,
mask
Wear gloves, Biohazard
wear mask,
container
bio-hazard
container
Gloves, urine
specimen,
stopwatch,
disinfectant,
biohazard
container,
hCG controls,
test kit
Gloves,
mask,
gown
Wash hands,
wear gloves,
biohazard,
wear mask/
gown
Biohazard
container
Gloves, sterile
cotton swabs,
biohazard
container,
Gloves,
Mask,
Gown
Wash hands,
wear gloves,
wear mask,
biohazard
Biohazard
container
LABORATORY VALUES
6.UrinalysisPhysical:
Chemical:
Microscopic:
without touching
surrounding skin
5. Place culture in
anaerobic transport
bag
6. Document
procedure
Physical Steps:
1ALL.Wash hands
and put on gloves
2ALL.Assemble
equipment and
supplies
3ALL.Follow
safety guidelines,
being careful not to
splash/spill the
specimen
4ALL.Examine the
specimen
5ALL.Ensure lid is
securely tightened
6.Measure and
note the amount of
urine collected
7.Note the color of
urine
8.Note the clarity
of the urine
9.proceed to
chemical analysis
10.Dispose of
specimen into
biohazard
11.Remove gloves
12.Document
procedures in
charts
Chemical:
1.Label centrifuge
with patients name
2.Follow
manufactures
instructions
3.Get test strips
4
Physical:
Gloves, urine
container,
laboratory
report form,
biohazard
container,
disinfectant
cleaner
Chemical:
Gloves, urine
tests strips,
urine
specimen,
biohazard
container,
disinfectant
cleaner, lab
report form
Microscopic:
Gloves,
microscope,
centrifuge,
microscope
slides,
coverslips,
disposable
pipettes,
sharps
container,
centrifuge
tubes/holder,
urine guide,
disinfectant
cleaner,
biohazard,
sedi-stain
Gloves,
mask,
gown for
ALL
Wash hands,
wear gloves,
biohazard
container,
wear mask,
wear a gown
for ALL
Biohazard
waste
LABORATORY VALUES
4.Immerse test
strips into urine
5.Properly time the
test for each pad
6.Record results
7.Dispose of
specimen
8.Remove gloves
and document
results
Microscopic:
1.Place labeled
centrifuge tube
into centrifuge
2. Pour off the
supernatant/mix
the sediment at the
bottom of the tube
3.Place a drop of
the mixed
sediment onto a
clean microscope
slide
4.Place slid onto
the microscope
5. Examine the
slide and record all
observations.
6.Dispose of the
specimen
(Lindh, Pooler, Tamparo, Dahl, Morris, 2014).
A procedural manual is important to have because it is a step by step guide to the
procedure that is being performed. Without it the procedure could be altered due not following
the steps, also someone might not know how to exactly perform the procedure. By having a
manual in the work place it allows for me to follow steps so the results are accurate. A
procedural manual is a good tool to utilize while working in a lab setting((Lindh, Pooler,
Tamparo, Dahl, Morris, 2014).
5
LABORATORY VALUES
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Reference Values and Diagnoses
Procedure
1.Glucose
2.Hemoglobin
3.Strep A
4.HCG
5.Wound Culture
6.Urinalysis:Physical,Chemical,Microscopic
Normal Value Ranges
80-100mg/dl
Male:15-17mg/dl Female:12-16mg/dl
Positive/Negative
Depends on week of pregnancy(Increases
over time)
N/A
Physical: Volume- 240ml, Color- pale
yellow-dark yellow, Turbidity- clear, Specific
Gravity- 1.005-1.035
Chemical: pH:5-9, Glucose: negative>1,000mg/dl, Nitrite: negative/positive,
SG:1.005-1.030, Protein: negative/positive,
Urobilinogen: 0.2-8.0mg/dl,
Leukocyteesterase: negative-large, Ketones:
negative->80mg/dl, Blood: negative-large,
Bilirubin: negative-large
Microscopic:
(Lindh, Pooler, Tamparo, Dahl, Morris, 2014).
Procedure
1.Glucose
Value
200mg/dl
2.hCG
< 5-50mlU/ml
3.Hemoglobin
17.5mg/dl(men)
15.5mg.dl(women)
Diagnosis
Patient Education
Diabetes(hyperglycemia) a. High
b. A group of
diseases that result
in too much sugar in
the blood, or high
blood glucose
c. Diet, Medication,
follow ups
Miscarriage,
a. Low
miscalculation of due
b. Spontaneous loss
date, ectopic pregnancy
of a pregnancy
before the 20th
week, most often
before the 12th
week.
c. Follow ups
High oxygen saturation
a. High
b. Above average
concentration of
oxygen in the blood
LABORATORY VALUES
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c. Follow ups,
further testing
(WebMD, LLC 2015), (American Pregnancy Association 2014), (Mayo Foundation for Medical
Education and Research 2015).
Glucose Testing Review
Reviewing the data sheet shows that the patient is diabetic. This patient is diabetic
because her levels are very high usually at the end of the day, which by then glucose levels
should be back to normal ranges like 80/100mg/dl. A possible treatment plan for this patient
would be to changes diets from bad eating to healthy eating, to add regular exercise to their daily
life and to take medications if necessary(Mayo Foundation for Medical Education and Research
2015).
The data trends on this chart are very up and down. This data indicates that the patient is
not in control of their glucose because if they were levels would be more stabilized. Along with
the patient not being in control, the patient is not following the treatment plan, evidence from the
chart indicates that levels are still very high with treatment. A glycosylated hemoglobin(HbA1c)
is a test that a provider can order to monitor the patients glucose levels over a longer period of
time. This test is useful because it measures glucose levels over a period of two to three months,
also providers can use this test to record if the patient is following his/hers treatment plan as
followed(Lindh, Pooler, Tamparo, Dahl, Morris, 2014).
References
LABORATORY VALUES
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American Pregnancy Association. (2014). Human Chorionic Gonadotropin (HCG);The
Pregnancy Hormone. Retrieved from: http://americanpregnancy.org/while-pregnant/hcglevels/
Lindh, W.Q. Pooler, M.S. Tamparo, C.D. Dahl, B.M. Morris, J.A.(2014). Delmar’s
Comprehensive Medical Assisting Administration and Clinical Competencies(5th). Clifton
Park, NY: Cengage Learning.
Mayo Foundation for Medical Education and Research. (2015). High Hemoglobin Count.
Retrieved from: http://www.mayoclinic.org/symptoms/high-hemoglobincount/basics/definition/sym-20050862
WebMD, LLC. (2015). Criteria for Diagnosing Diabetes - Topic Overview. Retrieved from:
http://www.webmd.com/criteria-for-diagnosing-diabetes-topic-overview