Laboratory Technician Procedures and Precautions, Exams of Nursing

Download Laboratory Technician Procedures and Precautions and more Exams Nursing in PDF only on Docsity! NHA CPT 2022-2023 Questions with Answers 2024. Safety and Compliance- A phlebotomy technician is preparing to perform a venipuncture for a patient who has pneumonia. Besides gloves, which of the following pieces of personal protective equipment should the technician wear? A. Gown B. N95 respirator C. Face mask D. Goggles \ n ✔C. The technician should wear a face mask when performing a venipuncture for a patient who has a condition that requires droplet precautions, such as pneumonia. Safety and Compliance- While collecting a blood specimen, a phlebotomy technician notices the glass collection tube is cracked. Which of the following actions should the technician take? A. Wrap the tube in a pair of gloves and place it in a trash can. B. Discard the tube in a biohazard bag. C. Label the tube and send it to the laboratory. D. Dispose of the tube in a sharps container. \ n ✔D. The technician should discard broken glass in a sharps container to reduce the risk of injury. Safety and Compliance- A phlebotomy technician is performing a glucometer reading in a young adult patient. The patient's parent is in the room and asks about the patient's glucose level. Which of the following actions should the technician take? A. Write down the results for the parent and the patient. B. Ask the parent to leave the room and tell the patient. C. Show the patient and parent the results in the patient and parent the results in the patient's electronic health record. (EHR) D. Ask the patient for permission to disclose the results with the parent present. \ n ✔D. The technician should not give the results directly to the patient's parent. Because the patient is an adult, the technician should ask the patient for permission to disclose results. Safety and Compliance- A phlebotomy technician is preparing to perform the third set of blood draws for a glucose tolerance test (GTT). The patient starts to cry and refuses to extend her arm for the draw. Which of the following statements should the technician make? A. "I will get in trouble if I don't perform the draw." B. "I promise the draw won't hurt." C. "May I come back in an hour to perform the draw?" D. "May I please perform the draw?" \ n ✔D. The GTT is a timed test that requires multiple blood draws performed at set intervals to adequately determine values and ranges. The technician should ask the patient for permission to perform the draw but should recognize the patient's right to refuse the procedure. Safety and Compliance- A phlebotomy technician is preparing to complete the glucose monitor quality control record. Which of the following information should the technician record in the quality control record? A. Daily patient test results B. Physician's NPI number C. Date of battery change D. Time that values were recorded \ n ✔C. The technician should perform daily quality control checks and record the results of these checks and any other maintenance in the quality control record. Safety and Compliance- A phlebotomy technician observes a glucometer reading of 250 mg/dL. A second test is performed and returns a reading within the expected reference range. Which of the following circumstances could have caused the first result to be inaccurate? A. Too much blood was used. B. The first drop of blood was used. C. Too little blood was used. D. The test strips were left open. \ n ✔A. If too much blood is applied to a test strip, it can cause false high glucose level readings. Safety and Compliance- Which of the following solutions should a phlebotomy technician use to clean a cerebral spine specimen spill? A. Chlorine bleach B. Hydrogen peroxide C. Povidone-iodine D. Isopropyl alcohol \ n ✔A. The technician should use a 1:10 solution of bleach and water to clean a biohazard spill. Chlorine bleach is a disinfected and will kill all pathogens. Safety and Compliance- A phlebotomy technician experiences a needlestick injury while performing a venipuncture. Which of the following information should the technician include the online sharps injury log? A. The injured technician's name B. The recommended follow-up treatment C. The department where the injury occurred A. Notify his immediate supervisor. B. Rinse his eyes with water. C. Disinfect his contact lenses with saline. D. Report to a health care provider. \ n ✔B. The technician should rinse his eyes with water for 15 min immediately following the incident. Safety and Compliance- A phlebotomy technician is collecting a sample for cholesterol troponin, and HDL blood results. Which of the following departments is responsible for processing these tests? A. Hematology B. Microbiology C. Chemistry D. Pathology \ n ✔C. The chemistry department processes tests related to body chemistry. Safety and Compliance- A phlebotomy technician is performing a blood alcohol test. Which of the following antiseptics should the technician use? A. Tincture of iodine B. Ethanol C. Chlorhexidine glucometer D. Isopropyl alcohol \ n ✔C. The technician should use chlorhexidine gluconate to perform a blood alcohol test because it does not contain alcohol. Safety and Compliance- A phlebotomy technician is performing a venipuncture on a patient who has a wound infected with methicillin- resistant Staphylococcus aureus (MSRA) and has been placed in isolation. Which of the following actions should the technician take once the procedure is complete? A. Remove show covers after leaving the room. B. Dispose of gloves after leaving the room. C. Dispose of gown before leaving the room. D. Clean the gown before leaving the room. \ n ✔C. The technician should remove the dispose of the gown before leaving the patient's room. Patient Preparation- Which of the following types of urine specimen should a phlebotomy technician instruct a patient to collect for a pregnancy test? A. First-morning B. Timed C. Random D. Suprapubic \ n ✔A. The technician should instruct the client to collect a first-morning void because it is the most concentrated specimen of the day, which makes it the optimal method for detecting human chorionic gonadotropin (hCG). Patient Preparation- A phlebotomy technician is explaining a phlebotomy procedure to a patient who wears hearing aids. The patient seems distracted. Which of the following questions should the technician ask to ensure the patient understands the procedure? A. "Did you hear what I said?" B. "Do you understand what you need to do?" C. "Would you like me to repeat the directions?" D. "Do you need me to talk slower?" \ n ✔C. The technician should ask the patient if she needs any directions repeated to verify that the patient clearly understands the information. Patient Preparation- A phlebotomy technician should identify that which of the following information is required for positive identification of a patients in an outpatient facility? A. Attached ID band, full name, accession number B. Picture ID, full name, date of birth C. Accession number, full name, date of birth D. Medical requisition number, full name, date if draw \ n ✔B. For patient identification in an outpatient facility, the technician must have one piece of visual identification and two instances of verbal confirmation of identification. Patient Preparation- A phlebotomy technician enters a patient's room to perform a blood draw and notices that the patient's identification band is sitting on the bedside table. The patient states, " I hate wearing it, so I took if off." Which of the following responses should the technician make? A. "I will ask the nurse to replace the identification band." B. " Please show me your driver's license." C. "I will proceed with the blood draw." D. "I will ask your roommate to verify your identification." \ n ✔A. Before performing a blood draw, the technician must ensure the patient's armband is in place and verbally verify the patient's identification. Patient Preparation- A phlebotomy technician is seeking consent to perform venipuncture on an older patient who has been accompanied to the facility by a younger adult. Which of the following actions should the technician take? A. Speak to the patient in a loud voice. B. Give the consent form to the adult accompanying the patient C. Speak to the patient in a normal tone. D. Stand close to the patient while speaking. \ n ✔C. The technician should treat the patient with respect, regardless of age, After assessing the patient, the technician should alter communication methods to fit the patient's needs. Patient Preparation- A phlebotomy technician is preparing to draw blood from a patient who has been admitted for life threatening cardiac symptoms. Which of the following actions should the technician take? A. Ask the patient to sign a consent form. B. Ask for consent from a family member. C. Proceed with collecting the patient's blood. D. Proceed after verbal consent has been given. \ n ✔C. The technician should recognize that an emergency situation removes the need for consent. Therefore, the technician should proceed with the blood collection. Patient Preparation- A phlebotomy technician is collecting a specimen to test a patient's lithium level following a recent dose of medication. Which of the following levels should the technician collect? A. Peak B. Trough C. Fasting D. Random \ n ✔A. The technician should collect a blood specimen 15-30 min after the lithium has been administered for an optimum peak level result. Patient Preparation- A phlebotomy technician is preparing to perform a blood collection in an outpatient setting. Which of the following information is required on the requisition form? A. Patient medical record number and bed number B. Provider's name and provider's license number C. Patient's driver license number and provider's DEA number D. Patient billing information and test status \ n ✔D The patient's billing information and test status are required components of the requisition form for a blood collection in an outpatient setting. Patient Preparation- A phlebotomy technician is preparing to collect a specimens to determine a patient's peak and trough levels. Which of the following actions should the technician take? A. Ask the patient when he received the medication. B. Perform the draw at the time assigned on the requisition form. C. Ask the nurse when the medication was administered. D. Perform the draw as soon as possible after breakfast. \ n ✔C. The technician should verify the time of administration with a nurse prior collecting the specimens to determine the patient's peak and trough levels. Patient Preparation- A phlebotomy technician is processing the blood sample of a patient who ate a meal of meat and cheese prior to the draw. Following centrifugation of the sample, which of the following findings should the technician expect? Patient Participation- A phlebotomy technician is educating a patient about a 24-hr urine collection. Which of the following instructions should the technician give to the patient? A. "Avoid mixing or inverting the container after collecting the specimen." B. "Start collecting at the second void of the day." C. Reduce fluid intake during the 24- hour time frame." D. "Store the specimen at room temperature." \ n ✔B. The patient should use the second void of the day to begin the 24-hr urine collection. The exact time should be written on the container label. Patient Participation- A phlebotomy technician is instructing a patient on how to collect a ruin specimen for a culture and sensitivity test. Which of the following statements should the technician include? A. "You will need to collect a midstream clean-catch specimen." B. "You will need to collect your first void of the morning." C. "You will need to collect the specimen after a 12-hour fast." D. "You will need to collect the specimen 2 hours after eating." \ n ✔A. The patient should collect a midstream clean-catch specimen to avoid cross-contamination with other microbes. This is the preferred collection process for a culture and sensitivity test. Routine Blood Collections- A phlebotomy technician is performing a hand venipuncture on a 25- year old patient who has small veins that are difficult to access which of the following equipment should the technician use to perform the procedure? A. 21-gauge ETS eclipse needle B. 25-gauge ETS eclipse needle C. 23-gauge winged collection set D. 23- gauge syringe collection set \ n ✔C. The technician should use a winged collection set for a hand draw and a 23-gauge needle should be small enough to access the patient's small veins. Routine Blood Collections- A phlebotomy technician is preparing equipment for a blood draw. The technician notices that one of the tubes on the tray is expired. Which of the following actions should the technician take to ensure accurate test results? A. Use a new tube from the front of the shelf. B. Use a tube from the back of the shelf. C. Use the expired tube regardless of the date. D. Use the tube within 5 days of expiration. \ n ✔A. The technician should use a new tube from the front of the shelf to perform the blood draw. Routine Blood Collections- A phlebotomy technician is performing a venipuncture for a potassium test, CBC, and glucose test. The technician has left the tourniquet tied on the patient for 3 min. Which of the following outcomes should the technician expect? A. High potassium level B. Low iron level C. High CBC level D. Low potassium level \ n ✔A. Leaving a tourniquet tied on for longer than 1 min can cause hemolysis, which creates a falsely elevated potassium level. Routine Blood Collection- A phlebotomy technician performing a blood collection for a patient who has edema in her right arm. Which of the following locations should the technician identify as the best vein choice for venipuncture? A. Right side median cubical B. Right side median cephalic C. Left side basilic D. Left side dorsal hand \ n ✔D. The technician should use this site to perform the collection. This vein is not on the same side as the edema and it is an acceptable draw site. Routine Blood Collections- A phlebotomy technician is using providing-iodine during a capillary specimen collection. Which of the following outcomes should the technician expect? A. Increased potassium level B. Decreased potassium level C. Increased glucose levels D. Decreased glucose levels \ n ✔A. The use of povidone- iodine can contaminate the site and cause falsely elevated potassium levels. Routine Blood Collections- A phlebotomy technician is performing a venipuncture. After removing the needle cap, which of the following steps should the technician take? A. Position the needle at a 40 degree angle above the puncture site. B. Perform a "C" hold over the intended puncture site. C. Anchor the vein 2.5 to 5 cm (1 to 2 in) bellow the puncture site. D. Insert the needle quickly at the puncture site. \ n ✔C. The technician should anchor the vein 2.5 to 5 cm below the puncture site to stabilize the vein before needle insertion. Routine Blood Collections- A phlebotomy technician is drawing blood through a hematoma. Which of the following errors should the technician expect to see in the specimen? A. Hemolysis B. Increased potassium C. Decreased electrolytes D. Increased epithelial tissue \ n ✔A. Hemolysis occurs when red blood cells are ruptured by drawing through an existing hematoma. Routine Blood Collections- A phlebotomy technician is performing a venipuncture for a bilirubin test, a cold agglutinin titer, a CBC, and a PTT test. Which of the following tubes should the technician use? A. One light blue, two serum tops, and one lavender tube. B. One serum top, two purple, and one light blue tube. C. Two gray, one light yellow SPS, and one dark blue tube. D. One gray, two light yellow SPS, and one dark blue tube \ n ✔A. The technician should use two serum tubes because bilirubin should be protected from light and the cold agglutinin titer must be kept warm. The technician should use the light blue tube for the PTT and the lavender tube for the CBC. Routine Blood Collections- A patient sits down for a venipuncture in an outpatient setting, rolls up her sleeve, and extends her arm. The patient turns her head away from the phlebotomy technician and says, "I don't want my blood drawn." Which of the following responses should the technician make to the patient? A. "I am going to start the draw now." B. "May I draw your blood?" C. "Do you want me to get the nurse?" D. "I will get another phlebotomist." \ n ✔B. While the patient is implying consent by extending her arm, the technician should confirm by obtaining express consent. Routine Blood Collections- A phlebotomy technician is performing a venipuncture on a deep median cubical vein. Which of the following methods of withdrawal should the technician use? A. Withdraw with the bevel up at a 25 degree to 30 degree angle. B. Withdraw with the bevel down at a 10 degree to 15 degree angle. C. Withdraw with the bevel up at a 10 degree to 15 degree angle. D. Withdraw with the bevel down at a 25 degree to 30 degree angle. \ n ✔A. Deeper veins require a larger angle. The correct position to withdraw would be at a 25 degree to 30 degree angle. The should be facing up while it is in the vein. Routine Blood Collections- A phlebotomy technician is performing a dorsal venipuncture with the needle at a 15 degree angle, resulting in a slow blood flow and the development of a hematoma. Which of the following should the technician identify as the cause of the hematoma? A. Needle completely through the vein B. Needle at too shallow of an angle C. Needle bevel opening in the vein D. Needle beside the vein \ n ✔A. When the needle goes completely through the vein, it causes blessing on both sides and a hematoma will form. C. Complete blood count (CBC) D. Basic metabolic panel (BMP) \ n ✔A. To avoid cross-contamination, the technician should always collect blood culture specimens first. Special Collections- A phlebotomy technician is preparing to process a WBC differential test, testosterone test, and a glucose test. Which of the following actions should the technician take to process these tests? A. Prepare a slide from a lavender -topped tube and centrifuge a red- topped tube and a gray- topped tube B. Prepare a slide from a gray- topped tube and centrifuge a light blue topped-tube and a red- topped tube. C. Prepare a slide from a red-topped tube and centrifuge a gray-topped tube and a lavender-topped tube. D. Prepare a slide from a light-blue topped tube and centrifuge a lavender -topped tube and a red- topped tube. \ n ✔A. A WBC- differential test (lavender- topped tube) requires a blood smear. Testosterone (red-topped tube) and glucose (gray-topped tube) tests require centrifugal ion. Special collections- A phlebotomy technician is preparing a peripheral blood slide from a capillary puncture. Which of the following actions should the technician take? A. Pipette the blood onto the center of the slide. B. Pipette the blood 2.5 cm ( 1 in) from the end of the slide. C. Touch the slide to the first drop of blood. D. Touch the slide of the second drop of blood. \ n ✔D. The technician should touch the slide to the second drop of blood for optimal specimen collection. Special Collections- A phlebotomy technician is using a syringe method to collect a blood cultures set, a PTT, and a CBC test. Which of the following should the technician identify as the proper order of the draw? A. Aerobic bottle, anaerobic bottle, EDTA, light blue-topped tube. B. Anaerobic bottle, aerobic bottle, light blue-topped tube, EDTA C. EDTA, light blue-topped tube, aerobic bottle, anaerobic bottle D. EDTA, light blue-topped tube, anaerobic bottle, aerobic bottle \ n ✔B. Using a syringe, the technician should draw an anaerobic bottle first, followed by an aerobic bottle, a light blue topped tube, and finally EDTA Special collections- A phlebotomy technician is performing two sets of blood cultures for a patient. Which of the following actions should he technician take? A. Collect both sets from the same site after waiting about 4 hr. B. Collect one set from the antecubital region and one set from ventral part of the patient's hand. C. Collect one set from the patient's left arm and one set from a different site on the same arm. D. Collect one set from the capillary region and one set from the antecubital region. \ n ✔C. The technician should draw from two separate sites, because this will provide the most accurate test results. Special collections- A phlebotomy technician is collecting a peripheral blood smear from a patient. The technician should identify that this collection technique is used for which of the following tests? A. WBC differential test B. Sedimentation rate (ESR) test C. Blood culture D. Arterial blood gas (ABG) test \ n ✔A. The technician should collect a peripheral blood smear for a WBC differential test. A peripheral blood smear is the preferred collection method because it provides a one-cell layer, which allows for the visual differentiation of WBCs. Special Collections- A phlebotomy technician received a forensic specimen. The technician should verify that which of the following specimen information matches the requisition form? A. County clerk number B. Statute of limitations C. Attorney's name D. Case number \ n ✔D. upon receiving a forensic specimen, the technician should verify that the requisition form matches the labeled evidence collected, including the type of specimen, the case number, and the name, age, and gender of the specimen donor. Special Collections- A phlebotomy technician is collecting capillary blood from a patient for neonatal screening. Which of the following actions should the technician take to complete the newborn screening card? A. Touch the paper to a drop of blood and saturate each circle of the card. B. Smear the blood onto the printed circles of the card. C. Layer several drops on the printed and non printed side of the card. D. Place multiple small drops on each circle of the card. \ n ✔A. The technician should touch the paper to one large drop of blood to saturate each circle on the printed side of the card. Special collections- A phlebotomy technician is preparing to perform a neonatal screening test. The technician should identify that which of the following is the optional time to perform the test? A. Immediately after birth B. Between 24-72 hr after birth C. Between 12-18 hr after birth D. 6 hr after birth \ n ✔B. The technician should identify that between 24-72 hr after the optimal time to perform a neonatal screening rest and to obtain accurate results. Special Collections- A phlebotomy technician is screening potential blood donors. The technician should identify that which of the following patients is able to donate blood? A. A 15 year old patient who weighs 61.2 kg ( 135 lb) B. A 67 year old patient who weighs 44.4 kg (98 lb) C. A 65 year old patient who weighs 54.4kg (120 lb) D. A 20 year old patient who weighs 47.6kg (105 lb) \ n ✔C. The technician should identify that a 65 year old patient who weighs 54.5 kg is within the age and weight requirements to be eligible to donate blood. Special Collections- A phlebotomy technician should identify that a patient who has which of the following blood types is a universal recipient? A. AB B. O C. A D. B \ n ✔A. A patient who has type AB blood is a universal recipient because her blood lacks both the anti A and the anti B antibodies. Special Collections- A phlebotomy technician is caring for a 3 year old child who weighs 15.9 kg (35lb) during a 1 month hospital stay. The technician should identify that which of the following blood collection amounts is within total volume guidelines for this patient? A. 165 mL B. 95 mL C. 185 mL D. 200 mL \ n ✔B. The technician should identify that the maximum amount of blood that can be collected in 1 month from a child who weighs 15.9 kg (35 lbs) is 100 mL or less Special Collections- A phlebotomy technician is collecting a blood culture from an infant who weighs 3kg (6.6 lb). The technician should identify that which of the following is the total blood volume for this infant? A. 100-190 mL B. 60 to 150 mL C. 240 to 330 mL D. 150 to 240 mL \ n ✔C. The technician should identify that the total blood volume for an infant who weighs 3 kg is 240 to 330 mL. The total blood volume can be calculated by multiplying the infant's weight in kg by 100 and changing the units to mL. C. Place tubes of unequal volume across from each other. D. Place tubes of equal volume across from each other. \ n ✔D. the technician should place tubes of equal volume across from each other in the centrifuge. This prevents the tubes from breaking. Processing Specimens- A phlebotomy technician is preparing serum samples for centrifugation. How many minutes should the technician allow the serum samples to stand before loading them into the centrifuge? A. 10 min B. 15 min C. 25 min. D. 30 min. \ n ✔D. the technician should allow the serum samples to stand for a minimum of 30 min for coagulation before loading them into centrifuge. Processing Specimens- A phlebotomy technician is preparing to draw a blood specimen that must be protected from the light. Which of the following laboratory tests will be performed on this specimen? A. CBC B. Bilirubin C. BMP D. Potassium \ n ✔B. The technician should protect bilirubin specimens from light to prevent damage to the specimen. Processing Specimens- A phlebotomy technician working in a laboratory has received six filled evacuated tubes, one of which is missing a label. Which of the following actions should the technician take? A. Print a barcoded label for the unlabeled specimen. B. Process the unlabeled specimen as it was received. C. Recollect the unlabeled specimen. D. Hand-write a label for the unlabeled specimen. \ n ✔C. A specimen with a missing label should be treated as a rejected specimen due to incomplete patient identification. The technician should recollect and label the specimen properly to ensure that the specimen is correctly identified. Processing Specimens- Which of the following actions should a phlebotomy technician take when collecting a urine specimen for drug testing? A. Assume implied consent from the patient. B. Implement sterile technique to obtain the specimen. C. Use the patient's social security card for identification D. Seal the specimen in a tamper-evident container. \ n ✔D. The technician should seal the specimen container in a way that any tampering can be identified. Processing Specimens- A phlebotomy technician is preparing to obtain a forensic specimen to determine a patient's blood alcohol level. Which of the following information should the technician include on the chain of custody form? A. Date and time of specimen collection B. Method and date of specimen collection C. Witness name and signature D. Attorney's name and signature \ n ✔A. The technician should identify that both the date and the time that the specimen was obtained are required on the chain of custody form. Processing Specimens- A phlebotomy technician has received a urine drug test specimen with a thermometer reading of 29.4 degree C (85 degree F). Which of the following actions should the technician take? A. Require the patient to provide a blood sample. B. Have the patient provide another urine specimen under observation. C. Accept the specimen for processing. D. Ask the patient is the specimen was altered. \ n ✔B. If the technician suspects the sample has been tampered with, he should ask the patient to provide another urine specimen under direct observation to prevent any tampering. Processing Specimens- A phlebotomy technician has released a specimen to a courier who is transporting it to a laboratory. Which of the following statements should the courier use to instruct the medical specimen accessioner on how to complete the chain of custody from? A. "Make sure to check for ID." B. "Write your name on the form." C. "Keep two copies of the form." D. "List your phone number." \ n ✔B. The accessioner should write their name on the form when receiving a specimen. Processing Specimens- A female patient is being referred to a reproductive specialist. Which of the following blood tests would a phlebotomy technician release to the referring personnel? A. LDL and HDL B. CRP and BNP C. FSH and LH D. PSA and CBC \ n ✔C. FSH and LH are hormone related tested that are required for reproductive testing on a female patient. Processing Specimens- A phlebotomy technician calls a medical assistant to inquire about a laboratory requisition. Which of the following information is required on a laboratory requisition? A. Patient's blood type B. Method of collection C. Specimen accession number D. Patient identification number \ n ✔D. The technician should identify that the patient identification number is required for a laboratory requisition to verify the identity of patients. Processing Specimens - A phlebotomy technician is accessing the laboratory information system prior to collecting a specimen. Which of the following actions should the technician take? A. Upload the orders. B. Print the specimen label. C. Draw the specimen. D. Scan the barcode. \ n ✔B. After accessing the laboratory information system, the technician should print a label for the specimen. Processing Specimens- A phlebotomy technician is a accessing the laboratory information system. The technician should identify that which of the following information can be found in the system? A. Vein preference B. Tubes to collect C. Transportation method D. Previous laboratory results \ n ✔D. Previous laboratory results should be included in the laboratory information system. Processing Specimens- Which of the following information should the phlebotomy technician use to access a patient's medical records in the laboratory information system? A. Laboratory test number / B. Medical requisition number/ C. Patient identification number /D. Provider telephone number \ n ✔C. The technician should identify that the patient identification number can be used to access a patient's medical records. Processing Specimens- A phlebotomy technician is performing a point of care glucose test for a patient and receives a glucometer reading of 46mg/dL. Which of the following findings should the phlebotomist expect the patient to exhibit? A. Slow heartbeat/ B. Rapid heartbeat / C. Rapid breathing /D. Slow Breathing \ n ✔B. The technician should identify that a critically low glucose level can cause a rapid heartbeat. Processing Specimens- A phlebotomy technician is performing a point of care hemoglobin test for a patient. Which of the following values should the technician report to the provider? A. 9.2 g/dL. / B. 12.5 g/dL. /C. 16.8 g/dL / D. 18.0g/dL \ n ✔A. This hemoglobin level is outside os the expected reference range. Therefore, the technician should report this value to the provider.