Module 7 Flashcards
What information has to be documented when inputting data?
Initiation of test request
Patient info
Collection/draw list and schedules
Preparation of labels
Verification of specimen collection
Accession records/log sheets
Creation of work lists
Test results
Storage of test results
Dissemination of test results
Billing
Work unit tabulation
Supply inventory/ordering
How are requests initiated?
Outpatients- paper req, staff enters data
Hospitals- req is entered into the system and will appear in the lab data files
STAT and ASAP tests are printed automatically
What is necessary when entering data regarding collection lists and schedules?
Prioritize, decide when to collect what.
Draw list indicates collection requests.
When should specimens be collected?
Outpatients- collect ASAP
Hospital- early morning, collect a specific test on a number of patients all at once
How is collection verified?
Date, time and initials or collection code is recorded on the tube and req.
Collected code can be entered to patient’s data.
How are accessions recorded?
Log sheets record collections.
Who is responsible for work lists?
Each department
How are results recorded?
On department-specific reqs.
How are results stored?
Copy of the req and results are retained by the lab.
How are results delivered?
By hand
Couriers or porters
Telephoned reports are followed up with a written report
What is work unit tabulation?
Each procedure is designated a certain number of work units depending on the complexity and time required.
How is specimen identification verified? What has to be checked?
Must ensure the specimen is suitable.
Check for correct: Patient info Type of specimen Volume of specimen Collection date and time
What makes a specimen unacceptable?
Inadequate ID
NSQ sample
Incorrect collection- may be able to use an alternate test
Hemolyzed blood samples- usable unless grossly hemolyzed
Incorrect transportation- usually performed but not with leaking specimens
What is the rejection process?
Notify supervisor
Recollect
Notify unit/physician
Enter comment
Don’t discard sample until problem is resolved
Urine and serum samples that can’t be frozen should be refrigerated for up to a week
How are STAT specimens handled?
Have priority, must be processed immediately.
Warn tech, use special centrifuge or STAT flag.
