Phlebotomy Book- Chapter 11 Flashcards
the simplest way to transport specimens within a facility is to-
walk to the lab, many facilities have other devices that simplify or speed up the process of transporting specimens
pneumatic tube system- (2)
-specimen is properly labeled & enclosed in a biohazard bag for transport & is put in capsule
-capsule is loaded into pneumatic tube & sent to lab
for example, some pneumatic tube systems may agitate/disturb specimen resulting in- (2)
-hemolysis
-other adverse effects
use of tube system for specimen transport must be validated to establish policy that-
allows alternate delivery methods for specimens that would be hemolyzed or suffer other harmful effects if delivered
different specimen transports within the facility- (5)
-pneumatic tube
-dumbwaiter
-Automated tracks
-Robotics
-Conveyor belts
dumbwaiter transport-
small elevators dedicated to transporting specimens to the lab
Specimens for STAT Tests must be collected & processed-
immediately, especially if phlebotomy area is in a different part of building than lab
results for specimens for STAT tests are expected-
within 1 hour of order
Specimens for STAT tests that require centrifugation- (2)
-take to lab within 45 min
-centrifuge within 1 hr
CLSI standard Specimens for STAT tests that require centrifugation-
2 hours between collection & centrifugation for serum or plasma separation
if unsure of specimen requirements, look them up in-
procedure manual
test results will be inaccurate if-
specimen handling & processing guidelines are not met
courier services are used to-
transport specimens outside the facility
directions to follow when transporting specimens outside the facility- (3)
-specimens placed in locked box
-may need to be processed before transport
-policy needed for time & temperature
outpatient facilities often need to send specimens to reference lab or another facility because-
hospital’s lab does not perform the tests for processing
labs may provide clients such as doctors’ offices with lab courier service for ease of delivering specimens collected- (3)
-specimens placed in a courier pickup lock box
-lab policy dictates how long specimens can stay in box & how specimens are protected from extreme temperatures
-couriers follow a predetermined pickup schedule & help ensure specimen integrity by maintaining specific specimen requirements, such as using proper insulated transport containers
reference labs offer a larger variety of tests than-
most community hospital labs
some reference labs provide their own courier service because-
they often travel longer distances, so extra attention must be paid to preparation
specimens sent through mail or by an express delivery service (FedEx) must comply with-
local, state, & federal laws governing packaging & biohazard identification
packaging requirements for shipping specimens- (6)
-shipping container
-watertight secondary container (ziplock bag, plastic canister, or Styrofoam box)
-watertight primary container
-specimen documentation
-absorbent material
-ice pack
to protect personnel, place specimen tubes in biohazard bags for- (2)
-shipping
-transporting by pneumatic tube
when opening packaging or pneumatic tube wear appropriate PPE- (3)
-gloves
-lab coat
-face protection
if specimen has spilled in a pneumatic tube, follow-
facility policy to decontaminate the tube
when tracking specimen transit, enter info into LIS using- (2)
-manual entry
-bar code reader