specimen Flashcards
5 rights of specimen labeling
- pt
- MRN
- lab test
- specimen
- surgeon
surgical tissue banking
retrieval, processing, preserving, and storing of human tissues for later transplanation back into pt or another pt
Formalin (formaldehyde)
- toxic w/ inhalation and to mucous membrane (eyes, face, skin)
- in case of exposure, rinse w/ water/saline
- when labeling, indicate presence of chemical
how to handle bullets
- Don’t drop bullets into metal basin/bowl (put in sterile plastic container instead)
- Don’t wrap in cotton/tissue paper
- dont rinse w/ water/saline
- handle each fragments/bullets SEPARATELY!
what to include if reporting to manufacturer on an explanted device
- date of explantation
- name, mailing address, phone of MD
- date of pt death or date of disuse
what to do if the pt requested to have the explanted orthopedic device
- check that it is not recalled
- check that it does not need to be sent to patho
- document the request and the person who return the device
what do you use to removed very small specimen from surgical instruments
needle
never pass specimen on what?
counted/radiopaque sx sponge
how often do you change the ice to keep the amputated digit nice and cooled?
q4h
2 criterias of the tissue perfusion fluid in washing out stagnant blood of amputated limb’s proximal artery
100 C or 500 F
120cm hydrostatic pressure
near misses
potential to harm; prevented
adverse events
harm/inconvenience happened
sentinel event
significant harm
what to include on specimen documentation
- number/phone of OR room
- pt’s LOC
when does specimen identification begin
the moment it is removed from pt’s body
