Specimens Flashcards

1
Q

Why might you collect a specimen?

A

Prognosis
Continuing medical care
Treatment plan based on pathology results

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2
Q

Common specimens?

A
Soft tissue 
Bone 
Blood 
Body fluid 
Foreign bodies
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3
Q

What id the main thing that prevents specimen errors?

A

Communication

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4
Q

What does poor specimen handling result in?

A
Injury to pt
Extended length of stay
Delayed/incomplete dx
Delayed treatment 
Risk of exposure to staff
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5
Q

Communication process of specimens?

A

Pre op - verify specimens as part of procedure, check consent, appropriate containers, req form, pt labels

Intra op - facility checklist, cover in time out, confirm request with surgeon, confirm identity

Post op - confirmation of specimens name, correct labels and other info, specimen taken to pathology

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6
Q

What do you document for specimens?

A
Specimen name
Body location/side
Tissue type
 Correct spelling 
Requested pathology exam
Date and time of collection
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7
Q

Handling specimen in sterile field?

A

Handle as little as possible
Keep specimens moist
Cover or place in container and label
Protect in secure location on back table

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8
Q

Steps to transfering specimens off sterile field?

A

ASAP
Verify pt name, specimen name and type of test (confirm by surgeon)
Right size container
Instrument used to transfer is contaminated
Stardard precautions

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9
Q

Why might implants be removed?

A

Pt discomfort
Manufacturer recall
Plan of care

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10
Q

Specimen containers?

A
Right lid 
Be leak proof
Be puncture resistant
Be empty or manufactured prefilled container 
Best fit specimen to avoid damage
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11
Q

Types of containers for specimens?

A

Culture tubes with or w/o medium
Sterile containers
Unfilled/prefilled containers
- formalin

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12
Q

Labeling containers for specimens?

A

Pt name, medical record number
Specimen name, side and tissue type
Date and time of collection

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13
Q

If you splash formalin into your eye how long do you rinse?

A

15-20 min

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14
Q

Transport and temporary storage of specimens?

A

Protect integrity of specimen
Maintain confidentiality
Ensure specimen identification is provided
Protect healthcare personnel

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15
Q

What must specimens have for transport?

A

Labels

  • chemical
  • biohazard
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16
Q

Steps for managing highly infectious specimens?

A
Identify potential for excising highly infecious specimen 
Communication 
Review management process
Alert pathology 
Specify required packagin and labels
Identify how/when will be transported
Call when specimen is sent 
Give directly to recieving individual 
Communicate infectious status
17
Q

Container for highly infectious specimens?

A

Rigid, leak proof
Wipe outside with disinfectant for transfer
Clean gloves to label

18
Q

Key elements to forensics?

A

Use of PPE
Collection as soon as pt care permits
Minimal handling
Avoid rinsing, wasning or wiping

19
Q

Removing bullets?

A

Non metal instruments/containers

  • protect from scratches
  • used for criminal investigations
20
Q

What type of bags shoukd be used for evidence in foresics?

A

Paper never plastic

21
Q

3 elements in chain of custody?

A

Vital info
- collection details, who handled evidence, who received it
Regulation
- follow all local, state and federal regulations
- evidence can be used in court
Organizational P&P’s
- based on facility

22
Q

5 rights of specimrn handling?

A
RIGHT:
Patient 
Date & time
Lab test
Surgeon 
Specimen
23
Q

Needle apiration?

A

Fine gauge needle and syringe to aspirate

24
Q

Incisional vs excisional biopsy?

A

Incisional - small portion of tissue

Excisional - entire section of tissue

25
Q

Routine vs frozen specimens?

A

Frozen - clarify margins with immediate exam by pathology

Routine - do not require immediate

26
Q

Biopsy vs culture?

A

Biopsy - study for histology and cytology

Cultures - examine for infection

27
Q

How much formalin do you add?

A

10x more than specimen size

28
Q

Types of specimens?

A
Routine
Frozen section
Biopsy
Cultures
Slides
Cytology washings
Forensic
Gross examination
Explanted medical devices
Organ donation 
Amputation
29
Q

What do you need for frizen section?

A

Need to call pathologist for Intra op consult

No fixative in clean container

30
Q

Lymphoma specimen?

A

Similar to frozen section

Notify pathology
No fixative
Intra op consult

31
Q

Embryopathology?

A

Fetus and placenta under 20 weeks
- soobaneous abortion
No fixative

> 20 weeks = still birth