UNIT 2.1 RECEIVING: LOGGING AND NUMBERING and ACCESSIONING/NUMBERING Flashcards

1
Q

RECEIVING: LOGGING AND NUMBERING:

A
  1. Verify information on the request form
  2. Verification of the Specimen Label
  3. Enter all data in the logbook/LIS
  4. Accession/Number the specimen
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2
Q

ACCESSIONING/
NUMBERING purpose

A

Identify specimen without writing the name of the
patient

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3
Q

Initial assessment of the specimen occurs in the

A

reception area

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4
Q

ALL SPECIMENS MUST BE DELIVERED TO THE LABORATORY IMMEDIATELY (WITHIN 1HOUR MAXIMUM) WITH A

A

COMPLETED REQUISITION FORM

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5
Q

ALL REQUISITION FORMS MUST BE LABELED WITH THE CORRECT INFORMATION OF THE PATIENT AS
FOLLOWS:

A
  1. Name of Patient.
  2. Age, Date of Birth, Sex.
  3. Medical Record Number
  4. Date and Time of Collection
  5. Type of Specimen (anatomic site)
  6. Location of the Patient
  7. Clinical history of the patient
  8. Pre/post operation diagnosis
  9. The requesting physician’s name.
  10. Physician or authorized person’s signature on the request form.
  11. Name and address of physician (for referral laboratories)
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6
Q

. Specimen container must be labeled with the correct
information of the patient as follows:

A

1.Full patient’s name.
2.Medical record number.
3.Age and sex of the patient.
4.Type of specimen (Anatomic site).
5.Date and time of collection.
6.Location of the patient

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7
Q

specimens that accompany the requisition form should be
identified by at least how many patient identifiers

A

2

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8
Q

two identifiers in specimen:

A

Medical Record Number (MRN) and
pathology number

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9
Q

S13-000 what is 000?

A

pangilan na specimen this year

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10
Q

The case specimen number if there are multiple
specimens for the same patient case are labeled

A

alphabetically as A, B, C etc

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11
Q

S13-000 what is 13?

A

year

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11
Q

CASE ACCESSION NUMBER

S13-000 what is S?

A

What type of specimen?

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11
Q

if there are
multiple blocks on the same specimen, use

A

specimen block number
(labeled
numerically A1, A2, A3 etc.)

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12
Q

if there are multiple slides cut from a
single block

A

block slide number (numerically as 1,2,3 etc.)

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13
Q

Stained Slides will be identified by two numbers :

A

medical record number and Pathology number

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14
Q

All slides other than those stained by ________ and _________
will bear the name of the stain

A

hematoxylin and eosin

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15
Q

it has bacterial contamination. The
bacteria destroyed the cells

A

Putrefaction

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16
Q

maintains the records of the number of blocks,
slides, and stains prepared and it is capable of demonstrating
volumes for any given time

A

QUADRAMED

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17
Q

If you are going to send specimens out, it will not be accepted
by the referral pathology laboratory without __________

A

histopath report

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17
Q

the cell is destroyed because of the natural process of decomposition, or because of the enzymes
inside the ce

A

autolysis

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18
Q

ALL SPECIMENS FROM OUTSIDE THE HOSPITAL EXCEPT THOSE FROM GOVERNMENT HOSPITALS Must have the ____________ before they are accepted for processing

A

approval of the hospital administration and
consultant on duty

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19
Q

. All ____________________ must have their laboratory tests entered and collected in the computer by the attending physician

A

In-patients for histopathological diagnosis

19
Q

REQUESTS FOR FROZEN SECTION REQUIRE _______ AHEAD OF THE OPERATION.

A

24 HOUR-NOTICE

20
Q

must
be duly completed and submitted with the specimen

A

Histopathology requisition form (Lab 1-A)

21
Q

Accessioning of collected specimen is carried out in the _____________ by the technologist(s

A

laboratory reception area

22
Q

Specimen should be immersed in fixative (10% buffered formalin) within _______ of the biopsy or
resection procedure.

A

1 hour

23
Q

All specimens must be received fixed in 10% neutral buffered formalin EXCEPT for the following:

A
  • FROZEN SECTION
  • IMMUNOFLUORESCENCE
  • ELECTRON MICROSCOPY
24
Q

IMMUNOFLUORESCENCE fixative

A

Either in normal saline solution (NSS) or liquid nitrogen

25
Q

ELECTRON MICROSCOPY fixative

A

2% glutaraldehyde solution in the cold after excision

26
Q

FOR RENAL BIOPSIES, Please call __________ before the procedure

A

15 minutes

27
Q

FOR RENAL BIOPSIES, sample should be immersed in

A

saline

28
Q

RENAL BIOPSIES

The specimen will be examined under the dissecting microscope for the presence of _________ to determine if the specimen is adequate, then divided into 3 parts:

A
  • glomeruli
    ○ (1) frozen for immunofluorescence
    ○ (1) immersed in glutaraldehyde for EM study
    ○ (1) fixed in formalin for paraffin processing
29
Q

RENAL BIOPSIES

Alternatively, __ separate samples could be sent to the Histopathology
laboratory.

A

3

30
Q

RENAL BIOPSIES

These specimens should be sent to the lab within _______ after the renal biopsy procedure.

A

one hour

31
Q

RENAL BIOPSIES

in renal biopsy, The specimen in saline should be immediately snap frozen in _________ for
further frozen sectioning and immunofluorescence staining.

A

liquid nitrogen

32
Q

TESTICULAR BIOPSIES fixative

A

BOUIN’S
FLUID

33
Q

ELECTRON MICROSCOPY SAMPLES:

A

4%
GLUTARALDEHYDE SOLUTION AND REFRIGERATE.

34
Q

thread used for sewing; used for differentiation of
positions

A

Sutures

34
Q

FOR BREAST LUMP, THE SURGICAL MARGINS
SHOULD BE ORIENTED BY ________.

A

SUTURES

35
Q

FOR MASTECTOMY, THE _______ SHOULD
BE INDICATED BY SUTURES.

A

APICAL NODES

35
Q

IDENTIFIED BY THE
SURGEON AND REMOVED WILL BE SUBMITTED TO THE
LABORATORY IN A SEPARATE CONTAINER, WITH A
REQUISITION.

A

Sentinel lymph node/nodes

35
Q

Superior margin to be indicated by a _________ in case
of simple mastectomy (without axillary dissection)

A

separate suture

36
Q

the first lymph node to be affected by
cancer

A

Sentinel lymph node

37
Q

This will ensure the integrity of the lymph node capsules
and also assess the tumor spread beyond the lymph node
capsule.

A

including Perinodal fat

38
Q

Known infective specimens should be clearly marked with

A

red
marker.

39
Q

The proximal or distal excised margins should
be oriented by a suture.

A

BOWEL RESECTION

39
Q

SKIN BIOPSIES INTENDED FOR
IMMUNOFLUORESCENT ARE STORED IN THE ______ FOR IMMUNOFLUORESCENCE STUDIES.

A

DEEP FREEZER (-70 c)

40
Q

Surgical specimen to be “Exempt from Pathology Examination” as approved by the Chairperson Department of Pathology in conjunction with the hospital administration and medical staff departments, are

A
  • Foreign bodies (e.g. bullets, medical devices, IUD, valve rings).
  • Hair, finger nails, toe nails removed
    for cosmetic reason.
  • Teeth, dental appliances.
  • Lens (i.e. cataract).
  • Calculi.
  • Nasal septum cartilage and bone (soft tissue is submitted for microscopic
    examination).
  • Foreskin from circumcision (10 years old and younger).
  • Mammary implant
  • Skin from face-lifts
  • Orthopedic materials
40
Q

___________ INTENDED FOR
IMMUNOFLUORESCENT ARE RECEIVED FROZEN FROM
THE DERMATOLOGY DEPARTMENT

A

SKIN BIOPSIES

41
Q

Tiny and small biopsies from ___________ and ___________ are
normally submitted for processing on the same day, if received before
the cut-off time i.e., before 2.00 P.M. and if they appear to be fixed.

A

Endoscopy and dermatology

42
Q

Specimens are usually kept at room temperature for at__________ after the official report is released and then disposed according to Hospital and Municipality protocol on proper specimen disposal

A

least two weeks

42
Q

Referral slides/blocks must be accompanied by the official original pathology report with the following information:

A
  1. Patient’s name
  2. Medical Record Number
  3. Hospital / clinic pathology number
  4. Number of slides/ blocks
43
Q

Specimens accepted for “Gross Description
Only”

A
  • Torn Meniscus.
  • Varicose veins.
  • Bone fragments from non-pathologic fracture.
  • Ear cartilage.
  • Fetus.