W2 specimen prep

Question 1

unlabelled specimen

Answer 1

if its easy to recollect always dispose of and recollect them
invasive ones like csf you can’t

Question 2

mislabelled specimen

Answer 2

if it is something as simple as a spelling error call ward
REJECT IF TRANSFUSION
reject if mislabelled with someone elses label

Question 3

incorrect collection

Answer 3

check whats in to determine

Question 4

not enough

Answer 4

short draws mean incorrect blood to additive ratio check department and recollect if you can

Question 5

hemolyzed specimen

Answer 5

appear red due to hemoglobin from damaged rbc
rejected if testing for potassium
some tests may still be performed ask mlt

Question 6

lipemic specimen

Answer 6

contain lipoprotein particles
and chylomicrons which are fat particles
sometimes ultracentrifuge used to get rid of fat particles

Question 7

icteric blood specimen

Answer 7

high levels of bilirubin
dark yellow green to bright yellow
can still be used but mlt must look it over

Question 8

chilled specimen specimen

Answer 8

only do for two hours, only do if necessary

spin centrifuge at 4 degrees and aliquot then refrigerate

Question 9

light sensitive specimen

Answer 9

use for or amber microtainer

bilirubin can deteriorate top to 50% after one hour exposure to light

Question 10

frozen specimen

Answer 10

once thawed refrigerate or room temp mix well before aliquoting d

Question 11

rejection follow up

Answer 11

if test is not suitable for labs rejection criteria then they must notify ward or physician that test is cancelled and why, enter comment in LIS of why
do not discard sample