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Non-blood Form 1
| Question | Answer |
|---|---|
| Describe what could happen if you did not identify a patient correctly before collecting specimens | It may result in: • Incorrect treatment • Possible death of patient • Dismissal from work • Legal action |
| How do you need to identify a depot patient? | • Personally ID patient in bleeding room • Ask patient their name, surname & DOB • Ensure the information the patient gives you, matches the request form exactly • Check ID book/med aid card/drivers licence |
| Describe THREE things you must NOT do when you identify a patient | • Do not call the patient by their name • Do not use the name board above the bed • Do not use the folder next to the bed |
| Describe the general rules ( as per the SOP) on request forms | •A request form must accompany every sample •Complete all sections of form •Use black ink •No tippex •No highlighters •Handwriting to be legible •Ensure info on stickers is sufficient & correct. Any outstanding info on sticker must be added |
| Explain what the phlebotomist needs to explain to the patient when signing the request form | • That signing the request form they are acknowledging responsibility for any medical aid short falls • Giving permission for tests indicated to be performed |
| Describe how to identify a ward patient [ | •Look at ID bracelet •Ensure info on request form matches exactly •If details do not match, notify ward sister & dont collect specimen until discrepancy has been addressed & the pt’s identify verified •Ask awake pt their name, surname & DOB |
| Is it acceptable to label test tubes with hospital generated stickers? Give your reasons for your answer | No, They cover the contents of the tube and Interfere with instrument automation in the lab |
| Where is the CORRECT place to label a large histology container? | On the container itself, not the lid of the container |
| Explain the significance of the ICD 10 code on the request form | •It is an International code provided by the doctor and is needed for medical payment purposes |
| Why may you not identify the patient by using the name above the bed? | •Patients may be moved from one bed to another and the board may have been left behind •The patient may be confused and have climbed into the wrong bed |
| List the recommended information you must write on a specimen label | •First name/ initials/ surname •Gender of pt •DOB or ID nr •Specimen type (CSF or urine) •Site (swab- eg left nostril) •Drug levels( pre or post drug) •Specific times of timed specimens ( eg GTT) •Date and time specimen taken |
| If a specimen needs to be wrapped in foil, do you label the container on the outside of the foil? Give a reason for your answer | •No- the label may be removed with the foil •Label before you apply the foil and on the foil |
| Why is it important to record GENDER and DATE OF BIRTH on the request form? | •Reference ranges for certain tests differ according to the age and sex of the patient. •If this information is omitted, the computer system will presume the specimen is that of an adult male patient |
| Explain your responsibilities regarding identification when fetching a specimen that the ward staff has collected. | •Compare the name on the specimen to the one on the request form •They must match exactly •If they do not appear or do not match, return specimen and the form to the ward staff for clarification •Do not change any information yourself |
| List the 3 important rules regarding the labelling of specimens | •Samples must be labelled immediately after collection •In the presence of the patient •Before progressing to the next patient or task |
| Name the information block that indicates the age of the specimen | Date and time |
| Explain what may not be used for purposes of identifying an infant | •Names/labels/cards on a bassinette or incubator •Patient file/ chart at foot of bassinette/cot/incubator |
| List 5 possible complications that could result if the specimen was labelled with the incorrect name | •Results will be attributed to incorrect pt •Incorrect treatment given to pt •Pt may fail to recover, take longer to recover •Pt may die •Additional medical costs to pt •Litigation •Specimens repeated at time & cost to the lab and discomfort to pt |
| Explain the procedure to follow if you encounter a patient in the ward who is not wearing an ID bracelet | •ward to ID pt &give pt ID band before u collect specimen •If ID bracelet cant be placed, write name of nursemwho verifies ID of pt on request form •If pt is mentally competent, ask pts nam, surname &DOB, compare info matches info on request exactly |
| Where may the ID bracelet be found on a new-born baby? | • On the ankle •On a sticker on the infants back |
| Identify the information required on the request form that if omitted the laboratory computer system will presume the specimen is from an adult male patient | •Age •gender |
| State the specific requirement when identifying ward patients | • The information on the ID bracelet • Must match the request form exactly |
Created by:
cisca