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SPECIMEN COLLECTION

Collection and Transport PPT

QuestionAnswer
Which organization designed a formal layout for Standard Operation Procedure manuals? CLSI
What are two forms of identification needed when attempting to identify a patient verbally? Spell out first and last name Unique identifier (DOB)
What should you do if there is not a wristband available for nonverbal patient identification? Notify the Nurse in charge
What PPE is required for patients in isolation for infectious disease? - disposable gowns + gloves
What is the meaning of a "reverse precaution"? The patient is to be protected from infectious agents
Explain the difference between plasma and serum Plasma is the liquid portion that still contains clotting factor because it represents our blood in vivo (in our bodies). Serum is the liquid portion that does not contain clotting factor because the blood cells coagulated already
Why is plasma preferred in microscopic analysis rather than serum? When coagulation occurs, the blood cells clump together. Because the blood clots, we lose a significant amount of the clotting factors. it prevents us from seeing cellular elements under a microscope
What is the function of an additive in relation to obtaining blood samples? To increase the rate of processing and general specimen quality
What is the majority of our plasma made out of? Water
What is a buffy coat? A [typically thin] band that contains WBCs and platelets
What may a thick buffy coat be an indication towards? An illness developing in the body
Define an evacuated tube This contains a vacuum with a rubber stopper that seals the tube. It also has sterile interiors to prevent contamination of the specimen and the patient
What is the benefit of the Hemogard Tubes? They have a larger, plastic stopper to protect the technologist from aerosols that come out when removing the rubber stopper
Why is it important to not use tubes past their expiration date? It is not a guarantee that the additives will work
What safety devices are required when collecting blood? Proper PPE, safety needles, biohazard sharps containers
Why is "first morning" urine preferred for urine speciment collection? It is the most concentrated due to it sitting in the bladder overnight
When should testing be performed if the urine specimen is refrigerated? 6-8hrs
When should testing be performed if the urine specimen is stored at room temp? Within 2hrs
Why may a random urine specimen collection (although the most common) be inaccurate at times? The urine may be too diluted to analysis; it requires explicit instruction to the patient to prevent bodily contamination
What is one exception to the "first morning" urine specimen recommendation? When testing for glucose in urine (void urine within 2-3hrs after a meal)
When is a "Mid-stream, clean catch" urine preferred and why? For C&S (culture and sensitivity) testing; to reduce the incidence of cellular and microbial contamination
What steps are taken within a "Mid-stream, clean catch" to significantly diminish specimen contamination? 1) Cleansing the urethral area 2) Voiding the first portion of urine into the toilet
When is a 24hr/timed urine specimen collection utilized? When it's needed to determine accurate concentrations of various analytes (chemical substances) and calculated ratios
What is the difference between a Catheter Collection and a Suprapubic Aspiration Collection? Catheter=utilizing a catheter on someone who is confined to a bed or cannot urinate independently Suprapubic Aspiration=utilizing needle aspiration (abdo to bladder on bedridden patients that cannot be catheterized or a sterile specimen is required.
What is necessary to prevent clotting for proper cell count analysis? Heparin or EDTA anticoagulant
What would a sterile tube be used for? Microbe culture analysis or Chemical analysis
What are the labeling requirements of any patient specimen? LAST NAME, FIRST NAME DOB (or alternative patient identifier) DATE OF COLLECTION (DOC), TIME OF COLLECTION (TOC) TECHONOLOGIST INITIALS
What testing can be down with a urine specimen? toxicology microbe culture analysis
Created by: innazukaa
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