Pmls Specimen Handling And Transport

Front 1

Phases of quality assurance

Back 1

Pre-analytical phase

Analytical phase

Post-analutical phase

Front 2

Factors that alter test results that are introduced into the specimen before testing,including before and during collection, and during transport, processing, and storage.

Back 2

Pre-analytical errors

Front 3

Mixing tubes by inversion

Back 3

3-10 inversions depending on the additive present,type of tubr and manufacturers

Front 4

How tubes should be transported?

Back 4

Transported STOPPER UP

Front 5

Importance of STOPPER UP during transport

Back 5

Reduce agitation

Aids in clot formation

Prevent contact of the tube contents with the tube stopper(aerosol formation)

Front 6

How to transfer blood specimens?

Back 6

Usr plastic bag w/ biohazard logo,liquid tigt closure, slip pocket for paperwork

Front 7

How transfer non-blood specimens?

Back 7

Leak proof containers

Front 8

How to transfer pneumatic tube system?

Back 8

Protected from shock,sealed in zipper type plastic bag to contain spills

Front 9

How long is the allowed time for blood sample clotting

Back 9

20-30 mins.

Front 10

Allowed time of transport of blood specimen to lab?

Back 10

Within 45 mins of collection

Front 11

Once arrived in the lab, allowed time for serum separation from cell

Back 11

Within 1hr collection

Front 12

The maximum delivery time limit recommended by CLSI

Back 12

Maximum 2hrs

Front 13

Delivery time limit on off-site test: non-additive and SST tubes

Back 13

Completely clotted before centrifugation

Front 14

Delivery time limit on off-site test:

Heparin gel barrier tube/ PST's

Back 14

Centrifuged right away

Front 15

Delivery time limit on off-site test:

Hematology test tubes(EDTA)

Back 15

Never centrifuged

Front 16

Body temperature

Back 16

36.4-37.6°c

Front 17

Room temperature

Back 17

15-30°c

Front 18

Refrigerated temp.

Back 18

2-10°c

Front 19

Frozen temp.

Back 19

-20°c below

Front 20

More than 37°c is required during specimen transport

Back 20

Use activated heel warmer

Front 21

Sample specimens requiring body temperature during transport

Back 21

Cold agglutinin

Cryofibrinogen

Cryoglobulins

Front 22

Chilled specimen handling

Back 22

Slows down metabollic process and protects analytes

Front 23

Light sensitive specimen transport

Back 23

Wrap in aluminum foil

Use amber colored microcollection containers

Front 24

"central processing" ot triage

Back 24

Received specimen

Prepare speciemn for testing

Identify specimen

Logged/ accesuined specimens

Sort by department and type of processing

Evaluates suitability for testing

Front 25

Specimen rejection criteria

Back 25

Inadequate, inaccurate,or missing speciemn identification

Underfilling of additive tubes

Hemolysis

Wrong tube

Outdated tube

Improper handling of specimen

Quantity not sufficient

Wrong collection time

Light exposure

Delay in testing

Delay or error in processing

Front 26

Machine that spins blood and other specimens at a high number of revolutions per minute

Back 26

Centrifuge

Front 27

Cause the cells and plasma or serum in blood specimens to separate

Back 27

RPM(revolution per minute)/ RCF( relative centripital force)

Front 28

Common contaminants on specimen when stopper is removed

Back 28

Sweat

Powder from gloves

Front 29

Sweat

Back 29

Increase chloride in sample

Front 30

Balanced centrifuge operation

Back 30

Equal size of tubes with equal volume of specimen

Front 31

Unvalanced centrifugation

Back 31

Break specimen tubes

Ruin specimen

Aerosol formation

Front 32

Centrifuging PLASMA specimens

Back 32

Blood collected in tubes with anticoagulant

Citrated tube and Heparinized tube and PST's

Front 33

Centrifuging SERUM specimens

Back 33

Blood must be completely clotted before centrifugation

Front 34

Complate clotting of SST and tubes w/ cloy activators

Back 34

30 mins

Front 35

Complete clotting of thrombin tubes

Back 35

5 mins

Front 36

Incomplete clotting may result to?

Back 36

Fibrin formation

Front 37

What to use when transferrinf sample durinf aliquot preparation

Back 37

Use disposable transfer pipette