Downtime Procedure
When the internet goes down, a system failure occurs, or a printer failure occurs, employees should do what first?
1. The employee will notify their Management Team (Supervisor and Group Lead)
Vaginal Health Panel
BVCVTV
You would notate here if you had a tough/slow/or butterfly draw.
Internal Comment
Lead ,Blood
Royal Blue K2EDTA (whole blood)*preferred*
If the patient passes out, I can give them a drink/ snacks to help them feel better.
False- The employee should never administer food or beverages to the patient. If the patient requests something to drink, they can be given water, but nothing else (PSC’s only – IOP offices should refer to the Ordering Provider). Patients may/may not be able to inform us of conditions that could lead to further issues, such as diabetes or food allergies.
During the downtown procedure, each specimen will require?
Each specimen will require two hand-written identifiers: patient name and date of birth, along with the date of collection, time of collection, and the collector’s initials. For frozen and/or pour-off specimens, the employee will hand-write the same information on the pour-off tube(s) along with the type of specimen in the tube (EDTA plasma, SST serum, etc.).
Quantiferon TB
QFTB
In which order should I draw the following:Green heparin tube, Lavender tube, Red tube, SST, Gray Fluoride ,Light blue
Light Blue, Red, SST, GREEN, PURPLE, GRAY
QFTB
Green top / Lithium Hep
Fainting, Falls, Nausea, and vomiting all should be reported regardless of lack of injury.
True-Employees must report any of the above incidents, regardless of injury or lack of. The employee must complete the Patient Occurrence Form for all incidents and send it to the Phlebotomy Supervisor immediately.
Manual Specimen Shipment Process- How will the specimens be bagged?
Each patient’s specimens will be bagged individually in small specimen bags and will include all paperwork associated with that patient. The employee will then count and sort all specimen bags by the Specimen Type and Temperature. Each Specimen Type will have its own Manual Shipment Sheet and self-seal bag.
Urine Culture
CXURN
I have a Medicare patient and PathConnect is prompting an ABN. The patient does not want to sign. What should I do next?
Ask the provider's office for additional codes to cover the tests.
Magnesium, RBC
EDTA (lavender-top) tube or sodium heparin (royal blue-top) tube.
Patient is feeling lightheaded and nauseated. I can leave to get help from the office staff?
False-
Call or yell for assistance from another employee if the patient is too heavy for you to handle. Try to prevent the patients from injuring themselves. Do not leave the patient.
On the manual shipment sheets, how do I send/mark a Quantiferon?
For specialty testing, mark “Other” and write out what the specimen is. For example, if you have Quantiferon specimens, you would write the number of specimens in the box next to “Other” and then write “Quantiferon/QFTB” in the blank indicated. For NIPS/0NIPS, you would write the number of specimens in the box next to “Other” and then write the name of the test in the blank indicated. The bag containing Quantiferons will be placed in the blue thermal pouch before being placed in the lockbox.
How to
name of the test in the blank indicated.
ZINC RBC
How many times should I invert my lavender tube after collection?
8-10 times
Urine Drug Screen 10 Panel
Chemistry Red top
If the patient faints, I keep the patient in the lab area for 20 mins once responsive?
False-
If the patient responds, keep the patient in the area for at least 15 minutes before you release them.
If no requisitions through PathConnect are available, what kind of requisition do I send with the specimen?
Manual Requistions:
Where do I order them?
Manual Requisitions can be ordered through PathSupply by the employee. IOP’s and Processors in client locations will order Manual Requisitions for their assigned account as well as a package of blank Manual Requisitions, which contain no client information.
Chlamydia/Gonorrhea/Trichomonas, Cytology
0GCCHL
How many times should I invert my Sodium citrate tube after collection?
3-4 times
MGBS
Blue Top Swab
I can place cold packs on a patient who is feeling faint?
False-
Do not use a cold pack or ice pack – placing these directly on the patient’s skin can result in cold burns and lead to the patient needing further medical treatment.