Fun Times with TDG
Where did the cat go after losing his tail?
To the retail store
If some paperwork comes with a package in the lab and you have 1/3 and 3/3 what does this tell you?
Page 2/3 is missing
When doing a finger poke (Capillary puncture) on an adult, the puncture should be across or parallel to the finger prints?
Across (perpendicular) to the finger prints.
You have just collected a bilirubin on a baby in the nursery. Why is it not a good idea to leave this sample on your cart until you finish collecting the rest of your samples on that ward.
Overhead lighting will reduce the bilirubin in the sample
When washing hands before collecting blood from babies in the NICU what must you also do before the soap and water?
Remove all jewellery rings, watches, bracelets etc.
The majority of lab specimens are sent using this classification...
1B, Category B-Biological Substance, UN3373
UN 3373 specimens are packaged using IATA P620 packaging?
True or False
False IATA P650
On TDG documents what does it mean when they write "Consignor" and "Consignee"?
Consignor is the sender / shipper
Consignee is the Receiver
Which babies have PKU (metabolic testing) done in Canada
ALL babies born in Canada and USA
What is the maximum penetration depth of a lancet used on a newborn?
2.0mm
The "Shipper's Declaration For Dangerous Goods" with red thatched boarders should accompany which type of samples?
Category A Infectious substances
I have blood for transfusion that needs to be transported from CBS to VGH. What classification would this be under?
Exempt Classification
Name the type of packaging that ALWAYS needs to be purchased from reputable manufacturers, who follow very strict guidelines.
1A - IATA P620
Why is the first drop of blood you squeeze from the babies heel not used in the collection?
Contaminated with tissue fluid and may even be contaminated with residual alcohol that will interfere with testing.
What are capillary tubes used for, that are marked with a blue band and are they coated with an anticoagulant?
Making peripheral blood smears (slides)
NO anticoagulant.
When blood samples are being sent, which classifications need triple packaging?
All 3 - 1A, 1B and Exemptions
I need to send a specimen on dry ice. I have a cardboard container that was purchased from a reputable company and a Styrofoam container. For my secondary packaging which should I use and why (2 reasons)?
I should use the Styrofoam container for my secondary packaging.
1) Styrofoam lets CO2 gas out
2) Styrofoam won't become soggy with condensation from the dry ice.
Name a test that needs to be collected warm, transported warm and spun warm. This test cannot be allowed to cool below 37C at any time during collecting or processing.
Cold Agglutinin and also Serum Viscosity
A CSF has been collected in only one tube. Some of this sample needs to go to Chemistry, Hematology and Microbiology, what do you do?
Send the sample first to Microbiology. They divide the sample up aseptically.
Microcollection tubes have marked gradations, so that you know how much sample you are collecting.
What is the minimum volume that you can collect for the Hematology lavender microcollection tube ?
250uL
LAV microcollection tube gradations are 250uL and 500uL
You are sending some blood-work from St. Paul's to Surrey Memorial. The patient is an IV drug abuser and is positive for HIV, Hepatitis B & C. What classification would you use to send this package?
Category B Biological substance / UN3373
Some specimens or substances are exempt from either a UN2814 or UN3373 classification. These "Exemptions" are believed NOT to be infectious. Name 3 such exemptions.
1) Medical history of patient shows minimal likelihood that pathogens are present. (Eg. Urine diabetes testing)
2) Blood or blood components for transfusion
3) Tissues or organs for transplant
In the C13-Urea Breath Test, what is the name of the organism that is causing the ulcers and what is it that the Breath Test is detecting?
H. pylori (bacteria)
The Breath Test detects carbon dioxide labelled with C13
Usually 3 tubes (each with about 1mL) of CSF are collected during a lumbar puncture. Which department (Hematology, Chemistry Microbiology), does each tube go?
#1______ #2______ #3______ ?
#1 - Chemistry
#2 - Microbiology
#3 - Hematology
Normal fluid surrounding the lungs is called?
Normal fluid around the organs (abdominal area) is called?
Normal fluid between the membranes surrounding the heart is called?
Normal fluid surrounding the brain and spinal cord is called?
Lungs - Pleural Fluid
Organs/Abdomen - Peritoneal Fluid
Heart - Pericardial Fluid
Brain/Spinal cord - CSF (Cerebrospinal Fluid)