Duplicate Process
If a specimen has been resulted and has already been relabeled, and is either in the HVS or has a different location on the line, what do you do?
this is a true dup and it must be documented.
If a specimen is discovered in foil or ice bins after its stability window has passed, this type of event is declared.
“lab accident”
Before sharing a tube what do you need to make sure has already been done?
Verify that the tube has already been resulted for the initial set of tests ordered.
What are the IATA violations?
no requisition
no bag
no absorbent
If a tube arrives without at least two acceptable patient identifiers, this action must be taken.
put the sample in the rejects (because specimens without required patient identifiers can’t get processed)
If sample is out of date (outside of the 1 day window) and is ICHD what do you do?
treat as a true duplicate – log and place in rejects.
When cancelling tests for a specimen lost or damaged post‑receiving, you must cancel all tests associated with this tube type code.
RECOLLECT – LAB ERROR ACCIDENT
What tube types can be shared?
31 to a 10
19 to a 01
01 to a 19
what are the responsibilities when on IATA/SNOW
Responsible for IATA/Snow tickets & ATTN boxes, and work through all samples that are separated as no monitor, not activated, and wrong location. Also, send a ticket regarding these samples
If you receive a glass transplant tube with a CWOW label what do you do?
Cancel the tube and place it in your rejects.
if a specimen has been resulted on the same day, but is not in the HVS or other locations on the line what do you do?
relabel the specimen and place back on the line
Along with creating a SNow incident, you must also file this form in SNow or TMSS to detail exactly what happened to the specimen.
SHIF (Something Happened Intake Form)?
in the Notes section in LIS what information are you recording?
which tube type was used for the request. For example: “Tube type 19 used for 01”
What is the process for Attention Supervisor for repeat hemolysis tickets?
After separating the post 10, relabel the specimen hand to a med tech, assign the ticket to special chemistry med tech, and close the ticket.
If a tube has two or more acceptable identifiers and matches a requisition, what do you do?
relabel the tube according to CS‑3001 and submit it to the specimen reload area
If sample is out of date and is an HHD/PD what is the process?
-create a manual requisition and a SNOW ticket. The snow ticket should be made with CWOW manual requisition created
In the cancellation comment, you should only include this and mark the comment as internal.
SNow incident number
what tube cannot be shared?
Lav 21
What do you do if you receive an attention supervisor box, but no ticket for repeat hemolysis?
reach out to LCS and message Ricardo.
if orders have not been crossed over for a specimen with an RNOF pop up what does that process look like?
create a SNow ticket using CWOW requisition not on file template a the end of the day, fill out the incident description. Write the incident number on the label with the associate tubes. Place tubes on the incident rack for the next shift to follow up.
How do you document a true duplicate tube?
At the end of your shift create one ticket in SNOW using the tracking duplicate tube. Scan all the tubes in the incident description section and update the requisition count in SNOW ticket.
After unpacking is complete, a specimen is spilled. Outline the full response: state the event classification, the tube type for cancellation, what must be included in the comments, and which two reporting mechanisms/forms must be used.
What is a “lab accident”, cancel tests using 5092 – RECOLLECT – LAB ERROR ACCIDENT, include SNow incident number in the comment (marked internal), and file a CWOW Specimen Issue (Lab Accident) incident in SNow plus create a SHIF form in SNow or TMSS.
what is the last step you do after the tube has been shared?
Place the tube in the designated output section to be loaded into the IOM for processing. Close the iTask as Closed Complete
What do you do when you receive an empty box with no samples?
make a comment in the IATA regulations tracking template that you received a box with no specimen.
What is the mislabel process?
Create a SHIF and include picture of sample, PHI of both patients, and check sample for any results.
If results, hand to MedTech
If no results, relabel specimen and put on the line.