Specimen Handling
All tissues /objects obtained from the patient are submitted to pathology ENDOSCOPY EXCEPTIONS
What are Medical devices ( g tube/ stents) that have not contributed to illness , injury or death)?
What are Foreign bodies removed after crimes of violence taken by law enforcement ?
Confirm patient and specimen identification using two unique identifiers
What is Patient name and birthdate and/or MRN?
FNA/ FNB
RPMI: take immediately to lab
Slides :Green top
Formalin: used for all routine surgical pathology
Buccal swab
Material(s) needed for lab draw
What are Single use tourniquet, Disinfectant( alcohol / chlorhexidine), Adhesive tape/bandage/Coban, 2x2, Vacutainer hub, Needle 20-21 gauge, Collection tubes, Specimen labels/specimen bag ?
Verification of Specimen order "read back"
What is specimen source, tissue type, dx, pertinent info, case specific info, required tests and medium ?
Besides the 2 unique identifiers; information on specimen container includes the following:
What is specimen type and site ?
What is current date and time?
Biohazard information if applicable.
medium for Brushings( gi or pulmonary)
Normal Saline
Slides in green top
Process when using a winged (e.g., butterfly) blood collection set for venipuncture and a coagulation tube is the first tube needed.
What is to first draw a discard tube?
Verbal confirmation of specimen order process in endoscopy.
What is the process of specimen identification? Physician verbalizes specimen , tech repeats physician order and RN repeats or "reads back" order?
Procedural pathology requestion must have the following information?
What is 2 patient identifiers, hospital location, date & time, fresh or frozen, provider performing the procedure full name of ordering RN, diagnosis and or clinical history ?
Foreign Body
Sterile container W/ Normal Saline
Order of draw
What are blood cultures, citrate(light blue), serum separator(gold/tiger), serum tube(red), rapid serum(orange), plasma separator(light green/tiger), heparin(green), EDTA(lavender), PPT separator(pearl), Fluoride(grey)?